A Novel Therapy for People Who Attempt Suicide and Why We Need New Models of Suicide

Michel, Konrad; Valach, Ladislav; Gysin-Maillart, Anja

doi:10.3390/ijerph14030243

Cited by 57 publications

(49 citation statements)

References 97 publications

(94 reference statements)

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“…However, in times of managed care and busy schedules, such aspects may be neglected or not prioritized (Michel, 2011). Rather, mental health workers may rely on questionnaires and manualized interviews (Michel et al, 2017) and spend too much time on diagnostics and other clinical procedures as we found in a previous study (Hagen, Hjelmeland, & Knizek, 2017). …”

Section: Discussionmentioning

confidence: 75%

“…Rogers’ key message was that clinicians could promote a person’s change and growth by being empathic listeners, understanding, genuine, and accepting (Rogers, 1980). This philosophy is found among other researchers and clinicians who have argued for a person-centered approach with an emphasis on the patient’s perspectives, a trusting mental health worker-patient relationship (Cutcliffe & Stevenson, 2007; Jobes, 2006; Leenaars, 2004; Rogers & Soyka, 2004), and a narrative approach wherein the person can talk and reflect about their suicidality (Michel & Valach, 2011; Michel et al, 2017). However, in times of managed care and busy schedules, such aspects may be neglected or not prioritized (Michel, 2011).…”

Section: Discussionmentioning

confidence: 89%

“…Unmet needs for connection, protection and control can make the patients feel unsafe and increase their suicidality (Berg et al, 2017). Good care implies more than identifying and managing mental disorders and suicide risk, which has been established by several clinicians and researchers in the field (Cutcliffe & Santos, 2012; Jobes, 2006; Michel, Valach, & Gysin-Maillart, 2017; Rogers & Soyka, 2004). Considering the increasing focus on suicidality in mental health services over the last decade, there is a need to investigate the experiences of people who have been admitted to psychiatric hospitals because of suicidality.…”

Section: Introductionmentioning

confidence: 99%

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Former suicidal inpatients’ experiences of treatment and care in psychiatric wards in Norway

Hagen

Knizek

Hjelmeland

2018

International Journal of Qualitative Studies on Health and Well

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Purpose: The purpose of this study is to explore how former suicidal inpatients experienced treatment and care in psychiatric wards in Norway following the implementation of the National guidelines for prevention of suicide in mental health care. The focus of the analysis was on aspects of treatment and care with potential for improvement. Method: We interviewed five former inpatients and analysed the data by means of Interpretative Phenomenological Analysis. Results: Experiencing a sense of companionship with the staff and receiving individualized treatment and care was important for the participants. This involved establishing trusting connections with mental health workers who treated them with respect, made them feel valued, and who recognized their suffering and needs. The formerly suicidal patients experienced being in a recovery process, which was promoted by the support of mental health workers. Although the participants reported mostly positive experiences, there were examples of insufficient care. Sometimes, they felt that their suffering and suicidality were not sufficiently recognized. Conclusion: Our study indicates that although there has been increased focus on suicidality in the mental health services, among other through clinical guidelines, some mental health workers still lack competence and should focus more fully on how to provide individualized care for suicidal inpatients.

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Section: Discussionmentioning

confidence: 75%

Section: Discussionmentioning

confidence: 89%

Section: Introductionmentioning

confidence: 99%

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Former suicidal inpatients’ experiences of treatment and care in psychiatric wards in Norway

Hagen

Knizek

Hjelmeland

2018

International Journal of Qualitative Studies on Health and Well

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“…The Attempted Suicide Short Intervention Program (ASSIP) involves numerous elements including safety planning and semistandardized letters over a span of 2 years. Results from a randomized control trial ( 43 ) suggest that ASSIP effectively reduced the risk of suicide reattempts by 80%, and led to significantly less time spent in hospitals at follow-up.…”

Section: The Zs Model and Clinical Trainingmentioning

confidence: 99%

The Zero Suicide Model: Applying Evidence-Based Suicide Prevention Practices to Clinical Care

