ED-Administered Safety Planning Intervention Reduces Suicidal Behaviors

A brief clinical intervention in the emergency department (ED) along with structured follow-up phone calls can reduce suicidal behaviors in patients and  encourage them to use mental health services, according to a study published today inJAMA Psychiatry.Barbara Stanley, Ph.D., of Columbia University and colleagues enrolled 1,640 adults who had been admitted to one of nine Veterans Administration EDs who had had a suicidal crisis (but who did not subsequently require inpatient hospitalization) between 2010 and 2015. Four of the EDs continued to provide their usual care for the patients, while the other five implemented a safety-planning intervention combined with telephone follow-up. Safety planningprovides patients with a written safety plan that includes coping skills, strategies to make their environment safer, and a list of people who can provide support. The telephone follow-up consisted of at least two postdischarge contacts with a patient to monitor suicide risk, review the safety plan, and encourage continued treatment.Six months after ED discharge, fewer patients in the safety planning group engaged in suicidal behavior compared with the usual care group (3.03% vs. 5.29%, respectively). Recipients receiving the safety-plan intervention and follow-up also had more than double the odds of attending at least one outpatient mental health visit after discharge. The increased visits with outpatient mental health services were not solely responsible for the r...
Source: Psychiatr News - Category: Psychiatry Tags: emergency department safety plan suicidal behavior suicide risk Veterans Health Administration Source Type: research

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Authors: Wu KK, Armstrong AW Abstract Psoriasis is a chronic inflammatory skin disease with under-investigated and underappreciated links to psychiatric comorbidities, including anxiety, depression, and suicidality. In this review, we synthesize and discuss the literature investigating the association between psoriasis and three measures of suicidality: suicidal ideation, suicide attempts, and completed suicide. Studies have shown that psoriasis is significantly linked to all three measures of suicidality, but the available data on suicide attempts and completed suicides is limited and less consistent. Studied risk...
Source: Giornale Italiano di Dermatologia e Venereologia - Category: Dermatology Tags: G Ital Dermatol Venereol Source Type: research
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Source: Journal of Psychiatric Research - Category: Psychiatry Source Type: research
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Source: European Psychiatry - Category: Psychiatry Source Type: research
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Source: SafetyLit - Category: International Medicine & Public Health Tags: Age: Young Adults Source Type: news
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Source: SafetyLit - Category: International Medicine & Public Health Tags: Program and Other Evaluations, Effectiveness Studies Source Type: news
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Source: SafetyLit - Category: International Medicine & Public Health Tags: Suicide and Self-Harm Source Type: news
Psoriasis is a chronic inflammatory skin disease with under-investigated and underappreciated links to psychiatric comorbidities, including anxiety, depression, and suicidality. In this review, we synthesize and discuss the literature investigating the ass...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Suicide and Self-Harm Source Type: news
[Abstract unavailable] Language: es...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Suicide and Self-Harm Source Type: news
Human trafficking exerts psychological effects on survivors that persist after intervention, and even after community reintegration. Effects include anxiety, depression, alienation, disorientation, aggression, suicidal ideation, attention deficit, and post...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Economics of Injury and Safety, PTSD, Injury Outcomes Source Type: news
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