Implementations of an evidence‐based assertive case management intervention for suicide attempters: Post‐ACTION‐J Study (PACS)

Aim An assertive case management intervention program, ACTION-J, proved effective for preventing suicide attempters from reattempting suicide within 6 months. The ACTION-J randomized trial was conducted as part of the “National Strategic Research Projects.” The program has been covered by the national medical payment system of Japan since 2016. The aim of the Post-ACTION-J Study […]

Comparative effectiveness of safety planning intervention with instrumental support calls (ISC) versus safety planning intervention with two-way text message caring contacts (CC) in adolescents and adults screening positive for suicide risk in emergency departments and primary care clinics: Protocol for a pragmatic randomized controlled trial

Background: Suicide is a leading cause of death in adolescents and adults in the US. Follow-up support delivered when patients return home after an emergency department (ED) or primary care encounter can significantly reduce suicidal ideation and attempts. Two follow-up models to augment usual care including the Safety Planning Intervention have high efficacy: Instrumental Support Calls […]

Police and suicide prevention: Evaluation of a training program

Background: Police officers are frequently the first responders to individuals in crisis, but generally receive little training for this role. We developed and evaluated training in suicide awareness and prevention for frontline rail police in the UK. Aims: To investigate the impact of training on officers’ suicide prevention attitudes, confidence, and knowledge. Method: Fifty-three participants […]

Patients’ satisfaction with the therapeutic relationship and therapeutic outcome is related to suicidal ideation in the Attempted Suicide Short Intervention Program (ASSIP)

Background: The therapeutic alliance may be a moderating factor of outcome in the Attempted Suicide Short Intervention Program (ASSIP). Aims: This study investigates the two components of the therapeutic alliance, patients’ satisfaction with the therapeutic relationship and therapeutic outcome and their associations with suicidal ideation over time. Method: A total of 120 patients (55% female; mean age = 36 years) […]

Assessing the reliability of the CAMS rating scale using a generalizability study

Background: An important consideration when conducting randomized controlled trials is treatment differentiation. Direct observation helps ensure that providers in different treatment groups are delivering distinct interventions. One direct observation method is the use of a measure to rate clinician performance when delivering an intervention. Aims: This generalizability study evaluated the reliability of the CAMS Rating Scale (CRS), a […]

“Suicide can’t always be prevented, but it can be postponed”: Lived experiences of providing care and support to people who suicide attempt, and those who have gone on to die by suicide. A report for the National Suicide Prevention Advisor and Suicide Prevention Taskforce.

This report is drawn from the analysis of two datasets; 1) University of New England, Lived Experience of Suicide Study (2019-2020) and 2) a collaborative project between the University of New England and SANE Australia – the Better Support project (2017-2020). Each dataset is analysed through the lens of seeking to understand the carer experience, […]

Efficacy of a digital mental health intervention embedded in routine care compared with treatment as usual in adolescents and young adults with moderate depressive symptoms: Protocol for randomised controlled trial

Introduction: There are unmet mental health needs of depressed adolescents and young adults (AYAs) across the USA. Behavioural technology adequately integrated into clinical care delivery has potential to improve care access and efficiency. This multisite randomised controlled trial evaluates how a coach-enhanced digital cognitive behavioural intervention (dCBI) enhances usual care for depressed AYAs in paediatric practices […]

Identifying opportunities for informatics-supported suicide prevention: The case of Caring Contacts

Suicide is the tenth leading cause of death in the United States. Caring Contacts (CC) is a suicide prevention intervention involving care teams sending brief messages expressing unconditional care to patients at risk of suicide. Despite solid evidence for its effectiveness, CC has not been broadly adopted by healthcare organizations. Technology has the potential to […]

Strategies to prevent suicide and attempted suicide in New South Wales (Australia): Community-based outreach, alternatives to emergency department care, and early intervention

Background: This study describes the development of a system dynamics model to project the potential impact of a series of proposed suicide prevention interventions in New South Wales (NSW, Australia) over the period 2016 to 2031. Methods: A system dynamics model for the NSW population aged ≥ 20 years which represented the current incidence of […]

A CBT-based psychoeducational intervention for suicide survivors: A cluster randomized controlled study

Background: Bereavement following suicide is associated with an increased vulnerability for depression, complicated grief, suicidal ideation, and suicide. There is, however, a paucity of studies of the effects of interventions in suicide survivors. Aims: This study therefore examined the effects of a cognitive behavioral therapy (CBT)-based psychoeducational intervention on depression, complicated grief, and suicide risk factors in […]

Using the Delphi Method for determining key performance elements for delivery of optimal suicide-specific interventions in emergency departments

Objective: Evidence-based suicide prevention interventions directed to those seeking psychiatric crisis services for suicidality in the emergency department (ED) can reduce death by suicide and related suffering. Best practice guidelines for the care of suicidal patients in the ED exist but are not accompanied by fidelity tools for use in determining whether the interventions were applied, […]

