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| ID | Type | Description | Link |
|---|---|---|---|
| 25-0364 | Other Grant/Funding Number | Pediatric Pandemic Network Pilot & Emerging Issues Grant |
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| Name | Class |
|---|---|
| Health Resources and Services Administration (HRSA) | FED |
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The investigators plan to conduct a pilot hybrid effectiveness-implementation type 1 randomized controlled trial comparing 3 arms of varying follow-up intervention. Caregivers of youth ages 10-17 who present to the Lurie Children's Hospital ED with suicidal thoughts or behaviors (STBs) and are discharged with a safety plan will be included in the current study. Families will be randomized to receive either 1) treatment as usual, 2) follow-up phone calls, or 3) automatic electronic medical record (EMR) MyChart messages
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Telephone Calls | Experimental | Parents/guardians are contacted via telephone by a psychiatric social worker within 72 hours of ED discharge, then the family receives weekly phone calls until either they have successfully connected to follow-up mental health services or asks to no longer be contacted. Otherwise phone calls will continue to be made weekly until 60-days post-discharge. |
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| Standard Treatment | No Intervention | The caregiver receives the standard follow-up protocol once the patient has been discharged from the Emergency Department. | |
| Automatic MyChart Messages | Experimental | Parents/guardians receive automatic MyChart messages that will provide educational content and provide support around utilizing safety plans and restricting lethal means as well as the importance of connecting to follow-up care. These messages are sent within 72 hours of discharge then weekly for the first 60-days post-discharge. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Telephone Calls | Behavioral | Parents/guardians are contacted via telephone by a psychiatric social worker within 72 hours of ED discharge, then the family receives weekly phone calls until either they have successfully connected to follow-up mental health services or asks to no longer be contacted. Otherwise phone calls will continue to be made weekly until 60-days post-discharge. |
| Measure | Description | Time Frame |
|---|---|---|
| ED Return Visits | Count of return visits to the ED for a mental health chief complaint within 90 days from initial ED encounter | Between baseline enrollment and 90 day follow-up assessment |
| Measure | Description | Time Frame |
|---|---|---|
| Intervention Acceptability | Participant acceptability (using Acceptability of Intervention; AIM measure) | 90 Days follow-up |
| Study feasibility | Percentage of eligible and approached patients that consent and are enrolled in the study |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Amanda Burnside, PhD | Contact | 312-227-2785 | aburnside@luriechildrens.org | |
| Danielle Cory, MENG | Contact | 3122276312 | dcory@luriechildrens.org |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ann & Robert H. Lurie Children's Hospital of Chicago | Recruiting | Chicago | Illinois | 60640 | United States |
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| ID | Term |
|---|---|
| D013405 | Suicide |
| D004630 | Emergencies |
| ID | Term |
|---|---|
| D016728 | Self-Injurious Behavior |
| D001526 | Behavioral Symptoms |
| D001519 | Behavior |
| D020969 | Disease Attributes |
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The investigators are comparing three parent/guardian/caregiver follow-up modalities to support families with a youth discharging from the ED who has experienced suicidal thoughts or behaviors. Caregivers may be randomized to receive automatic MyChart messages that provide educational content and support around utilizing safety plans and restricting lethal means as well as the importance of connecting to follow-up care. Caregivers may be randomized to a series of telephone calls from a psychiatric social worker. Caregivers may be randomized to standard of care (standard procedures for a patient being discharged from our ED, no intervention).
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| Automatic MyChart Messages | Behavioral | Parents/guardians receive automatic MyChart messages within 72 hours of ED discharge, then the family receives weekly messages until 60-days post-discharge. |
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| Baseline |
| D010335 |
| Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |