Evidence map›Paper›PMID 40354273›Full record

Trial reportJournal of consulting and clinical psychology2025

Building toward a text-based intervention for parents of suicidal adolescents seeking emergency department care: A pilot randomized controlled trial.

Ewa Czyz, Inbal Nahum-Shani, Cynthia Ewell Foster, Valerie Micol, Amanda Jiang, Nadia Al-Dajani, Alejandra Arango, Maureen Walton, Victor Hong, Sheikh Iqbal Ahamed and 1 more

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of consulting and clinical psychology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05058664 (Developing Text-based Support for Parents of Suicidal Adolescents After Emergency Department Visits), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05058664 nacompletednot on this map

Developing Text-based Support for Parents of Suicidal Adolescents After Emergency Department Visits: A Multi-component Intervention Pilot

TypeinterventionalSponsorUniversity of MichiganRan2021 to 2022Enrolled240ConditionsSuicideArmsA-F texting component, P-F texting component
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Suicide Prevention in Youth.Current psychiatry reports · 2025
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Ewa CzyzDepartment of Psychiatry, University of Michigan.ORCID 0000-0002-3292-5097
Inbal Nahum-ShaniInstitute for Social Research, University of Michigan.
Cynthia Ewell FosterDepartment of Psychiatry, University of Michigan.
Valerie MicolDepartment of Psychiatry, University of Michigan.
Amanda JiangDepartment of Psychiatry, University of Michigan.
Nadia Al-DajaniDepartment of Psychiatry, University of Michigan.
Alejandra ArangoDepartment of Psychiatry, University of Michigan.
Maureen WaltonDepartment of Psychiatry, University of Michigan.
Victor HongDepartment of Psychiatry, University of Michigan.
Sheikh Iqbal AhamedDepartment of Computer Science, Marquette University.
Cheryl KingDepartment of Psychiatry, University of Michigan.

Funding

Developing text-based support for parents of suicidal adolescents after emergency department visits: A multi-component intervention pilotR34MH124767 · NIMH · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI CZYZ, EWA KARINA · 2021 to 2023
$702k
National Institutes of Health; National Institute of Mental HealthNIMH NIH HHS R34 MH124767
6 · The paper itself

Abstract

objectiveThe growing demand for emergency department (ED) care for suicidal ideation and attempts in adolescents calls for effective interventions preventing post-ED recurrence of suicidal crises. Parents are tasked with implementing postdischarge suicide prevention recommendations, often with little support. To address this need, this study examined a parent-facing texting intervention targeting parental engagement in suicide prevention activities to lower youth suicide risk after discharge.

methodA pilot randomized controlled trial was conducted with 120 parents (83.3% mothers) and their adolescents (ages 13-17, 65.8% female, 75.0% White) presenting to an ED with suicide risk concerns. Parents were randomized to a control group or a 6-week intervention providing parents with daily adolescent-centered text messages encouraging post-ED parental engagement in recommended suicide prevention activities with or without added parent-centered texts intended to support parents' own well-being. Proposed mechanisms (parental self-efficacy, engagement in suicide prevention activities) were assessed at 2, 6, and 12 weeks. This trial is registered with https://clinicaltrials.gov (NCT05058664).

resultsThe text-based intervention was feasible and acceptable. In exploratory analyses, relative to control, the text-based intervention was associated with greater parental engagement in suicide prevention activities postintervention at 6 (d = 0.48, p = .027) and 12 weeks (d = 0.53, p = .019) and lower youth suicide attempts at 12 weeks (hazard ratio = 0.23, CI [0.06, 0.96], p = .044), regardless of whether parents received additional parent-centered texts.

conclusionsWarranting further study in a fully powered trial, findings suggest this parent-facing texting intervention intended to promote youth safety was acceptable and may offer a promising strategy to lower post-ED youth suicide risk. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

Indexed as

Emergency Service, HospitalParentsSuicidal IdeationSuicide PreventionText MessagingAdolescentAdultFemaleHumansMalePilot Projects

Identifiers

PMID40354273
PMCPMC12074576

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.