Name
O09 - CLASP-PC: A Rapid Response to Chronic or Episodic Non-Acute Suicidality in Primary Care
Date & Time
Saturday, October 18, 2025, 2:45 PM - 3:45 PM
Location Name
305A
Description

 Suicide rates are rising throughout the lifespan, and primary care providers are increasingly tasked with managing patients experiencing chronic or intermittently heightened suicidal risk. In response, the UNC Suicide Prevention Institute partnered with the UNC Eastowne Internal Medicine Clinic to adapt the Coping with Long-Term Active Suicide Program (CLASP) for use in primary care. This pilot project explores the feasibility and effectiveness of CLASP-PC as a rapid, suicide-focused intervention deliverable by integrated care teams. We will explore the findings, clinical implications for practice, real-world challenges, and recommendations for utilization.

Speakers
Jimmy Chen MD, Assistant Professor, Division of Child and Adolescent Psychiatry, Medical Director – Jonas Hill Clinic at UNC Health, UNC Suicide Prevention Institute, Department of Psychiatry, College of Medicine, Chapel Hill, NC
Kimberly Menzel MSW, LCSW, ACSW, Clinical Instructor, University of North Carolina, Suicide Prevention Institute, Chapel Hill, NC
Danielle Lowe MD, PhD, Board certified in General Psychiatry and Child and Adolescent Psychiatry, Assistant Clinical Professor, Medical Director of Crisis Inpatient unit, UNC Department of Psychiatry,
Jimmy Chen Danielle Lowe
Co-Authors
Diane Dolan-Soto, LCSW, Patrick Sullivan, MD, PhD, Director UNC Suicide Prevention Institute, Shelby Ortiz, PhD Clinical Psychologist, Sarah Rosenquest, LCSW, Dolan-Soto, Karen Borges, PhD, Darren DeWalt, MD, Medical Director UNC Internal Medicine Clinic, Rachel Ear, Research Coordinator,
Content Level
Intermediate
Tags
Collaborative Care Model of Integrated Care, Primary Care Behavioral Health Model, Suicide
Session Type
Concurrent
SIG or Committee
Collaborative Care Model (CoCM), Families and Health (F&H), Medicine, Primary Care Behavioral Health (PCBH)
Objective 1
Explain the clinical rationale and structure of the Coping with Long-Term Active Suicide Program in Primary Care (CLASP-PC) intervention.
Objective 2
Identify 3 key elements of safety planning and means reduction conversations with patients at risk for suicide in the primary care setting.
Objective 3
Identify practical strategies for integrating brief, suicide-specific interventions into busy primary care workflows.
Content Reference 1

Miller, Ivan, Brandon Gaudiano, and Lauren Weinstock, The Coping Long Term with Active Suicide Program (CLASP): A Multi-Modal Intervention for Suicide Prevention, Treatments That Work (New York, 2022; online edn, Oxford Academic, 1 July 2022), https://doi.org/10.1093/med-psych/9780190095260.001.0001.

Content Reference 2

Angerhofer Richards J, Cruz M, Stewart C, Lee AK, Ryan TC, Ahmedani BK, Simon GE. Effectiveness of Integrating Suicide Care in Primary Care: Secondary Analysis of a Stepped-Wedge, Cluster Randomized Implementation Trial. Ann Intern Med. 2024 Nov;177(11):1471-1481. doi: 10.7326/M24-0024. Epub 2024 Oct 1. PMID: 39348695.

Content Reference 3

Boggs, J. M., Yarborough, B. J. H., Clarke, G., Aguirre-Miyamoto, E. M., Barton, L. J., Beck, A., … Ahmedani, B. K. (2024). Development and Validation of Electronic Health Record Measures of Safety Planning Practices as Part of Zero Suicide Implementation. Archives of Suicide Research, 1–14. https://doi.org/10.1080/13811118.2024.2394676

Content Reference 4

Spottswood, M., Lim, C. T., Davydow, D., & Huang, H. (2022). Improving Suicide Prevention in Primary Care for Differing Levels of Behavioral Health Integration: A Review. Frontiers in medicine, 9, 892205. https://doi.org/10.3389/fmed.2022.892205

Content Reference 5

North Carolina Department of Health and Human Services. (2023). Suicide and Self-Inflicted Injury Data. https://injuryfreenc.dph.ncdhhs.gov/DataSurveillance/VDRS/2020-NCVDRS-AnnualReport.pdf