2018

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Suicide is reaching epidemic proportions, with over 44,000 deaths by suicide in the US, and 800,000 worldwide in 2015. This, despite research and development of evidence-based interventions that target suicidal behavior directly. Suicide prevention efforts need a comprehensive approach, and research must lead to effective implementation across public and mental health systems. A 10-year systematic review of evidence-based findings in suicide prevention summarized the areas necessary for translating research into practice. These include risk assessment, means restriction, evidence-based treatments, population screening combined with chain of care, monitoring, and follow-up. In this article, we review how suicide prevention research informs implementation in clinical settings where those most at risk present for care. Evidence-based and best practices address the fluctuating nature of suicide risk, which requires ongoing risk assessment, direct intervention and monitoring. In the US, the National Action Alliance for Suicide Prevention has put forth the Zero Suicide (ZS) Model, a framework to coordinate a multilevel approach to implementing evidence-based practices. We present the Assess, Intervene and Monitor for Suicide Prevention model (AIM-SP) as a guide for implementation of ZS evidence-based and best practices in clinical settings. Ten basic steps for clinical management model will be described and illustrated through case vignette. These steps are designed to be easily incorporated into standard clinical practice to enhance suicide risk assessment, brief interventions to increase safety and teach coping strategies and to improve ongoing contact and monitoring of high-risk individuals during transitions in care and high risk periods.

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“…While many reasons exist why people receiving services still die by suicide, three potential causes were identified by the National Strategy for Suicide Prevention: 1) detection of suicide risk is inadequate; 2) evidence-based, suicide-specific interventions are not deployed; and 3) intensity of care is not increased suicidologi nr 1/2018 during high risk periods (U.S. DHHS, 2012). While great strides have been made in the past ten years in identifying «best practices» for suicide prevention (Brown et al, 2005;Fowler et al, 2012;Jobes et al, 2005;Michel et al, 2017;Michel & Gysin-Maillart, 2015;Linehan et al, 2006;Luxton et al, 2013;Pisani et al, 2016;Posner et al, 2011), a striking gap remains between the development of these innovations and what services the majority of suicidal individuals in the U.S. actually receive. Experts in suicide prevention have long recommended universal screening with validated measures at regular intervals across varied settings to better identify those who may be at-risk for suicide, but the majority of individuals seen in healthcare settings do not receive any screening, let alone frequent screenings using standardized metrics (Posner et al, 2011).…”

mentioning

confidence: 99%

«Zero Suicide» – A model for reducing suicide in United States behavioral healthcare

Labouliere

Vasan

Kramer

et al. 2018

Suicid.

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Suicide is a serious public health concern in the US, especially for those served in outpatient behavioral health. Over the past decade, there has been a dramatic increase in US suicide rates, and a significant proportion of those dying by or attempting suicide were treated in outpatient behavioral healthcare within the prior year. In response, the US Action Alliance released the National Strategy for Suicide Prevention in 2012, a key tenet of which is the «Zero Suicide» (ZS) model. ZS provides resources for administrators and providers to create a systematic approach to quality improvement for suicide prevention in healthcare systems via seven essential elements (Lead, Train, Identify, Engage, Treat, Transition, Improve). In this paper, we describe the ZS model, as well as our operationalization of the model in an NIMH-funded study in ~170 free-standing New York State outpatient behavioral health clinics, serving >80 000 patients. This study is the largest implementation and evaluation of the ZS approach ever conducted in outpatient behavioral health. Evaluation of ZS implementation in «real-world» clinical settings will provide crucial insight regarding broader dissemination and inform how to best adopt empirically-supported care for suicidal patients in outpatient behavioral health, thereby reducing tragic and preventable loss of life.

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A Novel Therapy for People Who Attempt Suicide and Why We Need New Models of Suicide

Cited by 57 publications

References 97 publications

Former suicidal inpatients’ experiences of treatment and care in psychiatric wards in Norway

Former suicidal inpatients’ experiences of treatment and care in psychiatric wards in Norway

The Zero Suicide Model: Applying Evidence-Based Suicide Prevention Practices to Clinical Care

«Zero Suicide» – A model for reducing suicide in United States behavioral healthcare

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