Developing Text-based Support for Parents of Adolescents After an Emergency Department Visit

Study Overview
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Brief Summary
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The researchers seek to develop a text message intervention for caregivers of adolescents at elevated suicide risk following discharge from emergency department (ED) care.

Official Title
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Developing Text-based Support for Parents of Suicidal Adolescents After Emergency Department Visits: A Multi-component Intervention Pilot

Conditions
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Suicide

Intervention / Treatment
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* Behavioral: A-F texting component
* Behavioral: P-F texting component


Participation Criteria
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Eligibility Criteria
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Parent eligibility: Inclusion Criteria: Parent of eligible teen Exclusion Criteria: Not owning a cell phone with text messaging capability. Teen eligibility: Inclusion Criteria: Recent suicidal ideation (within last 2 weeks) and/or suicide attempt within the last month. Exclusion Criteria: Youth with severe cognitive impairment or altered mental status (e.g., psychosis, manic state) Youth with severe aggression/agitation No availability of a legal guardian

Ages Eligible for Study
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Minimum Age: 13 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: There are 3 arms: control and 2 intervention arms. One of the intervention arms includes further twice daily (within-person) randomizations.
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Intervention: Control (standard care)<br> | |
| Experimental: A-F texting component<br>The A-F texting component will include content consistent with best-practice recommendations for parents to buffer youth against suicide risk. | Behavioral: A-F texting component<br>* Over the course of the 6-week intervention parents in the A-F condition will receive 1 message each day.<br>|
| Experimental: A-F texting plus P-F texting component<br>A-F texting plus P-F texting component arm includes the A-F component, as above, and P-F component. The P-F component includes an embedded micro-randomized trial (MRT) involving two daily randomizations to P-F message vs. no message conditions for the duration of the 6-week intervention. Participants who are randomized to this arm will be randomized twice each day (morning and evening) to either receive or not receive the P-F message at each randomization. | Behavioral: A-F texting component<br>* Over the course of the 6-week intervention parents in the A-F condition will receive 1 message each day.<br>Behavioral: P-F texting component<br>* Over the course of the 6 week intervention, parents will receive between 1-2 messages, depending on randomization (in addition to A-F component messages)<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Percentage of eligible participants who agree to participate in the study |  | Baseline | 
| Percentage of participants who complete follow-up assessments |  | Up to 12 weeks | 
| Percentages of participants randomized to the intervention who remain active (i.e. do not request to stop receiving messages) (Texting arms only) |  | Up to 12 weeks | 
| Participating parents' satisfaction with the intervention | Measured using the Modified Client Satisfaction Questionnaire (CSQ) with a range of 1-4 with higher scores indicating greater satisfaction | Up to 12 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Emergency Department