ClinicalTrials.gg
RecruitingNCT06614946Updated Jul 16, 2026

Improving Coping to Reduce Suicide Risk Following ED Discharge

An interventional study of Electronic Safety Plan (ESP) and Text support in Suicidal, Suicide, Attempted and Suicidal Ideation, sponsored by University of Michigan. Recruiting at 1 site in United States. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2026-07-16.

Sponsored by University of Michigan · Not applicable, Interventional, and Supportive care

From the registry’s dates

  • Started May 2026; still recruiting 6 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
120
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study 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.

02

Conditions studied

  • Suicidal
  • Suicide, Attempted
  • Suicidal Ideation

Keywords

  • Emergency Department
03

In context

Suicide, Attempted

281 studies on the registry are indexed under Suicide, Attempted; 91 are open to participants now.

This study's planned enrollment of 120 is close to the median of 129 across 224 interventional studies indexed under Suicide, Attempted.

Browse Suicide, Attempted studies →

Lead sponsor

University of Michigan is the lead sponsor of 1,506 studies on the registry; 192 are open to participants now.

Of its 169 completed or terminated interventional studies of FDA-regulated products, 133 (79%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

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

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
05

Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
120 participants (estimated)

Study 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.

    Behavioral: Electronic Safety Plan (ESP) · Behavioral: Text support

  • Experimental
    Enhanced electronic safety plan (ESP) enhanced with 2 reminder text messages with ESP link

    Behavioral: Electronic Safety Plan (ESP)

Interventions

  • BehavioralElectronic 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.

  • BehavioralText 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.

06

What researchers measure

Primary outcomes

  1. Percentage of eligible individuals who agree to participate

    Time frame: At the time of ED 1 day visit

  2. Completion of the one-month follow-up assessment survey

    Time frame: One month post-discharge from the ED

  3. Completion of the three-month follow-up assessment survey

    Time frame: Three months post-discharge from the ED

  4. Number of withdrawals

    Time frame: Up to 3 months post-discharge from the ED

  5. Percentage of participants who remain active (in text-support condition only)

    Time frame: Up to 28 days post-discharge from the ED

  6. Participant satisfaction with the intervention components

    Measured with a modified Client Satisfaction Questionnaire (CSQ).

    Time frame: Up to 1 months

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started May 2026 (actual). Primary completion is estimated for Feb 2027, 9 months after the start.

Of 145 non-industry interventional studies with no phase under Suicide, Attempted, half reached primary completion within 37 months of starting (the median), counting those still running; a quarter within 21 and three quarters within 56. This study's planned 9 months is below that.

Counting every sponsor, half of 147 studies reached it within 37 months; a quarter within 20 and three quarters within 56.

How these figures are worked out, and which studies are left out of them.

Registered
Sep 24, 2024
First posted
Sep 26, 2024
StartActual
May 12, 2026
Primary completionEst.
Feb 2027
CompletionEst.
Feb 2027
Last update
Jul 16, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jul 16, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06614946
Responsible party
Ewa Czyz (Associate Professor of Psychiatry, University of Michigan) — Principal investigator
First posted
Sep 26, 2024
Start date
May 12, 2026
Primary completion
Feb 2027 (estimated)
Completion
Feb 2027 (estimated)
Last update
Jul 16, 2026

Study contacts

Ewa Czyz
Contact
ewac@umich.edu
734-764-9466
Ewa Czyz, Ph.D.
principal investigator · University of Michigan

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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