عنوان انگلیسی مقاله:
Study Protocol: A randomized controlled trial of suicide risk reduction in the year following jail release (the SPIRIT Trial)
ترجمه فارسی عنوان مقاله:
پروتکل مطالعه: یک آزمایش کنترل شده تصادفی کاهش خطر خودکشی در سال بعد از آزادی زندان (دادگاه SPIRIT)
Sciencedirect - Elsevier - Contemporary Clinical Trials, 94 (2020) 106003. doi:10.1016/j.cct.2020.106003
Jennifer E. Johnsona,⁎, Richard Jonesb, Ted Millerc, Ivan Millerd, Barbara Stanleye, Greg Brownf, Sarah A. Ariasg, Louis Cerboh, Julie Rexrothi, Holly Fittingj, Danis Russellk, Sheryl Kubiakl, Michael Steinm, Christopher Matkovicn, Shirley Yenb, Brandon Gaudianog, Lauren M. Weinstockb
Purpose: This article describes the protocol for a randomized effectiveness and cost-effectiveness trial of Stanley
and Browns Safety Planning Intervention (SPI) during pretrial jail detention to reduce post-release suicide
events (suicide attempts, suicide behaviors, and suicide-related hospitalizations).
Background: With 10 million admissions per year and short stays (often days), U.S. jails touch many individuals
at risk for suicide, providing an important opportunity for suicide prevention that is currently being missed. This
study (N = 800) is the first randomized evaluation of an intervention to reduce suicide risk in the vulnerable
year after jail release. Given that roughly 10% of all suicides in the U.S. with known circumstances occur in the
context of a criminal legal stressor, reducing suicide risk in the year after arrest and jail detention could have a
noticeable impact on national suicide rates.
Design: Pretrial jail detainees at risk for suicide were randomized to SPI during jail detention plus post-release
phone follow-up or to enhanced Standard Care. Outcomes assessed through 12 months post-release include
suicide events, suicide attempts, weeks of active suicide ideation, severity of suicide ideation, time to first event,
psychiatric symptoms, functioning, and cost-effectiveness. Methods accommodate short jail stays and maximize
trial safety and follow-up in a large sample with severe suicide risk, access to lethal means including substances
and firearms, high rates of psychiatric illness, and unstable circumstances.
Conclusion: Adequate funding was important to create the infrastructure needed to run this large trial cleanly.
We encourage funders to provide adequate resources to ensure clean, well-run trials.
Keywords: Suicide | Prevention | Criminal justice | Jail release | Randomized controlled trial | Cost-effectiveness