Text-based Support for Parents of Adolescents Following an Emergency Department Visits

University of Michigan420 enrolled

Overview

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.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

420

Conditions

Suicide

Interventions

Text-based interventionBEHAVIORAL

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.

Eligibility

Sex: ALLMin age: 13 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Adolescent (13-17 years old) who present to Emergency Department (ED) due to (1) last-week suicidal ideation and/or (2) last-month suicide attempt, and their caregiver. Exclusion Criteria: Adolescents who are: * medically unstable * presenting with severe cognitive impairment, altered mental status, severe aggression/agitation * presenting without a legal guardian * whose parent does not own a cell phone

Locations (2)

University of Michigan

Ann Arbor, Michigan, United States

RECRUITING

Hurley Medical Center

Flint, Michigan, United States

RECRUITING

Outcomes

Primary Outcomes

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.

Time frame: 12-week follow-up

Aim 2 (secondary aim) severity of parental stress

Measured with twice daily surveys over the 6-week intervention

Time frame: Up to 6 weeks

Secondary Outcomes

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.

Time frame: 24-week follow-up

Aim 1 (primary aim): time- to- return ED visit

Time frame: 24-week follow-up.

Aim 2 (secondary aim): parental negative affect

Measured with twice daily surveys over the 6-week intervention.

Time frame: Up to 6 weeks

Aim 2 (secondary aim) parental positive affect

Measured with twice daily surveys over the 6-week intervention.

Time frame: Up to 6 weeks

Central Contacts

Ewa Czyz, Ph.D.

CONTACT

734-764-9466 ewac@umich.edu

Data from ClinicalTrials.gov

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