This Project Grant award from the National Institute of Mental Health (NIMH), under the Mental Health Research Grants program (CFDA 93.242), provides $256,627.00 to the University of Denver to develop and pilot test a digital intervention for parents of pre- and early adolescents. The goal is to support parents in responding effectively to suicide risk alerts generated by digital monitoring apps, thereby decreasing suicide-related behaviors in their children. The project involves three phases:...
This Project Grant award from the National Institute of Mental Health (NIMH) under the Mental Health Research Grants program (CFDA 93.242) is providing $380,160 to Ann & Robert H. Lurie Children's Hospital of Chicago to adapt and implement a "Caring Contacts" text message intervention for suicidal adolescents following emergency department discharge. The project aims to: 1) adapt the Caring Contacts intervention to align with adolescent preferences, 2) develop an implementation...
This $103,948 Project Grant awarded by the National Institute of Mental Health (NIMH) under the Mental Health Research Grants program (CFDA 93.242) supports a convergent mixed-methods study to examine psychosocial factors associated with parental self-efficacy in adolescent suicide prevention. The study aims to: 1) analyze associations between parent-level psychosocial factors, adolescent suicide-related characteristics, and parents' suicide behavior prevention self-efficacy; 2) qualitatively...
This Project Grant award from the National Institute of Mental Health (NIMH) under CFDA 93.242 Mental Health Research Grants will fund a randomized controlled trial of a smartphone-delivered treatment targeting suicidal thoughts and behavior (STB). The award of $391,894 will support a study to evaluate the safety, acceptability, and efficacy of a classical conditioning-based intervention called Therapeutic Evaluative Condition for Suicide (TEC-S) that aims to increase suicide aversion. The study...
This $1,488,935 Project Grant award from the National Institute of Nursing Research (NINR), under CFDA 93.361 Nursing Research, aims to develop and implement a technology-aided approach to safety planning that addresses social determinants of health - home safety and access to community mental healthcare - to decrease suicide risk in rural-residing youth ages 12-17 who present to emergency departments. The key products and services to be delivered under this 5-year award include: Conducting...
This Project Grant award from the National Institute of Mental Health (NIMH), under the Mental Health Research Grants program (CFDA 93.242), provides $178,319 to the University of California, San Diego to develop and test a personalized suicide prevention intervention called PRECISE. The project aims to leverage intensive longitudinal data and network science techniques to tailor evidence-based treatments, such as safety planning and dialectical behavior therapy skills, to individual clients...
This Project Grant award from the National Institute on Alcohol Abuse and Alcoholism (NIAAA), under the Alcohol Research Programs (CFDA 93.273) federal grant program, aims to develop a text message-based parent intervention (TM-PBI) to reduce alcohol use and related consequences among first-year college students. The $206,856 award to Loyola Marymount University will fund a two-phase project to design, develop, and pilot test the TM-PBI program. In Phase 1, the team will create a web platform to...
This Project Grant award from the National Institute of Mental Health (NIMH), under the Mental Health Research Grants program (CFDA 93.242), provides $661,237 over 5 years to The Ohio State University to conduct research on optimizing brief coping skills interventions for suicide prevention. The study aims to intensively characterize the contexts in which patients at high risk for suicide are most likely to use and benefit from their safety planning interventions, leveraging technology and...
This Project Grant award from the National Institute of Mental Health (NIMH) under the Mental Health Research Grants program (CFDA 93.242) is for $601,576 over 3 years starting on May 15, 2025. The award will fund the development and pilot evaluation of an outpatient, transdiagnostic intervention called SURE-KIDS for preadolescents (ages 7-12) with self-injurious thoughts and behaviors (SITB). The intervention aims to address emotion dysregulation and executive functioning deficits within a...
This Project Grant from the National Institute on Drug Abuse, part of the Department of Health and Human Services, provides $738,086 to Brown University under the Drug Abuse and Addiction Research Programs (CFDA 93.279) to evaluate a technology-assisted parenting intervention for adolescents in residential substance use treatment. Specifically, the funding supports a randomized controlled trial to test the effectiveness of Parent SMART, a mobile app and telehealth coaching program that...
