Text-based Support for Parents of Adolescents Following an Emergency Department Visits

NCT06660199 | Recruiting

• 2 other identifiers: HUM002545401R01MH137012-01
• Study Type: interventional
• Target: 420
• Locations: 1 country
• Sites: 2

Brief Summary

The goal of this study is to determine the effectiveness of an adaptive text-based intervention for parents of adolescents seeking emergency department services for suicide risk concerns.

Conditions

Suicide

Keywords

Text; Suicidal Ideation; Suicide Attempt

Outcome Measures

Primary Outcomes (2)

• Aim 1 (primary aim): likelihood of suicidal behavior (actual, interrupted, or aborted attempts)

  Suicidal behavior encompasses actual, interrupted, and aborted suicide attempts. Measured with the behavioral subscale of the Columbia-Suicide Severity Rating Scale (C-SSRS),and supplemented with available medical chart data.

  12-week follow-up

• Aim 2 (secondary aim) severity of parental stress

  Measured with twice daily surveys over the 6-week intervention

  Up to 6 weeks

Secondary Outcomes (4)

• Aim 1 (primary aim): -time- to- suicidal behavior (actual, interrupted, or aborted suicide attempts

  24-week follow-up

• Aim 1 (primary aim): time- to- return ED visit

  24-week follow-up.

• Aim 2 (secondary aim): parental negative affect

  Up to 6 weeks

• Aim 2 (secondary aim) parental positive affect

  Up to 6 weeks

Study Arms (2)

Standard ED care

NO INTERVENTION

Standard ED care with a text-based intervention

EXPERIMENTAL

This arm incorporates adolescent-centered (A-C) and parent-centered (P-C) texting components Parents in the intervention arm will receive up to 3 text messages per day over six weeks after ED discharge: daily A-C text and up to two P-C messages. The P-C component includes an embedded micro-randomized trial (MRT), and parents will be randomized twice each day over the six-week intervention to either receive or not receive a P-C message.

Behavioral: Text-based intervention

Interventions

Text-based intervention BEHAVIORAL

Parents randomized to the texting intervention will receive up to 3 messages each day for 6 weeks: The intervention is comprised of adolescent-centered (A-C) texts focusing on parental adherence to recommended suicide prevention strategies to promote adolescents' safety and parent-centered (P-C) texts focused on improving parents' own well-being.

Standard ED care with a text-based intervention

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:

• Adolescent (13-17 years old) who present to Emergency Department (ED) due to (1) last-week suicidal ideation and/or (2) last-month suicide attempt, and their caregiver.

You may not qualify if:

• Adolescents who are:
• medically unstable
• presenting with severe cognitive impairment, altered mental status, severe aggression/agitation
• presenting without a legal guardian
• whose parent does not own a cell phone

Sponsors & Collaborators

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

Study Sites (2)

University of Michigan

Ann Arbor, Michigan, 48109, United States

RECRUITING

Hurley Medical Center

Flint, Michigan, 48503, United States

RECRUITING

MeSH Terms

Conditions

Suicide; Suicidal Ideation; Suicide, Attempted

Condition Hierarchy (Ancestors)

Self-Injurious Behavior; Behavioral Symptoms; Behavior

Study Officials

• Ewa Czyz, Ph.D.

  University of Michigan

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Ewa Czyz, Ph.D.

CONTACT

734-764-9466; ewac@umich.edu

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Professor of Psychiatry

Study Record Dates

• First Submitted: October 23, 2024
• First Posted: October 28, 2024
• Study Start: December 1, 2025
• Primary Completion (Estimated): July 1, 2028
• Study Completion (Estimated): July 1, 2028
• Last Updated: December 15, 2025

Record last verified: 2025-12

Data Sharing

• IPD Sharing: Will not share

Locations

US (2)