Suicide Prediction and Prevention for People at Risk for Opioid Use Disorder: Supplement to COMPUTE 2.0

Completed · Not applicable

Conditions studied: Opioid Use, Opioid-use Disorder, Suicide

In brief

This study integrates the Mental Health Research Network (MHRN) suicide risk models into Opioid Wizard, an electronic health record (EHR) clinical decision support (CDS) to identify and treat patients at high risk of opioid use disorder (OUD)/overdose or diagnosed with OUD, to alert primary care clinicians (PCCs) to patients at elevated risk for suicide and guide them through structured suicide risk assessment. In both intervention and control clinics, suicide risk scores will be calculated for all Opioid Wizard-eligible patients and relevant EHR data to inform analyses will be archived. In intervention clinics, Opioid Wizard will alert PCCs to Opioid Wizard-eligible patients who are at increased risk of suicide and coach them through use of the Columbia Suicide Severity Risk Scale (CSSRS), a structured tool in the EHR that will help PCCs assess immediate suicide risk. Based on the resulting CSSRS score, Opioid Wizard will provide EHR links for risk-based referrals and follow-up recommendations, including care as usual, routine or emergent referral to behavioral health, or transportation to the emergency department (ED) for further assessment. Primary outcome measures include completion of CSSRS assessments for at-risk patients and patient engagement in outpatient mental health care.

Key facts

Study ID

NCT04939727

Run by

HealthPartners Institute

People needed

115

Starts

2021-08-03

Expected to finish

2022-07-31

Last updated by the study team

2023-08-31

Who can join

Age: 18 and older, up to 75. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Be aged 18-75 years, inclusive, at the time of index visit
• Have an OUD diagnosis, be prescribed an active MOUD, or be identified by the opioid risk models as being at high risk of OUD or overdose
• Be identified at high risk of suicide by the suicide risk models

You may not qualify if…

• Active parenteral chemotherapy within the last year
• Stage 4 or equivalent cancer diagnoses
• Enrolled in hospice or palliative care programs.

Where it is running

• HealthPartners Institute — Bloomington, Minnesota, United States

Full record on ClinicalTrials.gov

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