Supportive Text Messaging and Electronic Safety Plan to Reduce Suicide Risk Following Emergency Department Discharge

What this Trial Is About

Researchers are evaluating whether an electronic safety plan ESP combined with a supportive text messaging program is feasible and acceptable for adults who have recently experienced suicidal thoughts or behaviors following discharge from an emergency department ED. The study aims to learn how best to implement these interventions to improve patient outcomes after leaving the ED. Participants receive an electronic safety plan while in the ED, focusing on a personalized coping strategy to manage suicidal urges. After discharge, some participants get a text-based support program for four weeks, receiving up to two messages daily. This text program includes a microrandomized trial where participants are randomly assigned twice daily to either receive or not receive a message. Throughout the study, participants are monitored for their agreement to participate, completion of follow-up surveys at one and three months after ED discharge, withdrawal rates, ongoing engagement with the text support, and satisfaction with the intervention components. The study lasts up to three months post-discharge, with assessments conducted at specified intervals to understand feasibility, acceptability, and participant experience.

Improving Coping to Reduce Suicide Risk Following ED Discharge