Ensure patient safety with effective suicide ideation risk assessments
Accurately assessing suicidal ideation and behavior (SIB) is vital to ensure patients who participate in clinical trials remain safe from treatment-related suicide risk. According to the FDA, a SIB assessment, such as the Columbia-Suicide Severity Rating Scale (C-SSRS) should be included in clinical trials involving:
- Isotretinoins/tretinoins
- Beta-blockers that cross the blood-brain barrier
- Reserpine (for smoking cessation)
- Weight loss drugs
- Anti-epileptic drugs or other neurologic drugs with central nervous system activity
- Any pharmacologically-similar drug
- Any psychiatric indication e.g., bipolar disorder, schizophrenia, major depressive disorder, ADHD, OCD, panic attacks, PTSD, generalized anxiety disorder and autism spectrum disorder
- Multiple-dose phase 1 trials with healthy volunteers
We further recommend assessing suicide risk in clinical trials involving patient populations with a higher risk of SIB. These patient populations may include, but are not limited to:
Asthma, back pain, brain injury, cancer, congestive heart failure, chronic obstructive pulmonary disorder, diabetes, epilepsy, HIV/AIDS, heart disease, hypertension, migraine, Parkinson’s disease, renal disorder, sleep disorders, stroke, multiple sclerosis, lupus or Huntington’s disease.
To learn more about monitoring suicide ideation in your clinical trial, read our articles.
Rapidly detect treatment — related suicide risk
The Columbia‑Suicide Severity Rating Scale (C-SSRS) is the gold standard for monitoring SIB in clinical trials. Talk to Clario about its patient-reported and clinician-reported electronic assessment options designed to suit your study needs.
Patient-reported eC-SSRS ePRO assessments
Enabling patients to self-report on SIB, either via a tablet, browser or IVR, leads to more honest answers and higher quality data (inter-rater variability and bias are eliminated). Critically, the identification of positive signals happens much faster, generating real-time alerts to clinicians for speedier follow-up. Self-reporting also saves clinicians time, eliminating the need for them to carry out assessments themselves and avoiding the need for training.
Clinician-led C-SSRS eClinRO assessments
Clario C-SSRS enhances data collection by enabling a trained clinician interviewer to complete the semi-structured assessment via a Clario eCOA tablet device during a patient site visit. This clinical trail suicide ideation and monitoring tool reduces site burden, administration errors, missing data and transcription errors. Access to near real-time reporting is available through Clario’s tablet solution.