Recruiting

ESP & Text Messaging

Sponsor:

University of Michigan

Code:

NCT06614946

Conditions

Suicidal

Suicide, Attempted

Suicidal Ideation

Eligibility Criteria

Sex: All

Age: 18 - 65

Healthy Volunteers: Not accepted

Interventions

Electronic Safety Plan (ESP)

Text support

Study Details

Brief summary:

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.

Conditions

Suicidal

Suicide, Attempted

Suicidal Ideation

Study ID

NCT06614946

Start date

May 12, 2026

Status verified date

Jul, 2026

Completion date

Feb, 2027

Anticipated

Primary completion date

Feb, 2027

Anticipated

Eligibility Criteria

Eligibility Criteria

Sex: All

Age: 18 - 65

Healthy Volunteers: Not accepted

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

Study Design

Enrollment

120 participants

Anticipated

Allocation

Randomized

Intervention Model

Parallel Assignment

Primary purpose

Supportive Care

Interventions and Outcome Measures

Arms

experimental: Electronic safety plan (ESP) + Text-Based Support

Participants who are randomized to this arm will receive ESP during ED care and receive a text-based support program for 4 weeks after discharge, with up to 2 messages per day. The text-based program includes a microrandomized trial (MRT), where participants are randomized twice daily to receive or not receive a message.

experimental: Enhanced electronic safety plan (ESP) enhanced with 2 reminder text messages with ESP link

Interventions

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.

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 measure

  • 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 ]

Central Contacts and Locations

Central contacts

Ewa Czyz

734-764-9466ewac@umich.edu

Locations

University of Michigan

Recruiting

Ann Arbor, Michigan, United States, 48109

Contacts

Ewa Czyz

734-764-9466ewac@umich.edu

Adam Horwitz, Ph.D.

734-764-0231ahor@med.umich.edu

Principal Investigator:

Ewa Czyz, Ph.D.

More Information

Sponsor

University of Michigan

Last update posted

Jul 16, 2026

Last verified

Jul, 2026

Keywords

  • Emergency Department

Trial information was received from ClinicalTrials.gov and was last updated on 2026-09-10. This information was provided to ClinicalTrials.gov by University of Michigan on 2026-07-16.