Text Messaging for Suicide Prevention
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial aims to determine if text messages can help parents improve safety practices and reduce their teens' access to dangerous items after a suicide-related emergency visit. It tests two types of text messages: one with safety reminders and another that includes risk information to help parents better understand the situation. The trial seeks parents of teens aged 12-17 who have recently visited the emergency room for suicidal thoughts or attempts and have a phone capable of receiving texts. As an unphased trial, this study offers a unique opportunity to contribute to innovative research that could enhance parental support and teen safety.
Do I have to stop taking my current medications for the trial?
The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your doctor.
What prior data suggests that this text messaging intervention is safe for teens?
Research has shown that incorporating text messaging into a safety plan for suicide prevention is generally safe and acceptable. One study with 40 teenagers at high risk of suicide found a text-based program easy to use and well-received by participants.
Text messaging provides quick and direct support when someone feels overwhelmed or in danger. This method helps remind individuals about safety practices and the importance of avoiding dangerous items.
For text messaging that includes risk information, the approach uses statistics to help parents better understand the risks. This aims to change their perception of danger, encouraging them to take safety steps more seriously. The effectiveness of this method depends on how the information is shared, ensuring it promotes seeking help and maintaining hope.
Overall, studies suggest that these text messaging programs are safe, but they require careful and thoughtful messaging to be effective.12345Why are researchers excited about this trial?
Researchers are excited about these text-messaging-based interventions for suicide prevention because they offer a unique, accessible approach that goes beyond traditional methods like therapy and medication. Unlike standard treatments that require in-person visits or prescriptions, these interventions utilize direct text messages to promote safety practices, making them highly accessible and easy to implement. The Risk-Framing Nudge Arm is particularly innovative because it not only encourages safer behaviors but also provides risk statistics to help recalibrate how parents perceive suicide risks, potentially leading to more effective prevention strategies. This approach could significantly enhance engagement and adherence to safety behaviors, offering a promising new tool in suicide prevention efforts.
What evidence suggests that this trial's text messaging interventions could be effective for suicide prevention?
Research has shown that sending text messages for suicide prevention can reduce suicidal behavior in adults. Studies have found these messages to be safe and effective in promoting safety. For teenagers, using text messages in this way is practical and well-received, helping them develop better coping skills and reduce suicidal thoughts.
In this trial, participants in the Direct Nudge arm will receive direct text messages three times a week, encouraging Lethal Means Restriction practices. Meanwhile, the Risk-Framing Nudge arm will receive similar messages, but with additional suicide risk statistics to recalibrate parental risk perception. This approach encourages parents to implement better safety measures at home. Although there is less direct evidence on this specific method, combining safety tips with risk information relies on the idea that informed messages can help protect at-risk youth.13467Who Is on the Research Team?
Emine Rabia Ayvaci, MD
Principal Investigator
University of Texas Southwestern Medical Center
Are You a Good Fit for This Trial?
This trial is for parents and their children aged 12-17 who recently went to the emergency room because of suicidal thoughts or a suicide attempt. Both must be able to communicate in English, have access to a mobile phone with texting, and agree to participate in study activities.Inclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Treatment
Participants receive text messaging interventions aimed at increasing parental safety practices and reducing access to lethal means
Follow-up
Participants are monitored for safety and effectiveness after treatment, including surveys and tracking of emergency department revisits
What Are the Treatments Tested in This Trial?
Interventions
- Text-messaging for safety reminders
- Text-messaging with safety reminders and risk framing
Trial Overview
The study is testing two types of text message programs sent to parents: one gives safety reminders, while the other adds messages that highlight risks. The goal is to see which helps parents better protect their teens after a suicide-related ER visit.
How Is the Trial Designed?
3
Treatment groups
Experimental Treatment
Active Control
Thrice-weekly direct text messages encouraging Lethal Mean Restriction practices and suicide risk statistics to recalibrate parental risk perception
Treatment as usual (ED-based lethal means counseling)
Thrice-weekly direct text messages encouraging Lethal Mean Restriction practices.
Find a Clinic Near You
Who Is Running the Clinical Trial?
University of Texas Southwestern Medical Center
Lead Sponsor
The Texas Child Mental Health Care Consortium (TCMHCC)
Collaborator
Citations
Augmenting Safety Planning With Text Messaging Support for ...
... text messages on suicide risk-related outcomes. Text messages have shown promise in reducing suicidal behavior among adults [22]. However ...
A Comprehensive Approach to Suicide Prevention
One important way to reduce the risk of death by suicide is to prevent individuals in suicidal crisis from obtaining and using lethal methods of self-harm.
Leaders Suicide Prevention Safe Messaging Guide
Safe messaging includes stories about hope and resilience, information about risks and protective factors for suicide, resources for support (e.g., crisis lines) ...
Text Message Reminders for Suicide Prevention
Research has shown that text message reminders for suicide prevention are generally safe. Past studies reported no problems, such as misunderstanding the ...
Digital safety plan effectiveness and use: Findings from a ...
Higher suicide-related coping at three months predicted lower suicidal ideation. Higher perceived usefulness and personalised content at three months were ...
6.
nationwidechildrens.org
nationwidechildrens.org/newsroom/news-releases/2024/08/caringcontacts_ackermanStudy Shows Text Messages Help Youth at Risk For ...
... suicide prevention outcomes. “Prior research has shown that patients are around 300 times more at risk of suicide in the first week after ...
Safety
Safety concerns don't mean we should avoid messaging. Communicating to the public about suicide is critical; what's important is how we message about it.
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