[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100574809":3},{"organization":4,"armGroups":7,"interventions":37,"overallOfficials":43,"centralContacts":56,"locations":43,"responsibleParty":62,"collaborators":66,"id":70,"slug":71,"hasResults":72,"nctId":73,"briefTitle":74,"officialTitle":74,"acronym":43,"eligibilityCriteria":75,"healthyVolunteers":72,"sex":76,"minAge":77,"maxAge":43,"enrollmentInfo":78,"targetDuration":43,"studyType":81,"phases":82,"briefSummary":84,"conditions":85,"keywords":88,"overallStatus":97,"whyStopped":43,"lastUpdateSubmitDate":98,"lastUpdatePostDateStruct":99,"startDateStruct":102,"completionDateStruct":104,"leadSponsor":106,"locationsCount":43},{"fullName":5,"class":6},"Massachusetts General Hospital","OTHER",[8,14,19,24,29,33],{"label":9,"type":10,"description":11,"interventionNames":12},"Self-monitoring only","EXPERIMENTAL","Participants in the self-monitoring condition will complete smartphone-based self-monitoring of suicidal thoughts and related experiences during the four weeks after hospitalization. Those who exhibit a response to self-monitoring alone will not receive any add-on interventions.",[13],"Behavioral: Self-monitoring",{"label":15,"type":10,"description":16,"interventionNames":17},"Self-monitoring plus JITAI","Participants in the self-monitoring plus just-in-time adaptive intervention (JITAI) condition will complete smartphone-based self-monitoring of suicidal thoughts and related experiences during the four weeks after hospitalization. When they report experiencing suicidal thoughts on a self-monitoring survey, they may be randomly assigned to receive a JITAI comprising a brief series of automated smartphone-based messages recommending coping strategies for suicidal thoughts. Those who exhibit a response to self-monitoring plus JITAI will not receive any add-on interventions.",[13,18],"Behavioral: JITAI",{"label":20,"type":10,"description":21,"interventionNames":22},"Self-monitoring only plus self-guided SSI","Participants who are initially assigned to self-monitoring alone and do not sufficiently respond to this intervention (based on the previous week of self-monitoring data) may be randomly assigned to receive up to three brief online self-guided single-session interventions (SSIs) aimed to identify and address barriers to coping strategy use during the four weeks after hospitalization.",[13,23],"Behavioral: Self-guided SSI",{"label":25,"type":10,"description":26,"interventionNames":27},"Self-monitoring only plus clinician-delivered SSI","Participants who are initially assigned to self-monitoring alone and do not sufficiently respond to this intervention (based on the previous week of self-monitoring data) may be randomly assigned to receive up to three single-session interventions (SSIs) with a study clinician aimed to identify and address barriers to coping strategy use during the four weeks after hospitalization.",[13,28],"Behavioral: Clinician-delivered SSI",{"label":30,"type":10,"description":31,"interventionNames":32},"Self-monitoring plus JITAI plus self-guided SSI","Participants who are initially assigned to self-monitoring plus JITAI and do not sufficiently respond to this intervention (based on the previous week of self-monitoring data) may be randomly assigned to receive up to three brief online self-guided SSIs aimed to identify and address barriers to coping strategy use during the four weeks after hospitalization.",[13,18,23],{"label":34,"type":10,"description":35,"interventionNames":36},"Self-monitoring plus JITAI plus clinician-delivered SSI","Participants who are initially assigned to self-monitoring plus JITAI and do not sufficiently respond to this intervention (based on the previous week of self-monitoring data) may be randomly assigned to receive up to three sessions with a study clinician aimed to identify and address barriers to coping strategy use during the four weeks after hospitalization.",[13,18,28],[38,44,48,52],{"type":39,"name":40,"description":41,"armGroupLabels":42,"otherNames":43},"BEHAVIORAL","Self-monitoring","Self-monitoring will involve completing one brief smartphone-based survey (at a fixed time) per day on suicidal thoughts and related affect states and experiences over the past day during the four weeks after psychiatric hospitalization.",[9,25,20,15,34,30],null,{"type":39,"name":45,"description":46,"armGroupLabels":47,"otherNames":43},"JITAI","The JITAI will involve prompts to complete additional randomly timed self-monitoring surveys throughout the day. When suicidal thoughts are reported on any self-monitoring survey, random assignment to receive or not receive a series of automated