Effectiveness of Text-based Support for Parents of Suicidal Adolescents Following Emergency Department Visits
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 420
- 试验地点
- 2
- 主要终点
- Aim 1 (primary aim): likelihood of suicidal behavior (actual, interrupted, or aborted attempts)
研究概览
简要总结
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.
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 13 Years 至 —（Child, Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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.
排除标准
- •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
研究组 & 干预措施
Standard ED care
Standard ED care with a text-based intervention
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.
干预措施: Text-based intervention (Behavioral)
结局指标
主要结局
Aim 1 (primary aim): likelihood of suicidal behavior (actual, interrupted, or aborted attempts)
时间窗: 12-week follow-up
Suicidal behavior encompasses actual, interrupted, and aborted suicide attempts. Measured with the behavioral subscale of the Columbia-Suicide Severity Rating Scale (C-SSRS),and supplemented with available medical chart data.
Aim 2 (secondary aim) severity of parental stress
时间窗: Up to 6 weeks
Measured with twice daily surveys over the 6-week intervention
次要结局
- Aim 1 (primary aim): -time- to- suicidal behavior (actual, interrupted, or aborted suicide attempts(24-week follow-up)
- Aim 1 (primary aim): time- to- return ED visit(24-week follow-up.)
- Aim 2 (secondary aim): parental negative affect(Up to 6 weeks)
- Aim 2 (secondary aim) parental positive affect(Up to 6 weeks)
研究者
Ewa Czyz
Associate Professor of Psychiatry
University of Michigan