Evidence map›Paper›PMID 33843599›Full record

ArticleJMIR formative research2021

Brief Interventions via Electronic Health Record Messaging for Population-Based Suicide Prevention: Mixed Methods Pilot Study.

Ursula Whiteside, Julie Richards, Gregory E Simon

2 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in JMIR formative research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are 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
0.7field-weighted citation impact, top 26% 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.

NCT01924936 nacompletednot on this map

Pilot Study of Online Interventions for Population-based Suicide

TypeinterventionalSponsorKaiser PermanenteRan2012 to 2014Enrolled200ConditionsSuicide, Suicide, Attempted, Suicidal IdeationArmsDBT Online Program
NCT02326883 nacompletednot on this map

UH3 Pragmatic Trial of Population-based Programs to Prevent Suicide Attempt

TypeinterventionalSponsorKaiser PermanenteRan2015 to 2020Enrolled18,882ConditionsDepression, Suicidal IdeationArmsCare Management, Skills Training, Usual Care
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 6 citations in OpenAlex.

  1. Trial
  2. Article
  3. Towards online delivery of Dialectical Behaviour Therapy: A scoping review.International journal of mental health nursing · 2022
    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

3 authors at 2 institutions in 1 country.

Ursula WhitesideNowMattersNow.org, Bellevue, WA, United States.ORCID https://orcid.org/0000-0003-3218-1013
Julie RichardsKaiser Permanente Washington Health Research Institute, Seattle, WA, United States.ORCID https://orcid.org/0000-0002-7037-4177
Gregory E SimonDepartment of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA, United States.ORCID https://orcid.org/0000-0003-2859-5467
Kaiser Permanente Washington Health Research Institute · USUniversity of Washington · US

Funding

Pragmatic trial of population-based programs to prevent suicide attemptUH2AT007755 · NCCIH · KAISER FOUNDATION HEALTH PLAN OF WASHINGTON · PI SIMON, GREGORY E. · 2012 to 2012
$760k
Pilot Study of Online Interventions for Population-Based Suicide PreventionR34MH097836 · NIMH · KAISER FOUNDATION HEALTH PLAN OF WASHINGTON · PI SIMON, GREGORY E. · 2012 to 2013
$667k
NCCIH NIH HHS UH2 AT007755NIMH NIH HHS R34 MH097836
6 · The paper itself

Abstract

backgroundNew opportunities to create and evaluate population-based selective prevention programs for suicidal behavior are emerging in health care settings. Standard depression severity measures recorded in electronic medical records (EMRs) can be used to identify patients at risk for suicide and suicide attempt, and promising interventions for reducing the risk of suicide attempt in at-risk populations can be adapted for web-based delivery in health care.

objectiveThis study aims to evaluate a pilot of a psychoeducational program, focused on developing emotion regulation techniques via a web-based dialectical behavior therapy (DBT) skills site, including four DBT skills, and supported by secure message coaching, including elements of caring messages.

methodsPatients were eligible based on the EMR-documented responses to the Patient Health Questionnaire indicating suicidal thoughts. We measured feasibility via the proportion of invitees who opened program invitations, visited the web-based consent form page, and consented; acceptability via qualitative feedback from participants about the DBT program; and engagement via the proportion of invitees who began DBT skills as well as the number of website visits for DBT skills and the degree of site engagement.

resultsA total of 60 patients were invited to participate. Overall, 93% (56/60) of the patients opened the invitation and 43% (26/60) consented to participate. DBT skills website users visited the home page on an average of 5.3 times (SD 6.0). Procedures resulted in no complaints and some participant feedback emphasizing the usefulness of DBT skills.

conclusionsThis study supports the potential of using responses to patient health questionnaires in EMRs to identify a high-risk population and offer key elements of caring messages and DBT adapted for a low-intensity intervention. A randomized trial evaluating the effectiveness of this program is now underway (ClinicalTrials.gov: NCT02326883).

Indexed as

caring messagedialectical behavior therapyNowMattersNow.orgpreventionsuicidesuicide preventionweb-based

Identifiers

PMID33843599
PMCPMC8076995
OpenAlexW3135955073

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.