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Paper title or working title
Current status
Idea
Count2
1
Placeholder for potential manuscript on workload issues. Frances expressed interest.
2
Placeholder for potential paper on mental health equity. Rebecca expressed interest.
3
Implementation of Suicide Prevention for Different Racial and Ethnic Groups of Patients
4
Impact of Zero Suicide Implementation in Primary Care and Mental Health Care on Suicide Attempts across Health Systems
5
Rates of suicide screening, follow-up assessment, and safety planning in primary care and mental health specialty settings across 6 large integrated healthcare systems as part of Zero Suicide implementation.
6
Population-Level Short- and Long-Term Impact of Changes in Opioid Prescribing Practices on Suicide Attempt Rates
Current status
Concept proposal submitted
Count2
Current status
In process (writing/data analysis underway)
Count2
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Study type: Other
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Intended use: Other
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Requesting approval for: Other
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Sites approve submission to journal
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Karen J. Coleman
KPSC

To examine the main metrics for implementation of the ZSI by mutually exclusive racial/ethnic groups: Black, Hispanic, Asian, White, HPI, AIAN, Other (includes all other categories) in Mental Health Specialty care. Identification will be lower for all groups except White patients, however, the remaining metrics are exploratory and thus do not have hypotheses.

Distributed frequencies assembled for the ZSI project.

To understand if suicide prevention is implemented equitably in mental health specialty care.

Not Certain
4/1/2023
Concept proposal submitted
11/8/2022
11:46pm
HFHS
KPCO
KPNW
KPSC
KPNC
Longitudinal (analysis of repeated measures over time)
Manuscript
Analyze existing data

Main Zero Suicide Evaluation Study Outcome Paper:

Examine changes in suicide attempt rates before and after implementation of Zero Suicide in primary care and outpatient mental health specialty settings.

nearing final dataset as part of ZS evaluation study.

Main suicide outcome paper for primary care and outpatient mental health specialty settings in the ZS Evaluation Study

JAMA, JAMA Psychiatry, American Journal of Psychiatry
April 1, 2023
Concept proposal submitted
1/3/2023
5:54pm
HFHS
KPNC
KPCO
KPNW
KPSC
KPWA
Longitudinal (analysis of repeated measures over time)
Manuscript
Meeting abstract for poster or presentation
Analyze existing data
Jennifer M Boggs
KPCO

Examine the rates of uptake of screening (PHQ9- item9), follow-up assessment (CSSRS or equivalent), and safety planning separately across the six systems and by PC, BH. Report overall means and measures of spread, then show graphs for each system/setting (12 graphs) that have all three measures on each graph. Figure 1 would be the rates with 6 graphs for BH and Figure 2 would be the rates with 6 graphs for PC. Table 1 would be overall demographics, Table 2 would be the numerators/denominators for each of the measures by settings. Discuss penetration differences in the population by looking at the absolute numbers screened as well as the rates of screening within setting. Maybe in the discussion talk about some of the common and unique implementation strategies across systems.

In process (writing/data analysis underway)
1/3/2023
5:29pm
Brian Ahmedani
HFHS

Investigate whether changes in opioid prescribing patterns impact suicide attempt rates using an interrupted time series design

These data have already been captured as part of the ZS opioid supplement.

Opioid prescribing decreased rapidly over the last 10 years. Given that opioids are commonly used as a means for suicide, reductions in opioid availability may lead to long-term reductions in suicide attempts. Nonetheless, there is some documented concern about short term increases in suicide attempt after immediate discontinuation from opioid medication. This study will examine both short and long term changes in suicide attempt after population level decreases in opioid prescribing across 6 health systems.

JAMA Psychiatry
November 2022
In process (writing/data analysis underway)
9/22/2022
5:07pm
HFHS
KPCO
KPNC
KPNW
KPSC
KPWA
Longitudinal (analysis of repeated measures over time)
Manuscript
Meeting abstract for poster or presentation
Analyze existing data
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