A Just-in-time Adaptive Intervention for Suicide Safety Planning in Adolescents

Despite efforts to prevent suicide, US rates are climbing, and suicide is the second leading cause of death amongst youth. Digital tools, especially personal smartphones, are promising avenues to address these issues and can be used to increase engagement with effective interventions such as suicide safety planning. The BRITE suicide safety planning app was developed on evidence-based principles and has undergone rigorous formative development and effectiveness evaluations. However, to optimize its functionality, commercial viability, and scale its implementation, issues related to user engagement needed to be addressed. This 3 month Pragmatic Randomized Trial will evaluate the impact of the ViraSafe app-an enhanced version of the BRITE suicide safety planning app-on improving engagement with coping skills and safety planning among suicidal adolescents by comparing its intervention components to those of the original BRITE app.

Inclusion Criteria: Youth (minors): * 13-17 years old * Suicide attempt in the last year and ideation in the past month * English fluency and literacy * Parent or legal guardian willing and able to legally provide informed consent * Receiving care at one of the study clinical settings with trained providers to onboard ViraSafe or BRITE safety plan Youth (adults) * 18-24 years old * Recent suicide attempt or ideation with a plan * English fluency and literacy * Receiving care at one of the study clinical settings with trained providers to onboard ViraSafe or BRITE safety plan. Exclusion Criteria: Youth (minors): * Unable to read/understand English * Current manic or psychotic episode * Development disability precluding comprehension of study procedures * No routine access to a mobile phone, assessed by EHR review and during phone screen * No eligible parent or legal guardian to provide informed consent Youth (adults): * Unable to read/understand English * Current manic or psychotic episode * Development disability precluding comprehension of study procedures * No routine access to a mobile phone, assessed by EHR review and during phone screen