About this trial
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
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
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
Disqualifiers
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.
Trial design
Parallel
Treatments tested in this trial
Telephone Calls
BehavioralParents/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.
Automatic MyChart Messages
BehavioralParents/guardians receive automatic MyChart messages within 72 hours of ED discharge, then the family receives weekly messages until 60-days post-discharge.
Treatment groups
Trial outcomes
Primary outcomes
ED Return Visits
Count of return visits to the ED for a mental health chief complaint within 90 days from initial ED encounter
Secondary outcomes
Intervention Acceptability
Participant acceptability (using Acceptability of Intervention; AIM measure)
Study feasibility
Percentage of eligible and approached patients that consent and are enrolled in the study
Sponsors and contacts
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Ann & Robert H Lurie Children's Hospital of Chicago
Lead sponsor
Health Resources and Services Administration (HRSA)
Collaborator