EFFECTIVENESS OF TEXT-BASED SUPPORT FOR PARENTS OF SUICIDAL ADOLESCENTS FOLLOWING EMERGENCY DEPARTMENT VISITS - PROJECT SUMMARY EMERGENCY DEPARTMENT (ED) VISITS FOR SUICIDAL IDEATION AND ATTEMPTS IN ADOLESCENTS ARE RISING, UNDERSCORING A NEED FOR EFFECTIVE INTERVENTIONS PREVENTING POST-ED RECURRENCE IN YOUTH SUICIDAL CRISES. PARENTS ARE TASKED WITH IMPLEMENTING POST-DISCHARGE SUICIDE PREVENTION RECOMMENDATIONS (E.G., LETHAL MEANS RESTRICTION, ATTENDING TO SUICIDE WARNING SIGNS, PROVIDING SUPPORT), HIGHLIGHTING OPPORTUNITIES FOR PARENT-FACING INTERVENTIONS TO IMPROVE POST-ED YOUTH OUTCOMES. LEVERAGING ACCESSIBLE TEXT MESSAGING, TOGETHER WITH A JUST -IN-TIME ADAPTIVE INTERVENTION (JITAI) FRAMEWORK DESIGNED TO TAILOR SUPPORT BASED ON INDIVIDUALS' UNIQUE AND CHANGING NEEDS, OUR GOAL IS TO EXAMINE THE EFFECTIVENESS OF AN ADAPTIVE TEXT-BASED INTERVENTION FOR PARENTS OF SUICIDAL YOUTH TRANSITIONING FROM ED CARE. WE BUILD ON RESULTS FROM OUR NIMH-FUNDED PILOT OF A TEXT-BASED INTERVENTION WITH TWO COMPONENTS, PROVIDED TO PARENTS FOR 6 WEEKS AFTER ED DISCHARGE: (1) ADOLESCENT-CENTERED (A-C) TEXTS, ENCOURAGING PARENTAL ENGAGEMENT IN SUICIDE PREVENTION ACTIVITIES TO PROMOTE YOUTH SAFETY; AND (2) PARENT- CENTERED (P-C) TEXTS, INTENDED TO ENHANCE PARENTS' OWN WELL-BEING. IN ADDITION TO FEASIBILITY AND ACCEPTABILITY, PROMISING PILOT RESULTS SHOWED THAT THE INTERVENTION IMPROVED KEY MECHANISMS OF ACTION AND WAS ASSOCIATED WITH LOWER POST-ED YOUTH SUICIDE ATTEMPTS. WE EXPAND ON THIS PILOT WORK TO DETERMINE THE EFFECTIVENESS OF THE TEXT-BASED INTERVENTION IN A FULL-SCALE MULTI-SITE TRIAL AND TO INVESTIGATE ITS IMPLEMENTATION POTENTIAL. IN THIS HYBRID TYPE 1 EFFECTIVENESS-IMPLEMENTATION TRIAL, 420 PARENTS OF ADOLESCENTS PRESENTING WITH SUICIDE RISK ACROSS TWO EDS WILL BE RANDOMIZED TO STANDARD ED SERVICES ALONE OR PAIRED WITH THE 6-WEEK TEXT-BASED INTERVENTION INTEGRATING A-C AND P-C COMPONENTS. AN EMBEDDED FULL-SCALE MRT IN THE INTERVENTION ARM, WITH TWICE-DAILY MICRO-RANDOMIZATIONS TO DELIVER (VS. NOT DELIVER) P-C MESSAGES, WILL INFORM A JITAI PROVIDING TAILORED PARENT- DIRECTED SUPPORT. THE SPECIFIC AIMS ARE TO: (1) COMPARE STANDARD ED SERVICES WITH AND WITHOUT THE TEXT-BASED INTERVENTION ON THE PRIMARY OUTCOME OF YOUTH SUICIDAL BEHAVIOR (ACTUAL, INTERRUPTED, ABORTED ATTEMPTS) 12 WEEKS AFTER ED DISCHARGE AND ON TWO SECONDARY OUTCOMES OF TIME-TO-SUICIDAL BEHAVIOR AND TIME-TO-RETURN ED VISITS WITHIN 24 WEEKS; (2) USING THE EMBEDDED MRT, DETERMINE IF DELIVERING VS. NOT DELIVERING P-C MESSAGES IMPACTS PROXIMAL (WITHIN HOURS) OUTCOMES OF PARENTAL STRESS (PRIMARY) AS WELL AS PARENTAL POSITIVE AND NEGATIVE AFFECT (SECONDARY); AND (3) TO SUPPORT UPTAKE IN EDS, ENGAGE STAKEHOLDERS TO ASSESS IMPLEMENTATION BARRIERS AND FACILITATORS AND PRODUCE AN IMPLEMENTATION PACKAGE. SECONDARY AIMS ARE TO EXAMINE IF MECHANISMS OF ACTION (PARENTS' ENGAGEMENT IN SUICIDE PREVENTION ACTIVITIES, SELF-EFFICACY) MEDIATE THE INTERVENTION'S IMPACT ON YOUTH SUICIDAL BEHAVIOR, AND TO INVESTIGATE TIME-VARYING PARENT AND ADOLESCENT MODERATORS (E.G., AFFECT, FUNCTIONING) OF MICRO-RANDOMIZATIONS TO IDENTIFY WHEN PARENT-DIRECTED SUPPORT IS MOST BENEFICIAL. ADDRESSING A CRITICAL NEED FOR POST-ED CONTINUITY OF CARE STRATEGIES TO PREVENT YOUTH SUICIDAL BEHAVIOR, AND BY PROPOSING A NOVEL AND SCALABLE PARENT-FACING APPROACH, THIS STUDY HAS POTENTIAL FOR HIGH IMPACT. ,