An Emergency Department Intervention and Follow-Up to Reduce Suicide Risk in the VA: Acceptability and Effectiveness
Open accessAbstract
OBJECTIVE: Emergency departments (EDs) are often the primary contact point for suicidal individuals. The post-ED visit period is a high suicide risk time. To address the need for support during this time, a novel intervention was implemented in five Department of Veterans Affairs medical center EDs. The intervention combined the Safety Planning Intervention (SPI) with structured follow-up and monitoring (SFU) by telephone for suicidal individuals who did not require hospitalization. This study assessed the intervention's acceptability and perceived usefulness. METHODS: A selected sample of 100 intervention participants completed a semistructured interview consisting of open-ended questions about the intervention's acceptability, usefulness, and helpfulness. Satisfaction with the SPI and SFU was separately evaluated. RESULTS: Nearly all participants found the SAFE VET intervention to be acceptable, reporting that it was helpful in preventing further suicidal behavior and fostering treatment engagement. CONCLUSIONS: The SAFE VET intervention showed promise as an ED intervention for suicidal patients.
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Patients report that safety planning helps maintain their safety.
“Patients report it helps maintain their safety.25,26”
From Comparison of the Safety Planning Intervention With Follow-up vs Usual Care of Suicidal Patients Treated in the Emergency Department (2018) · cites this paper as [25]
Among suicidal patients provided with a safety plan, nearly two-thirds reported using the plan to mitigate risk.
“We also found that, among suicidal patients provided with a safety plan, nearly two-thirds reported using the plan to mitigate risk.25”
From Comparison of the Safety Planning Intervention With Follow-up vs Usual Care of Suicidal Patients Treated in the Emergency Department (2018) · cites this paper as [25]
Brief interventions and active outreach after discharge have been shown to reduce the postdischarge risk of suicidal behavior.
“Active outreach after discharge seeks the same goal, and both have been shown to reduce the postdischarge risk of suicidal behavior (7, 240-242).”
From A brain-centric model of suicidal behavior (2020) · cites this paper as [242]
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Cites
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Clinician Perspectives on Suicide Safety Planning and Its Implementation
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“Qualitative research has found the SPI to be an acceptable and helpful intervention for patients (Stanley et al., 2016).”
- Authors
- Stanley, B., Chaudhury, S. R., Chesin, M., Pontoski, K., Bush, A. M., Knox, K. L., & Brown, G. K.
- Affiliations
- Dr. Stanley and Dr. Chaudhury are with the Department of Psychiatry, Columbia University, New York City (e-mail: ). They are also with the New York State Psychiatric Institute, New York City, where Dr. Chesin is affiliated. Dr. Chesin is also with the Department of Psychology, William Paterson University, Wayne, New Jersey. Dr. Pontoski, Ms. Bush, and Dr. Brown are with the Department of Psychiatry, University of Pennsylvania, Philadelphia. Dr. Brown is also with the VISN 4 Mental Illness Research,...
- William Paterson University (US)
- Venue
- Psychiatric Services
- Published
- 2016-06-01
- Volume
- 67
- Issue
- 6
- Pages
- 680-683
- ISSN
- 0022-1597 (ISSN-L)
- 1075-2730
- 1557-9700
- OpenAlex
- W2261123320
- Cited by
- 88
- References
- 15
- Citations by year
- 2026: 7 · 2025: 11 · 2024: 13 · 2023: 8 · 2022: 10 · 2021: 10 · 2020: 7 · 2019: 10 · 2018: 5 · 2017: 7
- FWCI
- 9.83
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Psychiatric Services (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
- Health Sciences › Medicine › Emergency Medicine › Emergency and Acute Care Studies
- Keywords
- suicide risk, emergency department interventions, veterans, Safety Planning Intervention, telephone follow-up, suicide prevention, treatment acceptability, treatment engagement, post-discharge monitoring
- MeSH terms
- Suicide Prevention, Adult, Emergency Service, Hospital, Female, Follow-Up Studies, Ill-Housed Persons, Hospitals, Veterans, Humans, Male, Middle Aged, Patient Acceptance of Health Care, Risk Factors, Telephone, United States, Veterans, Risk Reduction Behavior
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