Safety Planning Intervention rollout in Swedish psychiatric services to prevent suicide
Safety Planning Intervention in Swedish Healthcare: A Multisite Study for Suicide Prevention
NA · Region Skane · NCT07469917
This project will try a single-session Safety Planning Intervention with adults who present to psychiatric emergency or inpatient units with suicidal thoughts or attempts to see if it reduces suicide-related emergency visits and hospitalizations.
Quick facts
| Phase | NA |
|---|---|
| Study type | Interventional |
| Enrollment | 8000 (estimated) |
| Ages | 18 Years and up |
| Sex | All |
| Sponsor | Region Skane (other) |
| Locations | 4 sites (Helsingborg, Skåne County and 3 other locations) |
| Trial ID | NCT07469917 on ClinicalTrials.gov |
What this trial studies
This is a stepped-wedge implementation study introducing the Safety Planning Intervention (a brief, ~45-minute crisis plan) across multiple adult psychiatric emergency and inpatient units in Region Skåne. Healthcare providers receive brief training to deliver the intervention and each unit transitions from usual care to offering SPI at staggered time points. Outcomes include suicide-related emergency visits, psychiatric hospitalizations, and other healthcare utilization measured before and after implementation. The design ensures all participating units eventually deliver SPI while allowing comparison between implementation phases.
Who should consider this trial
Good fit: Adult patients (18+) presenting to participating psychiatric emergency or inpatient units with suicidal ideation, suicidal planning, or following a suicide attempt are the intended participants.
Not a fit: Patients under 18, those not treated in the participating adult psychiatric units, or individuals with conditions that prevent meaningful engagement in a brief planning session may not receive benefit.
Why it matters
Potential benefit: If successful, implementing SPI could reduce suicide-related emergency visits and hospital admissions and improve patients' ability to manage suicidal crises.
How similar studies have performed: Safety Planning Intervention has strong international research support showing reductions in suicidal behavior and related healthcare use, so this project tests implementation rather than a novel clinical concept.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: Patients presenting to psychiatric services with suicidal ideation, suicidal planning, or a suicide attempt Patients receiving care in participating adult psychiatric emergency or inpatient units Exclusion Criteria: Age under 18 years
Where this trial is running
Helsingborg, Skåne County and 3 other locations
- Region Skåne, psychiatric services — Helsingborg, Skåne County, Sweden (NOT_YET_RECRUITING)
- Region Skåne, psychiatric services — Kristianstad, Sweden (NOT_YET_RECRUITING)
- Region Skåne, psychiatric services — Lund, Sweden (RECRUITING)
- Region Skåne, psychiatric services — Malmö, Sweden (RECRUITING)
Study contacts
- Study coordinator: Sara Lindström, Associate professor
- Email: sara.lindstrom@med.lu.se
- Phone: +46702823770
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions: Suicide Attempt, prevention of suicidality