Caregiver Participation, Emergency Department Presentation, Safety Plan
Conditions
Keywords
pediatric, randomized, caregivers, suicide, emergency department
Brief summary
The investigators plan to conduct a pilot hybrid effectiveness-implementation type 1 randomized controlled trial comparing 3 arms of varying follow-up intervention. Caregivers of youth ages 10-17 who present to the Lurie Children's Hospital ED with suicidal thoughts or behaviors (STBs) and are discharged with a safety plan will be included in the current study. Families will be randomized to receive either 1) treatment as usual, 2) follow-up phone calls, or 3) automatic electronic medical record (EMR) MyChart messages
Interventions
BEHAVIORALTelephone Calls
Parents/guardians are contacted via telephone by a psychiatric social worker within 72 hours of ED discharge, then the family receives weekly phone calls until either they have successfully connected to follow-up mental health services or asks to no longer be contacted. Otherwise phone calls will continue to be made weekly until 60-days post-discharge.
BEHAVIORALAutomatic MyChart Messages
Parents/guardians receive automatic MyChart messages within 72 hours of ED discharge, then the family receives weekly messages until 60-days post-discharge.
Sponsors
Ann & Robert H Lurie Children's Hospital of Chicago
Health Resources and Services Administration (HRSA)
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Intervention model description
The investigators are comparing three parent/guardian/caregiver follow-up modalities to support families with a youth discharging from the ED who has experienced suicidal thoughts or behaviors. Caregivers may be randomized to receive automatic MyChart messages that provide educational content and support around utilizing safety plans and restricting lethal means as well as the importance of connecting to follow-up care. Caregivers may be randomized to a series of telephone calls from a psychiatric social worker. Caregivers may be randomized to standard of care (standard procedures for a patient being discharged from our ED, no intervention).
Eligibility
Sex/Gender
ALL
Age
10 Years to 17 Years
Healthy volunteers
No
Inclusion criteria
* Participants are eligible for participation in the current study if they are parent/guardians of youth ages 10-17 who received a psychiatric evaluation in the ED for suicidal thoughts or behaviors and are being discharged with a safety plan
Exclusion criteria
* Parents/guardians will be excluded from recruitment if the youth is in state custody, if they are not proficient in English or Spanish, if the patient is being admitted or transferred for medical or psychiatric hospital admission, or they are not willing to enroll in MyChart through the EMR. The investigators are also only enrolling one caregiver per patient. In other words, if a patient returns to the ED with a different caregiver, the investigators will not enroll the other caregiver.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| ED Return Visits | Between baseline enrollment and 90 day follow-up assessment | Count of return visits to the ED for a mental health chief complaint within 90 days from initial ED encounter |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Intervention Acceptability | 90 Days follow-up | Participant acceptability (using Acceptability of Intervention; AIM measure) |
| Study feasibility | Baseline | Percentage of eligible and approached patients that consent and are enrolled in the study |
Countries
United States
Contacts
CONTACTAmanda Burnside, PhD
CONTACTDanielle Cory, MENG
Outcome results
None listed