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Plan and Protect: Safety Planning for Teens in Rural Emergency Departments

StatusRecruiting
PhaseNot applicable
Started
View on ClinicalTrials.gov ↗
Trial flagged as At Risk
Primary completion moved at least 7 months later across 2 updates Sep 30, 2028 → Apr 30, 2029
Primary endpoint reworded 2 of 2 changed
See other at-risk trials from Dartmouth-Hitchcock Medical Center

Record History

See every version on ClinicalTrials.gov ↗

  1. Primary endpoint(s) modified Show 8 more changesShow less
    • Recruitment opened
    • Primary completion pushed from Jan 31, 2029 to Apr 30, 2029
    • Study sites: 4 to 6
    • Start date changed from estimate of Aug 1, 2026 to Aug 3, 2026
    • Interventions: Care as usual (Behavioral), Plan & Protect safety planning intervention (Behavioral) to Care as usual (Behavioral), Plan & Protect safety planning intervention (Behavioral)
    • Eligibility criteria expanded, about 13 words
    • Secondary endpoints: 4 to 8
    • Study description expanded, about 4 words
  2. Primary completion pushed from Sep 30, 2028 to Jan 31, 2029
    • Study completion pushed from Sep 30, 2028 to Apr 30, 2029
    v5
  3. Start date: Jun 1, 2026 to Aug 1, 2026
    • Secondary endpoints revised (4)
    v4
  4. Lead sponsor: Trustees of Dartmouth College to Dartmouth-Hitchcock Medical Center
    • Collaborators: 1 to 2
    v3
  5. Re-verified, no change to tracked fieldsv2
  6. Study First Submitted
  • Stopped: an ongoing trial was terminated, suspended or withdrawn.
  • Notable: the trial’s plan changed such as a big move in its timeline or size, a new primary endpoint, sponsor or phase, or recruiting opened or resumed.
  • Minor: routine progress and housekeeping, such as sites added or enrollment closed.
The goal of this observational study is to determine whether implementing a culturally sensitive, tablet-based safety planning program called Plan \& Protect (P\&P) within rural emergency departments can improve home safety and reduce suicide risk in adolescents presenting to the emergency department with suicide-related concerns. The main questions it aims to answer are: * Will implementing P\&P increase caregiver-reported home safety (reduce access to firearms and unsafe medication storage) for adolescents 12-17 years old presenting to rural EDs with suicidal ideation, self-harm, or mental health crisis? * Will implementing P\&P decrease adolescent-reported perceived suicide risk and related outcomes (e.g., suicide events, and attendance at follow-up mental healthcare)? Researchers will compare outcomes for adolescents and caregivers receiving P\&P (implemented as the new standard of care at sites during the intervention periods) to those receiving usual care (prior to P\&P implementation at those hospitals) to see if P\&P increases home safety and decreases suicide risk and related healthcare utilization. Participants will, if clinically appropriate: * Complete the tablet-based P\&P modules during their ED visit * Complete self-report measures at baseline, \~30 days, and \~3 months post-discharge * A subset will also participate in semi-structured interviews
Trial Details
NCT Number NCT07325474
Lead Sponsor Dartmouth-Hitchcock Medical Center
Collaborators: National Institute of Nursing Research (NINR), Trustees of Dartmouth College
Conditions
(from sponsor)		 Suicide Ideation, Suicide Attempt
Related terms Suicide, Suicide, Attempted
Enrollment 550 participants
Start Date
Primary Completion (estimated)
Study Completion (estimated)
Updated on ClinicalTrials.gov