Official websites use .gov

A .gov website belongs to an official government organization in the United States.

Secure .gov websites use HTTPS

A lock ( 🔒 ) or https:// means you've safely connected to the .gov website. Share sensitive information only on official, secure websites.

Need Help

Development and Implementation of Safety Planning to Reduce Suicidality in Adolescents Seeking Care in Rural Emergency Departments

Award Number: R01NR021638
ORGANIZATION: NATIONAL INSTITUTE OF NURSING RESEARCH
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)
PERIOD OF PERFORMANCE START DATE: 09/23/2024
PERIOD OF PERFORMANCE END DATE: 07/31/2025

Group Awards By:

View Award Description

Development and Implementation of Safety Planning to Reduce Suicidality in Adolescents Seeking Care in Rural Emergency Departments - One-in-five children and adolescents in the United States (US) live in rural areas where they experience approximately two times the risk of suicide compared with their urban-residing peers. Despite having increased rates of mental and behavioral health conditions, less than half of rural residing youth with these conditions receive necessary treatment, due in part to shortages of pediatric services and clinicians. Given barriers to community-based mental healthcare, youth with suicidal ideation and/or attempt increasingly present to emergency departments (EDs) for care. While several national organizations endorse safety planning (a brief intervention that involves identification of coping strategies, social supports, and lethal means restriction) in EDs as an evidence-based suicide prevention intervention, implementation in rural settings requires consideration of the unique rural context as well as hospital and community resources. The overall goal of this project is to develop and implement a technology-aided approach to safety planning that will specifically address two dimensions of health – home safety and access to community mental healthcare – to decrease suicide risk in youth 12-17 years of age who present to rural EDs. To achieve this goal, investigators will: (i) conduct focus groups and interviews with rural-residing youth, their caregivers, clinicians, and community members to ascertain their priorities and perspectives about how to optimize safety planning, including lethal means counseling and community resource connections, in rural EDs; (ii) apply principles of human centered co-design to develop and test a youth- and caregiver-facing tablet-based digital intervention to guide safety planning, using mixed methods to investigate its feasibility, acceptability, and appropriateness, and to evaluate participant-reported self-efficacy to improve suicide-related coping and home safety (target mechanisms); and (iii) conduct a type 1 hybrid implementation-effectiveness study using a hospital-randomized stepped wedge design in four rural EDs to determine the effectiveness of this intervention compared to usual care for youth with suicidality, evaluating the extent to which outcomes are mediated by caregiver and youth selfefficacy, and assessing the reach, adoption, implementation and maintenance of the intervention using a mixed methods approach. Primary outcomes, measured one and three months following the ED visit, will include youth-reported suicide risk, evaluated using a validated instrument, and caregiver-reported home safety.


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 = $0 )
2026	2025	TRUSTEES OF DARTMOUTH COLLEGE	7 LEBANON ST	HANOVER	NH	03755	GRAFTON	USA	Nursing Research	000	3	12/10/2025	CHANGE OF GRANTEE / TRAINING INSTITUTION / AWARDING INSTITUTION	$0
2026	2025	DARTMOUTH-HITCHCOCK CLINIC	1 MEDICAL CENTER DR	LEBANON	NH	03756	GRAFTON	USA	Nursing Research	001	2	12/10/2025	NON-COMPETING CONTINUATION	$0
														Subtotal = $0

Issue Date FY: 2025 ( Subtotal = $732,464 )
2025	2025	DARTMOUTH-HITCHCOCK CLINIC	1 MEDICAL CENTER DR	LEBANON	NH	03756	GRAFTON	USA	Nursing Research	000	2	6/30/2025	NON-COMPETING CONTINUATION	$736,327
2025	2025	DARTMOUTH-HITCHCOCK CLINIC	1 MEDICAL CENTER DR	LEBANON	NH	03756	GRAFTON	USA	Nursing Research	001	2	9/22/2025	NON-COMPETING CONTINUATION	-$672,463
2025	2025	TRUSTEES OF DARTMOUTH COLLEGE	7 LEBANON ST	HANOVER	NH	03755	GRAFTON	USA	Nursing Research	002	3	9/22/2025	CHANGE OF GRANTEE / TRAINING INSTITUTION / AWARDING INSTITUTION	$668,600
														Subtotal = $732,464

Issue Date FY: 2024 ( Subtotal = $752,608 )
2024	2024	DARTMOUTH-HITCHCOCK CLINIC	1 MEDICAL CENTER DR	LEBANON	NH	03756	GRAFTON	USA	Nursing Research	000	1	9/23/2024	NEW	$752,608
														Subtotal = $752,608

Grand Total All Awards = $1,485,072

Top

All Categories

About

Search

Reports

Data Submission

Award Information

Development and Implementation of Safety Planning to Reduce Suicidality in Adolescents Seeking Care in Rural Emergency Departments

Award Number: R01NR021638

ORGANIZATION: NATIONAL INSTITUTE OF NURSING RESEARCH

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

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

PERIOD OF PERFORMANCE START DATE: 09/23/2024

PERIOD OF PERFORMANCE END DATE: 07/31/2025

Federal Websites

Department of Health & Human Services

HHS Operating Divisions

HHS Staff Divisions

Download A Document Viewer