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

Not Applicable

Not yet recruiting

• Conditions: Suicide

• Registration Number: NCT06660199
• Lead Sponsor: University of Michigan

Brief Summary

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.

Detailed 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.

Study Timeline

• Status Verified: 2024-10
• Study First Submitted: 2024-10-23
• Study First Submitted QC: 2024-10-23
• Last Update Submitted: 2024-10-23
• Study First Posted: 2024-10-28
• Last Update Posted: 2024-10-28
• Study Start: 2025-09
• Primary Completion: 2028-07
• Study Completion: 2028-07

Recruitment & Eligibility

• Status: NOT_YET_RECRUITING
• Sex: All
• Target Recruitment: 420

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

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
Aim 1 (primary aim): likelihood of suicidal behavior (actual, interrupted, or aborted attempts)	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	Up to 6 weeks	Measured with twice daily surveys over the 6-week intervention

Secondary Outcome Measures

Name	Time	Method
Aim 1 (primary aim): -time- to- suicidal behavior (actual, interrupted, or aborted suicide attempts	24-week follow-up	Measured with the behavioral subscale of C-SSRS and supplemented with available chart data.
Aim 1 (primary aim): time- to- return ED visit	24-week follow-up.
Aim 2 (secondary aim): parental negative affect	Up to 6 weeks	Measured with twice daily surveys over the 6-week intervention.
Aim 2 (secondary aim) parental positive affect	Up to 6 weeks	Measured with twice daily surveys over the 6-week intervention.

Trial Locations

Locations (2)

University of Michigan; 🇺🇸 Ann Arbor, Michigan, United States

Hurley Medical Center; 🇺🇸 Flint, Michigan, United States