Nudging Parental Actions for Youth Suicide Prevention

Официальное название

Nudging Parental Action With A Randomized Controlled Trial of Text Messaging Intervention for Suicide Prevention

Обзор

The goal of the study is to determine effectiveness of a behaviorally informed text messaging intervention to help parents increase safety practices and reduce their teens' access to lethal means following a suicide-related emergency department visit.

Подробное описание

This study tests a text messaging program that helps parents keep their teens safe after a visit to the emergency department for suicidal thoughts or behavior. Adolescents face a higher risk of suicide after leaving the emergency department, and limiting access to lethal means such as firearms, medications, or other dangerous items can help prevent suicide. The investigators invite parents and their teens aged 12 to 17 who visit the emergency department at Children's Medical Center Dallas for suicide-related reasons to join the study. After enrolling, families will be randomly assigned to one of three groups. The first group receives usual care, which includes standard counseling about keeping teens safe in the emergency room and no study text messages. The second group receives direct text messages three times a week with reminders about safety reminders. The third group receives risk-framing text messages three times a week, which include safety reminders and information about suicide risk following an emergency room visit to motivate parents to take action. The study measures whether these text messages help parents follow safety recommendations at home. Parents and teens complete short surveys at the start of the study, six weeks later, and twelve weeks later. The study also tracks whether the teen returns to the emergency department or attempts suicide again. The study aims to determine if text messages can increase parental safety practices, reduce teens' access to lethal means, and prevent future suicide attempts. UT Southwestern Medical Center and Children's Health Dallas conduct the study. Messages are delivered through a secure, HIPAA-compliant virtual platform to ensure privacy.

Вмешательства

• Другое Text-messaging for safety reminders
  The intervention consists of thrice-weekly, behaviorally informed text messages delivered to parents over six weeks period.
• Другое Text-messaging with safety reminders and risk framing
  Thrice-weekly messages incorporating safety precautions and evidence-based suicide risk statistics to recalibrate parental risk perception.

Первичные конечные точки

• Parent-reported adherence to lethal means restriction (LMR) [Срок оценки: Baseline to 6 weeks]

Вторичные конечные точки (1)

• Adolescent Perceived Access to Lethal Means [Срок оценки: Baseline to 6 weeks]

Критерии участия

Критерии включения

• Guardian must be able and willing to provide informed consent, and the participant must be able and willing to provide assent.
• Parent and adolescent willingness and ability to participate in study procedures and complete assessments at baseline, 6 weeks, and 12 weeks.
• Presentation to the ED for a suicide-related emergency, defined as suicidal ideation within the last 2 weeks or a suicide attempt within the past month.
• Adolescents aged 12-17 years during the consent.
• Access to a mobile phone with text messaging capability for the parent/legal guardian.
• Ability to communicate in English.

Критерии исключения

• Absence of a legal guardian capable of providing consent.
• Parents/legal guardians without access to a mobile phone with texting capability.
• Inability to communicate in English.
• Adolescents in state custody or under legal restrictions that prevent study participation.
• Adolescents involved in the justice system in a manner that would interfere with study participation.
• Adolescents with autism spectrum disorder or intellectual development disorder needing substantial or very substantial support

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Простое слепое

Основная цель

Лечение

Центры проведения

США · 1 центр

• Children's Medical Center — Dallas

Публикации

• Tversky A, Kahneman D. The framing of decisions and the psychology of choice. Science. 1981 Jan 30;211(4481):453-8. doi: 10.1126/science.7455683. PMID 7455683
• Bauer BW, Capron DW. How Behavioral Economics and Nudges Could Help Diminish Irrationality in Suicide-Related Decisions. Perspect Psychol Sci. 2020 Jan;15(1):44-61. doi: 10.1177/1745691619866463. Epub 2019 Nov 7. PMID 31697611
• Barber CW, Miller MJ. Reducing a suicidal person's access to lethal means of suicide: a research agenda. Am J Prev Med. 2014 Sep;47(3 Suppl 2):S264-72. doi: 10.1016/j.amepre.2014.05.028. PMID 25145749
• Marcus SC, Cullen SW, Xie M, Bridge JA, Caterino JM, Schmutte T, Olfson M. Evaluating the Effect of Routine Lethal Means Counseling in the Emergency Department on Suicide Mortality Among Mental Health Patients. AJPM Focus. 2025 Mar 19;4(4):100336. doi: 10.1016/j.focus.2025.100336. eCollection 2025 Aug. PMID 40688469

Идентификаторы

NCT: NCT07383714 · STU20252399 · GAA202508-0021

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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