Facilitating Effective Coping to Reduce Suicide Risk Following ED Discharge: A Micro-randomized Trial to Develop an Adaptive Text-based Intervention
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 120
- 试验地点
- 1
- 主要终点
- Participant satisfaction with the intervention components
研究概览
简要总结
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Individuals presenting to an ED with either:
- •actual, interrupted, or aborted attempt in the last 4 weeks
- •suicidal ideation within the last week
排除标准
- •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
研究组 & 干预措施
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.
干预措施: 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.
干预措施: Text support (Behavioral)
Enhanced electronic safety plan (ESP) enhanced with 2 reminder text messages with ESP link
干预措施: Electronic Safety Plan (ESP) (Behavioral)
结局指标
主要结局
Participant satisfaction with the intervention components
时间窗: Up to 1 months
Measured with a modified Client Satisfaction Questionnaire (CSQ).
Percentage of eligible individuals who agree to participate
时间窗: At the time of ED 1 day visit
Completion of the one-month follow-up assessment survey
时间窗: One month post-discharge from the ED
Completion of the three-month follow-up assessment survey
时间窗: Three months post-discharge from the ED
Number of withdrawals
时间窗: Up to 3 months post-discharge from the ED
Percentage of participants who remain active (in text-support condition only)
时间窗: Up to 28 days post-discharge from the ED
次要结局
未报告次要终点
研究者
Ewa Czyz
Associate Professor of Psychiatry
University of Michigan