Improving Coping to Reduce Suicide Risk Following ED Discharge

Part of paid clinical trials in Ann Arbor, Michigan.

Sponsor
University of Michigan
Study ID
NCT06614946
Status
Not Yet Recruiting

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Conditions

  • Suicidal
  • Suicidal Ideation
  • Suicide, Attempted

Eligibility Criteria

Sex
ALL
Age
18 Years - 65 Years
Healthy Volunteers
Not accepted

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.
  • 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.

Study Details

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.

Key Dates

Start date
May 31, 2026
Status verified
Mar 2026
Primary completion
Feb 28, 2027
Completion
Feb 28, 2027

Study Design

Enrollment
120 participants (estimated)
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE

Arms

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

Primary Outcome Measure

Percentage of eligible individuals who agree to participate [ Time Frame: At the time of ED 1 day visit ]

Central Contacts

Locations (1)

FacilityCityStateZIPSite coordinators
University of MichiganAnn ArborMichigan48109
Ewa Czyz
[email protected]
734-764-9466
Adam Horwitz, Ph.D.
[email protected]
734-764-0231
Ewa Czyz, Ph.D. (PRINCIPAL_INVESTIGATOR)
Adam Horwitz, Ph.D. (PRINCIPAL_INVESTIGATOR)

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By research site
University of Michigan· Ann Arbor, MI

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