Declines in suicidal ideation in adolescents being treated in early intervention service

Granö, Niklas; Kallionpää, Santeri; Karjalainen, Marjaana; Salmijärvi, Laura; Roine, Mikko; Taylor, Peter

doi:10.1080/17522439.2015.1052008

Cited by 3 publications

(4 citation statements)

References 6 publications

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“…For example, authors concluded that OD "had been helpful-if not in actually preventing schizophrenia, at least in moving the commencement of treatment in a less chronic direction" (26). The remaining two quantitative studies of OD were not controlled-the first included 16 participants (15), and the second narrowed outcome measures to suicidal ideation (16).…”

Section: Resultsmentioning

confidence: 99%

“…Outcome studies outside Western Lapland. A Finnish site, as reported by Granö and colleagues (16), provided ODinformed treatment for adolescents, and the data reported were quantitative. In the United States, Gordon and colleagues (15) reported initial quantitative outcomes from a feasibility study of a program called the Collaborative Pathway, an OD-informed mobile crisis and outpatient team.…”

Section: Resultsmentioning

confidence: 99%

“…The heterogeneity in the OD literature means that this review of studies that used a variety of methods was required to broaden the lens and synthesize qualitative, quantitative, and nonexperimental forms of evidence (14). This review also builds on previous work by including additional quantitative studies that have not previously been reviewed (15)(16)(17).…”

Section: Adaptation and Implementation Of Odmentioning

confidence: 99%

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Open Dialogue: A Review of the Evidence

et al. 2019

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Emerging evidence for Open Dialogue (OD) has generated considerable interest. Evidence comes from a range of methodologies (case study, qualitative, and naturalistic designs), which have not been synthesized as a whole. The objective of this review was to synthesize this literature.Methods: A systematic search of the databases PubMed, CINAHL, Scopus, Web of Science and PsycINFO included studies published until January 2018. A total of 1,777 articles were screened. By use of a textual narrative synthesis, studies were scrutinized for relevance and quality.Results: Twenty-three studies were included in the review; they included mixed-methods, qualitative, and quantitative designs and case studies. Overall, quantitative studies lacked methodological rigor and presented a high risk of bias, which precludes any conclusions about the efficacy of OD among individuals with psychosis. Qualitative studies also presented a high risk of bias and were of poor quality.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Adaptation and Implementation Of Odmentioning

confidence: 99%

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Open Dialogue: A Review of the Evidence

et al. 2019

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“…Positive outcomes were still present even after 5 years, where the OD group ( n = 42) had a smaller duration of untreated psychosis, reduced medication use, and fewer days in the hospital compared to the control group. The benefits of OD have also been consistently demonstrated in more recent studies across the world, including Finland ( Granö et al, 2016 ; Bergström et al, 2018 ), United States ( Gordon et al, 2016 ; Rosen and Stoklosa, 2016 ; Freeman et al, 2019 ; Gidugu et al, 2021 ), Denmark ( Buus et al, 2019 ), and Australia ( Dawson et al, 2021 ).…”

Section: Introductionmentioning

confidence: 62%

Development of the peer-supported open dialogue attitude and competence inventory for practitioners: A Delphi study

2023

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IntroductionPeer-supported Open Dialogue (POD) is a novel approach to mental health care that is currently being practiced and researched in the United Kingdom. For POD to be successfully implemented, effective training must be provided to make sure trainees are prepared to deliver the approach as intended. Therefore, a specific instrument that can assess the development and competence of POD trainees, as well as the effectiveness of POD training is crucial. Therefore, the current study aimed to establish an inventory named the Peer-supported Open Dialogue Attitude and Competence Inventory (PODACI), measuring the changes in attributes and attitudes of trainees before and after training.Methods and ResultsTo generate the inventory, a four-round modified Delphi approach was used. We first identified the dimensions that are essential and specific to POD through an extensive literature review and individual interviews with practitioners (n = 8). After generating the items, we further refined the items through two rounds of questionnaires, asking practitioners to rate the relevance of each item from 1 (not essential) to 4 (highly essential; n = 21 and n = 10), and finalized the inventory via a focus group interview with POD trainers (n = 4). In total, 76 items were included in the PODACI. A good consensus on the items was reached: the median score of the items was all above 3.00 (essential) and achieved an agreement level greater than 85%. The Kendall coordination coefficient W was 0.36 and 0.28 in the two questionnaires employed, indicating a fair level of agreement between participants.DiscussionThe PODACI provides a way to measure attitudinal and competency factors related to the treatment integrity of POD as well as the efficacy of the training courses being offered. This highly enriched instrument opens up a wide range of possibilities for POD research and application, facilitating the development of Open Dialogue services. The next step is to assess the psychometric properties of the inventory.

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