NCT06614946 · University of Michigan
Improving Coping to Reduce Suicide Risk Following ED Discharge
What this study is about
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.
View original scientific description
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.
Interventions
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.
Primary outcome measures
Percentage of eligible individuals who agree to participate
Time frame: At the time of ED 1 day visit
Completion of the one-month follow-up assessment survey
Time frame: One month post-discharge from the ED
Completion of the three-month follow-up assessment survey
Time frame: Three months post-discharge from the ED
Number of withdrawals
Time frame: Up to 3 months post-discharge from the ED
Percentage of participants who remain active (in text-support condition only)
Time frame: Up to 28 days post-discharge from the ED
Participant satisfaction with the intervention components
Time frame: Up to 1 months
Measured with a modified Client Satisfaction Questionnaire (CSQ).
Who can participate
This study lists these criteria on ClinicalTrials.gov. A study coordinator reviews eligibility during screening — this page does not determine whether you qualify.
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
Where
- Ann Arbor, Michigan
Collaborators
National Institute of Mental Health (NIMH)
Related conditions & keywords
Frequently asked questions
What is a clinical trial?
A clinical trial is a research study that tests new medical treatments, drugs, devices, or procedures to determine their safety and effectiveness. Trials are carefully designed and monitored to protect participants while advancing medical knowledge.
Is it safe to participate?
Clinical trials follow strict safety guidelines and ethical standards. Trials must be reviewed and approved, and participants are closely monitored by medical professionals throughout the study. You can withdraw at any time if you choose.
Will I be compensated?
Many clinical trials offer compensation for your time, travel expenses, and inconvenience. The specific compensation varies by study and will be discussed during the screening process. All study-related medical care is typically provided at no cost to participants.
Will I receive a placebo instead of treatment?
When effective treatment exists, participants typically receive either the standard treatment plus the study intervention, or the standard treatment plus placebo. You would not be denied effective care. Placebos are primarily used when no proven treatment is available, or in addition to standard care. Your trial consent form will clearly explain what treatments you may receive.
Can I leave a trial if I change my mind?
Absolutely. Participation in clinical trials is completely voluntary. You have the right to withdraw from the study at any time, for any reason, without penalty or loss of benefits to which you are otherwise entitled.
How long does a clinical trial last?
Trial duration varies widely depending on the study design and purpose. Some trials last just a few weeks, while others may continue for months or years. The study coordinator will provide specific timeline information during your screening call.
Data: ClinicalTrials.gov · synced Jul 16, 2026 · Source of record for eligibility and locations