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Emergency Department Telehealth for Improving Outcomes Related to Suicide (ETHOS)

Award Number: R01MH139877
ORGANIZATION: NATIONAL INSTITUTE OF MENTAL HEALTH
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)
PERIOD OF PERFORMANCE START DATE: 05/13/2026
PERIOD OF PERFORMANCE END DATE: 02/28/2031

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Emergency Department Telehealth for Improving Outcomes Related to Suicide (ETHOS) - PROJECT SUMMARY/ABSTRACT Children and adults in the US are increasingly seeking treatment in Emergency Departments (EDs) for suicide ideation (SI) and suicide attempt (SA), and suicide is a leading cause of death across age groups. The ED setting has become a critical point of intervention to prevent suicide in the US. In spite of this demonstrated need, most EDs lack resources to address suicide risk, and there is an urgent need to identify strategies to improve evidence-based care for the high-risk and vulnerable individuals who seek ED care due to suicidal ideation or suicide attempt. There is increasing interest in the use of technology to address provider shortages and related gaps in care. Tele-mental health, hereafter “telehealth,” relies on technologies including video- and audio-conferencing with remote clinicians and use of shared electronic health records to improve access to remote mental health specialists. To date, little is known about how EDs use telehealth, and specifically how telehealth services integrate suicide prevention practices for patients at high risk of suicide. The objectives of this project are to gain a comprehensive picture of whether telehealth increases access to treatment and improves treatment outcomes, to understand which patients benefit most from telehealth and which elements of telehealth are most beneficial, and to gather information relevant to understanding the mechanisms by which telehealth influences outcomes. The study team will link data from a previous NIMH-supported survey about EDs’ use of telehealth with health care claims from national samples of individuals insured by Medicaid and Optum private payers to examine relationships between patient receipt of care via telehealth and patient outcomes of post-ED visit connection to follow-up mental health care within 30 days and ED or hospital revisit within 90 days. The team will conduct semi-structured interviews with a subset of ED leaders, clinicians, and mental health consumer advocates around the country to understand facilitators and barriers to telehealth implementation within EDs and mechanisms by which telehealth influences patient outcomes.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2026 ( Subtotal = $884,315 )
2026	2026	VANDERBILT UNIVERSITY MEDICAL CENTER	1161 21ST AVE S STE D3300 MCN	NASHVILLE	TN	37232	DAVIDSON	USA	Mental Health Research Grants	000	1	5/19/2026	NEW	$884,315
														Subtotal = $884,315

Grand Total All Awards = $884,315

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Emergency Department Telehealth for Improving Outcomes Related to Suicide (ETHOS)

Award Number: R01MH139877

ORGANIZATION: NATIONAL INSTITUTE OF MENTAL HEALTH

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

PERIOD OF PERFORMANCE START DATE: 05/13/2026

PERIOD OF PERFORMANCE END DATE: 02/28/2031

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