Adaptive Intervention for Adolescents Following Inpatient Psychiatric Care
Suicide, Suicide, Attempted, Suicidal Ideation
About this trial
This is an interventional treatment trial for Suicide focused on measuring Adaptive Intervention, Technology-based interventions, In-patient, Sequential, Multiple Assignment, Randomized Trial (SMART), Adolescent, Safety planning, Mobile technology
Eligibility Criteria
Inclusion Criteria:
- A suicide attempt in the last month or (2) past-week suicidal ideation (based on the Columbia-Suicide Severity Rating Scale (C-SSRS). In the absence of C-SSRS ratings in the chart, attending physician indication in the chart of the presence of suicidal ideation within the last week or the presence of a suicide attempt in the last month will be used.
Exclusion Criteria:
- Adolescent presenting with severe cognitive impairment or with altered mental status (acute psychosis or acute manic state)
- Transfer to medical unit or residential placement
- No availability of a legal guardian
- Adolescent not owning a cell phone.
Sites / Locations
- University of Michigan's (Child and Adolescent Psychiatric Inpatient Program)Recruiting
- Henry Ford Health System (Kingwood Hospital)
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm 5
Arm 6
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
MI-SP +supportive Texts + monitoring (Sequence A)
MI-SP + monitoring (Sequence D)
MI-SP + supportive Texts + monitoring + portal follow-up for non-responders (Sequence B).
MI-SP + supportive Texts + monitoring + booster call for non-responders (Sequence C)
MI-SP + monitoring + portal follow-up for non-responders (Sequence E)
MI-SP + monitoring + booster call for non-responders (Sequence F)
Sequencing of intervention components (Phase 1 and Phase 2) resulting in Sequence or Group A: Participants will receive the in-person MI-enhanced safety plan (MI-SP) during hospitalization followed by 4 weeks of supportive Texts and monitoring post discharge.
Sequencing of intervention components (Phase 1 and Phase 2) resulting in Sequence or Group D: Participants will receive the in-person MI-enhanced safety plan (MI-SP) during hospitalization followed by 4 weeks of monitoring post discharge.
Sequencing of intervention components (Phase 1 and Phase 2) resulting in Sequence or Group B: Participants will receive the in-person MI-enhanced safety plan (MI-SP) during hospitalization followed by 4 weeks of supportive Texts and monitoring post discharge in addition to the portal follow-up for non-responders.
Sequencing of intervention components (Phase 1 and Phase 2) resulting in Sequence or Group C: Participants will receive the in-person MI-enhanced safety plan (MI-SP) during hospitalization followed by 4 weeks of supportive Texts and monitoring post discharge in addition to the booster call for non-responders.
Sequencing of intervention components (Phase 1 and Phase 2) resulting in Sequence or Group E: Participants will receive the in-person MI-enhanced safety plan (MI-SP) during hospitalization followed by 4 weeks of monitoring post discharge in addition to the portal follow-up for non-responders.
Sequencing of intervention components (Phase 1 and Phase 2) resulting in Sequence or Group F: Participants will receive the in-person MI-enhanced safety plan (MI-SP) during hospitalization followed by 4 weeks of monitoring post discharge in addition to the booster call for non-responders.