Improving coping to reduce suicide risk after ED discharge
Official title: Facilitating Effective Coping to Reduce Suicide Risk Following ED Discharge: A Micro-randomized Trial to Develop an Adaptive Text-based Intervention
Run by University of Michigan · NCT06614946 · Data updated 2026-11-12
This study tests whether an electronic safety plan and supportive text messages can help adults who have recently had suicidal thoughts or behaviors after leaving the emergency department.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years to 65 Years |
| Sex | All |
| Enrollment | 120 (estimated) |
| Sponsor | University of Michigan Academic / other |
| Locations | 1 site (Ann Arbor, Michigan) |
| Status | Recruiting |
| Started | May 12, 2026 |
| Main results expected | February 2027 |
| Study ends | February 2027 |
| Registry record updated | July 16, 2026 |
| Trial ID | NCT06614946 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults presenting to the ED with a recent suicide attempt or imminent ideation within the last week.
✕Probably not a fit
Individuals without access to a mobile phone with text messaging or those requiring inpatient care may not benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This interventional study explores the feasibility and acceptability of an electronic safety plan (ESP) combined with a supportive text messaging program for adults with recent suicidality after ED discharge. The aim is to identify how best to implement the ESP and texting to improve post-discharge outcomes. Enrollment includes adults with recent suicide attempts, aborted attempts, or active suicidal ideation within the past week, excluding those with severe cognitive impairment, severe agitation, current inpatient admission, or lacking cell phone text capability. The study is led by the University of Michigan with collaboration from NIMH and is based in Ann Arbor, MI.
Why it matters
Potential benefit: If successful, participants may have a clearer safety plan and ongoing support after leaving the ED, potentially reducing risk and improving coping.
How similar studies have gone: Previous work in similar tele-support and safety planning approaches has shown promise, but the combination in this ED-discharge context is being explored.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: Individuals presenting to an ED with either: 1. actual, interrupted, or aborted attempt in the last 4 weeks 2. 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 it's running
-
University of Michigan
Ann Arbor, Michigan, United States Recruiting
Study contacts
- Principal investigator: Ewa Czyz, Ph.D. — University of Michigan
- Study coordinator: Ewa Czyz
- Email: ewac@umich.edu
- Phone: 734-764-9466
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.