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Improving Coping to Reduce Suicide Risk Following ED Discharge

ConditionsSuicidalSuicide, AttemptedSuicidal Ideation
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-65
SponsorUniversity of Michigan

About this trial

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.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

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

suicidal ideation within the last week

Disqualifiers

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

Trial design

Design model

Parallel

Treatments tested in this trial

  • Electronic Safety Plan (ESP)

    Behavioral

    Participants will receive an electronic safety plan in the ED. ESP focuses on developing a personalized coping plan to manage suicidal thoughts and urges.

  • Text support

    Behavioral

    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.

Treatment groups

120 Participants
are divided into 2 treatment groups
Group A: Electronic safety plan (ESP) + Text-Based SupportExperimental treatment 2 interventions
Group B: Enhanced electronic safety plan (ESP) enhanced with 2 reminder text messages with ESP linkExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Percentage of eligible individuals who agree to participate

Time frame
At the time of ED 1 day visit
2

Completion of the one-month follow-up assessment survey

Time frame
One month post-discharge from the ED
3

Completion of the three-month follow-up assessment survey

Time frame
Three months post-discharge from the ED
4

Number of withdrawals

Time frame
Up to 3 months post-discharge from the ED

Secondary outcomes

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

University of Michigan

Lead sponsor

National Institute of Mental Health (NIMH)

Collaborator

Source ClinicalTrials.gov
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