Original Investigation

Safety Planning vs Standard Care for Suicide Prevention After Pretrial Jail Detention

JAMA Network Open 10.1001/jamanetworkopen.2025.43156

November 10, 2025 at 11:00 AM EST

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Does the Safety Planning Intervention (SPI) with telephone follow-up as an adjunct to enhanced standard care reduce suicide events 12 months after pretrial jail detention release?This randomized clinical trial of 800 individuals at risk for suicide who were recruited in jail, of whom 655 were released and followed up in the community, found that the SPI reduced the number of suicide events by 42% compared with enhanced standard care alone.The findings of this study suggest that the SPI reduced suicide risk in the year after pretrial jail detention, a high-risk period in which 1 in 5 of all suicide deaths in the US occur.

Corresponding Author: Lauren M. Weinstock, PhD, Department of Psychiatry and Human Behavior, The Warren Alpert Medical School, Brown University, 700 Butler Dr, Providence, RI 02906 (lauren_weinstock@brown.edu).

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