Text-based Support for Parents of Adolescents Following an Emergency Department Visits (TESP)

University of Michigan

Status: Enrolling

Conditions: Suicide

Treatments: Behavioral: Text-based intervention

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT06660199

1R01MH137012-01 (U.S. NIH Grant/Contract)

HUM00254540

Details and patient eligibility

About

The goal of this study is to determine the effectiveness of an adaptive text-based intervention for parents of adolescents seeking emergency department services for suicide risk concerns.

Full description

Participants will be 420 adolescents (ages 13-17) seen in ED with recent suicidal ideation and/or attempt and their parents recruited from two health system EDs in the Midwest.

Enrollment: 420 estimated patients

Sex: All

Ages: 13+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Adolescent (13-17 years old) who present to Emergency Department (ED) due to (1) last-week suicidal ideation and/or (2) last-month suicide attempt, and their caregiver.

Exclusion criteria

Adolescents who are:

• medically unstable
• presenting with severe cognitive impairment, altered mental status, severe aggression/agitation
• presenting without a legal guardian
• whose parent does not own a cell phone

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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420 participants in 2 patient groups

Standard ED care

No Intervention group

Standard ED care with a text-based intervention

Experimental group

Description:

This arm incorporates adolescent-centered (A-C) and parent-centered (P-C) texting components Parents in the intervention arm will receive up to 3 text messages per day over six weeks after ED discharge: daily A-C text and up to two P-C messages. The P-C component includes an embedded micro-randomized trial (MRT), and parents will be randomized twice each day over the six-week intervention to either receive or not receive a P-C message.

Treatment:

Behavioral: Text-based intervention