NCT06614946

Improving Coping to Reduce Suicide Risk Following ED Discharge

Facilitating Effective Coping to Reduce Suicide Risk Following ED Discharge: A Micro-randomized Trial to Develop an Adaptive Text-based Intervention

• Status: Not Yet Recruiting
• Phase: N/A
• Study type: Interventional
• Enrollment: 120 (estimated)
• Sponsor: University of Michigan · Academic / Other
• Sex: All
• Age: 18 Years – 65 Years
• Healthy volunteers: Not accepted

Summary

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.

Conditions

• Suicidal
• Suicide, Attempted
• Suicidal Ideation

Interventions

Type	Name	Description
BEHAVIORAL	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.
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.

Timeline

• Start date: 2026-05-01
• Primary completion: 2027-02-01
• Completion: 2027-02-01
• First posted: 2024-09-26
• Last updated: 2026-03-31

Locations

1 site across 1 country: United States