N/A
N=36
An Exposure-Based Implementation Strategy to Decrease Clinician Anxiety Around Suicide Prevention
Implementation Science
Bottom Line
View on ClinicalTrials.gov: NCT05172609 ↗Enrolled (actual)
36
Serious AEs
0.0%
Results posted
Aug 2025
Primary outcome: Primary: Clinician Perception of EBIS Acceptability for Clinical Practice at Time 4, 12 Weeks After Completing Training — 4.55; 4.56 units on a scale — p=.47
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- Exposure Based Implementation Strategy (EBIS) (Behavioral); Implementation as Usual (IAU) (Behavioral)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- University of Pennsylvania
- Primary completion
- Jul 2024
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Clinician Perception of EBIS Acceptability for Clinical Practice at Time 4, 12 Weeks After Completing Training |
4.55; 4.56 | .47 |
| PRIMARY Clinician Perception of EBIS Feasibility and Utility for Clinical Practice at Time 4, 12 Weeks After Completing Training |
4.59; 4.63 | .88 |
| SECONDARY Clinician Anxiety at 4 Timepoints Across 12 Weeks |
4.28; 3.94; 4.67; 4.28; 5.06; 3.94 | .46 |
| SECONDARY Clinician Self-Efficacy Questionnaire at 4 Timepoints Across 12 Weeks |
5.08; 4.96; 4.94; 4.53; 5.44; 5.06 | .59 |
| SECONDARY Screening Use at 3 Timepoints Across 12 Weeks |
.50; .56; .49; .52; .62; .54 | .88 |
| SECONDARY Safety Planning Intervention Use (Fidelity) at Time 3 (Two Weeks After Completing the Training) and Time 4 (12 Weeks After Completing the Training) |
14.06; 11.88; 15.69; 15.38 | .24 |
Summary
Study objectives are to design and pilot test a novel, exposure-based implementation strategy (EBIS) directly targeting clinician anxiety and low self-efficacy for use of evidence-based suicide screening, assessment, and intervention (SSAI) strategies with patients at risk for suicide in community settings. Early phases of this study will develop the EBIS in partnership with community clinicians (n = 15). The last phase of this study is a pilot clinical trial in which 40 community mental health clinicians will be randomized to receive either implementation as usual (IAU) or IAU+EBIS.
Eligibility Criteria
Inclusion Criteria
- Practicing mental health clinicians who provide direct mental health services to a treatment-seeking population
- Proficient in the English language
- Have access to a computer with internet connectivity
Exclusion Criteria
- Participants will be excluded if they do not see any mental health patients that are at risk for suicide (e.g., they screen out high-risk patients for their individual practice).
Data sourced from ClinicalTrials.gov (NCT05172609). 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.