Can Postdischarge Follow-Up Contacts Prevent Suicide and Suicidal Behavior?: A Review of the Evidence
Abstract
Background: The time period following discharge from inpatient psychiatry and emergency department (ED) treatment is one of heightened risk for repeat suicide attempts for patients. Evidence reported in the literature shows that follow-up contacts might reduce suicide risk, although there has not been a comprehensive and critical review of the evidence to date. Aims: To evaluate evidence for the effectiveness of suicide prevention interventions that involve follow-up contacts with patients. Methods: Published empirical studies of follow-up interventions with suicidal behaviors (suicide, attempts, and ideation) as outcomes were searched. Study populations were inpatient psychiatric or ED patients being discharged to home. Contact modalities included phone, postal letter, postcards, in-person, and technology-based methods (e-mail and texting). Results: Eight original studies, two follow-up studies, and one secondary analysis study met inclusion criteria. Five studies showed a statistically significant reduction in suicidal behavior. Four studies showed mixed results with trends toward a preventative effect and two studies did not show a preventative effect. Conclusions: Repeated follow-up contacts appear to reduce suicidal behavior. More research is needed, however, especially randomized controlled trials, to determine what specific factors might make follow-up contact modalities or methods more effective than others.
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Although randomized clinical trials on follow-up interventions for suicidal patients are scarce, existing research generally suggests follow-up contacts may reduce repeat suicide attempts and prevent death by suicide for patients discharged from inpatient or emergency departments.
“Although there is a paucity of randomized clinical trials on follow-up interventions for suicidal patients, existing research generally suggests that follow-up contacts may reduce repeat suicide attempts and prevent death by suicide for patients discharged from inpatient or emergency departments.76,79,80”
From Evidence-based youth suicide prevention and intervention in pediatric primary care settings. (2024) · cites this paper as [79]
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- Authors
- Luxton, D. D., June, J. D., & Comtois, K. A.
- Affiliations
- United States Department of Defense (US)
- University of Washington (US)
- Venue
- Crisis
- Publisher
- Hogrefe Publishing Group
- Published
- 2013-01-01
- Volume
- 34
- Issue
- 1
- Pages
- 32-41
- ISSN
- 0227-5910 (ISSN-L)
- 2151-2396
- OpenAlex
- W1898056456
- Semantic Scholar
- 1daa7ff43a495144b03afe64c8ce754f8bedc63f
- Cited by
- 218
- References
- 68
- Citations by year
- 2026: 6 · 2025: 16 · 2024: 11 · 2023: 20 · 2022: 22 · 2021: 18 · 2020: 11 · 2019: 27 · 2018: 20 · 2017: 15 · 2016: 19 · 2015: 18 · 2014: 11 · 2013: 4
- FWCI
- 11.95
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Crisis (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Social Sciences › Sociology and Political Science › Homicide, Infanticide, and Child Abuse
- Keywords
- suicide prevention, follow-up contact, suicide attempts, suicidal ideation, post-discharge care, emergency department discharge, telephone follow-up, suicide risk
- MeSH terms
- Suicide Prevention, Humans, Patient Discharge, Social Support, Suicide, Attempted, Correspondence as Topic
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