Evidence map›Paper›PMID 32956255›Full record

ArticleNursing research

Suicide Risk Management Protocol for a Randomized Controlled Trial of Cardiac Patients Reporting Hopelessness.

Susan L Dunn, Holli A DeVon, Eileen G Collins, Anna Luong, Madison P Buursma, Melissa Gutierrez-Kapheim, Ulf G Bronas

Registry-linked trialOpen access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Nursing research. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03907891 (A Randomized Controlled Trial to Reduce Hopelessness Through Enhanced Physical Activity in Adults With Ischemic Heart Disease), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.3field-weighted citation impact, top 29% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03907891 nacompletednot on this map

A Randomized Controlled Trial to Reduce Hopelessness Through Enhanced Physical Activity in Adults With Ischemic Heart Disease

TypeinterventionalSponsorUniversity of Illinois at ChicagoRan2019 to 2024Enrolled224ConditionsIschemic Heart Disease, Hopelessness, Physical Activity, MotivationArmsMotivational social support from nurse, Motivational social support from nurse with additional support from significant other, Attention control
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 2 countries.

Susan L DunnSusan L. Dunn, PhD, RN, FAHA, FAAN, is Associate Professor, University of Illinois at Chicago College of Nursing. Holli A. DeVon, PhD, RN, FAHA, FAAN, is Professor, University of California Los Angeles School of Nursing. Eileen G. Collins, PhD, RN, FAACVPR, FAAN, is Professor, University of Illinois at Chicago College of Nursing. Anna Luong, BSN, RN, is a doctoral student, University of Illinois at Chicago College of Nursing. Madison P. Buursma, BSN, RN, is a doctoral student, University of Illinois at Chicago College of Nursing. Melissa Gutierrez-Kapheim, MS, is a Project Director, University of Illinois at Chicago College of Nursing. Ulf G. Bronas, PhD, ATC, ATR, FSVM, FAHA, is Associate Professor, University of Illinois at Chicago College of Nursing.
Holli A DeVon
Eileen G Collins
Anna Luong
Madison P Buursma
Melissa Gutierrez-Kapheim
Ulf G Bronas
NCR (United States) · USIllinois College · US

Funding

Strengthening Stakeholder Engagement in Human Research Protections.UL1TR002003 · NCATS · UNIVERSITY OF ILLINOIS AT CHICAGO · PI KARNIK, NIRANJAN SUBHASH, MERMELSTEIN, ROBIN J. · 2016 to 2024
$33.7M
A Randomized Controlled Trial to Reduce Hopelessness through Enhanced Physical Activity in Adults with Ischemic Heart DiseaseR01NR017649 · NINR · UNIVERSITY OF ILLINOIS AT CHICAGO · PI DUNN, SUSAN L · 2018 to 2022
$2.7M
NCATS NIH HHS UL1 TR002003NINR NIH HHS R01 NR017649
6 · The paper itself

Abstract

backgroundInvestigators conducting studies that include potentially suicidal individuals are obligated to develop a suicide risk management (SRM) protocol. There is little available in the literature to guide researchers in SRM protocol development.

objectivesThe aim of the study was to describe an SRM protocol developed for a randomized controlled trial (RCT) currently enrolling cardiac patients who report moderate to severe levels of hopelessness.

methodsThe SRM protocol identifies suicidal ideation and measures ideation severity through use of the Columbia-Suicide Severity Rating Scale risk factor questions. Based on responses, study participants are deemed safe or at low, moderate, or high risk for suicide. The SRM protocol guides research staff through a plan of action based on risk level. The protocol further guides staff through a plan over the course of this prospective study-from hospital enrollment to home-based visits.

resultsResearch staff are well trained to identify suicidal ideation risk factors, initiate specific questioning about suicidal intent, determine level of risk, identify protective factors and a safe environment, and make referrals if needed. Of the 51 patients hospitalized with cardiac disease who reported moderate to severe hopelessness, 43 scored at a safe suicide risk level and 8 scored at low risk. Thirty-five of the 51 patients enrolled in the RCT. Of the 35 participants who received home visits to date, there have been three instances of low and one instance of moderate suicide risk. The SRM protocol has been consistently and accurately used by research personnel in both hospital and home settings. One modification has been made to the protocol since study activation, namely, the addition of an assessment of counseling history and encouragement of continued counseling. Booster training sessions of research staff will continue throughout the course of the RCT. DISCUSSION: Use of the SRM protocol identifies study participants who are safe or at risk for suicide in both hospital and home settings, and research staff can refer participants accordingly.

conclusionThe SRM protocol developed for this RCT can serve as a model in the development of SRM protocols for future research in acute care, community, or home-based settings.

Indexed as

Suicide PreventionAdultAgedAged, 80 and overFemaleHeart DiseasesHumansMaleMiddle AgedPractice Guidelines as TopicProspective StudiesPsychiatric Status Rating ScalesRandomized Controlled Trials as TopicRisk FactorsRisk ManagementStress, Psychological

Identifiers

PMID32956255
PMCPMC7736508
OpenAlexW3087261333

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.