ArticleBMC health services research2023
Managed care updates of subscriber jail release to prompt community suicide prevention: clinical trial protocol.
Article in BMC health services research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05579600 (Managed Care Updates of Subscriber Justice System Involvement for Suicide Prevention), which is not on this map. Cited by 5 papers.
What it found
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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.
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.
Managed Care Updates of Subscriber Justice System Involvement for Suicide Prevention
Who cites it
5 citing papers in PubMed.
- Safety Planning vs Standard Care for Suicide Prevention After Pretrial Jail Detention: A Randomized Clinical Trial.JAMA network open · 2025Trial
- Trial
- Validation of self‑harm prediction models among formerly incarcerated individuals using health data.Health & justice · 2026Article
- Strengthening community services to keep individuals with mental illness out of jail: a qualitative analysis of implementation mechanisms in 52 U.S. Counties.Health & justice · 2025Article
- Share of Adult Suicides After Recent Jail Release.JAMA network open · 2024Article
Corrections and comments
- Update of
Authors and funding
10 authors.
Funding
Abstract
backgroundRecent jail detention is a marker for trait and state suicide risk in community-based populations. However, healthcare providers are typically unaware that their client was in jail and few post-release suicide prevention efforts exist. This protocol paper describes an effectiveness-implementation trial evaluating community suicide prevention practices triggered by advances in informatics that alert CareSource, a large managed care organization (MCO), when a subscriber is released from jail.
methodsThis randomized controlled trial investigates two evidence-based suicide prevention practices triggered by CareSource's jail detention/release notifications, in a partial factorial design. The first phase randomizes ~ 43,000 CareSource subscribers who pass through any Ohio jail to receive Caring Contact letters sent by CareSource or to Usual Care after jail release. The second phase (running simultaneously) involves a subset of ~ 6,000 of the 43,000 subscribers passing through jail who have been seen in one of 12 contracted behavioral health agencies in the 6 months prior to incarceration in a stepped-wedge design. Agencies will receive: (a) notifications of the client's jail detention/release, (b) instructions for re-engaging these clients, and (c) training in suicide risk assessment and the Safety Planning Intervention for use at re-engagement. We will track suicide-related and service linkage outcomes 6 months following jail release using claims data.
conclusionsThis design allows us to rigorously test two intervention main effects and their interaction. It also provides valuable information on the effects of system-level change and the scalability of interventions using big data from a MCO to flag jail release and suicide risk.
trial registrationThe trial is registered at clinicaltrials.gov (NCT05579600). Registered 27 June, 2023.
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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.