Promoting Safety Plan and Coping Strategy Use Among Adults With Suicidal Thoughts

Summary

The goal of this study is to learn about a new, real-time, smartphone-based intervention aimed to decrease risk for suicide in adults who have been hospitalized for suicidal thoughts or behaviors. The main questions the investigators aim to answer are:

* Is a real-time, smartphone-based intervention that promotes the use of safety plans and other coping strategies for suicidal thoughts feasible and acceptable?
* Does the real-time intervention result in increased use of safety plans and other coping strategies, and reduce suicidal thoughts?

Participants will:

* Answer questions about current suicidal thoughts on their smartphone up to 6 times each day while they are in the hospital and during the 4 weeks after they leave the hospital
* When they report elevated suicidal thoughts on a smartphone survey, be randomly assigned to receive or not receive automated, interactive reminders to use content from their personalized safety plan or general coping strategies
* Answer brief follow-up questions on their smartphone within a couple hours of receiving or not receiving automated reminders
* Give feedback on their experience with the real-time intervention

Conditions

• Suicide

Interventions

BEHAVIORAL

Personalized internal and external coping strategies

A series of interactive, automated messages will recommend use of the internal coping strategies and external coping strategies (i.e., sources of social support/distraction) from the participant's personalized safety plan.

BEHAVIORAL

Personalized internal coping strategies

A series of interactive, automated messages will recommend use of the internal coping strategies from the participant's personalized safety plan.

BEHAVIORAL

Personalized external coping strategies

A series of interactive, automated messages will recommend use of the external coping strategies (i.e., sources of social support/distraction) from the participant's personalized safety plan.

BEHAVIORAL

General internal and external coping strategies

A series of interactive, automated messages will recommend use of general (non-personalized) common internal and external coping strategies for suicidal thoughts.

BEHAVIORAL

General internal coping strategies

A series of interactive, automated messages will recommend use of general (non-personalized) common internal coping strategies for suicidal thoughts.

BEHAVIORAL

General external coping strategies

A series of interactive, automated messages will recommend use of general (non-personalized) external coping strategies (i.e., sources of social support/distraction) for suicidal thoughts.

BEHAVIORAL

General internal coping strategies, relaxation

A series of interactive, automated messages will recommend use of general (non-personalized) common internal (and specifically, relaxation-based) coping strategies for suicidal thoughts.

BEHAVIORAL

General internal coping strategies, distraction

A series of interactive, automated messages will recommend use of general (non-personalized) common internal (and specifically, distraction-based) coping strategies for suicidal thoughts.

BEHAVIORAL

General internal coping strategies, physical activity

A series of interactive, automated messages will recommend use of general (non-personalized) common internal (and specifically, physical activity-based) coping strategies for suicidal thoughts.

Sponsors & Collaborators

• Massachusetts General Hospital

  lead OTHER

Study Design

Allocation

NA

Purpose

TREATMENT

Masking

NONE

Model

SINGLE_GROUP

Eligibility

Min Age

18 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2023-07-05

Primary Completion

2024-09-03

Completion

2024-09-03

Countries

• United States

Study Locations