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 type | Interventional |
|---|---|
| Ages | 12 Years and up |
| Sex | All |
| Enrollment | 550 (estimated) |
| Sponsor | Dartmouth-Hitchcock Medical Center Academic / other |
| Locations | 6 sites (Claremont, New Hampshire and 5 other locations) |
| Status | Recruiting |
| Started | August 3, 2026 |
| Main results expected | April 30, 2029 |
| Study ends | April 30, 2029 |
| Registry record updated | October 2, 2026 |
| Trial ID | NCT07325474 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
- Principal investigator: JoAnna K Leyenaar, MD, PhD, MPH — Dartmouth College
- Study coordinator: Jacqueline Pogue, MPH
- Email: jacqueline.a.pogue@dartmouth.edu
- Phone: 603-646-5614
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.