%0 Journal Article
%T Zero suicide implementation-effectiveness trial study protocol in outpatient behavioral health using the A-I-M suicide prevention model
%J Contemporary clinical trials
%D 2020
%A Stanley, Barbara
%A Labouliere, Christa D.
%A Brown, Gregory K.
%A Green, Kelly L.
%A Galfalvy, Anga C.
%A Finnerty, Molly T.
%A Vasan, Prabu
%A Cummings, Anni Kramer
%A Wainberg, Milton
%A Carruthers, Jay W.
%A Dixon, Lisa B.
%V ePub
%N ePub
%P ePub-ePub
%X BACKGROUND: The treatment of suicidal patients often suffers owing to a lack of integrated care and standardized approaches for identifying and reducing risk. The National Strategy for Suicide Prevention endorsed the Zero Suicide (ZS) model, a multi-component, system-wide approach to identify, engage and treat suicidal patients. The ZS model is a framework for suicide prevention in healthcare systems with the aspirational goal of eliminating suicide in healthcare. While the approach is widely endorsed, it has yet to be evaluated in a systematic manner. This trial evaluates two ZS implementation strategies statewide in specialty mental health clinics.   METHODS/STUDY DESIGN: This trial is the first large-scale implementation of the ZS model in mental health clinics using the Assess, Intervene, and Monitor for Suicide Prevention (A-I-M) clinical model. Using a hybrid effectiveness-implementation type 1 design, we are testing the effectiveness of ZS implementation in 186 mental health clinics in 95 agencies in New York State. Agencies are randomly assigned to either: "Basic Implementation" (BI; a large group didactic learning collaboratives) or "Enhanced Implementation" (EI; participatory small group learning collaboratives; enhanced consultation for site champions). Primary outcomes include suicidal behaviors, hospitalizations and Emergency Department visits; implementation outcomes include protocol adoption, protocol fidelity and barriers/facilitators to implementation.   DISCUSSION: This project has the potential to have a significant public health impact by determining the effectiveness of the ZS model in mental health clinics, a setting where suicide attempts and suicides occur at a higher rate than any other healthcare setting. It will also provide guidance on the implementation level required to achieve uptake and sustainability of ZS.   TRIAL REGISTRATION: N/A.<p /> <p>Language: en</p>
%G en
%I Elsevier Publishing
%@ 1551-7144
%U http://dx.doi.org/10.1016/j.cct.2020.106224