Improving Coping to Reduce Suicide Risk Following ED Discharge

University of Michigan

Status

Not yet enrolling

Conditions

Suicidal Ideation

Suicide, Attempted

Suicidal

Treatments

Behavioral: Text support

Behavioral: Electronic Safety Plan (ESP)

Study type

Interventional

Funder types

Other

NIH

Identifiers

NCT06614946

R34MH133057 (U.S. NIH Grant/Contract)

HUM00244094

Details and patient eligibility

About

The researchers hope to learn whether an electronic safety plan (ESP) and a supportive text messaging program are feasible and acceptable to adult patients with recent suicidal thoughts or behavior after emergency department (ED) discharge. From this study, the researchers also hope to learn how to best carry out the ESP and text messaging program to improve outcomes for patients after ED discharge.

Enrollment

120 estimated patients

Sex

All

Ages

18 to 65 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Individuals presenting to an ED with either:

actual, interrupted, or aborted attempt in the last 4 weeks
suicidal ideation within the last week

Exclusion criteria

Severe cognitive impairment or altered mental status (psychosis, manic state)
Severe aggression/agitation,
Being admitted or transferred into inpatient care,
Patient not owning a cell phone with text messaging capability

Trial design

Primary purpose

Supportive Care

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Single Blind

120 participants in 2 patient groups

Electronic safety plan (ESP) + Text-Based Support

Experimental group

Description:

Participants who are randomized to this arm will receive ESP during ED care and receive a text-based support program for 4 weeks after discharge, with up to 2 messages per day. The text-based program includes a microrandomized trial (MRT), where participants are randomized twice daily to receive or not receive a message.

Treatment:

Behavioral: Electronic Safety Plan (ESP)

Behavioral: Text support

Enhanced electronic safety plan (ESP) enhanced with 2 reminder text messages with ESP link

Experimental group

Treatment:

Behavioral: Electronic Safety Plan (ESP)