Suicide
Conditions
Keywords
Text, Suicidal Ideation, Suicide Attempt
Brief summary
The goal of this study is to determine the effectiveness of an adaptive text-based intervention for parents of adolescents seeking emergency department services for suicide risk concerns.
Detailed description
Participants will be 420 adolescents (ages 13-17) seen in ED with recent suicidal ideation and/or attempt and their parents recruited from two health system EDs in the Midwest.
Interventions
BEHAVIORALText-based intervention
Parents randomized to the texting intervention will receive up to 3 messages each day for 6 weeks: The intervention is comprised of adolescent-centered (A-C) texts focusing on parental adherence to recommended suicide prevention strategies to promote adolescents' safety and parent-centered (P-C) texts focused on improving parents' own well-being.
Sponsors
National Institute of Mental Health (NIMH)
University of Michigan
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
13 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Adolescent (13-17 years old) who present to Emergency Department (ED) due to (1) last-week suicidal ideation and/or (2) last-month suicide attempt, and their caregiver.
Exclusion criteria
Adolescents who are: * medically unstable * presenting with severe cognitive impairment, altered mental status, severe aggression/agitation * presenting without a legal guardian * whose parent does not own a cell phone
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Aim 1 (primary aim): likelihood of suicidal behavior (actual, interrupted, or aborted attempts) | 12-week follow-up | Suicidal behavior encompasses actual, interrupted, and aborted suicide attempts. Measured with the behavioral subscale of the Columbia-Suicide Severity Rating Scale (C-SSRS),and supplemented with available medical chart data. |
| Aim 2 (secondary aim) severity of parental stress | Up to 6 weeks | Measured with twice daily surveys over the 6-week intervention |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Aim 1 (primary aim): -time- to- suicidal behavior (actual, interrupted, or aborted suicide attempts | 24-week follow-up | Measured with the behavioral subscale of C-SSRS and supplemented with available chart data. |
| Aim 1 (primary aim): time- to- return ED visit | 24-week follow-up. | — |
| Aim 2 (secondary aim): parental negative affect | Up to 6 weeks | Measured with twice daily surveys over the 6-week intervention. |
| Aim 2 (secondary aim) parental positive affect | Up to 6 weeks | Measured with twice daily surveys over the 6-week intervention. |
Countries
United States
Contacts
Primary ContactEwa Czyz, Ph.D.
Outcome results
None listed