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#JamesDonaldson on #MentalHealth – Brief Interventions Could Reduce Risk Of #Suicide

Stephanie K. Doupnik, MD, MSHP

Stephanie K. Doupnik, MD, MSHPA single intervention could pay dividends for individuals at risk of #suicideideation, according to new data.

A team, led by Stephanie K. Doupnik, MD, MSHP, PolicyLab, Center for Pediatric Clinical Effectiveness, Division of General Pediatrics, Children’s Hospital of Philadelphia, examined whether brief interventions delivered in a single encounter to individuals at risk of #suicide could improve patient outcomes.

In the systemic review and metal-analysis, the investigators identified 14 studies involving 4270 patients.

The investigators sought primary outcomes of subsequent #suicideattempts, linkage to follow-up care, and #depression symptoms at follow-up. They measured #suicideattempts and linkage to follow-up using validated patient self-report measures and medical record reviews.

The investigators also pooled odds ratios and Hedges g standardized mean differences to estimate effect sizes. They measured #depression symptoms 2-3 months following the encounter using validated self-report measures and pooled Hedges g standardized mean differences to estimate effect sizes.

The team found brief acute care #suicidepreventions interventions were linked to reduced subsequent #suicide attempts, while increasing the chance of linkage to follow-up care.

The majority of interventions included multiple components, with the most common components being care coordination, safety planning, brief follow-up contacts, and brief therapeutic interventions.

Pooled-effect estimates showed that brief #suicideprevention interventions were linked to a reduction in subsequent #suicideattempts (OR, 0.69; 95% CI, 0.53-0.89), increased linkage to follow-up (OR, 3.04; 95% CI, 1.79-5.17).

However, they were not associated with reduced #depression symptoms.

“In this meta-analysis, brief #suicideprevention interventions were associated with reduced subsequent #suicide attempts,” the authors wrote. “#Suicideprevention interventions delivered in a single in-person encounter may be effective at reducing subsequent #suicide attempts and ensuring that patients engage in follow-up #mentalhealthcare.”

#Suicide rates have been rising in the US for the better part of 2 decades, leading to the #NationalActionAllianceforSuicidePrevention calling for #healthcare organizations to incorporate #suicideprevention into routine practice. 

Emergency department visits for #suicidalideation and #suicide attempts have doubled in recent decades.

Health care organizations also play a crucial role as more than one-third of people who die by #suicide have had a health care encounter within the previous week prior to death and half within a month before their death.

“#Suicideprevention interventions delivered during and after a single in-person acute care encounter may be effective at reducing subsequent #suicide attempts and improving patients’ odds of linkage to follow-up #mentalhealthcare,” the authors wrote. “Future efforts to implement brief #suicideprevention interventions in acute care are likely to reduce patients’ risk of future #suicide attempts and improve their continuity of #mentalhealthcare.”

The study, “Association of #SuicidePrevention Interventions With Subsequent #Suicide Attempts, Linkage to Follow-up Care, and #Depression Symptoms for Acute Care Settings,” was published online in JAMA Psychiatry.

#JamesDonaldson notes:

Welcome to the “next chapter” of my life… being a voice and an advocate for #mentalhealthawarenessandsuicideprevention, especially pertaining to our younger generation of students and student-athletes.

Getting men to speak up and reach out for help and assistance is one of my passions. Us men need to not suffer in silence or drown our sorrows in alcohol, hang out at bars and strip joints, or get involved with drug use.

Having gone through a recent bout of #depression and #suicidalthoughts myself, I realize now, that I can make a huge difference in the lives of so many by sharing my story, and by sharing various resources I come across as I work in this space.  #http://bit.ly/JamesMentalHealthArticle

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