Improving Coping to Reduce Suicide Risk Following ED Discharge

NCT06614946 | Recruiting

• 2 other identifiers: HUM00244094R34MH133057
• Study Type: interventional
• Target: 120
• Locations: 1 country
• Sites: 1

Brief Summary

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.

Conditions

Suicidal; Suicide, Attempted; Suicidal Ideation

Keywords

Emergency Department

Outcome Measures

Primary Outcomes (6)

• Percentage of eligible individuals who agree to participate

  At the time of ED 1 day visit

• Completion of the one-month follow-up assessment survey

  One month post-discharge from the ED

• Completion of the three-month follow-up assessment survey

  Three months post-discharge from the ED

• Number of withdrawals

  Up to 3 months post-discharge from the ED

• Percentage of participants who remain active (in text-support condition only)

  Up to 28 days post-discharge from the ED

• Participant satisfaction with the intervention components

  Measured with a modified Client Satisfaction Questionnaire (CSQ).

  Up to 1 months

Study Arms (2)

Electronic safety plan (ESP) + Text-Based Support

EXPERIMENTAL

Participants who are randomized to this arm will receive ESP during ED care and receive a text-based support program for 4 weeks after discharge, with up to 2 messages per day. The text-based program includes a microrandomized trial (MRT), where participants are randomized twice daily to receive or not receive a message.

Behavioral: Electronic Safety Plan (ESP); Behavioral: Text support

Enhanced electronic safety plan (ESP) enhanced with 2 reminder text messages with ESP link

EXPERIMENTAL

Behavioral: Electronic Safety Plan (ESP)

Interventions

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.

Electronic safety plan (ESP) + Text-Based Support; Enhanced electronic safety plan (ESP) enhanced with 2 reminder text messages with ESP link

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.

Electronic safety plan (ESP) + Text-Based Support

Eligibility Criteria

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

You may qualify if:

• Individuals presenting to an ED with either:
• actual, interrupted, or aborted attempt in the last 4 weeks
• suicidal ideation within the last week

You may not qualify if:

• 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

Sponsors & Collaborators

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

Study Sites (1)

University of Michigan

Ann Arbor, Michigan, 48109, United States

RECRUITING

MeSH Terms

Conditions

Suicide, Attempted; Suicidal Ideation; Emergencies

Condition Hierarchy (Ancestors)

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

Study Officials

• Ewa Czyz, Ph.D.

  University of Michigan

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Ewa Czyz

CONTACT

734-764-9466; ewac@umich.edu

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: Associate Professor of Psychiatry

Model Details: There are 2 arms: ESP only and ESP with text-based program. The ESP with text-based program arm includes twice daily (within-person) randomizations.

Study Record Dates

• First Submitted: September 24, 2024
• First Posted: September 26, 2024
• Study Start: May 12, 2026
• Primary Completion (Estimated): February 1, 2027
• Study Completion (Estimated): February 1, 2027
• Last Updated: July 16, 2026

Record last verified: 2026-07

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)