Medical University of South Carolina
This study will develop and evaluate a brief, personalized, single-session telehealth intervention combined with a four-week just-in-time adaptive intervention (JITAI) delivered via text messaging for adults with alcohol use disorder (AUD) and suicidal thoughts and behaviors. The study includes qualitative interviews, pilot testing, and a 28-day micro-randomized trial (MRT). In the MRT phase, participants (N=75) will be repeatedly randomized multiple times per day to receive text messages targeting craving and suicide ideation or to receive no message. Outcomes include alcohol craving, suicide ideation, alcohol consumption, and engagement with intervention strategies
Inclusion Criteria: * Age 18 years or older * Meets DSM-5 criteria for current (past 6 months) Alcohol Use Disorder (mild, moderate, or severe) * Reports at least one episode of suicidal ideation in the past 6 months * Currently engaged in alcohol use treatment (at least monthly participation in outpatient or intensive outpatient individual or group treatment) * Alcohol identified as primary substance of use * Resides in the United States * Owns a personal smartphone * Able and willing to provide informed consent * Co-occurring mood disorders (excluding bipolar disorder), anxiety disorders, o…
At four time points each day (112 time points across the 28-day study), each participant will be randomized to text message or no text message. Within the text message condition, there will be further randomization to Text Message Choice and Text Message Language conditions.
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