Suicide and Life-Threatening Behavior最新文献

Suicide prevention inpatient group treatment-A treatment development and feasibility study.

IF 2.7 3区医学

Suicide and Life-Threatening Behavior Pub Date : 2024-12-19 DOI: 10.1111/sltb.13154

Yael Holoshitz, Haitisha Mehta, Liat Itzhaky, Ariana Cid, Ravi DeSilva, Sarah Gilbert, Cassie Kaufmann, Christa D Labouliere, Beth Brodsky, Barbara Stanley

{"title":"Suicide prevention inpatient group treatment-A treatment development and feasibility study.","authors":"Yael Holoshitz, Haitisha Mehta, Liat Itzhaky, Ariana Cid, Ravi DeSilva, Sarah Gilbert, Cassie Kaufmann, Christa D Labouliere, Beth Brodsky, Barbara Stanley","doi":"10.1111/sltb.13154","DOIUrl":"https://doi.org/10.1111/sltb.13154","url":null,"abstract":"Background: One mainstay of psychiatric treatment for suicidal crises is inpatient psychiatric hospitalization. Despite the need to secure immediate safety and stabilization, inpatient treatment for acutely suicidal patients remains diagnosis-specific, which may fail to directly target and adequately manage suicidal behavior as a symptom and reason for admission or treatment. The post-discharge period is a high-risk period for repeat suicide attempts or death by suicide, but overburdened workforce and high patient turnover make it difficult to provide suicide-specific treatment.Methods: In response to this need, we developed the Suicide Prevention Inpatient Group Treatment (SPIGT), a four-module, group-based intervention, which provides evidence-supported concrete tools and psychoeducation to directly address suicidality. To assess feasibility and acceptability of implementation, the SPIGT was piloted on an inpatient psychiatric unit starting in 2016. Group participants were given optional, anonymous surveys after each module. Unit clinicians also completed optional, anonymous surveys to assess their attitudes towards the intervention.Results: Results indicate that participants responded very favorably to each module, and that unit clinicians felt that the implementation of this intervention was feasible and acceptable.Conclusion: The SPIGT shows promise as a scalable suicide-specific, brief intervention, which addresses an unmet and critical need in suicide prevention.","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142855982","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Applicability of the Interpersonal Psychological Theory of Suicide Behavior Among Junior High School Students in the Greater Accra Region of Ghana.

IF 2.7 3区医学

Suicide and Life-Threatening Behavior Pub Date : 2024-12-19 DOI: 10.1111/sltb.13159

Enoch Kordjo Azasu, Emmanuel Nii-Boye Quarshie, Erick Messias, Sean Joe

{"title":"The Applicability of the Interpersonal Psychological Theory of Suicide Behavior Among Junior High School Students in the Greater Accra Region of Ghana.","authors":"Enoch Kordjo Azasu, Emmanuel Nii-Boye Quarshie, Erick Messias, Sean Joe","doi":"10.1111/sltb.13159","DOIUrl":"https://doi.org/10.1111/sltb.13159","url":null,"abstract":"Background: The interpersonal-psychological theory of suicidal behavior (IPTSB) is widely applied to explain non-fatal suicide behaviors, but yet to be tested empirically with a Ghanaian sample.Aims: Using a total of 800 junior high school students (JHS) in the Greater Accra Region of Ghana, this study tests the utility of the IPTSB with the aim of having a better understanding of how suicide behavior is occurring among this young generation of Ghanaians.Materials and methods: The study used the WHO-CIDI's self-reported measures on suicide behavior and the Interpersonal needs questionnaire, which measures the elements of the IPTSB. Structural equation modeling was performed using Mplus to test the overall fit of the model as well as associations among the predictor variables and outcome variables.Results: The study found the IPTSB was significant for explaining 12-month and lifetime suicide behaviors in the sample. Also, 12-month suicide attempt was significantly associated with increased 12-month suicide ideation, increased acquired capability and increased perceived burdensomeness. In addition, 12-month suicide ideation was significantly associated with increased thwarted belongingness and increased perceived burdensomeness.Discussion and conclusion: This study provides new information for clinicians and policy makers working to reduce suicide behavior among Ghanaian adolescents.","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142855369","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Predictors of recent mental health service utilization among firearm-owning US service members with high levels of psychological distress.