Suicide among persons experiencing homelessness

Introduction This study aims to characterize suicide and associated disparities among persons experiencing homelessness (PEH). Materials and methods We reviewed suicide victims in the National Violent Death Reporting System (NVDRS) from 2003 to 2018 and compared factors surrounding suicides of PEH to factors of housed victims. We also utilized the Point-in-Time (PIT) survey (2010-2018), and census population […]

Intervention studies in suicide prevention research

Background: Despite the growing strength of the field of suicidology, various commentators have recently noted that insufficient effort is being put into intervention research, and that this is limiting our knowledge of which suicide prevention strategies might be the most effective. Aims: To profile the types of studies currently being undertaken by suicide prevention researchers from around […]

A pilot study of mobile telephone message interventions with suicide attempters in China

Background: In China, where follow-up with hospitalized attempters is generally lacking, there is a great need for inexpensive and effective means of maintaining contact and decreasing recidivism. Aims: Our objective was to test whether mobile telephone message contacts after discharge would be feasible and acceptable to suicide attempters in China. Methods: Fifteen participants were recruited from suicide attempters […]

Real-time mental health crisis response in the United States to COVID-19: Insights from a national text-based platform

Background: Data are scarce on assessing the impact of the COVID-19 pandemic on young people. Aim: To examine changes in crisis text patterns in the United States during the pandemic compared to the prepandemic period. Method: Nonintrusive data from a national digital crisis texting platform were analyzed using an interrupted time series design. Poisson regression with repeated-measures examined help-seeking patterns […]

Future-Oriented Group Training for suicidal individuals: A randomized controlled trial

Introduction Suicide is a serious public health concern worldwide. Current psychological interventions targeting suicidal ideation and behavior are, however, limited and often lack convincing empirical support. Future-Oriented Group Training (FOGT) targets crucial aspects of the suicidal process, thus possibly offering a promising intervention for suicidal ideation. This study aimed at investigating the short-term and long-term […]

Acceptability of a novel suicide prevention psychological therapy for people who experience non-affective psychosis

Objectives Suicide is a leading cause of death worldwide. People experiencing psychosis are at increased risk of death by suicide. Talking therapies can alleviate suicidal thoughts, plans, and attempts. Therapies need to also be acceptable to recipients. The aim of this study was to investigate the views on psychological therapy for people experiencing psychosis and […]

Facilitators and barriers to implementation of suicide prevention interventions: Scoping review

We know that suicide is preventable, yet hundreds of thousands of people still die due to suicide every year. Many interventions were proven to be effective, and dozens of others showed promising results. However, translating these interventions into new settings brings several challenges. One of the crucial obstacles to success is not anticipating possible barriers […]

A multicomponent digital intervention to promote help-seeking for mental health problems and suicide in sexual and gender diverse young adults: A randomized controlled trial

Background LGBTQ+ community’s higher susceptibility to worse mental health outcomes and more help-seeking barriers compared to the cis-heterosexual population. Despite the LGBTQ+ population facing higher mental health risks, there has been a dearth of research focusing on developing tailored interventions targeting them. This study aimed to assess the effectiveness of a digital multicomponent intervention in promoting […]

Effectiveness of suicide prevention skills training on the willingness to intervene and the self-efficacy among young adult students

Objective: The current study evaluated the long-term effectiveness of a peer delivered suicide prevention gatekeeper training program for college students. Participants: 1,345 undergraduate students (Mage = 20.24, SD = 3.27; 89.6% White) received the peer led training during a single class-period. Method: Participants completed pre- post- and 3-month follow-up surveys assessing knowledge, perceived intervention skills, […]

Effectiveness of a targeted brief intervention for recent suicide attempt survivors: A randomised controlled trial protocol

Introduction: Effective, brief, low-cost interventions for suicide attempt survivors are essential to saving lives and achieving the goals of the National Strategy for Suicide Prevention and Zero Suicide. This study aims to examine the effectiveness of the Attempted Suicide Short Intervention Program (ASSIP) in averting suicide reattempts in the United States healthcare system, its psychological […]

Help-seeking and Man Therapy: The impact of an online suicide intervention

Introduction Suicide is a leading cause of death for men in the United States. Men traditionally have been hesitant to seek help, based on masculine norms of stoicism and self-reliance, among other factors. Man Therapy (MT) is an online suicide prevention and mental health initiative that provides promise for facilitating male help-seeking. Methods This study […]

Evaluation of the use of digital mental health platforms and interventions: Scoping review

Background: The increasing use of digital mental health (DMH) platforms and digital mental health interventions (DMHIs) is hindered by uncertainty over effectiveness, quality and usability. There is a need to identify the types of available evidence in this domain. Aim: This study is a scoping review identifying evaluation of the (1) DMH platform/s used; and (2) DMHI/s […]