[Federal Register Volume 81, Number 119 (Tuesday, June 21, 2016)]
[Notices]
[Pages 40337-40338]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-14588]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Substance Abuse and Mental Health Services Administration


Agency Information Collection Activities: Submission for OMB 
Review; Comment Request

    Periodically, the Substance Abuse and Mental Health Services 
Administration (SAMHSA) will publish a summary of information 
collection requests under OMB review, in compliance with the Paperwork 
Reduction Act (44 U.S.C. Chapter 35). To request a copy of these 
documents, call the SAMHSA Reports Clearance Officer on (240) 276-1243.

Project: Monitoring of the National Suicide Prevention Lifeline (OMB 
No. 0930-0274) Revision

    The Substance Abuse and Mental Health Services Administration 
(SAMHSA) Center for Mental Health Services (CMHS) is requesting 
approval for the revision of data collection associated with the 
previously-approved Monitoring of the National Suicide Prevention 
Lifeline (OMB No. 0930-0274; Expiration, July 31, 2016). The current 
request will continue previously-cleared efforts to evaluate process 
and impacts of follow-up services provided to suicidal individuals 
through the National Suicide Prevention Lifeline Crisis Center Follow-
Up (NSPL Follow-Up) program.
    The NSPL, or Lifeline, is SAMHSA's 24-hour crisis hotline (1-800-
273-TALK [8255]) that serves as a central switchboard, seamlessly 
connecting callers from anywhere in the U.S. to the closest of its 165 
crisis centers within the Lifeline network. Since its inception, the 
Lifeline has helped more than 6 million people. In 2008, SAMHSA 
launched the NSPL Follow-up program and began awarding cooperative 
agreements to crisis centers in the Lifeline network to reconnect with 
suicidal callers to offer emotional support and ensure they followed up 
with referrals to treatment. In 2013, the program was expanded to 
include crisis center follow-up with any suicidal individual referred 
from a partnering emergency department (ED) or inpatient hospital.
    While previous evaluations of the NSPL demonstrated that suicidal 
callers experienced a reduction in hopelessness and suicidal intent 
after contacting the Lifeline, 43% of suicidal callers participating in 
follow-up assessments reported some recurrence of suicidality (e.g., 
ideation, plan, or attempt) since their crisis call (Gould et al., 
2007). Even so, only about 35% of suicidal callers set up an 
appointment and even fewer had been seen by the behavioral health care 
system to which they were referred (Gould et al., 2007; Kalafat et al., 
2007). Similarly, while several randomized, controlled trials have 
demonstrated that following up by telephone or letter with patients 
discharged from inpatient or ED settings can reduce rates of repeat 
suicide attempts (Vaiva et al., 2006), as well as completions 
(Fleischman et al., 2008; Motto & Bostrom, 2001), suicidal individuals 
discharged from EDs rarely link to ongoing care. As many as 70% of 
suicide attempters either never attend their first appointment or drop 
out of treatment after a few sessions (Knesper et al., 2010). Thus, it 
is imperative that EDs and inpatient settings link these individuals to 
follow-up care.
    SAMHSA is addressing this need through the NSPL Follow-Up program. 
The Monitoring of the NSPL will continue to assess whether the NSPL 
Follow-Up program achieves its intended goals. This revision of the 
Monitoring of the NSPL represents SAMHSA's desire to expand this 
process and impacts evaluation to assess follow-up with clients 
referred to the Lifeline from partnering inpatient hospitals and EDs 
and continue to improve the methods and standards of service delivery 
to suicidal individuals receiving crisis center services. This effort 
will build on information collected through previous and ongoing NSPL 
evaluations; expand our understanding of the outcomes associated with 
the NSPL Follow-Up program; and continue to contribute to the evidence 
base.
    This revision requests approval for the removal of one previously-
approved instrument and the continuation and renaming of five 
previously-approved activities. Six crisis centers funded through the 
NSPL Follow-Up program in FY 2016 will participate in this effort.

Instrument Removal

    Due to the completion of the motivational interviewing/safety 
planning (MI/SP) training and the fulfillment of data collection goals, 
the currently-approved MI/SP Counselor Attitudes Questionnaire and its 
associated burden will be removed.

Instrument and Consent Revisions

    Each of the five instruments and consents associated with the 
Monitoring of the NSPL was previously approved by OMB (No. 0930-0274; 
Expiration, July 31, 2016). Revisions include the following: (1) The 
term ``caller'' will be replaced with ``client'' to reflect the change 
in respondent type to clients referred from partnering EDs and 
inpatient hospitals rather than callers, and (2) MI/SP will be removed 
from the titles of all instruments and consents. No other changes are 
being made.
    [ssquf] The MI/SP Caller Follow-up Interview will be renamed 
``Client Follow-up Interview.''
    [ssquf] The MI/SP Caller Initial Script will be renamed ``Client 
Initial Script.''
    [ssquf] The MI/SP Caller Follow-up Consent Script will be renamed 
``Client Follow-up Consent Script.''
    [ssquf] The MI/SP Counselor Follow-up Questionnaire will be renamed 
``Counselor Follow-up Questionnaire.''
    [ssquf] The MI/SP Counselor Consent will be renamed ``Counselor 
Consent.''
    The estimated response burden to collect this information 
associated with the Monitoring of the NSPL annualized over the 
requested 3-year approval period is presented below:

[[Page 40338]]



                                           Estimated Annualized Burden
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                                                                                    Burden  per
            Activity                 Number of    Responses  per   Total number      response      Annual burden
                                    respondents      respondent    of responses       (hours)        (hours) *
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Client Initial Script...........             217               1             217             .08              17
Client Initial Script Refusals..              53               1              53             .02               1
Client Follow-up Consent Script.             161               1             161             .17              27
Client Follow-up Consent Script               10               1              10             .03               1
 Refusals.......................
Client Follow-up Interview......             160               1             160             .67             107
Client Follow-up Interview                     1               1               1             .25               1
 Refusals.......................
Counselor Consent...............              42               1              42             .08               3
Counselor Follow-up                           42              15             630             .17             107
 Questionnaire..................
                                 -------------------------------------------------------------------------------
    Total.......................             685  ..............           1,274  ..............             264
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* Rounded to the nearest whole number with 0 rounded to 1.

    Written comments and recommendations concerning the proposed 
information collection should be sent by July 21, 2016 to the SAMHSA 
Desk Officer at the Office of Information and Regulatory Affairs, 
Office of Management and Budget (OMB). To ensure timely receipt of 
comments, and to avoid potential delays in OMB's receipt and processing 
of mail sent through the U.S. Postal Service, commenters are encouraged 
to submit their comments to OMB via email to: 
[email protected]. Although commenters are encouraged to send 
their comments via email, commenters may also fax their comments to: 
202-395-7285. Commenters may also mail them to: Office of Management 
and Budget, Office of Information and Regulatory Affairs, New Executive 
Office Building, Room 10102, Washington, DC 20503.

Summer King,
Statistician.
[FR Doc. 2016-14588 Filed 6-20-16; 8:45 am]
 BILLING CODE 4162-20-P