IF 2.7 3区医学

Suicide and Life-Threatening Behavior Pub Date : 2024-12-12 DOI: 10.1111/sltb.13155

Taylor R Rodriguez, Shelby L Bandel, Allison E Bond, Michael D Anestis, Joye C Anestis

{"title":"Predictors of recent mental health service utilization among firearm-owning US service members with high levels of psychological distress.","authors":"Taylor R Rodriguez, Shelby L Bandel, Allison E Bond, Michael D Anestis, Joye C Anestis","doi":"10.1111/sltb.13155","DOIUrl":"https://doi.org/10.1111/sltb.13155","url":null,"abstract":"Introduction: Service members with mental health difficulties and access to a firearm are at an increased risk for suicide. Mental healthcare providers are well-positioned to discuss firearms and create safety plans; however, many service members do not seek treatment. This study aims to identify potential sociodemographic predictors of recent mental healthcare utilization among firearm-owning service members who report past month distress.Methods: The sample included 268 US military service members. Participants reported whether they attended at least one behavioral health visit in the 3 months prior to participation.Results: Females, individuals of a racial background other than Black or White, older individuals, and those who have never been active-duty were more likely to have attended a session. Additionally, the likelihood of utilization was higher among those who reported past week wish to die and suicidal behaviors in the past year.Conclusion: While certain service members are less likely to have utilized mental healthcare, findings suggest that those with suicidal ideation and access to a firearm are likely to engage in at least one appointment. As such, providing mental healthcare providers with training and resources for promoting secure firearm storage is an important avenue for suicide prevention.","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142814373","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Exploring the longitudinal associations among fear of negative evaluation, self-disgust, and self-injury in Chinese adolescents: Disentangling between- and within-person associations.

IF 2.7 3区医学

Suicide and Life-Threatening Behavior Pub Date : 2024-12-10 DOI: 10.1111/sltb.13151

Jiajing Zhang, Danrui Chen, Jiefeng Ying, Yunhong Shen, Shiting Zhan, Rui Zhong, Jianing You

{"title":"Exploring the longitudinal associations among fear of negative evaluation, self-disgust, and self-injury in Chinese adolescents: Disentangling between- and within-person associations.","authors":"Jiajing Zhang, Danrui Chen, Jiefeng Ying, Yunhong Shen, Shiting Zhan, Rui Zhong, Jianing You","doi":"10.1111/sltb.13151","DOIUrl":"https://doi.org/10.1111/sltb.13151","url":null,"abstract":"Introduction: Nonsuicidal self-injury (NSSI) and suicidal ideation (SI) are widespread mental health concerns among adolescents. As fear of negative evaluation (FNE) and self-disgust are also common psychological phenomena among adolescents, existing research suggests that there may be reciprocal predictive relationships between FNE and NSSI/SI with self-disgust playing a mediating role. This study aimed to investigate the reciprocal relationships between FNE and NSSI, as well as FNE and SI, and the mediating role of self-disgust.Method: Random intercept cross-lagged panel models (RI-CLPMs) were employed. A total of 515 Chinese secondary school students (50.7% boys; baseline Mage = 12.31 years, SD = 0.81) completed self-report questionnaires regarding FNE, self-disgust, NSSI, and SI. The assessment was conducted in four waves, 6 months apart.Results: The results were as follows: (1) There were bidirectional relations between FNE and NSSI through self-disgust. (2) There was a unidirectional association from FNE to SI via self-disgust.Conclusion: These findings have expanded the theoretical understanding of adolescent NSSI and SI, and highlighted the importance of offering personalized psychological counseling and therapy services at the intrapersonal level for adolescents.","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2024-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142802666","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Latent subtypes of self-injurious urges among adults engaging in disordered eating and non-suicidal self-injury.

