Pilot randomized clinical trial of the Teachable Moment Brief Intervention for hospitalized suicide attempt survivors.
Abstract
Objective The aim of this study was to further evaluate the acceptability and feasibility of the Teachable Moment Brief Intervention (TMBI).Method A single blind, pilot randomized controlled trial of the TMBI + care as usual (CAU) compared to CAU was conducted for patients who survived a recent suicide attempt that required medical inpatient hospitalization. The intervention was delivered on medical/surgical and inpatient psychiatry units in the medical center. Interviews were completed at baseline, 1, 3, and 12 months.Results Patients reported high ratings of satisfaction with the TMBI. Interventionists representing fields of Psychiatry, Social Work, and Counseling were able to deliver the intervention with fidelity to the treatment manual with equal adherence ratings. The TMBI patients were more likely to maintain a positive recovery trajectory on motivation and engagement in mental health services at 3 months.Conclusion The TMBI provides an option for targeted intervention to health care providers as they engage patients admitted to an acute medical setting after a serious suicide attempt. This is the second pilot study demonstrating enhanced motivation in the post-hospitalization period.
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Nine studies (64.3%) assessed linkage to follow-up care.
“9 (64.3%)examined link to follow-up care as an outcome, 16,[19][20][21][24][25][26][27][28]”
Six studies (42.9%) assessed depression.
“and 6 (42.9%) examined depression as an outcome.15,16,[19][20][21][22]”
All but one of the 14 studies provided a brief therapeutic intervention.
“Of the 14 included studies, all but 1 study 19 provided a brief therapeutic intervention.”
Three of the 14 studies (21.4%) included care coordination.
“Of the 14 included studies, 3 (21.4%)included care coordination.17,19,20”
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- Authors
- O'Connor, S. S., Mcclay, M. M., Choudhry, S., Shields, A. D., Carlson, R., Alonso, Y., Lavin, K., Venanzi, L., Comtois, K. A., Wilson, J. E., & Nicolson, S. E.
- Affiliations
- Western Kentucky University (US)
- Vanderbilt University (US)
- University of Washington (US)
- Beth Israel Deaconess Hospital (US)
- Venue
- General Hospital Psychiatry
- Publisher
- Elsevier BV
- Published
- 2020-03
- Volume
- 63
- Pages
- 111-118
- ISSN
- 0163-8343 (ISSN-L)
- OpenAlex
- W2885407792
- Cited by
- 29
- References
- 48
- Citations by year
- 2026: 2 · 2025: 6 · 2024: 3 · 2023: 5 · 2022: 3 · 2021: 4 · 2020: 4 · 2019: 1
- FWCI
- 2.65
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- General Hospital Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Funders
- American Foundation for Suicide Prevention (YIG-0-098-13)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Keywords
- suicide attempt survivors, hospitalized patients, brief psychological intervention, treatment acceptability, intervention feasibility, intervention fidelity, patient satisfaction, post-hospitalization recovery, psychiatric inpatient care
- MeSH terms
- Adult, Feasibility Studies, Female, Hospitalization, Humans, Inpatients, Male, Middle Aged, Outcome and Process Assessment, Health Care, Patient Acceptance of Health Care, Pilot Projects, Psychotherapy, Brief, Suicide, Attempted, Single-Blind Method, Survivors
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