Randomized Controlled Feasibility Trial of an Avatar Guided Intervention for Young Adults Seen in the Emergency Department With Alcohol Use Problems and Suicidal Thoughts

Inclusion Criteria

Inclusion Criteria: * (1) emergency department admission for alcohol- or suicide-related reason since turning 18, OR treated for incidental suicide risk in the emergency department * (2) aged 18-29 * (3) speak, read, and understand English * (4) binge drinking in the past month OR alcohol use problems (Alcohol Use Disorders Identification Test score \> 5) * (5) active suicidal ideation in the past month * (6) owning and having access to a personal smartphone * (7) willingness to be randomized to an avatar guided intervention for alcohol use problems and suicidal thoughts OR a freely available suicide safety planning app * (8) for remote MyChart-based recruitment only, have MyChart activated Exclusion Criteria: * (1) severe cognitive delay, active psychosis, or heavy intoxication that precludes research participation * (2) imminent safety risk and have been recently unsafe to themselves or others * (3) prisoner or are under arrest * (4) not interested or not willing to be randomized to receive the avatar-guided digital intervention or safety plan app * (5) under the care of a legal guardian