IF 2.7 3区医学

Suicide and Life-Threatening Behavior Pub Date : 2024-12-09 DOI: 10.1111/sltb.13150

Jannah R Moussaoui, April R Smith, Elizabeth A Velkoff

{"title":"Latent subtypes of self-injurious urges among adults engaging in disordered eating and non-suicidal self-injury.","authors":"Jannah R Moussaoui, April R Smith, Elizabeth A Velkoff","doi":"10.1111/sltb.13150","DOIUrl":"https://doi.org/10.1111/sltb.13150","url":null,"abstract":"Background: Self-injurious urges are arguably the clearest antecedents of engaging in self-injurious behaviors (SIBs; e.g., binge eating, self-induced vomiting, cutting, burning). However, self-injurious urges demonstrate great heterogeneity, and it is unknown which are most closely linked to SIBs. This study aims to identify latent profiles of self-injurious urges and subsequently examine associations between profiles and engagement in SIBs.Method: Adults (N = 124) who reported engaging in at least three SIBs in the past month completed six surveys a day assessing self-injurious urges for 14 days (6600 responses). Latent profiles were constructed using within-person intensity, variability, peak, duration, relative frequency, and overall stability of self-injurious urges over the EMA period.Results: Five distinct profiles were identified: \"sustained,\" \"muted,\" \"sudden-onset,\" \"volatile,\" and \"virtually absent.\" SIB frequency differed across profiles, H(4) = 41.11, p < 0.001; η2 = 0.31, 95% CI [0.19, 0.48], and Dunn's post-hocs indicated those in the \"volatile\" profile engaged in more SIBs than other profiles.Conclusion: Findings support the presence of meaningful profiles of self-injurious urges and suggest these profiles differ in levels of SIB engagement. Future work should prospectively examine associations between profile membership and engagement in SIBs and identify treatment targets to intervene on SIBs.","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142802667","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Emotional variability and late adolescent suicidal ideation: Buffering role of parent-youth connectedness.

IF 2.7 3区医学

Suicide and Life-Threatening Behavior Pub Date : 2024-12-06 DOI: 10.1111/sltb.13146

Shou-Chun Chiang, Shi-Jane Ting, Sung Yu-Hsien

{"title":"Emotional variability and late adolescent suicidal ideation: Buffering role of parent-youth connectedness.","authors":"Shou-Chun Chiang, Shi-Jane Ting, Sung Yu-Hsien","doi":"10.1111/sltb.13146","DOIUrl":"https://doi.org/10.1111/sltb.13146","url":null,"abstract":"Introduction: Emotional variability has been identified as a risk factor for adolescent psychopathology. This study explored the cross-sectional and prospective associations between emotional variability and suicidal ideation and examined the moderating role of parent-adolescent connectedness.Methods: Participants included 108 Taiwanese late adolescents (Mage = 18.53, SDage = 0.39; 64% female) who completed ecological momentary assessment (EMA) over 14 days, and baseline and follow-up assessments over 6 months.Results: Results indicated that while negative emotional (NE) and positive emotional (PE) variability were not associated with suicidal ideation at baseline, both predicted increased suicidal ideation 6 months later. Furthermore, parent-adolescent connectedness moderated the relationship between NE variability and suicidal ideation, with high connectedness mitigating the adverse effects of NE variability.Conclusions: These findings suggest that emotional variability is a key predictor for the development of suicidal ideation and highlight the protective role of parent-adolescent connectedness. Interventions promoting family connectedness may be effective in reducing suicidal risk among emotionally variable youth.","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2024-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142787373","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Lived experiences of mothers: A longitudinal study of impacts and adjustment following adolescent psychiatric hospitalization for suicide attempts or other reasons.

