When a patient is at elevated risk of suicide, the PCC will be prompted by Opioid Wizard to complete the Columbia-Suicide Severity Risk Scale (CSSRS), easily available to all PCCs in the EHR and saved as discrete data elements. Risk-based (depending on CSSRS score) referral and follow-up recommendations for suicide prevention will be given, with specific care recommendations ranging from care as usual (very low risk) to referral to behavioral health for evaluation and safety planning (moderate to high risk) to immediate evaluation in the emergency department and potential inpatient admission (very high risk), building on workflows developed for use by care managers in in our recently completed suicide prevention trial of over 19,000 people at elevated risk of suicide.

This project seeks to compare the relative effectiveness of using social media sites versus informational sites like to promote HIV self-testing and PrEP uptake. MSM between 18-30 years old will receive culturally-relevant advertisements targeting minorities similar to those previously developed. Specifically, the study aims to 1) adapt existing social media-based HIV self-testing and PrEP advertising materials for digital distribution on social media and informational sites and 2) compare the effectiveness of HIV testing and PrEP uptake promotion across social media sites versus online informational platforms.