[Federal Register Volume 83, Number 23 (Friday, February 2, 2018)]
[Notices]
[Pages 4918-4919]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2018-02107]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Substance Abuse and Mental Health Services Administration


Agency Information Collection Activities: Proposed Collection; 
Comment Request

    In compliance with Section 3506(c)(2)(A) of the Paperwork Reduction 
Act of 1995 concerning opportunity for public comment on proposed 
collections of information, the Substance Abuse and Mental Health 
Services Administration (SAMHSA) will publish periodic summaries of 
proposed projects. To request more information on the proposed projects 
or to obtain a copy of the information collection plans, call the 
SAMHSA Reports Clearance Officer on (240) 276-1243.
    Comments are invited on: (a) Whether the proposed collections of 
information are necessary for the proper performance of the functions 
of the agency, including whether the information shall have practical 
utility; (b) the accuracy of the agency's estimate of the burden of the 
proposed collection of information; (c) ways to enhance the quality, 
utility, and clarity of the information to be collected; and (d) ways 
to minimize the burden of the collection of information on respondents, 
including through the use of automated collection techniques or other 
forms of information technology.

Proposed Project: Networking Suicide Prevention Hotlines--Evaluation of 
Imminent Risk (OMB No. 0930-0333)--Revision

    The Substance Abuse and Mental Health Services Administration's 
(SAMHSA), Center for Mental Health Services (CMHS) funds a National 
Suicide Prevention Lifeline Network (``Lifeline''), consisting of a 
toll-free telephone number that routes calls from anywhere in the 
United States to a network of local crisis centers. In turn, the local 
centers link callers to local emergency, mental health, and social 
service resources. This project is a revision of the Evaluation of 
Imminent Risk and builds on previously approved data collection 
activities [Evaluation of Networking Suicide Prevention Hotlines 
Follow-Up Assessment (OMB No. 0930-0274) and Call Monitoring of 
National Suicide Prevention Lifeline Form (OMB No. 0930-0275)]. The 
extension data collection is an effort to advance the understanding of 
crisis hotline utilization and its impact.

[[Page 4919]]

    The overarching purpose of the proposed Evaluation of Imminent Risk 
data collection is to evaluate hotline counselors' management of 
imminent risk callers and third party callers concerned about persons 
at imminent risk, assess counselor adherence to the Lifeline Policies 
and Guidelines for Helping Callers at Imminent Risk of Suicide, and 
identify the types of interventions implemented with imminent risk 
callers. Specifically, the Evaluation of Imminent Risk will collect 
data, using the Imminent Risk Form-Revised, to inform the network's 
knowledge of the extent to which counselors are aware of and being 
guided by Lifeline's imminent risk guidelines; counselors' definitions 
of imminent risk; the rates of active rescue of imminent risk callers; 
the types of rescue and non-rescue interventions used; barriers to 
intervention; and the circumstances in which active rescue is 
initiated, including the caller's agreement to receive the 
intervention. To capture differences across centers, the form also 
collects information on counselors' employment status and hours worked/
volunteered, level of education, license status, training status, 
source of safety planning protocols, and responsibility for follow up.
    Clearance is being requested for one activity to assess the 
knowledge, actions, and practices of counselors to aid callers who are 
determined to be at imminent risk for suicide and who may require 
active rescue. This evaluation will allow researchers to examine and 
understand the actions taken by counselors to aid imminent risk 
callers, the need for active rescue, the types of interventions used, 
and, ultimately, improve the delivery of crisis hotline services to 
imminent risk callers. A total of seven centers will participate in 
this evaluation. Thus, SAMHSA is requesting OMB review and approval of 
the Imminent Risk Form-Revised.
    Crisis counselors at seven participating centers will record 
information discussed with imminent risk callers on the Imminent Risk 
Form-Revised, which does not require direct data collection from 
callers. As with previously approved evaluations, callers will maintain 
anonymity. Participating counselors will be asked to complete the form 
for 100% of their imminent risk calls. At centers with high call 
volumes, data collection may be limited to designated shifts. This form 
requests information in 15 content areas, each with multiple sub-items 
and response options. Response options include open-ended, yes/no, 
Likert-type ratings, and multiple choice/check all that apply. The form 
also requests demographic information on the caller, the identification 
of the center and counselor submitting the form, and the date of the 
call. Specifically, the form is divided into the following sections: 
(1) Counselor information, (2) center information, (3) call 
characteristics (e.g., line called, language spoken, participation of 
third party), (4) suicidal desire, (5) suicidal intent, (6) suicidal 
capability, (7) buffers to suicide, (8) interventions agreed to by 
caller or implemented by counselor without caller's consent, (9) 
whether imminent risk was reduced enough such that active rescue was 
not needed, (10) interventions for third party callers calling about a 
person at imminent risk, (11) whether supervisory consultation occurred 
during or after the call, (12) barriers to getting needed help to the 
person at imminent risk, (13) steps taken to confirm whether emergency 
contact was made with person at risk, (14) outcome of attempts to 
rescue person at risk, and (15) outcome of attempts to follow-up on the 
case. The form also includes an Additional Counselor Training section 
that counselors complete only when applicable. This section includes 
one new question specifically related to the use of the Lifeline 
Simulation Training System. The form will take approximately 15 minutes 
to complete and will be completed by the counselor after the call. It 
is expected that a total of 440 forms will be completed by 116 
counselors over the two-year data collection period.
    The estimated response burden to collect this information is 
annualized over the requested two-year clearance period and is 
presented below:

                                              Total and Annualized Burden: Respondents, Responses and Hours
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                                                                        Number of        Responses/         Total          Hours per       Total burden
                             Instrument                                respondents       respondent       responses         response          hours
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National Suicide Prevention Lifeline--Imminent Risk Form-Revised...             116              1.9              220              .26               57
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    Send comments to Summer King, SAMHSA Reports Clearance Officer, 
SAMHSA, 5600 Fishers Lane, Room 15E57B, Rockville, MD 20857 OR email a 
copy at [email protected]. Written comments should be received 
by April 3, 2018.

 Summer King,
Statistician.
[FR Doc. 2018-02107 Filed 2-1-18; 8:45 am]
 BILLING CODE 4162-20-P