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| ID | Type | Description | Link |
|---|---|---|---|
| R34MH133057 | U.S. NIH Grant/Contract | View source |
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| Name | Class |
|---|---|
| National Institute of Mental Health (NIMH) | NIH |
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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 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. |
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| Enhanced electronic safety plan (ESP) enhanced with 2 reminder text messages with ESP link | Experimental |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| 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. |
| Measure | Description | Time Frame |
|---|---|---|
| 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 |
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Inclusion Criteria:
Individuals presenting to an ED with either:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Ewa Czyz | Contact | 734-764-9466 | ewac@umich.edu |
| Name | Affiliation | Role |
|---|---|---|
| Ewa Czyz, Ph.D. | University of Michigan | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Michigan | Ann Arbor | Michigan | 48109 | United States |
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| ID | Term |
|---|---|
| D013406 | Suicide, Attempted |
| D059020 | Suicidal Ideation |
| D004630 | Emergencies |
| ID | Term |
|---|---|
| D013405 | Suicide |
| D016728 | Self-Injurious Behavior |
| D001526 | Behavioral Symptoms |
| D001519 | Behavior |
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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.
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| 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. |
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| D020969 |
| Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |