61 Participants Needed

Text Message Reminders for Suicide Prevention

Age: Any Age
Sex: Any
Trial Phase: Phase 2
Sponsor: University of Texas Southwestern Medical Center
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)
Prior Safety DataThis treatment has passed at least one previous human trial

Trial Summary

Do I need to stop my current medications to join the trial?

The trial protocol does not specify whether you need to stop taking your current medications.

What data supports the idea that Text Message Reminders for Suicide Prevention is an effective treatment?

The available research shows that text message reminders for suicide prevention are technically feasible and accepted by patients. In a pilot study, patients who received text messages after a suicide attempt found them to have a positive preventive impact. This method is also more cost-effective and easier to use compared to other strategies like phone calls or postcards. This suggests that text message reminders can be an effective way to support individuals after a suicide attempt.12345

What safety data exists for text message reminders in suicide prevention?

The research indicates that text message reminders are generally safe, with no reports of adverse events such as misreading, misinterpreting data, privacy issues, or message delivery failures. However, there is a need for personalized messages to better meet individual needs.678910

Is the treatment Safe Home Text Message Reminders a promising treatment for suicide prevention?

Yes, Safe Home Text Message Reminders is a promising treatment for suicide prevention. Text messaging has been shown to be effective in improving health behaviors and outcomes, such as increasing appointment attendance and supporting behavior change. It is also cost-effective, quick, and widely accessible, making it a valuable tool for reaching people who need support.67111213

What is the purpose of this trial?

Study Objective: to develop a phone-based intervention to aid parents of suicidal adolescents to adhere to lethal means safety.Lethal means counseling is the practice of educating patients and their families about limiting access to items that can be used to attempt suicide. Though lethal means counseling is standard practice in treating suicidal patients, there is little experimental literature related to its utilization across different providers and its efficacy. Further, there is a significant gap in the literature on lethal means counseling as it relates to adolescents. The proposed project will investigate a novel text message-based intervention aimed to promote lethal means safety.

Eligibility Criteria

This trial is for parents or legal guardians of adolescents aged 12-17 who are patients at Children's Health SPARC IOP. Participants must be adults (18+), own a smartphone with internet, and be proficient in English. Non-English speakers cannot participate.

Inclusion Criteria

I am the parent or legal guardian of an adult participant.
I am a teenager aged 12-17 receiving care at Children's Health SPARC IOP.
Proficiency in spoken and written English
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Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks
1 visit (in-person)

Treatment

Parents in the intervention group receive text message reminders to restrict lethal means for 6 months

6 months
Bi-weekly text messages

Follow-up

Participants are monitored for safety and effectiveness after treatment

6 months
Assessments at SPARC discharge, 1 month, and 6 months post-discharge

Treatment Details

Interventions

  • Safe Home Text Message Reminders
Trial Overview The study is testing a new intervention: text message reminders sent to parents to help them secure potentially dangerous items from suicidal adolescents. It aims to improve adherence to lethal means safety advice given by healthcare providers.
Participant Groups
2Treatment groups
Experimental Treatment
Active Control
Group I: Text Message InterventionExperimental Treatment1 Intervention
Parents in the intervention arm will receive text message reminders to restrict lethal means for 6 months.
Group II: Treatment as UsualActive Control1 Intervention
Parents in the treatment as usual group will not receive the text message intervention.

Find a Clinic Near You

Who Is Running the Clinical Trial?

University of Texas Southwestern Medical Center

Lead Sponsor

Trials
1,102
Recruited
1,077,000+

Findings from Research

The pilot phase of the SmartCrisis 2.0 trial demonstrated that a smartphone-based safety plan for patients with recent suicidal behavior is feasible and well-accepted, with a participation rate of 77% and high satisfaction ratings (overall satisfaction score of 9.6 out of 10).
Patients found the safety plan useful (7.4/10) and easy to use (8.9/10), with common coping strategies including walking and exercise, indicating that the app could be a valuable tool in clinical practice for supporting mental health.
Smartphone-based safety plan for suicidal crisis: The SmartCrisis 2.0 pilot study.Porras-Segovia, A., De Granda-Beltrán, AM., Gallardo, C., et al.[2023]
The 'Lock to Live' decision aid for lethal means safety shows promise in helping emergency department clinicians counsel patients at risk of suicide, based on qualitative interviews with 15 clinicians.
Successful implementation of the tool depends on clinicians' perceptions of its utility, time constraints, and how well it fits into the existing emergency department workflow.
Lethal means counseling for suicide prevention: Views of emergency department clinicians.Siry, BJ., Polzer, E., Omeragic, F., et al.[2022]
A pilot study involving 18 post-suicidal patients demonstrated that text messaging outreach is technically feasible and was well-accepted by participants, who reported a positive impact on their recovery.
Text messaging offers a cost-effective and convenient alternative to traditional post-acute care strategies, suggesting potential for broader implementation and the need for further research to evaluate its efficacy in preventing post-acute suicidal behaviors.
Post-acute crisis text messaging outreach for suicide prevention: a pilot study.Berrouiguet, S., Gravey, M., Le Galudec, M., et al.[2018]

References

Smartphone-based safety plan for suicidal crisis: The SmartCrisis 2.0 pilot study. [2023]
Lethal means counseling for suicide prevention: Views of emergency department clinicians. [2022]
Post-acute crisis text messaging outreach for suicide prevention: a pilot study. [2018]
"Lock to Live" for firearm and medication safety: Feasibility and acceptability of a suicide prevention tool in a learning healthcare system. [2022]
'Lock to Live': development of a firearm storage decision aid to enhance lethal means counselling and prevent suicide. [2022]
A Research Protocol to Test the Effectiveness of Text Messaging and Reminder Calls to Increase Service Use Referrals in a Community Engagement Program. [2020]
Using text message reminders in health care services: A narrative literature review. [2022]
An exploratory study of mobile messaging preferences by age: Middle-aged and older adults compared to younger adults. [2022]
Efficacy of text-message reminders on paediatric malaria treatment adherence and their post-treatment return to health facilities in Kenya: a randomized controlled trial. [2022]
10.United Statespubmed.ncbi.nlm.nih.gov
Short Text Messages (SMS) as an Additional Tool for Notifying Medical Staff in Case of a Hospital Mass Casualty Incident. [2016]
Successful implementation of a short message service (SMS) as intensive care to family communication tool. [2023]
Text Messaging-Based Interventions for Smoking Cessation: A Systematic Review and Meta-Analysis. [2022]
Developing and Pretesting a Text Messaging Program for Health Behavior Change: Recommended Steps. [2022]
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