Effect of phone call versus face-to-face follow-up on recurrent suicide attempts prevention in individuals with a history of multiple suicide attempts

Mousavi, Seyed Ghafur; Amini, Mohsen; Mahaki, Behzad; Bagherian-Sararoudi, Reza

doi:10.4103/2277-9175.190990

Cited by 13 publications

(20 citation statements)

References 22 publications

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“…Problem solving skills as an outcome did not improve with intervention in a single RCT [20]. On the contrary, a significantly greater improvement in hope and interest was observed in the control group as compared to the intervention group in this study [20].…”

Section: Sample-contrasting

confidence: 71%

“…Two RCTs reported a significant improvement in depressive symptoms, whereas no improvement in depressive symptoms occurred in a single RCT [15,17,21]. Problem solving skills as an outcome did not improve with intervention in a single RCT [20]. On the contrary, a significantly greater improvement in hope and interest was observed in the control group as compared to the intervention group in this study [20].…”

Section: Sample-contrasting

confidence: 56%

“…Out of these, five RCTs found a significant reduction in suicidal ideation scores post-intervention (two studies using CBT, single studies using phone contact, postcard contact and volitional help sheets each) (Table 1). Interestingly, a single RCT reported significantly lower suicidal ideations in the control group (consisting of face to face reviews) [20]. There was no difference in suicidal ideations at post-intervention in between the groups in the seventh RCT [21].…”

Section: Sample-mentioning

confidence: 96%

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Psychosocial interventions for self-harm in low-income and middle-income countries: systematic review and theory of change

Aggarwal

Patton

Berk

et al. 2021

Soc Psychiatry Psychiatr Epidemiol

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Purpose-To synthesise the evidence on effectiveness, acceptability and the delivery mechanisms of psychosocial interventions for self-harm in low and middle income countries and to develop a pathway of change specific for self-harm interventions.Method-Studies reporting one or more patient or implementation outcomes of a psychosocial intervention targeting self-harm and conducted in low-and middle-income countries were included. Taxonomy of treatment components and a theory of change map was created using information from the studies.Results-We identified thirteen studies including nine randomised controlled trials (RCT), three non-RCTs, and a single experimental case design study. A single study using postcard contact and another using cognitive behaviour therapy (CBT) reported a reduction in self-harm attempts. Suicidal ideations were significantly reduced with CBT, volitional help sheets and postcard contact in different studies. Suicide risk assessment, problem solving and self-validation were the most frequently used elements in interventions. Goal-setting was the technique used most commonly. Cultural adaptations of psychotherapies were used in two studies. High attrition rates in psychotherapy trials, limited benefit of the delivery of treatment by non-specialist providers, and variable benefit observed using phone contact as a means to deliver intervention were other important findings.

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Section: Sample-contrasting

confidence: 71%

Section: Sample-contrasting

confidence: 56%

Section: Sample-mentioning

confidence: 96%

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Psychosocial interventions for self-harm in low-income and middle-income countries: systematic review and theory of change

Aggarwal

Patton

Berk

et al. 2021

Soc Psychiatry Psychiatr Epidemiol

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“…Finally, there are several published studies showing promising results of psychosocial interventions on reducing the risk for suicide re-attempts (Hvid et al, 2011;Mousavi, Amini, Mahaki, & Bagherian-Sararoudi, 2016). Jardon et al (2019) presented the VigilanS program in north-eastern France with post-discharge monitoring after a SA including (1) delivering a crisis card for first attempters, (2) giving a phone call for re-attempters to reassess their situation after discharge, and (3) sending personalized postcards for 6 months.…”

mentioning

confidence: 99%

Psychotherapeutic interventions for the prevention of suicide re-attempts: a systematic review

Sobanski

Josfeld

Peikert³

et al. 2021

Psychol. Med.

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A history of suicide attempt (SA) is a strong predictor of future suicide re-attempts or suicide. The aim of this systematic review is to evaluate the efficacy of psychotherapeutic interventions specifically designed for the prevention of suicide re-attempts. A systematic search from 1980 to June 2020 was performed via the databases PubMed and Google Scholar. Only randomized controlled trials were included which clearly differentiated suicidal self-harm from non-suicidal self-injury in terms of intent to die. Moreover, psychotherapeutic interventions had to be focused on suicidal behaviour and the numbers of suicide re-attempts had to be used as outcome variables. By this procedure, 18 studies were identified. Statistical comparison of all studies revealed that psychotherapeutic interventions in general were significantly more efficacious than control conditions in reducing the risk of future suicidal behaviour nearly by a third. Separate analyses revealed that cognitive-behavioural therapy as well as two different psychodynamic approaches were significantly more efficacious than control conditions. Dialectical behaviour therapy and elementary problem-solving therapy were not superior to control conditions in reducing the number of SAs. However, methodological reasons may explain to some extent these negative results. Considering the great significance of suicidal behaviour, there is unquestionably an urgent need for further development of psychotherapeutic techniques for the prevention of suicide re-attempts. Based on the encouraging results of this systematic review, it can be assumed that laying the focus on suicidal episodes might be the key intervention for preventing suicide re-attempts and suicides.

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“…Multidisciplinary chain-of-care networks for suicide attempters following hospitalization in Norway have resulted in lower rates of repeat attempts ( 36 ). Active contact and follow-up was found effective in preventing repeat attempts over a year following admission to the ED for suicide attempts ( 37 ), and in-person and telephone follow-ups reduced suicidal thoughts and increased hope in suicide attempters ( 38 ). In a review of 11 empirical studies of follow-up interventions (i.e., phone, postal letter, postcards, in-person, e-mail, and texting), five demonstrated significant decreases in suicidal behavior ( 39 ).…”

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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Effect of phone call versus face-to-face follow-up on recurrent suicide attempts prevention in individuals with a history of multiple suicide attempts

Cited by 13 publications

References 22 publications

Psychosocial interventions for self-harm in low-income and middle-income countries: systematic review and theory of change

Psychosocial interventions for self-harm in low-income and middle-income countries: systematic review and theory of change

Psychotherapeutic interventions for the prevention of suicide re-attempts: a systematic review

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

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