Cited by 218Suicide and Self-Harm StudiesPsychiatric care and mental health servicesHomicide, Infanticide, and Child Abuse

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Can Postdischarge Follow-Up Contacts Prevent Suicide and Suicidal Behavior?: A Review of the Evidence

Luxton, David D., June, Jennifer D., Comtois, Katherine Anne·2013·Crisis

DOI 10.1027/0227-5910/a000158

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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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Authors: Luxton, D. D., June, J. D., & Comtois, K. A.
Affiliations: United States Department of Defense (US)
University of Washington (US)
ORCID: Luxton, David D.
Comtois, Katherine Anne
Venue: Crisis
Publisher: Hogrefe Publishing Group
Published: 2013-01-01
Volume: 34
Issue: 1
Pages: 32-41
ISSN: 0227-5910 (ISSN-L)
2151-2396
DOI: 10.1027/0227-5910/a000158
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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Can Postdischarge Follow-Up Contacts Prevent Suicide and Suicidal Behavior?: A Review of the Evidence

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