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| ID | Type | Description | Link |
|---|---|---|---|
| 1R01MH137012-01 | 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 goal of this study is to determine the effectiveness of an adaptive text-based intervention for parents of adolescents seeking emergency department services for suicide risk concerns.
Participants will be 420 adolescents (ages 13-17) seen in ED with recent suicidal ideation and/or attempt and their parents recruited from two health system EDs in the Midwest.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Standard ED care | No Intervention | ||
| Standard ED care with a text-based intervention | Experimental | This arm incorporates adolescent-centered (A-C) and parent-centered (P-C) texting components Parents in the intervention arm will receive up to 3 text messages per day over six weeks after ED discharge: daily A-C text and up to two P-C messages. The P-C component includes an embedded micro-randomized trial (MRT), and parents will be randomized twice each day over the six-week intervention to either receive or not receive a P-C message. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Text-based intervention | Behavioral | Parents randomized to the texting intervention will receive up to 3 messages each day for 6 weeks: The intervention is comprised of adolescent-centered (A-C) texts focusing on parental adherence to recommended suicide prevention strategies to promote adolescents' safety and parent-centered (P-C) texts focused on improving parents' own well-being. |
| Measure | Description | Time Frame |
|---|---|---|
| Aim 1 (primary aim): likelihood of suicidal behavior (actual, interrupted, or aborted attempts) | Suicidal behavior encompasses actual, interrupted, and aborted suicide attempts. Measured with the behavioral subscale of the Columbia-Suicide Severity Rating Scale (C-SSRS),and supplemented with available medical chart data. | 12-week follow-up |
| Aim 2 (secondary aim) severity of parental stress | Measured with twice daily surveys over the 6-week intervention | Up to 6 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Aim 1 (primary aim): -time- to- suicidal behavior (actual, interrupted, or aborted suicide attempts | Measured with the behavioral subscale of C-SSRS and supplemented with available chart data. | 24-week follow-up |
| Aim 1 (primary aim): time- to- return ED visit |
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Inclusion Criteria:
Exclusion Criteria:
Adolescents who are:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Ewa Czyz, Ph.D. | 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 | Recruiting | Ann Arbor | Michigan | 48109 | United States |
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| ID | Term |
|---|---|
| D013405 | Suicide |
| D059020 | Suicidal Ideation |
| D013406 | Suicide, Attempted |
| ID | Term |
|---|---|
| D016728 | Self-Injurious Behavior |
| D001526 | Behavioral Symptoms |
| D001519 | Behavior |
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| 24-week follow-up. |
| Aim 2 (secondary aim): parental negative affect | Measured with twice daily surveys over the 6-week intervention. | Up to 6 weeks |
| Aim 2 (secondary aim) parental positive affect | Measured with twice daily surveys over the 6-week intervention. | Up to 6 weeks |
| Hurley Medical Center | Recruiting | Flint | Michigan | 48503 | United States |
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