Implementing nudges for suicide prevention in real-world environments: project INSPIRE study protocol
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Implementing nudges for suicide prevention in real-world environments: project INSPIRE study protocol Molly Davis1,2* , Courtney Benjamin Wolk1,3, Shari Jager-Hyman1, Rinad S. Beidas1,2,4,5, Jami F. Young1,6, Jennifer A. Mautone1,6, Alison M. Buttenheim3,4,7,8, David S. Mandell1,3, Kevin G. Volpp3,4,5,7,9,10, Katherine Wislocki1, Anne Futterer1, Darby Marx1, E. L. Dieckmeyer11 and Emily M. Becker-Haimes1
Abstract Background: Suicide is a global health issue. There are a number of evidence-based practices for suicide screening, assessment, and intervention that are not routinely deployed in usual care settings. The goal of this study is to develop and test implementation strategies to facilitate evidence-based suicide screening, assessment, and intervention in two settings where individuals at risk for suicide are especially likely to present: primary care and specialty mental health care. We will leverage methods from behavioral economics, which involves understanding the many factors that influence human decision making, to inform strategy development. Methods: We will identify key mechanisms that limit implementation of evidence-based suicide screening, assessment, and intervention practices in primary care and specialty mental health through contextual inquiry involving behavioral health and primary care clinicians. Second, we will use contextual inquiry results to systematically design a menu of behavioral economics-informed implementation strategies that cut across settings, in collaboration with an advisory board composed of key stakeholders (i.e., behavioral economists, clinicians, implementation scientists, and suicide prevention experts). Finally, we will conduct rapid-cycle trials to test and refine the menu of implementation strategies. Primary outcomes include clinician-reported feasibility and acceptability of the implementation strategies. Discussion: Findings will elucidate ways to address common and unique barriers to evidence-based suicide screening, assessment, and intervention practices in primary care and specialty mental health care. Results will yield refined, pragmatically tested strategies that can inform larger confirmatory trials to combat the growing public health crisis of suicide. Keywords: Suicide, Prevention, Implementation science, Primary care, Mental health
* Correspondence: [email protected] 1 Department of Psychiatry, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA 2 Penn Implementation Science Center at the Leonard Davis Institute of Health Economics (PISCE@LDI), University of Pennsylvania, Philadelphia, PA, USA Full list of author information is available at the end of the article © The Author(s). 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons lice
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