Supporting Caregivers Following Mental Health Emergency Department Visits

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age10-17
SponsorAnn & Robert H Lurie Children's Hospital of Chicago

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 volunteers

Qualifiers

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

Design model

Parallel

Treatments tested in this trial

  • Telephone Calls

    Behavioral

    Parents/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

    Behavioral

    Parents/guardians receive automatic MyChart messages within 72 hours of ED discharge, then the family receives weekly messages until 60-days post-discharge.

Treatment groups

75 Participants
are divided into 3 treatment groups
Group A: Telephone CallsExperimental treatment 1 intervention
Group B: Standard TreatmentNo intervention 0 interventions
Group C: Automatic MyChart MessagesExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

ED Return Visits

Count of return visits to the ED for a mental health chief complaint within 90 days from initial ED encounter

Time frame
Between baseline enrollment and 90 day follow-up assessment

Secondary outcomes

1

Intervention Acceptability

Participant acceptability (using Acceptability of Intervention; AIM measure)

Time frame
90 Days follow-up
2

Study feasibility

Percentage of eligible and approached patients that consent and are enrolled in the study

Time frame
Baseline

Other outcomes

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