Evidence map›Paper›PMID 41004240›Full record

ArticleAmerican journal of psychotherapy2026

The Impact of Text Engagement in a Brief, Technology-Enhanced Adjunctive Intervention for Youth Suicide Risk and Depression.

Natalia Macrynikola, Katherine M Tezanos, Jackson Doerr, Nazaret Suazo, Leanna Villareal, Laura Whiteley, Shirley Yen

Abstract read
In one paragraph

Article in American journal of psychotherapy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Trial
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

7 authors.

Natalia MacrynikolaBeth Israel Deaconess Medical Center, Harvard Medical School, Boston.ORCID 0000-0003-2988-5503
Katherine M TezanosAlpert Medical School of Brown University, Providence, RI.
Jackson DoerrBeth Israel Deaconess Medical Center, Harvard Medical School, Boston.
Nazaret SuazoAlpert Medical School of Brown University, Providence, RI.
Leanna VillarealBeth Israel Deaconess Medical Center, Harvard Medical School, Boston.
Laura WhiteleyAlpert Medical School of Brown University, Providence, RI.
Shirley YenBeth Israel Deaconess Medical Center, Harvard Medical School, Boston.

Funding

Skills to Enhance Positivity (STEP) for Adolescents at Risk for SuicideR01MH123556 · NIMH · BROWN UNIVERSITY · PI SPIRITO, ANTHONY, YEN, SHIRLEY · 2021 to 2025
$2.8M
Postdoctoral Training in Suicide ResearchT32MH126426 · NIMH · BROWN UNIVERSITY · PI IVAN W. MILLER, LAUREN M WEINSTOCK · 2021 to 2026
$1.8M
Skills to Enhance Positivity in Suicidal AdolescentsR34MH101272 · NIMH · BROWN UNIVERSITY · PI YEN, SHIRLEY · 2013 to 2015
$746k
NIMH NIH HHS R01 MH123556NIMH NIH HHS R34 MH101272NIMH NIH HHS T32 MH126426
6 · The paper itself

Abstract

objectiveBrief, technology-enhanced interventions can increase treatment access while effectively addressing widespread clinical problems, such as major depression and suicidal thoughts and behavior, among young adults. Understanding the extent to which the digital components of these innovative interventions contribute to outcomes is key to realizing their potential. This study investigated whether text engagement enhances the effectiveness of a brief, adjunctive intervention, Skills to Enhance Positivity (STEP).

methodsThirty-five young adults in outpatient treatment received the STEP intervention, which was hypothesized to reduce depression and suicidal ideation by engaging the transdiagnostic mechanism of positive affect. Text engagement was examined as a predictor of positive affect, depressive symptoms, and suicidal ideation at posttest and follow-up, with baseline scores controlled. The authors also examined associations of text engagement with baseline clinical and demographic variables.

resultsA significant effect was found for text engagement on positive affect, and a trend toward a significant effect was found for text engagement on depressive symptoms. No significant effect was found for suicidal ideation.

conclusionsFindings add to a growing body of literature suggesting that light-touch, low-cost technology enhancements, such as text messaging, may enhance the impact of therapeutic interventions. Future research with larger sample sizes is essential to better understand when, how, and for whom such light-touch enhancements may increase intervention effectiveness.

Indexed as

DepressionMajor Depressive DisorderSuicidal IdeationSuicide PreventionText MessagingAdolescentAdultFemaleHumansMaleTreatment OutcomeYoung AdultDepressionDigital InterventionsPositive AffectSuicideTransdiagnosticYoung Adults

Identifiers

PMID41004240
PMCPMC12718554

What OpenQuestion holds

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Registered trials

None linked

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.