Clinical trial Recruiting at 5 sites Interventional Ages 12 and up

Plan & Protect safety planning for teens in rural EDs

Official title: Development & Implementation of Culturally Sensitive Safety Planning to Reduce Suicide Risk in Adolescents Seeking Care in Rural Emergency Departments

Run by Dartmouth-Hitchcock Medical Center · NCT07325474 · Data updated 2026-11-12

A tablet-based safety planning program is being tested in rural emergency departments to see if it helps families make homes safer and lowers suicide risk for 12-17 year olds.

Quick facts

Study typeInterventional
Ages12 Years and up
SexAll
Enrollment550 (estimated)
SponsorDartmouth-Hitchcock Medical Center
Academic / other
Locations6 sites (Claremont, New Hampshire and 5 other locations)
StatusRecruiting
StartedAugust 3, 2026
Main results expectedApril 30, 2029
Study endsApril 30, 2029
Registry record updatedOctober 2, 2026
Trial IDNCT07325474 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adolescents aged 12-17 with a history of suicidality, self-harm, or mental health crisis presenting to rural EDs, and their English-speaking caregivers.

Probably not a fit

Patients who do not complete or engage with the tablet-based program or whose caregivers are unable to participate may not experience the intended benefits.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This observational study will implement the Plan & Protect safety planning program in rural EDs as a quality improvement intervention and compare outcomes to usual care. It uses a culturally sensitive, tablet-based approach designed for adolescents and their caregivers. The aim is to increase home safety (e.g., firearm and medication storage) and reduce perceived suicide risk and the need for follow-up mental health care. Outcomes will be assessed from caregiver and adolescent reports during intervention and control periods.

Why it matters

Potential benefit: If successful, teens may experience safer home environments and reduced risk of suicide-related events.

How similar studies have gone: Prior rural ED safety planning efforts suggest that structured planning can improve safety practices, though this exact tablet-based, culturally tailored approach is novel in this setting.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion criteria for children:

* 12-17 years of age (and their parent/caregiver(s))
* Ability to speak and complete surveys in English
* History of emergency department visit for suicidality, self-harm or mental health crisis
* Medically stable

Exclusion criteria for children:

* Cognitive or developmental delays that preclude program participation based on clinical team assessment
* Diagnosis of psychosis
* Primary diagnosis of an eating disorder
* Parent/guardian not able to provide consent in English
* Clinical team concern for patient or staff safety based upon active behavioral concerns
* Parent/guardian not available to provide consent (e.g youth is in child protective custody/ward of the state)

Inclusion criteria for parents/caregivers:

* Parent or caregiver of an eligible child
* 18 years old or older
* Ability to speak and complete surveys in English

Exclusion criteria for parents/caregivers:

-Inability to understand key aspects of the study

Where it's running

  • Cheshire Medical Center
    Keene, New Hampshire, United States
    Recruiting
  • Dartmouth-Hitchcock Medical Center
    Lebanon, New Hampshire, United States
    Recruiting
  • Alice Peck Day Memorial Hospital
    Lebanon, New Hampshire, United States
    Recruiting
  • New London Hospital
    New London, New Hampshire, United States
    Recruiting
  • Mount Ascutney Hospital
    Windsor, Vermont, United States
    Recruiting
  • Valley Regional Hospital
    Claremont, New Hampshire, United States
    Not yet recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.