Recruiting

Plan & Protect

Sponsor:

Dartmouth-Hitchcock Medical Center

Code:

NCT07325474

Conditions

Suicide Ideation

Suicide Attempt

Eligibility Criteria

Sex: All

Age: 12+

Healthy Volunteers: Not accepted

Interventions

Plan & Protect safety planning intervention

Care as usual

Study Details

Brief summary:

The goal of this observational study is to determine whether implementing a culturally sensitive, tablet-based safety planning program called Plan \& Protect (P\&P) within rural emergency departments can improve home safety and reduce suicide risk in adolescents presenting to the emergency department with suicide-related concerns.

The main questions it aims to answer are:

  • Will implementing P\&P increase caregiver-reported home safety (reduce access to firearms and unsafe medication storage) for adolescents 12-17 years old presenting to rural EDs with suicidal ideation, self-harm, or mental health crisis?
  • Will implementing P\&P decrease adolescent-reported perceived suicide risk and related outcomes (e.g., suicide events, and attendance at follow-up mental healthcare)?

Researchers will compare outcomes for adolescents and caregivers receiving P\&P (implemented as the new standard of care at sites during the intervention periods) to those receiving usual care (prior to P\&P implementation at those hospitals) to see if P\&P increases home safety and decreases suicide risk and related healthcare utilization.

Participants will, if clinically appropriate:

  • Complete the tablet-based P\&P modules during their ED visit
  • Complete self-report measures at baseline, \~30 days, and \~3 months post-discharge
  • A subset will also participate in semi-structured interviews

Conditions

Suicide Ideation

Suicide Attempt

Study ID

NCT07325474

Start date

Aug 3, 2026

Status verified date

Sep, 2026

Completion date

Apr 30, 2029

Anticipated

Primary completion date

Apr 30, 2029

Anticipated

Eligibility Criteria

Eligibility Criteria

Sex: All

Age: 12+

Healthy Volunteers: Not accepted

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

Study Design

Enrollment

550 participants

Anticipated

Allocation

Randomized

Intervention Model

Parallel Assignment

Primary purpose

Health Services Research

Interventions and Outcome Measures

Arms

experimental: Plan & Protect

Plan and Protect is a tablet-based program that integrates a youth-facing safety-planning module with a caregiver-facing home safety planning decision aid to create culturally sensitive, locally tailored safety plans and promote caregiver engagement in home safety during rural ED visits for adolescent suicidality

other: Care as usual

Outcomes for adolescents and their caregivers enrolled during the pre-implementation (usual care) periods at each hospital will be compared to outcomes for those enrolled after their hospital implements the P\&P program as quality improvement

Interventions

Plan & Protect safety planning intervention

Plan and Protect (P\&P) is a tablet-based, family-centered quality improvement program targeted to rural Northern New England that combines a youth-facing safety-planning module with a caregiver-facing home safety decision aid and youth safety information. The goal is to help adolescents and their caregivers develop concrete, culturally-sensitive safety plans during emergency department visits.

Care as usual

Adolescents and caregivers will receive treatment as usual at the Emergency Department.

Primary outcome measure

  • Improved Home Safety (caregiver) [ Time Frame: 30 and 90 days after ED visit ]
  • Suicide Risk (youth) [ Time Frame: 30 and 90 days after ED visit ]

Central Contacts and Locations

Central contacts

Jacqueline Pogue, MPH

603-646-5614jacqueline.a.pogue@dartmouth.edu

Locations

Cheshire Medical Center

Recruiting

Keene, New Hampshire, United States, 03431

Contacts

Jacqueline Pogue, MPH

603-646-5614jacqueline.a.pogue@dartmouth.edu

Principal Investigator:

Maia Rutman, MD

Dartmouth-Hitchcock Medical Center

Recruiting

Lebanon, New Hampshire, United States, 03756

Contacts

Jacqueline Pogue, MPH

603-646-5614jacqueline.a.pogue@dartmouth.edu

Principal Investigator:

Maia Rutman, MD

Alice Peck Day Memorial Hospital

Recruiting

Lebanon, New Hampshire, United States, 03766

Contacts

Jacqueline A Pogue, MPH

603-646-5614jacqueline.a.pogue@dartmouth.edu

Principal Investigator:

Maia Rutman, MD

New London Hospital

Recruiting

New London, New Hampshire, United States, 03257

Contacts

Jacqueline Pogue, MPH

603-646-5614jacqueline.a.pogue@dartmouth.edu

Principal Investigator:

Maia Rutman, MD

Mount Ascutney Hospital

Recruiting

Windsor, Vermont, United States, 05089

Contacts

Alexis Cardone, MD

603-650-5000Alexis.C.Cordone@hitchcock.org

More Information

Sponsor

Dartmouth-Hitchcock Medical Center

Last update posted

Oct 2, 2026

Last verified

Sep, 2026

Keywords

  • Suicide
  • Safety Planning
  • Adolescent
  • Mental Health Services
  • Emergency Services

Trial information was received from ClinicalTrials.gov and was last updated on 2026-10-03. This information was provided to ClinicalTrials.gov by Dartmouth-Hitchcock Medical Center on 2026-10-02. Recruitment status is synced daily from ClinicalTrials.gov and may not reflect the sponsor's current status. Confirm during your call.