Suicidal, Suicidal Ideation, Suicide, Attempted
Conditions
Keywords
Emergency Department
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.
Interventions
BEHAVIORALElectronic Safety Plan (ESP)
Participants will receive an electronic safety plan in the ED. ESP focuses on developing a personalized coping plan to manage suicidal thoughts and urges.
BEHAVIORALText support
Those in the text-based support program will receive up to 2 texts per day for a month with varying levels of tailoring, based on ESP and dynamic personalized feedback.
Sponsors
University of Michigan
National Institute of Mental Health (NIMH)
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
SINGLE (Outcomes Assessor)
Intervention model description
There are 2 arms: ESP only and ESP with text-based program. The ESP with text-based program arm includes twice daily (within-person) randomizations.
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
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
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| 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). |
Countries
United States
Contacts
CONTACTEwa Czyz
PRINCIPAL_INVESTIGATOREwa Czyz, Ph.D.
University of Michigan
Outcome results
None listed