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NCT Number: NCT06660199

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

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.

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Key information

Conditions

Suicide Behavior Behavioral Symptoms Self-Injurious Behavior Suicidal Ideation Suicide, Attempted

Age range

13 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

University of Michigan, Ann Arbor, Michigan, United States

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About this study

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.

Who can participate

Healthy volunteers accepted: No

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

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

Treatment and study plan

Text-based intervention

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.

Primary outcomes

  1. Aim 1 (primary aim): likelihood of suicidal behavior (actual, interrupted, or aborted attempts)

    Time frame: 12-week follow-up

    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.

  2. Aim 2 (secondary aim) severity of parental stress

    Time frame: Up to 6 weeks

    Measured with twice daily surveys over the 6-week intervention

Secondary outcomes

  1. Aim 1 (primary aim): -time- to- suicidal behavior (actual, interrupted, or aborted suicide attempts

    Time frame: 24-week follow-up

    Measured with the behavioral subscale of C-SSRS and supplemented with available chart data.

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

    Time frame: 24-week follow-up.

  3. Aim 2 (secondary aim): parental negative affect

    Time frame: Up to 6 weeks

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

  4. Aim 2 (secondary aim) parental positive affect

    Time frame: Up to 6 weeks

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

Study contacts

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

Ewa Czyz, Ph.D.

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

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

Acronym: TESP

Important dates

Study start
2025
Primary completion
2028
Study completion
2028
First posted
Oct 28, 2024
Registry last updated
Dec 15, 2025

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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