Adapting the safety planning intervention for use in a Veterans' psychiatric inpatient group setting
Abstract
The Department of Veterans Affairs (VA) recently has adopted the Safety Planning Intervention (SPI; Stanley & Brown, 2011), a brief collaborative intervention, for use with veterans who are at high risk of suicide. The SPI is a hierarchical list of strategies for veterans to use in coping with a suicidal crisis. Its developers recommended that it be used with individual psychiatric inpatients working toward discharge, but its utility in a group format has not previously been addressed. This article describes the facilitation of a safety planning group with psychiatric inpatients at a large urban VA medical center. It depicts each step in the safety plan and offers case examples, anecdotal support, and specific considerations for its use in groups. Directions for further research are also discussed.
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Emergency departments are important settings for preventing suicide.
“Emergency departments (EDs) are important for preventing suicide.”
From Emergency department safety assessment and follow-up evaluation 2: an implementation trial to improve suicide prevention. (2020) · cites this paper as [3]
Both manifest risk (presenting with suicidal behavior) and latent risk (presenting with medical complaints but recent suicidal thoughts) are prevalent in emergency departments.
“where both manifest risk, (individuals presenting with suicidal behavior), and latent risk, (individuals presenting with medical complaints but who have recently thought about suicide), are prevalent [2–6].”
From Emergency department safety assessment and follow-up evaluation 2: an implementation trial to improve suicide prevention. (2020) · cites this paper as [3]
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- Authors
- Rings, J., Alexander, P., Silvers, V., & Gutierrez, P.
- Affiliations
- University of Northern Colorado (US)
- Mental Illness Research, Education and Clinical Centers (US)
- VA Eastern Colorado Health Care System (US)
- Venue
- Journal of Mental Health Counseling
- Published
- 2012-03-27
- Volume
- 34
- Issue
- 2
- Pages
- 95-109
- ISSN
- 1040-2861 (ISSN-L)
- OpenAlex
- W140740646
- Cited by
- 15
- References
- 19
- Citations by year
- 2024: 2 · 2023: 1 · 2021: 2 · 2020: 3 · 2019: 1 · 2017: 2 · 2016: 1 · 2015: 2 · 2014: 1
- FWCI
- 1.09
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Mental Health Counseling (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 › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Keywords
- Safety Planning Intervention, suicide prevention, veterans, psychiatric inpatients, group intervention, suicide risk, collaborative intervention, Department of Veterans Affairs
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