[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100617965":3},{"organization":4,"armGroups":7,"interventions":19,"overallOfficials":29,"centralContacts":34,"locations":40,"responsibleParty":91,"collaborators":95,"id":100,"slug":101,"hasResults":102,"nctId":103,"briefTitle":104,"officialTitle":105,"acronym":25,"eligibilityCriteria":106,"healthyVolunteers":102,"sex":107,"minAge":108,"maxAge":109,"enrollmentInfo":110,"targetDuration":25,"studyType":113,"phases":114,"briefSummary":116,"conditions":117,"keywords":120,"overallStatus":126,"whyStopped":25,"lastUpdateSubmitDate":127,"lastUpdatePostDateStruct":128,"startDateStruct":131,"completionDateStruct":133,"leadSponsor":135,"locationsCount":136},{"fullName":5,"class":6},"Dartmouth-Hitchcock Medical Center","OTHER",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"Plan & Protect","EXPERIMENTAL","Plan and Protect is a tablet-based program that integrates a youth-facing safety-planning module with a caregiver-facing home safety planning decision aid to create culturally sensitive, locally tailored safety plans and promote caregiver engagement in home safety during rural ED visits for adolescent suicidality",[13],"Behavioral: Plan & Protect safety planning intervention",{"label":15,"type":6,"description":16,"interventionNames":17},"Care as usual","Outcomes for adolescents and their caregivers enrolled during the pre-implementation (usual care) periods at each hospital will be compared to outcomes for those enrolled after their hospital implements the P\\&P program as quality improvement",[18],"Behavioral: Care as usual",[20,26],{"type":21,"name":22,"description":23,"armGroupLabels":24,"otherNames":25},"BEHAVIORAL","Plan & Protect safety planning intervention","Plan and Protect (P\\&P) is a tablet-based, family-centered quality improvement program targeted to rural Northern New England that combines a youth-facing safety-planning module with a caregiver-facing home safety decision aid and youth safety information. The goal is to help adolescents and their caregivers develop concrete, culturally-sensitive safety plans during emergency department visits.",[9],null,{"type":21,"name":15,"description":27,"armGroupLabels":28,"otherNames":25},"Adolescents and caregivers will receive treatment as usual at the Emergency Department.",[15],[30],{"name":31,"affiliation":32,"role":33},"JoAnna K Leyenaar, MD, PhD, MPH","Dartmouth College","PRINCIPAL_INVESTIGATOR",[35],{"name":36,"role":37,"phone":38,"phoneExt":25,"email":39},"Jacqueline Pogue, MPH","CONTACT","603-646-5614","jacqueline.a.pogue@dartmouth.edu",[41,58,69,79],{"facility":42,"status":25,"city":43,"state":44,"zip":45,"country":46,"countryCode":47,"cosmosGeoPoint":48,"geoPoint":53,"contacts":54},"Cheshire Medical Center","Keene","New Hampshire","03431","United States","US",{"type":49,"coordinates":50},"Point",[51,52],-72.27814,42.93369,{"lat":52,"lon":51},[55,56],{"name":36,"role":37,"phone":38,"phoneExt":25,"email":39},{"name":57,"role":33,"phone":25,"phoneExt":25,"email":25},"Maia Rutman, MD",{"facility":5,"status":25,"city":59,"state":44,"zip":60,"country":46,"countryCode":47,"cosmosGeoPoint":61,"geoPoint":65,"contacts":66},"Lebanon","03756",{"type":49,"coordinates":62},[63,64],-72.25176,43.64229,{"lat":64,"lon":63},[67,68],{"name":36,"role":37,"phone":38,"phoneExt":25,"email":39},{"name":57,"role":33,"phone":25,"phoneExt":25,"email":25},{"facility":70,"status":25,"city":59,"state":44,"zip":71,"country":46,"countryCode":47,"cosmosGeoPoint":72,"geoPoint":74,"contacts":75},"Alice Peck Day Memorial Hospital","03766",{"type":49,"coordinates":73},[63,64],{"lat":64,"lon":63},[76,78],{"name":77,"role":37,"phone":38,"phoneExt":25,"email":39},"Jacqueline A Pogue, MPH",{"name":57,"role":33,"phone":25,"phoneExt":25,"email":25},{"facility":80,"status":25,"city":81,"state":44,"zip":82,"country":46,"countryCode":47,"cosmosGeoPoint":83,"geoPoint":87,"contacts":88},"New