Improving Coping to Reduce Suicide Risk Following ED Discharge

Not Applicable

Not yet recruiting

• Conditions: Suicidal; Suicide, Attempted; Suicidal Ideation
• Interventions: Behavioral: Electronic Safety Plan (ESP); Behavioral: Text support

• Registration Number: NCT06614946
• Lead Sponsor: University of Michigan

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.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2024-09-24
• Study First Submitted QC: 2024-09-25
• Study First Posted: 2024-09-26
• Status Verified: 2025-05
• Last Update Submitted: 2025-05-08
• Last Update Posted: 2025-05-11
• Study Start: 2025-08
• Primary Completion: 2026-09
• Study Completion: 2026-09

Recruitment & Eligibility

• Status: NOT_YET_RECRUITING
• Sex: All
• Target Recruitment: 120

Inclusion Criteria

Individuals presenting to an ED with either:

1. actual, interrupted, or aborted attempt in the last 4 weeks
2. 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

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Enhanced electronic safety plan (ESP) enhanced with 2 reminder text messages with ESP link	Electronic Safety Plan (ESP)	-
Electronic safety plan (ESP) + Text-Based Support	Electronic Safety Plan (ESP)	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.
Electronic safety plan (ESP) + Text-Based Support	Text 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.

Primary Outcome Measures

Name	Time	Method
Percentage of eligible individuals who agree to participate	At the time of ED 1 day visit
Completion of the one-month follow-up assessment survey	One month post-discharge from the ED
Completion of the three-month follow-up assessment survey	Three months post-discharge from the ED
Number of withdrawals	Up to 3 months post-discharge from the ED
Percentage of participants who remain active (in text-support condition only)	Up to 28 days post-discharge from the ED
Participant satisfaction with the intervention components	Up to 1 months	Measured with a modified Client Satisfaction Questionnaire (CSQ).

Trial Locations

Locations (1)

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