Brief intervention and follow-up for suicidal patients with repeat emergency department visits enhances treatment engagement.
Open accessAbstract
We implemented an innovative, brief, easy-to-administer 2-part intervention to enhance coping and treatment engagement. The intervention consisted of safety planning and structured telephone follow-up postdischarge with 95 veterans who had 2 or more emergency department (ED) visits within 6 months for suicide-related concerns (i.e., suicide ideation or behavior). The intervention significantly increased behavioral health treatment attendance 3 months after intervention, compared with treatment attendance in the 3 months after a previous ED visit without intervention. The trend was for a decreasing hospitalization rate.
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In a pilot study of repeated ED patients, SPI+ was associated with improved treatment attendance at 3-month follow-up compared with a prior ED visit for suicidal behavior.
“In a pilot study of repeated ED patients, SPI+ was associated with improved treatment attendance at 3-month follow-up compared with a prior ED visit for suicidal behavior.39”
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 [39]
Five studies (35.7%) used telephone calls as brief contact, and their patients also got handwritten notes by mail.
“In 5 studies (35.7%), the brief contact included telephone calls, and of those studies, patients also received handwritten mailed notes.22”
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Safety Planning for Youth in the Emergency Department Who Have Suicide Risk
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- Authors
- Stanley, B., Brown, G. K., Currier, G. W., Lyons, C., Chesin, M., & Knox, K. L.
- Affiliations
- Barbara Stanley and Megan Chesin are with the Department of Psychiatry, Columbia University, New York, NY, and the New York State Psychiatric Institute, New York. Gregory K. Brown is with the Department of Psychiatry, University of Pennsylvania, Philadelphia. Glenn W. Currier and Kerry L. Knox are with the Department of Psychiatry, University of Rochester, Rochester, NY. Chelsea Lyons is with Health Services Research and Policy, University of Rochester.
- University of Rochester Medicine (US)
- Venue
- American Journal of Public Health
- Publisher
- American Public Health Association
- Published
- 2015-08
- Volume
- 105
- Issue
- 8
- Pages
- 1570-1572
- ISSN
- 0090-0036 (ISSN-L)
- 1541-0048
- PMC
- PMC4504270
- OpenAlex
- W2157885888
- Cited by
- 112
- References
- 13
- Citations by year
- 2026: 4 · 2025: 11 · 2024: 19 · 2023: 6 · 2022: 11 · 2021: 10 · 2020: 9 · 2019: 13 · 2018: 13 · 2017: 7 · 2016: 6 · 2015: 2
- FWCI
- 11.57
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- American Journal of Public Health (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- 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 prevention, brief intervention, safety planning, telephone follow-up, treatment engagement, emergency department visits, suicidal ideation, suicidal behavior, veterans, hospitalization
- MeSH terms
- Suicide Prevention, Adult, Emergency Service, Hospital, Female, Hospitals, Veterans, Humans, Male, Psychotherapy, Brief, Suicide, Suicide, Attempted, United States, Veterans, Suicidal Ideation
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