Text-based Support for Parents of Adolescents Following an Emergency Department Visits
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: Text-based intervention.
- Who it may be relevant to
- Registry conditions: Suicide. Basic parameters: from 13 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 →
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Official title
Effectiveness of Text-based Support for Parents of Suicidal Adolescents Following Emergency Department Visits
Overview
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
- Behavioral Text-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.
Primary outcome measures
- Aim 1 (primary aim): likelihood of suicidal behavior (actual, interrupted, or aborted attempts) [Time frame: 12-week follow-up]
- Aim 2 (secondary aim) severity of parental stress [Time frame: Up to 6 weeks]
Secondary outcome measures (4)
- Aim 1 (primary aim): -time- to- suicidal behavior (actual, interrupted, or aborted suicide attempts [Time frame: 24-week follow-up]
- Aim 1 (primary aim): time- to- return ED visit [Time frame: 24-week follow-up.]
- Aim 2 (secondary aim): parental negative affect [Time frame: Up to 6 weeks]
- Aim 2 (secondary aim) parental positive affect [Time frame: Up to 6 weeks]
Eligibility criteria
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
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
- Open label
- Primary purpose
- Treatment
Study locations
United States · 2 centers
- University of Michigan — Ann Arbor
- Hurley Medical Center — Flint
Identifiers
NCT: NCT06660199 · HUM00254540 · 1R01MH137012-01