An Adaptive Intervention for Adolescents at Risk for Suicide: A Pilot SMART
Suicide, Self Harm
About this trial
This is an interventional treatment trial for Suicide focused on measuring Adaptive Intervention, Sequential, Multiple Assignment, Randomized Trial (SMART), Adolescent, Motivational Interviewing, Suicide attempt, Safety planning, mobile technology
Eligibility Criteria
Inclusion Criteria:
- Suicide attempt (previous month), and/or
- Suicidal ideation (previous week)
Exclusion Criteria:
- Severe cognitive impairment or altered mental status (psychosis, manic state)
- Transfer to medical unit or residential placement
- No availability of a legal guardian
- No cell phone with text messaging capability
Sites / Locations
- University of Michigan
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Other
Other
Other
Other
Safety plan + booster text messages + booster call (Group A)
Safety plan + booster text messages (Group B)
Safety plan + booster call (Group C)
Safety plan (Group D)
Sequencing of MI-SafeCope intervention components (Phase 1 and Phase 2) resulting in Group A: Participants will receive the in-person MI-enhanced safety plan (individual meeting with the adolescent and a family meeting) during hospitalization -- focused on developing a personalized list of coping strategies and enhancing adolescents' motivation and self-efficacy to utilize these strategies-- which will be followed by 4 weeks of daily post-discharge booster text messages and a phone booster call.
Sequencing of MI-SafeCope intervention components (Phase 1 and Phase 2) resulting in Group B: Participants will receive the in-person MI-enhanced safety plan during hospitalization followed by 4 weeks of daily booster text messages post discharge.
Sequencing of MI-SafeCope intervention components (Phase 1 and Phase 2) resulting in Group C: Participants will receive the in-person MI-enhanced safety plan during hospitalization followed by a post-discharge booster call.
Sequencing of MI-SafeCope intervention components (Phase 1 and Phase 2) resulting in Group D: Participants will receive the in-person MI-enhanced safety plan during hospitalization.