N/A
N=800
Suicide Prevention Intervention for At-Risk Individuals in Transition
Suicide
Bottom Line
View on ClinicalTrials.gov: NCT02759172 ↗Enrolled (actual)
800
Serious AEs
51.3%
Results posted
Dec 2025
Primary outcome: Primary: Suicide Events — 1.8; 3.0 number of events
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- Safety Planning Intervention (Behavioral)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- Michigan State University
- Primary completion
- Dec 2019
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Suicide Events |
1.8; 3.0 | — |
| SECONDARY Suicide Attempts |
1; 2.1 | — |
| SECONDARY Weeks of Active Suicide Ideation |
9; 10.9 | — |
| SECONDARY Severity of Suicide Ideation |
15.2; 16.2 | — |
| SECONDARY Time to First Suicide Event |
7.4; 4.4 | — |
| SECONDARY Psychiatric Symptoms |
44.1; 45 | — |
| SECONDARY Functioning |
72; 72.3 | — |
| SECONDARY Treatment Utilization |
9.02; 8.41 | — |
| SECONDARY Suicide-related Problem-solving |
65.82; 65.39 | — |
| SECONDARY Belongingness |
19.90; 20.08 | — |
Summary
The four year SPIRIT Trial, or Suicide Prevention Intervention for at-Risk Individuals in Transition, will recruit 800 pretrial jail detainees at risk for suicide. Each participant will be randomly assigned to today's standard care or to Safety Planning Intervention (SPI) method and then followed for one year after release. Outcomes include suicide events, suicide attempts and ideation, psychiatric symptoms, functioning, treatment utilization, problem-solving, belongingness, and cost-effectiveness.
Eligibility Criteria
Inclusion Criteria
- Unsentenced male and female pretrial jail detainees
- 18+ years of age
- at risk for suicide, operationalized as a response of "yes" on item 4 or greater on the initial 5 C-SSRS screening questions, indicating the presence of at least some active suicide ideation with some intent to act in the past month (i.e., individuals at higher risk, such as those who report intent with specific plan and/or suicide attempt/s in the last month, will also be included);
- speak and understand English well enough to understand questionnaires when they are read aloud.
Exclusion Criteria
- expects to be sentenced and serve their sentence before being released to the community
- cannot provide the name and contact information of at least two locator persons
- does not have access to any telephone.
Data sourced from ClinicalTrials.gov (NCT02759172). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.