Improving Coping to Reduce Suicide Risk Following ED Discharge

Facilitating Effective Coping to Reduce Suicide Risk Following ED Discharge: A Micro-randomized Trial to Develop an Adaptive Text-based Intervention

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.

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