IF 2.7 3区医学

Suicide and Life-Threatening Behavior Pub Date : 2024-12-02 DOI: 10.1111/sltb.13145

David B Goldston, Stephanie S Daniel, John F Curry, Karen C Wells, Otima Doyle, Bridget E Weller, Alaattin Erkanli, Alfiee M Breland-Noble, Nicole C Heilbron, Adrienne B Inscoe

{"title":"Lived experiences of mothers: A longitudinal study of impacts and adjustment following adolescent psychiatric hospitalization for suicide attempts or other reasons.","authors":"David B Goldston, Stephanie S Daniel, John F Curry, Karen C Wells, Otima Doyle, Bridget E Weller, Alaattin Erkanli, Alfiee M Breland-Noble, Nicole C Heilbron, Adrienne B Inscoe","doi":"10.1111/sltb.13145","DOIUrl":"https://doi.org/10.1111/sltb.13145","url":null,"abstract":"Introduction: Parents play crucial roles in monitoring and supporting youth who have been hospitalized after suicide attempts, but their adjustment in the period following hospitalization has been understudied. This study assessed the adjustment and impacts on mothers during the year following hospitalization.Method: Participants included 135 mothers of suicidal adolescents and 117 mothers of adolescents hospitalized for other reasons. The Structured Clinical Interview for DSM (SCID) and the Child and Adolescent Impact Assessment were used to assess psychiatric diagnoses of Major Depressive Disorder [MDD], Generalized Anxiety Disorder [GAD], and Post-Traumatic Stress Disorder [PTSD], and impacts on caregivers at one, three, six, and 12 months after hospitalization.Results: Higher rates of MDD, GAD, and PTSD, and greater impacts were evidenced closer in time to the hospitalization. There were few overall differences between mothers of youth with and without suicidal behavior. However, family history of suicidal behavior was related to higher rates of MDD and PTSD, and greater severity of youth suicidal thoughts and behavior over the follow-up was related to greater impact upon mothers of suicidal youth.Conclusions: This study highlights the mental health struggles of mothers of suicidal and other hospitalized youth and underscores the importance of support for caregivers.","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142773378","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Conditions that increase the perceived likelihood of temporary restriction of firearm access: An investigation in male firearm owners.

IF 2.7 3区医学

Suicide and Life-Threatening Behavior Pub Date : 2024-12-02 DOI: 10.1111/sltb.13149

Shawn P Gilroy, Raymond P Tucker, Ryan M Hill, Michael D Anestis, Craig J Bryan, Brian W Bauer

{"title":"Conditions that increase the perceived likelihood of temporary restriction of firearm access: An investigation in male firearm owners.","authors":"Shawn P Gilroy, Raymond P Tucker, Ryan M Hill, Michael D Anestis, Craig J Bryan, Brian W Bauer","doi":"10.1111/sltb.13149","DOIUrl":"https://doi.org/10.1111/sltb.13149","url":null,"abstract":"Introduction: This study investigated the trajectories of interpersonal stress and psychological pain and their effects on self-harm behaviors in adolescents and explored the reciprocal associations between interpersonal stress and NSSI/SA.Methods: A delay discounting approach was applied to evaluate the degree to which these choices were influenced by two dimensions of reinforcer efficacy-delay and magnitude. The decision-making task sampled choice behavior across various durations of temporary voluntary removal of firearms (Delay) and differences in stated potential risk of suicide (Magnitude) as a result of that choice.Results: Results of mixed-effects modeling indicated that the subjective value of immediate access to a firearm was differentially sensitive to both delay and magnitude. Additionally, the scaling of these effects was linked to various other indicators of firearm-specific safety (e.g., use of trigger locks) and suicidality risk (e.g., intolerance of uncertainty).Conclusions: These results provide additional support for behavioral models of decision-making (i.e., delay discounting) when evaluating how specific environmental arrangements and framing may support (or potentially discourage) engagement in means safety activities, inclusive of temporary firearms access restriction. These findings suggest that further analysis of the ecological underpinnings of these choices may help to guide more targeted efforts to engage with firearm owners in safety planning when there are concerns about the potential for suicide.","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142773372","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Mindsets of suicide trajectories: An Linguistic Inquiry and Word Count analysis of suicide hotline conversations. 自杀轨迹的心态：对自杀热线对话的语言调查和字数分析。

IF 2.7 3区医学

Suicide and Life-Threatening Behavior Pub Date : 2024-12-01 Epub Date: 2024-07-22 DOI: 10.1111/sltb.13115

