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Recruiting NCT06614946

Improving Coping to Reduce Suicide Risk Following ED Discharge

No phase Interventional Suicidal Suicide, Attempted Suicidal Ideation

For patients and families

In plain language

An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.

What is being studied
The protocol lists: Electronic Safety Plan (ESP), Text support.
Who it may be relevant to
Registry conditions: Suicidal, Suicide, Attempted, Suicidal Ideation. Basic parameters: 18 years — 65 years · All.
What needs checking
Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
Where it takes place
United States
Next step
Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →

Unsure about the terms? Read our patient guide →

Official title

Facilitating Effective Coping to Reduce Suicide Risk Following ED Discharge: A Micro-randomized Trial to Develop an Adaptive Text-based Intervention

Overview

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

  • Behavioral Electronic 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.
  • Behavioral Text 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.

Primary outcome measures

  • Percentage of eligible individuals who agree to participate [Time frame: At the time of ED 1 day visit]
  • Completion of the one-month follow-up assessment survey [Time frame: One month post-discharge from the ED]
  • Completion of the three-month follow-up assessment survey [Time frame: Three months post-discharge from the ED]
  • Number of withdrawals [Time frame: Up to 3 months post-discharge from the ED]
  • Percentage of participants who remain active (in text-support condition only) [Time frame: Up to 28 days post-discharge from the ED]
  • Participant satisfaction with the intervention components [Time frame: Up to 1 months]

Eligibility criteria

Inclusion criteria

Individuals presenting to an ED with either:

  • actual, interrupted, or aborted attempt in the last 4 weeks
  • 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

Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.

Healthy volunteers: No

Study design

Allocation
Randomized
Model
Parallel assignment
Masking
Single blind
Primary purpose
Supportive care

Study locations

United States · 1 center
  • University of Michigan — Ann Arbor

Identifiers

NCT: NCT06614946 · HUM00244094 · R34MH133057

Primary sources (government registries)

View this study on ClinicalTrials.gov ↗