Evidence map›Paper›PMID 40938268›Full record

Trial reportSuicide & life-threatening behavior2025

Comparing the Impacts of Crisis Response Plan and Self-Administered Safety Plan Use in Real Life on Key Clinical Outcomes.

Melanie Bozzay, Xiaoxuan Cai, Jiaxin Chen, Samantha Daruwala, Lauren Khazem, Heather Wastler, Nicholas P Allan, AnnaBelle O Bryan, Craig J Bryan

Abstract readRandomized Controlled TrialComparative Study
In one paragraph

Trial report in Suicide & life-threatening behavior, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Trial
  2. 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

9 authors.

Melanie BozzayDepartment of Psychiatry and Behavioral Health, The Ohio State University Wexner Medical Center, Columbus, OH, USA.ORCID https://orcid.org/0000-0002-6605-4648
Xiaoxuan CaiDepartment of Statistics, The Ohio State University, Columbus, OH, USA.
Jiaxin ChenDepartment of Statistics, The Ohio State University, Columbus, OH, USA.
Samantha DaruwalaDepartment of Psychiatry and Behavioral Health, The Ohio State University Wexner Medical Center, Columbus, OH, USA.ORCID https://orcid.org/0000-0001-7094-0725
Lauren KhazemDepartment of Psychiatry and Behavioral Health, The Ohio State University Wexner Medical Center, Columbus, OH, USA.
Heather WastlerDepartment of Psychiatry and Behavioral Health, The Ohio State University Wexner Medical Center, Columbus, OH, USA.ORCID https://orcid.org/0000-0003-1519-6926
Nicholas P AllanDepartment of Psychiatry and Behavioral Health, The Ohio State University Wexner Medical Center, Columbus, OH, USA.
AnnaBelle O BryanDepartment of Psychiatry and Behavioral Health, The Ohio State University Wexner Medical Center, Columbus, OH, USA.
Craig J BryanDepartment of Psychiatry and Behavioral Health, The Ohio State University Wexner Medical Center, Columbus, OH, USA.

Funding

The Ohio State University Center for clinical and Translational ScienceUL1TR001070 · NCATS · OHIO STATE UNIVERSITY · PI JACKSON, REBECCA D · 2013 to 2017
$22.6M
Dynamic Impacts of Sleep Disruption on Ecologically Assessed Affective, Behavioral, and Cognitive Risk Factors for SuicideR01MH124832 · NIMH · BUTLER HOSPITAL (PROVIDENCE, RI) · PI ARMEY, MICHAEL F, BOZZAY, MELANIE · 2021 to 2024
$2.2M
Optimizing Brief Coping Skills Interventions for Suicide Prevention: Leveraging Technology and Novel Statistical Models for Precision Mental HealthR01MH136286 · NIMH · OHIO STATE UNIVERSITY · PI Nicholas Paul Allan, Melanie Bozzay · 2025 to 2026
$1.2M
33 Foreverhonor 365NCATS NIH HHS UL1 TR001070NIMH NIH HHS R01 MH124832NIMH NIH HHS R01 MH136286NIMH NIH HHS R01MH136286Ride to Zero
6 · The paper itself

Abstract

backgroundSuicidal crises can occur when a clinician is not available to intervene. Safety planning-type interventions, such as the Crisis Response Plan (CRP) and the self-guided Safety Plan (SP), were developed to provide patients with skills to manage their suicide risk in daily life. These plans are similar in makeup, but differ in terms of how they are created. This study examined whether plan type moderated associations between frequency of plan use and suicide ideation and affect.

methodParticipants were 115 military personnel in a randomized clinical trial comparing the effectiveness of CRP versus a self-guided SP who completed an ecological momentary assessment battery. Generalized linear mixed-effects models examined whether plan type moderated the association between daily plan use frequency and clinical outcomes.

resultsTreatment group moderated the relationship between plan use frequency and the odds of suicidal ideation. When participants used plans more frequently than their average, they reported lower suicidal ideation and higher positive affect for CRP versus self-guided SP.

conclusionsMore frequent CRP use was linked with lower risk of suicidal ideation and greater positive affect. This may reflect better plan use due to clinician guidance. Results have critical implications for the implementation of safety planning-type interventions.

Indexed as

Crisis InterventionMilitary PersonnelSuicidal IdeationSuicide PreventionAdultEcological Momentary AssessmentFemaleHumansMaleYoung Adultcrisis response planecological momentary assessmentnegative affectpositive affectsafety plansuicide

Identifiers

PMID40938268
PMCPMC12429010

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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.