Developing an Adaptive Intervention for Suicidal Adolescents Following Inpatient Hospitalization: A Pilot SMART
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- University of Michigan
- Enrollment
- 82
- Locations
- 2
- Primary Endpoint
- Satisfaction Ratings Will be Used to Assess Acceptability
Study Overview
Brief Summary
To inform the development of a technology-augmented adaptive intervention for adolescents at risk for suicide, the goal of this study is to conduct a Sequential, Multiple Assignment, Randomized Trial (SMART) pilot of a Motivational Interview (MI)-enhanced safety planning intervention (MI-SafeCope). Findings from this study will provide the groundwork for the construction of a technology-augmented adaptive intervention that could lead to a reduction in suicidal behaviors and related events during the high-risk post-discharge period-an important suicide prevention target.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Sequential
- Primary Purpose
- Treatment
- Masking
- None
Eligibility Criteria
- Ages
- 13 Years to 17 Years (Child)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Suicide attempt (previous month), and/or
- •Suicidal ideation (previous week)
Exclusion Criteria
- •Severe cognitive impairment or altered mental status (psychosis, manic state)
- •Transfer to medical unit or residential placement
- •No availability of a legal guardian
- •No cell phone with text messaging capability
Outcomes
Primary Outcomes
Satisfaction Ratings Will be Used to Assess Acceptability
Time Frame: Following intervention and follow-up assessment, measured up to 3 months
Satisfaction was scored by responses to two questions: How satisfied were you? on a 4 point scale, where 1 means very dissatisfied and 4 means very satisfied and how likely would you be to recommend this program to a friend in similar circumstances, on the same point scale, where 1 means definitely not and 4 means definitely yes
Percentage of Participants Who Complete Study Assessments Will be Used to Assess Feasibility and Acceptability
Time Frame: Following intervention and follow-up assessment, measured up to 3 months
Percentage of participants who complete study assessments, including daily surveys, one month and three month follow ups are used to assess feasibility and acceptability
Percentage of Eligible Participants Recruited to the Study
Time Frame: At time of study enrollment, measured following study consent/assent
Eligible participants were candidates for participation based on medical record review who were approached for consent/assent. The percentage of eligible participants who consented to the study is presented below.
Percentage of Randomized Participants Who Complete Intervention Components Will be Used to Assess Feasibility and Acceptability
Time Frame: Following intervention, measured up to 1 month
Outcome measure is showing percentage of randomized adolescent participants who complete intervention components to assess feasibility and acceptability
Secondary Outcomes
No secondary outcomes reported
Investigators
Ewa Czyz
Assistant Professor
University of Michigan