Veterans psychiatrically hospitalized face significantly elevated suicide risk, particularly in the three months post-discharge. While Safety Planning is a required component of discharge planning, many safety plans lack personalization thereby reducing their effectiveness. The proposed intervention, Personalized Safety Plans (PSP), will be developed for rapid delivery on acute inpatient psychiatry units. PSP is a single-session intervention followed by twice monthly brief, personalized coaching sessions during the three-month high-risk discharge period. PSP will be iteratively refined and finalized in a case series (N = 15) then evaluated in a pilot randomized controlled trial (N = 96) comparing PSP to Safety Plans as Usual among psychiatrically hospitalized Veterans. Overall, the study aims to: 1) iteratively refine PSP; 2) examine PSP's preliminary effectiveness in reducing suicide ideation and increasing adaptive coping; 3) identify barriers and facilitators to implementation; and 4) develop a fidelity measure to support future personalization monitoring.
Age range
18 Years
Sex
ALL
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Bring these to your next appointment. They're a starting point for a shared conversation — not a sign you qualify or a recommendation to enrol.
Generated to help you prepare — always confirm anything about your own eligibility and care with the study team and your doctor.
The trial coordinator is the person who runs the study day to day. These cover the practical side — logistics, costs, and what taking part would actually mean for your life. The study team confirms whether you meet the criteria; these are questions to ask, not a sign you qualify.
A starting point for the conversation — always confirm anything about your own eligibility, costs, and care with the study team and your doctor.
Columbia-Suicide Severity Rating Scale - Suicide Ideation Duration
Timeframe: Baseline and 1, 3, and 6-month follow-up, an average of 6 months
Columbia-Suicide Severity Rating Scale - Suicide Ideation Frequency
Timeframe: Baseline and 1, 3, and 6-month follow-up, an average of 6 months
Feasibility of PSP Intervention
Timeframe: Throughout Part 1 of study completion, an average of 1 month
Acceptability of PSP Intervention - Patient Satisfaction
Timeframe: Throughout Part 1 of study completion, an average of 1 month
Acceptability of PSP Intervention
Timeframe: Throughout Part 1 of study completion, an average of 1 month
Beck Scale for Suicide Ideation
Timeframe: Baseline and 1, 3, and 6-month follow-up