{"doi":"10.1037/ccp0000950","title":"Building toward a text-based intervention for parents of suicidal adolescents seeking emergency department care: A pilot randomized controlled trial.","abstract":"OBJECTIVE: The 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. METHOD: A 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). RESULTS: The 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. CONCLUSIONS: Warranting 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).","journal":"Journal of Consulting and Clinical Psychology","year":2025,"id":523344,"datarank":0.24141568686511508,"base_score":1.6094379124341003,"endowment":1.6094379124341003,"self_citation_contribution":0.24141568686511508,"citation_network_contribution":0.0,"self_endowment_contribution":0.24141568686511508,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":4,"citer_count":1,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9603,"is_data_producer":true,"deposit_databanks":{"ClinicalTrials.gov":["NCT05058664"]},"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2025-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1357850,"name":"Inbal Nahum-Shani","orcid":null,"position":1,"is_corresponding":false},{"id":729504,"name":"Cynthia Ewell Foster","orcid":"0000-0001-7777-3990","position":2,"is_corresponding":false},{"id":362432,"name":"Valerie Micol","orcid":"0000-0002-0161-9425","position":3,"is_corresponding":false},{"id":235453,"name":"Amanda Jiang","orcid":"0000-0001-7545-2667","position":4,"is_corresponding":false},{"id":887968,"name":"Nadia Al‐Dajani","orcid":"0000-0001-7869-8195","position":5,"is_corresponding":false},{"id":729503,"name":"Alejandra Arango","orcid":"0000-0001-7411-7488","position":6,"is_corresponding":false},{"id":259764,"name":"Maureen A. Walton","orcid":"0000-0001-6547-0204","position":7,"is_corresponding":false},{"id":741061,"name":"Victor Hong","orcid":"0000-0002-9711-7736","position":8,"is_corresponding":false},{"id":368743,"name":"Sheikh Iqbal Ahamed","orcid":"0000-0001-5385-7647","position":9,"is_corresponding":false},{"id":274514,"name":"Cheryl A. King","orcid":"0000-0002-9903-6278","position":10,"is_corresponding":false},{"id":887967,"name":"Ewa K. Czyz","orcid":"0000-0002-3292-5097","position":0,"is_corresponding":true}],"reference_count":1,"raw_metadata":null,"created_at":"2026-07-19T02:50:03.004175Z","pmid":"40354273","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}