London Hospital","New London","03257",{"type":49,"coordinates":84},[85,86],-71.98508,43.41396,{"lat":86,"lon":85},[89,90],{"name":36,"role":37,"phone":38,"phoneExt":25,"email":39},{"name":57,"role":33,"phone":25,"phoneExt":25,"email":25},{"type":33,"investigatorFullName":92,"investigatorTitle":93,"investigatorAffiliation":94,"oldNameTitle":25,"oldOrganization":25},"JoAnna K. Leyenaar","Professor of Pediatrics, Professor of the Dartmouth Institute","Trustees of Dartmouth College",[96,99],{"name":97,"class":98},"National Institute of Nursing Research (NINR)","NIH",{"name":94,"class":6},"100617965","plan-and-protect-safety-planning-for-teens-in-rural-emergency-departments-100617965",false,"NCT07325474","Plan and Protect: Safety Planning for Teens in Rural Emergency Departments","Development & Implementation of Culturally Sensitive Safety Planning to Reduce Suicide Risk in Adolescents Seeking Care in Rural Emergency Departments","Inclusion criteria for children:\n\n* 12-17 years of age (and their parent\u002Fcaregiver(s))\n* Ability to speak and complete surveys in English\n* History of emergency department visit for suicidality, self-harm or mental health crisis\n* Medically stable\n\nExclusion criteria for children:\n\n* Cognitive or developmental delays that preclude program participation based on clinical team assessment\n* Diagnosis of psychosis\n* Primary diagnosis of an eating disorder\n* Parent\u002Fguardian not able to provide consent in English\n* Clinical team concern for patient or staff safety based upon active behavioral concerns\n* Parent\u002Fguardian not available to provide consent (e.g youth is in child protective custody\u002Fward of the state)\n\nInclusion criteria for parents\u002Fcaregivers:\n\n* Parent or caregiver of an eligible child\n* 18 years old or older\n* Ability to speak and complete surveys in English\n\nExclusion criteria for parents\u002Fcaregivers:\n\n-Inability to understand key aspects of the study","ALL","12 Years","17 Years",{"count":111,"type":112},550,"ESTIMATED","INTERVENTIONAL",[115],"NA","The goal of this observational study is to determine whether implementing a culturally sensitive, tablet-based safety planning program called Plan \\& Protect (P\\&P) within rural emergency departments can improve home safety and reduce suicide risk in adolescents presenting with suicidality.\n\nThe main questions it aims to answer are:\n\n* Will implementing P\\&P increase caregiver-reported home safety (reduce access to firearms and unsafe medication storage) for adolescents 12-17 years old presenting to rural EDs with suicidal ideation, self-harm, or mental health crisis?\n* Will implementing P\\&P decrease adolescent-reported perceived suicide risk and related outcomes (e.g., suicide events, and attendance at follow-up mental healthcare)?\n\nResearchers will compare outcomes for adolescents and caregivers receiving P\\&P (implemented as the new standard of care at sites during the intervention periods) to those receiving usual care (prior to P\\&P implementation at those hospitals) to see if P\\&P increases home safety and decreases suicide risk and related healthcare utilization.\n\nParticipants will, if clinically appropriate:\n\n* Complete the tablet-based P\\&P modules during their ED visit\n* Complete self-report measures at baseline, \\~30 days, and \\~3 months post-discharge\n* A subset will also participate in semi-structured interviews",[118,119],"Suicide Ideation","Suicide Attempt",[121,122,123,124,125],"Suicide","Safety Planning","Adolescent","Mental Health Services","Emergency Services","NOT_YET_RECRUITING","2026-01-27",{"date":129,"type":130},"2026-01-29","ACTUAL",{"date":132,"type":112},"2026-06-01",{"date":134,"type":112},"2028-09-30",{"name":5,"class":6},4]