Developing Text-based Support for Parents of Adolescents After an Emergency Department Visit

NCT05058664 | Completed Results

• 2 other identifiers: HUM001841101R34MH124767-01
• Study Type: interventional
• Target: 240
• Locations: 1 country
• Sites: 1

Brief Summary

The researchers seek to develop a text message intervention for caregivers of adolescents at elevated suicide risk following discharge from emergency department (ED) care.

Conditions

Suicide

Keywords

Emergency Department

Outcome Measures

Primary Outcomes (5)

• Percentage of Eligible Youth-Parent Dyads Who Agree to Participate in the Study,

  Data represent participant dyads who were eligible and approached about study participation, and who agreed to take part in the study.

  At the time of youth Emergency Department visit

• Participant Dyads Who Completed Follow-up Assessments

  Data was used to determine retention rate among the participant dyads. We report on follow up completion for both adolescent and caregiver members of the dyad.

  Up to 12 weeks

• Percentage of Participants Randomized to the Intervention Who Remained Active (Texting Arms Only)

  Results represent parent participants who did not request stopping the intervention (i.e., did not request to stop receiving messages).

  Up to 6 weeks

• Participating Parents' Satisfaction With the Intervention (Texting Arms Only)

  Measured using the Modified Client Satisfaction Questionnaire (CSQ), which was a 2-question survey. Each question had a range of 1-4. Adult participants were asked to rate both their overall satisfaction (1 meaning not satisfied to 4 meaning highly satisfied), and the likelihood that they would recommend their particular assigned intervention to a friend (1 meaning highly unlikely to 4 meaning highly likely).

  Up to 6 weeks

• Number of and Reasons for Active Withdrawals

  Parent participant request to withdraw from the study. Study intention was to collect the number of and reasons for withdrawals, but the sole withdrawal did not provide a reason.

  Up to 12 weeks

Study Arms (3)

Control (standard care)

NO INTERVENTION

A-F texting component

EXPERIMENTAL

The A-F texting component will include content consistent with best-practice recommendations for parents to buffer youth against suicide risk.

Behavioral: A-F texting component

A-F texting plus P-F texting component

EXPERIMENTAL

A-F texting plus P-F texting component arm includes the A-F component, as above, and P-F component. The P-F component includes an embedded micro-randomized trial (MRT) involving two daily randomizations to P-F message vs. no message conditions for the duration of the 6-week intervention. Participants who are randomized to this arm will be randomized twice each day (morning and evening) to either receive or not receive the P-F message at each randomization.

Behavioral: A-F texting component; Behavioral: P-F texting component

Interventions

A-F texting component BEHAVIORAL

Over the course of the 6-week intervention parents in the A-F condition will receive 1 message each day.

A-F texting component; A-F texting plus P-F texting component

P-F texting component BEHAVIORAL

Over the course of the 6 week intervention, parents will receive between 1-2 messages, depending on randomization (in addition to A-F component messages)

A-F texting plus P-F texting component

Eligibility Criteria

• Age: 13 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Parent of eligible teen

You may not qualify if:

• Not owning a cell phone with text messaging capability.
• Teen eligibility:
• Recent suicidal ideation (within last 2 weeks) and/or suicide attempt within the last month.
• Youth with severe cognitive impairment or altered mental status (e.g., psychosis, manic state)
• Youth with severe aggression/agitation
• No availability of a legal guardian

Sponsors & Collaborators

• University of Michigan: lead
• National Institute of Mental Health (NIMH): collaborator

Study Sites (1)

The University of Michigan

Ann Arbor, Michigan, 48109, United States

Location

Related Publications (1)

• Czyz E, Nahum-Shani I, Ewell Foster C, Micol V, Jiang A, Al-Dajani N, Arango A, Walton M, Hong V, Ahamed SI, King C. Building toward a text-based intervention for parents of suicidal adolescents seeking emergency department care: A pilot randomized controlled trial. J Consult Clin Psychol. 2025 May;93(5):382-389. doi: 10.1037/ccp0000950.

  PMID: 40354273 DERIVED

MeSH Terms

Conditions

Suicide; Emergencies

Condition Hierarchy (Ancestors)

Self-Injurious Behavior; Behavioral Symptoms; Behavior; Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Results Point of Contact

• Title: Ewa Czyz
• Organization: University of Michigan

ewac@med.umich.edu

734 764-9466

Study Officials

• Ewa Czyz

  University of Michigan

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: Yes

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor, Department of Psychiatry, University of Michigan

Model Details: There are 3 arms: control and 2 intervention arms. One of the intervention arms includes further twice daily (within-person) randomizations.

Study Record Dates

• First Submitted: September 16, 2021
• First Posted: September 28, 2021
• Study Start: November 8, 2021
• Primary Completion: September 26, 2022
• Study Completion: September 26, 2022
• Last Updated: May 16, 2024
• Results First Posted: May 16, 2024

Record last verified: 2024-04

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)