Evidence map›Paper›PMID 38750957›Full record

Trial reportJournal of substance use and addiction treatment2024

Experiential suicide prevention training for substance use treatment intensive outpatient program counselors: Stepped wedge cluster-randomized training study.

Katherine Anne Comtois, David Huh, Martina Fruhbauerova, Adam Livengood, Amanda Kerbrat, Payton Smythe, Richard Ries

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of substance use and addiction treatment, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Katherine Anne ComtoisUniversity of Washington, Harborview Medical Center, Box 359911, 326 9(th) Ave, Seattle, WA 98104, United States of America. Electronic address: kcomtois@uw.edu.
David HuhUniversity of Washington, Harborview Medical Center, Box 359911, 326 9(th) Ave, Seattle, WA 98104, United States of America.
Martina FruhbauerovaUniversity of Washington, Harborview Medical Center, Box 359911, 326 9(th) Ave, Seattle, WA 98104, United States of America.
Adam LivengoodUniversity of Washington, Harborview Medical Center, Box 359911, 326 9(th) Ave, Seattle, WA 98104, United States of America.
Amanda KerbratUniversity of Washington, Harborview Medical Center, Box 359911, 326 9(th) Ave, Seattle, WA 98104, United States of America.
Payton SmytheUniversity of Washington, Harborview Medical Center, Box 359911, 326 9(th) Ave, Seattle, WA 98104, United States of America.
Richard RiesUniversity of Washington, Harborview Medical Center, Box 359911, 326 9(th) Ave, Seattle, WA 98104, United States of America.

Funding

Transform Dissemination and Implementation Science in CTSA ProgramsUL1TR002319 · NCATS · UNIVERSITY OF WASHINGTON · PI John K. Amory · 2017 to 2026
$100.0M
Preventing Addiction Related Suicide (PARS) - Controlled Trial of Secondary Suicide PreventionR01DA041486 · NIDA · UNIVERSITY OF WASHINGTON · PI COMTOIS, KATHERINE ANNE · 2016 to 2020
$2.8M
NCATS NIH HHS UL1 TR002319NIDA NIH HHS R01 DA041486
6 · The paper itself

Abstract

introductionThe goal of this study was to evaluate changes in knowledge, attitudes, and other key suicide prevention issues for substance use disorder (SUD) counselors trained to administer the Preventing Addiction Related Suicide (PARS) module as part of a large-scale clinical trial. PARS is a 3-hour, PowerPoint based intervention designed with and for community SUD agencies for their Intensive Outpatient (IOP) group therapy programs. A previous randomized study of 906 patients from 15 community SUD sites showed positive changes in patients' suicide prevention knowledge, attitudes, and help seeking.

methodsCounselor participants completed measures of knowledge and attitudes about suicide and their confidence treating suicidal patients at each step of a large, stepped wedge cluster randomized trial of PARS, including after the final step. Data analysis compared scores in steps prior to counselors' training in PARS with scores in the steps following counselors' PARS training.

resultsA total of 126 counselors participated in the study (89 % of those approached; 89-92 % retention across follow-up). Evaluation of both PARS efficacy and the PARS training by SUD counselors was highly rated. Counselor scores after receiving PARS training (vs. scores prior to PARS training) showed greater suicide knowledge, less maladaptive attitudes about suicide, and greater confidence in working with suicidal patients.

conclusionsBased on this rigorous test of PARS training for SUD counselors working in community SUD intensive outpatient programs, PARS training, as well as doing the PARS intervention, was rated as highly effective and acceptable. PARS offers an integrated, brief, engaging, and effective training method to improve suicide care for both SUD counselors and SUD clients.

Indexed as

CounselorsHealth Knowledge, Attitudes, PracticeSubstance-Related DisordersSuicide PreventionAdultAmbulatory CareCounselingFemaleHumansMaleMiddle AgedOutpatientsCluster randomized trialIntensive outpatient programSuicide preventionTraining

Identifiers

PMID38750957
PMCPMC12794622

What OpenQuestion holds

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Registered trials

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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.