Virtual Training Role Plays to Improve Patient Suicide Outcomes in Primary Care Settings

ABSTRACT SIMmersion in collaboration with the Institute for Family Health IFH and the Educational Development Center EDC propose to develop a web based training product Suicide Prevention Role plays for Interactive Training SPiRIT a series of modules to train providers to more effectively manage patients who screen positive for risk of suicide in this Phase I Phase II fast track application If funded the team will develop the Risk Assessment module in Phase I and utilize a within group pre post design to evaluate its feasibility Twenty practicing clinicians will be recruited to utilize the module and complete a pre post knowledge test In Phase II the team will develop S The efficacy of the product to positively influence patient outcomes will be tested with a Historically Controlled Trial HCT enlisting practicing clinicians across five IFH sites afety Planning Access to Lethal Means and Willingness to Accept a Referral modules All providers will be trained and patient outcomes will be tracked for months post training This data set will be compared to months of historical data for the same provider group Primary outcomes of this study will measure the participantsandapos ability in obtain improved patient outcomes related to rate of same day C SSRS Screening rate of suicide being added to the problem list rate of same day safety planning rate of same day C SSRS Lifeline Recent Completion rate of same day Risk Assessment rate of acceptance and attendance to within Institute referrals for post intervention patients who are offered the referral at the first visit and lower rates of documented suicide attempts Ultimately the development and successful testing of this product would provide the US health care system a novel technology to scale up a clinicianandapos s confidence and skill to better manage patients who identify as at risk for suicide Additionally if effective this product will have a direct impact on patient outcomes a vital component to any training product that attempts to train health care professionals The utility and scalability of the proposed product will move health care systems toward the goal of zero deaths from suicide consistent with the Zero suicide approach PROJECT NARRATIVE Zero Suicide is a commitment to suicide prevention in health care systems Suicide Prevention Role plays for Interactive Training SPiRIT offers a low cost scalable products to help licensed primary care providers build the skills experience and confidence needed to assist people who are considering suicide