Chin-Lan Huang, Fortune Fu-Tsung Shaw, Wen-Yau Hsu, Hsiu-Ting Yu, Shu-Sen Chang, Mao Ning Li

{"title":"Mindsets of suicide trajectories: An Linguistic Inquiry and Word Count analysis of suicide hotline conversations.","authors":"Chin-Lan Huang, Fortune Fu-Tsung Shaw, Wen-Yau Hsu, Hsiu-Ting Yu, Shu-Sen Chang, Mao Ning Li","doi":"10.1111/sltb.13115","DOIUrl":"10.1111/sltb.13115","url":null,"abstract":"Objective: The aim of the study was to explore the psychological characteristics of the individuals with various suicide risks using computerized text analysis, in the hopes of a better understanding of suicide trajectories.Methods: 627 first-time callers' records were randomly selected from Taiwan An-Shin Hotline database between 2013 and 2018. The voice records were evaluated by two psychologists to determine the levels of suicide risk (156 with uncertainty of risk, 177 with low suicidal ideation, 157 with high suicidal ideation, and 137 with suicide preparation/attempt) and transcribed into text. The Linguistic Inquiry and Word Count 2015 (LIWC2015) program combined with Chinese dictionary were then used to calculate the frequency of word categories.Results: Exploratory factor analysis identified four mindsets of language characteristics, named \"opposition and questioning\", \"active engagement\", \"negative rumination\", and \"focus on death\". Psychological descriptions of the mindsets were also obtained through correlation analysis with the LIWC2015 categories and indicators. The four mindsets effectively distinguished the callers with different levels of suicide risk.Conclusion: The psychological characteristics of people with various suicide risks can be described and differentiated via the closed-word categories and composite indicators. These results provide useful information for practitioners and researchers.","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":" ","pages":"1101-1112"},"PeriodicalIF":2.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141735260","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Implementation of caring contacts using patient feedback to reduce suicide-related outcomes following psychiatric hospitalization. 利用患者反馈实施关爱接触，减少精神病住院后与自杀相关的后果。

IF 2.7 3区医学

Suicide and Life-Threatening Behavior Pub Date : 2024-12-01 Epub Date: 2024-06-27 DOI: 10.1111/sltb.13108

Rosalie Steinberg, Jasmine Amini, Mark Sinyor, Rachel H B Mitchell, Ayal Schaffer

{"title":"Implementation of caring contacts using patient feedback to reduce suicide-related outcomes following psychiatric hospitalization.","authors":"Rosalie Steinberg, Jasmine Amini, Mark Sinyor, Rachel H B Mitchell, Ayal Schaffer","doi":"10.1111/sltb.13108","DOIUrl":"10.1111/sltb.13108","url":null,"abstract":"Introduction: Suicide risk is substantially elevated following discharge from a psychiatric hospitalization. Caring Contacts (CCs) are brief communications delivered post-discharge that can help to improve mental health outcomes.Method: This three-phase, mixed-method quality-improvement study revised an existing CC intervention using iterative patient and community feedback. Inpatients (n = 2) and community members (n = 13) participated in focus groups to improve existing CC messages (phases 1 and 2). We piloted these messages among individuals with a suicide-related concern following discharge from an inpatient psychiatric hospitalization (n = 27), sending CCs on days 2 and 7 post-discharge (phase 3). Phase 3 participants completed mental health symptom measures at baseline and day 7, and provided feedback on these messages.Results: Phase 1 and 2 focus group participants indicated preferences for shorter, more visually appealing messages that featured personalized, recovery-focused content. Phase 3 participants demonstrated reductions in depressive symptoms at day-7 post-discharge (-6.4% mean score on Hopkins-Symptom-Checklist, -9.0% mean score on Entrapment-Scale). Most participants agreed that CC messages helped them feel more connected to the hospital and encouraged help-seeking behavior post-discharge.Conclusion: This study supports the use of an iterative process, including patient feedback, to improve CC messages and provides further pilot evidence that CC can have beneficial effects.","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":" ","pages":"1041-1052"},"PeriodicalIF":2.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11629600/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141459840","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0