Facilitating Effective Coping to Reduce Suicide Risk Following ED Discharge: A Micro-randomized Trial to Develop an Adaptive Text-based Intervention
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Suicidal
- Sponsor
- University of Michigan
- Enrollment
- 120
- Locations
- 1
- Primary Endpoint
- Percentage of eligible individuals who agree to participate
- Status
- Not yet recruiting
- Last Updated
- 4 months ago
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.
Investigators
Ewa Czyz
Associate Professor of Psychiatry
University of Michigan
Eligibility Criteria
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
Outcomes
Primary Outcomes
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
Participant satisfaction with the intervention components
Time Frame: Up to 1 months
Measured with a modified Client Satisfaction Questionnaire (CSQ).