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

NCT ID: NCT06660199

Last Updated: 2025-12-15

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

RECRUITING

Clinical Phase

NA

Total Enrollment

420 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-12-01

Study Completion Date

2028-07-31

Brief Summary

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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.

Detailed Description

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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.

Conditions

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Suicide

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Standard ED care

Group Type NO_INTERVENTION

No interventions assigned to this group

Standard ED care with a text-based intervention

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.

Group Type EXPERIMENTAL

Text-based intervention

Intervention Type 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.

Interventions

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Text-based intervention

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.

Intervention Type BEHAVIORAL

Eligibility Criteria

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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
Minimum Eligible Age

13 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 RECRUITING

Hurley Medical Center

Flint, Michigan, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Ewa Czyz, Ph.D.

Role: CONTACT

734-764-9466

Facility Contacts

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Ewa Czyz, PhD

Role: primary

734-764-9466

Courtney Mangus, M.D.

Role: primary

810-262-9429

Other Identifiers

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1R01MH137012-01

Identifier Type: NIH

Identifier Source: secondary_id

View Link

HUM00254540

Identifier Type: -

Identifier Source: org_study_id

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