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Improving Coping to Reduce Suicide Risk Following ED Discharge

NCT ID: NCT06614946

Last Updated: 2025-12-18

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

NOT_YET_RECRUITING

Clinical Phase

NA

Total Enrollment

120 participants

Study Classification

INTERVENTIONAL

Study Start Date

2026-02-28

Study Completion Date

2027-02-28

Brief Summary

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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.

Detailed Description

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Conditions

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Suicidal Suicide, Attempted Suicidal Ideation

Keywords

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Emergency Department

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

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.
Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Electronic safety plan (ESP) + Text-Based Support

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.

Group Type EXPERIMENTAL

Electronic Safety Plan (ESP)

Intervention Type 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.

Text support

Intervention Type 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.

Enhanced electronic safety plan (ESP) enhanced with 2 reminder text messages with ESP link

Group Type EXPERIMENTAL

Electronic Safety Plan (ESP)

Intervention Type 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.

Interventions

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Electronic Safety Plan (ESP)

Participants will receive an electronic safety plan in the ED. ESP focuses on developing a personalized coping plan to manage suicidal thoughts and urges.

Intervention Type BEHAVIORAL

Text support

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.

Intervention Type BEHAVIORAL

Eligibility Criteria

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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
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Institute of Mental Health (NIMH)

NIH

Sponsor Role collaborator

University of Michigan

OTHER

Sponsor Role lead

Responsible Party

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Ewa Czyz

Associate Professor of Psychiatry

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Ewa Czyz, Ph.D.

Role: PRINCIPAL_INVESTIGATOR

University of Michigan

Locations

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University of Michigan

Ann Arbor, Michigan, United States

Site Status

Countries

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United States

Central Contacts

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Ewa Czyz

Role: CONTACT

Phone: 734-764-9466

Email: [email protected]

Facility Contacts

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Ewa Czyz

Role: primary

Adam Horwitz, Ph.D.

Role: backup

Other Identifiers

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R34MH133057

Identifier Type: NIH

Identifier Source: secondary_id

View Link

HUM00244094

Identifier Type: -

Identifier Source: org_study_id