A Pilot Study of an Intervention to Prevent Suicide After Psychiatric Hospitalization.


Journal

The Journal of nervous and mental disease
ISSN: 1539-736X
Titre abrégé: J Nerv Ment Dis
Pays: United States
ID NLM: 0375402

Informations de publication

Date de publication:
12 2019
Historique:
pubmed: 7 11 2019
medline: 12 3 2020
entrez: 6 11 2019
Statut: ppublish

Résumé

A prior meta-analysis found that the World Health Organization Brief Intervention and Contact Program (WHO BIC) significantly reduces suicide risk. WHO BIC has not been studied in high-income countries. We piloted an adapted version of WHO BIC on an inpatient mental health unit in the United States. We assessed the feasibility and acceptability. We also evaluated changes in suicidal ideation, hopelessness, and connectedness using a repeated measures analysis of variance. Of 13 eligible patients, 9 patients enrolled. Patients experienced significant improvements in suicidal ideation, hopelessness, and connectedness at 1 and 3 months (Beck Scale for Suicidal Ideation, F(2,16) = 14.96, p < 0.01; Beck Hopelessness Scale, F(2,16) = 5.88, p < 0.05; perceived burdensomeness subscale, F(2,16) = 10.97, p < 0.013; and thwarted belongingness subscale, F(2,16) = 4.77, p < 0.03). Patients were highly satisfied. An adapted version of WHO BIC may be feasible to implement in a high-resource setting, but trials need to confirm efficacy.

Identifiants

pubmed: 31688286
doi: 10.1097/NMD.0000000000001061
pmc: PMC8801296
mid: NIHMS1762359
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

1031-1038

Subventions

Organisme : World Health Organization
ID : 001
Pays : International
Organisme : HSRD VA
ID : IK2 HX000854
Pays : United States
Organisme : Intramural VA
ID : VA999999
Pays : United States

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Auteurs

Natalie B Riblet (NB)

Veterans Affairs Medical Center, White River Junction, Vermont.
Geisel School of Medicine at Dartmouth College, Hanover.
The Dartmouth Institute for Health Policy and Clinical Practice, Lebanon, New Hampshire.

Brian Shiner (B)

Veterans Affairs Medical Center, White River Junction, Vermont.
Geisel School of Medicine at Dartmouth College, Hanover.
The Dartmouth Institute for Health Policy and Clinical Practice, Lebanon, New Hampshire.

Paula Schnurr (P)

Geisel School of Medicine at Dartmouth College, Hanover.
National Center for PTSD, White River Junction, Vermont.

Martha L Bruce (ML)

Geisel School of Medicine at Dartmouth College, Hanover.
The Dartmouth Institute for Health Policy and Clinical Practice, Lebanon, New Hampshire.

Danuta Wasserman (D)

World Health Organization, Geneva, Switzerland.
Karolinska Institute, Stockholm.
National Center for Suicide Research and Prevention of Mental ill-health, Stockholm, Sweden.

Sarah Cornelius (S)

Veterans Affairs Medical Center, White River Junction, Vermont.

Robert Scott (R)

Veterans Affairs Medical Center, White River Junction, Vermont.
Geisel School of Medicine at Dartmouth College, Hanover.

Bradley V Watts (BV)

Geisel School of Medicine at Dartmouth College, Hanover.
National Center for Patient Safety, Ann Arbor, Michigan.

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