Facilitating Effective Coping to Reduce Suicide Risk Following ED Discharge: A Micro-randomized Trial to Develop an Adaptive Text-based Intervention
University of Michigan
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.
Eligibility
- Age range
- 18–65 years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: Individuals presenting to an ED with either: 1. actual, interrupted, or aborted attempt in the last 4 weeks 2. suicidal ideation within the last week Exclusion Criteria: * 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
Interventions
- BehavioralElectronic Safety Plan (ESP)
Participants will receive an electronic safety plan in the ED. ESP focuses on developing a personalized coping plan to manage suicidal thoughts and urges.
- BehavioralText support
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.
Location
- University of MichiganAnn Arbor, Michigan