Grant Details

Enhancing Suicide Prevention in Emergency Care via Telehealth (R01)

 
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    CFDA#

    93.242
     

    Funder Type

    Federal Government

    IT Classification

    B - Readily funds technology as part of an award

    Authority

    National Institutes of Health (NIH)

    Summary

    The purpose of this Funding Opportunity Announcement (FOA) is to solicit research to develop, optimize and test mental health telehealth methods to help evaluate and treat emergency department (ED) patients with suicide risk, compared to usual care of such patients in emergency departments without adequate on-site mental health specialty consultation. Primary research questions include whether the use of telehealth methods (i.e., without involving in-person interaction between a mental health clinician and the patient or ED staff) affects the proportion of ED patients who: (1) are considered at imminent risk for suicide, (2) are boarded in the ED due to suicide risk, and/or (3) are required to be hospitalized for suicide risk. Other questions address: whether use of telehealth methods affects the rate of within-encounter provision of evidence-based suicide prevention interventions; and whether use of telehealth methods affects the rates of suicide ideation, suicide attempts and deaths, as well as health care use and costs in the year after an œindex ED visit in which a patient was identified with suicide risk. To inform future implementation of telehealth enabled suicide prevention practices in the ED, this FOA encourages research on patient-, provider- and setting- level factors that may facilitate or impede telehealth provision and outcomes, as well as patient and provider views of telehealth provision of suicide prevention practices (feasibility and acceptability of clinical decision making; clinical workflows; ease of use of technology).


    The goal of this FOA is to support research to assess the effects of telehealth services to general hospital emergency departments (EDs) regarding the care of ED patients identified with suicide risk. NIMH anticipates that research in response to this FOA will involve trials with prospective data collection in which patients are exposed to specific intervention conditions. While random allocation to intervention conditions is feasible in some cases, depending on the study question, practical constraints, and ethical considerations might justify the use of quasi-experimental designs with non-randomized comparison groups, that could be responsive with adequate justification.

     

    History of Funding

    None is available.

    Additional Information

    Suicide Prevention Practices of Interest

    Telehealth methods could focus on enhancing ED care for individuals with suicide risk for any combination of the following components: suicide risk screening, assessment/evaluation (including consideration of co-occurring mental health and substance use issues), within-encounter brief interventions, recommendations/decisions about disposition, and recommendations and arrangements for post-discharge and follow-up care. Study designs that focus on a narrower scope of suicide prevention practices should provide compelling clinical and logistical rationale for doing so. This FOA focuses on services that are furnished within the ED, during an index ED visit in which the patient is identified with (or confirmed to have) suicide risk. Study protocols may also include intervention components that are furnished after the patient leaves the ED, but the specific focus of this announcement is on assessing the effects of telehealth services provided during the ED visit. Telehealth services might include support/consultation provided to ED clinicians regarding a given patient, without direct contact between the telehealth provider and the patient, and/or telehealth services can involve direct contact between the telehealth provider and the patient (e.g., telehealth-enabled provision of brief within-encounter intervention such as safety planning). NIMH encourages researchers to focus on synchronous telehealth methods during the ED visit/encounter (e.g., telephone, video). Studies that seek to focus on asynchronous telehealth methods (e.g., email, voice mail, faxed recommendations, text messages), in whole or in part, could be considered, but these services should be provided while the patient is still in the ED. Applicants should provide compelling clinical and logistical rationale for the specific telehealth support that is included.

    Contacts

    Tamara Kees

    Tamara Kees
    National Institute of Mental Health (NIMH)
    200 Independence Avenue, S.W
    Washington, DC 20201
    (301) 443-8811
     

  • Eligibility Details

    Eligible applicants include:

    • Higher Education Institutions
    • Nonprofits
    • For-Profit Organizations
    • Governments
    • Independent School Districts
    • Public Housing Authorities/Indian Housing Authorities
    • Native American Tribal Organizations (other than Federally recognized tribal governments)
    • Faith-based or Community-based Organizations
    • Regional Organizations

    Any individual(s) with the skills, knowledge, and resources necessary to carry out the proposed research as the Program Director(s)/Principal Investigator(s) (PD(s)/PI(s)) is invited to work with his/her organization to develop an application for support. Individuals from underrepresented racial and ethnic groups as well as individuals with disabilities are always encouraged to apply for NIH support.

    Deadline Details

    Letters of Intent are to be submitted by January 10, 2020 and September 15, 2020. Applications are to be submitted by February 10, 2020 and October 15, 2020.

    Award Details

    NIMH intends to commit a total of $7 million in FY 2020, to fund up to 2 awards. Award amounts vary. The maximum project period is 4 years. Cost sharing/matching is not required.

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