A Shelter in the Storm – Acceptability and Feasibility of a                     Brief Clinical Intervention for Suicidal Crisis

Mansfield, Yolanda; Hamilton, Sarah; Argus, Julie; Wyder, Marianne; Macready, Rachel; James, Bridie; Stewart, C. G.; Meehan, Tom

doi:10.1027/0227-5910/a000803

Cited by 3 publications

(1 citation statement)

References 20 publications

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“… 27–30 34–44 Several of the multicomponent interventions included a safety planning or lethal means training component delivered by trained mental health professionals. 29 39 43 44 Other examples of interventions included brief solution focused therapy 38 and a ‘caring contacts’ intervention that sent personalised expressions of kindness over the course of 12 months postdischarge. 37 There was a large range of follow-up times from time of ED discharge 29 to 10 years postdischarge.…”

Section: Resultsmentioning

confidence: 99%

Behavioural mental health interventions delivered in the emergency department for suicide, overdose and psychosis: a scoping review

Nugent,

Anderson,

Young

2024

BMJ Open

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ObjectiveTo identify and describe evidence on brief emergency department (ED)-delivered behavioural and care process interventions among patients presenting with suicide attempt or acute ideation, substance overdose or psychosis.DesignWe employed a scoping review design and searched multiple data sources, clinical trial registries and references lists through March 2023. We included English-language trials and rigorously designed observational studies. In alignment with scoping review guidelines, we did not assess the quality of included studies or rate the strength of evidence of intervention effectiveness.PopulationOur population of interest was adults presenting to the ED with suicidality (eg, attempt or acute ideation), any substance overdose or acute psychosis from a primary mental health condition.InterventionWe included studies of brief behavioural or care process interventions delivered in the ED.Outcome measuresHealth outcomes (eg, symptom reduction), healthcare utilisation and harms.ResultsOur search identified 2034 potentially relevant articles. We included 40 studies: 3 systematic reviews and 39 primary studies. Most studies (n=34) examined ED interventions in patients with suicide attempt or suicidal ideation, while eight studies examined interventions in patients with opioid overdose. No studies examined ED interventions in patients with acute psychosis. Most suicide prevention studies reported that brief psychological, psychosocial or screening and triage interventions reduce suicide and suicide attempt following an ED visit. Most clinical trial interventions were multicomponent and included at least one follow-up. All substance overdose studies focused on opioids. These studies often contained medication and referral or consultation components. Multiple studies reported increases in substance use disorder treatment utilisation; evidence on repeat overdose events was limited.ConclusionsA wide range of multicomponent ED-delivered behavioural health interventions for suicidality and opioid use disorder show short-term improvement on primary outcomes such as suicide reattempt. Few studies on non-opioid substances and psychosis are available.

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Section: Resultsmentioning

confidence: 99%

Behavioural mental health interventions delivered in the emergency department for suicide, overdose and psychosis: a scoping review

Nugent,

Anderson,

Young

2024

BMJ Open

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The Impact of Allied Health Brief Therapy Clinic Interventions in Consumers in Suicidal Crisis

He¹,

Mansfield

Meehan³

2023

Community Ment Health J

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‘I've got to go in there with my armour on’: Adverse Childhood Experiences Among Adults Who Frequently Attend Emergency Departments

Binnie,

Jessup,

Le Brocque

et al. 2024

Int J Mental Health Nurs

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Frequent presentations to emergency departments contribute to increased service demands and healthcare costs. Literature suggests these adult presentations may be influenced by childhood adversity. This qualitatively driven, mixed methods study explored the self‐perceived role of childhood adversity in the health of adults who frequently attended Australian Emergency Departments and their perceptions of the healthcare they received. Data were collected using validated instruments and semi‐structured interviews with 12 purposefully sampled adults who frequently attended emergency departments. Qualitative data were analysed using interpretive phenomenological analysis. Three major themes were identified—The experience of childhood adversity: articulating challenges related to childhood trauma, and the subsequent impacts on participants' health, behaviours, relationships and sense of control; Pursuing safety: exploring action participants took to keep themselves and others safe, with this requirement extending into adulthood and influencing Emergency Department presentations; and Seeking humanising healthcare: identifying challenges participants experienced while seeking care in the Emergency Department. Participants perceived their mental health to be profoundly affected by their past experiences of trauma, leaving them feeling vulnerable at times and more likely to experience re‐traumatisation in the Emergency Department. Feelings of stigmatisation during Emergency Department encounters led participants to employ self‐protection strategies creating further barriers to recovery. Participants described Emergency Departments as often failing to comprehensively address their healthcare needs. They offered suggestions for more effective care interventions. Findings highlight the need for further research to inform policy and practice when designing and implementing interventions for these adults. Consolidated Criteria for Reporting Qualitative Research (COREQ) guided study reporting.

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A Shelter in the Storm – Acceptability and Feasibility of a Brief Clinical Intervention for Suicidal Crisis

Cited by 3 publications

References 20 publications

Behavioural mental health interventions delivered in the emergency department for suicide, overdose and psychosis: a scoping review

Behavioural mental health interventions delivered in the emergency department for suicide, overdose and psychosis: a scoping review

The Impact of Allied Health Brief Therapy Clinic Interventions in Consumers in Suicidal Crisis

‘I've got to go in there with my armour on’: Adverse Childhood Experiences Among Adults Who Frequently Attend Emergency Departments

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