smartphone-based messages that recommend using specific coping strategies from either a personalized safety plan or general evidence-based coping strategies that others tend to find helpful.",[15,34,30],{"type":39,"name":49,"description":50,"armGroupLabels":51,"otherNames":43},"Self-guided SSI","The brief (10-12 minute) online self-guided SSI will help individuals identify and address barriers to using coping strategies for suicidal thoughts. It may be delivered up to three times during the four weeks after hospitalization for those who do not sufficiently respond to the initial (self-monitoring only or self-monitoring plus JITAI) interventions.",[20,30],{"type":39,"name":53,"description":54,"armGroupLabels":55,"otherNames":43},"Clinician-delivered SSI","The clinician-delivered SSI will consist of a brief (30-minute) Zoom or phone meeting in which a study clinician will help individuals identify and address barriers to using coping strategies for suicidal thoughts. Those who do not sufficiently respond to the initial (self-monitoring only or self-monitoring plus JITAI) interventions may receive up to three clinician-delivered SSIs during the four weeks after hospitalization.",[25,34],[57],{"name":58,"role":59,"phone":60,"phoneExt":43,"email":61},"Kate H Bentley, PhD","CONTACT","617-724-7741","kbentley@mgh.harvard.edu",{"type":63,"investigatorFullName":64,"investigatorTitle":65,"investigatorAffiliation":5,"oldNameTitle":43,"oldOrganization":43},"PRINCIPAL_INVESTIGATOR","Rebecca G. Fortgang, Ph.D.","Assistant Professor",[67],{"name":68,"class":69},"National Institute of Mental Health (NIMH)","NIH","100574809","multimodality-adaptive-intervention-for-post-inpatient-hospitalization-suicide-risk-reduction-100574809",false,"NCT06764108","Multimodality Adaptive Intervention for Post-Inpatient Hospitalization Suicide Risk Reduction","Inclusion Criteria:\n\n* Adult status (18+ years-old)\n* Ownership of a smartphone (iOS or Android)\n* Inpatient admission due to suicidal thoughts or suicide attempt\n\nExclusion Criteria:\n\n\\- Presence of any factor that impairs an individual's ability to comprehend and effectively participate in the study, including an inability to speak or write English fluently, the presence of gross cognitive impairment due to florid psychosis, intellectual disability, dementia, acute intoxication, or the presence of extremely agitated or violent behavior","ALL","18 Years",{"count":79,"type":80},360,"ESTIMATED","INTERVENTIONAL",[83],"NA","The goal of this clinical trial is to learn whether a combination of brief digital and clinician-delivered interventions can help adults leaving a psychiatric hospitalization cope with suicidal thoughts and prevent suicide-related events.\n\nThe main questions it aims to answer are:\n\n* Are people who receive automated smartphone messages when they report suicidal thoughts after leaving the hospital less likely to have a suicide-related event than those who do smartphone self-monitoring alone?\n* Are people who have additional session(s) with a clinician in the four weeks after leaving the hospital less likely to have a suicide-related event than those who receive additional brief self-guided intervention(s)?\n\nParticipants will be asked to:\n\n* Make a personalized safety plan (of coping strategies to use when feeling suicidal) before leaving the hospital\n* Do self-monitoring of suicidal thoughts and related experiences on their smartphone for four weeks after leaving the hospital\n* Complete a longer set of research questionnaires at the start of the study and five more times during the 12 weeks after leaving the hospital\n\nDepending on which study group they are in and whether they benefit from initial smartphone interventions, participants may or may not:\n\n* Receive automated smartphone messages reminding them of coping strategies to use for suicidal thoughts\n* Receive up to three additional sessions with a study clinician\n* Receive up to three brief online self-guided interventions\n\nThe study interventions last for the four weeks after leaving the hospital. Participants will also be asked permission to share information from their health records about care received for 12 weeks after leaving the hospital.",[86,87],"Suicidal Ideation","Suicidal Behavior",[89,45,90,91,92,93,94,95,96],"just-in-time adaptive intervention","micro-randomized trial","MRT","Sequential Multiple Assignment Randomized Trial","SMART","single-session intervention","SSI","hybrid experimental design","NOT_YET_RECRUITING","2026-04-23",{"date":100,"type":101},"2026-04-27","ACTUAL",{"date":103,"type":80},"2026-07",{"date":105,"type":80},"2030-01",{"name":5,"class":6}]