Facilitating Effective Coping to Reduce Suicide Risk Following ED Discharge: A Micro-randomized Trial to Develop an Adaptive Text-based Intervention
Trial Snapshot
- Phase
- Not Applicable
- Status
- Recruiting
- Sponsor
- University of Michigan
- Enrollment
- 120
- Locations
- 1
- Primary Endpoint
- Participant satisfaction with the intervention components
Study Overview
Brief Summary
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.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Supportive Care
- Masking
- Single (Outcomes Assessor)
Eligibility Criteria
- Ages
- 18 Years to 65 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
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
Arms & Interventions
Electronic safety plan (ESP) + Text-Based Support
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.
Intervention: Electronic Safety Plan (ESP) (Behavioral)
Electronic safety plan (ESP) + Text-Based Support
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.
Intervention: Text support (Behavioral)
Enhanced electronic safety plan (ESP) enhanced with 2 reminder text messages with ESP link
Intervention: Electronic Safety Plan (ESP) (Behavioral)
Outcomes
Primary Outcomes
Participant satisfaction with the intervention components
Time Frame: Up to 1 months
Measured with a modified Client Satisfaction Questionnaire (CSQ).
Percentage of eligible individuals who agree to participate
Time Frame: At the time of ED 1 day visit
Completion of the one-month follow-up assessment survey
Time Frame: One month post-discharge from the ED
Completion of the three-month follow-up assessment survey
Time Frame: Three months post-discharge from the ED
Number of withdrawals
Time Frame: Up to 3 months post-discharge from the ED
Percentage of participants who remain active (in text-support condition only)
Time Frame: Up to 28 days post-discharge from the ED
Secondary Outcomes
No secondary outcomes reported
Investigators
Ewa Czyz
Associate Professor of Psychiatry
University of Michigan