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NCT Number: NCT06614946

Improving Coping to Reduce Suicide Risk Following ED Discharge

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.

Recruiting

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Key information

Conditions

Suicidal Behavior Behavioral Symptoms Disease Attributes Emergencies Pathologic Processes Pathological Conditions, Signs and Symptoms Self-Injurious Behavior Suicidal Ideation Suicide Suicide, Attempted

Age range

18 year–65 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

University of Michigan

Ann Arbor, Michigan, 48109, United States

Location status: Recruiting

Location contact

Adam Horwitz, Ph.D.

CONTACT

[email protected]

734-764-0231

Adam Horwitz, Ph.D.

PRINCIPAL_INVESTIGATOR

Ewa Czyz

CONTACT

[email protected]

734-764-9466

Ewa Czyz, Ph.D.

PRINCIPAL_INVESTIGATOR

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

Individuals presenting to an ED with either:

  • actual, interrupted, or aborted attempt in the last 4 weeks
  • 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

Treatment and study plan

Electronic Safety Plan (ESP)

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

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.

Primary outcomes

  1. Percentage of eligible individuals who agree to participate

    Time frame: At the time of ED 1 day visit

  2. Completion of the one-month follow-up assessment survey

    Time frame: One month post-discharge from the ED

  3. Completion of the three-month follow-up assessment survey

    Time frame: Three months post-discharge from the ED

  4. Number of withdrawals

    Time frame: Up to 3 months post-discharge from the ED

  5. Percentage of participants who remain active (in text-support condition only)

    Time frame: Up to 28 days post-discharge from the ED

  6. Participant satisfaction with the intervention components

    Time frame: Up to 1 months

    Measured with a modified Client Satisfaction Questionnaire (CSQ).

Study contacts

Contact information is provided by the study sponsor or research team.

Ewa Czyz

CONTACT

[email protected]

734-764-9466

Sponsors and collaborators

Lead sponsor

University of Michigan

Other

Collaborators

  • National Institute of Mental Health (NIMH)

Registry information

Official study title

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

Important dates

Study start
2026
Primary completion
2027
Study completion
2027
First posted
Sep 26, 2024
Registry last updated
Jul 16, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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