Tailored Activation of Middle-Aged Men to Promote Discussion of Recent Active Suicide Thoughts: a Randomized Controlled Trial

Jerant, Anthony F; Duberstein, Paul R.; Kravitz, Richard L.; Stone, Deborah M.; Cipri, Camille; Franks, Peter

doi:10.1007/s11606-020-05769-3

Cited by 4 publications

(1 citation statement)

References 51 publications

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“…Of the 75 included papers, 31 reported implementation strategies, but the level of detail varied. Training clinicians (n = 15) was the most commonly reported implementation strategy for the new ICT, focusing on building new skills[55, 56, 63,[69][70][71][72][73][74][75][76][77][78][79][80]. A few studies speci cally reported using demonstration[74] and simulation methods for training[73].…”

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confidence: 99%

Information and communication technology-based interventions for suicide prevention implemented in clinical settings: A scoping review

Shin

Durocher

Sequeira

et al. 2022

Preprint

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Background There is a surplus of information communication technology (ICT) based interventions for suicide prevention. However, little is known about which of these ICTs are implemented in clinical settings and their characteristics. This scoping review aimed to map and characterize evidence of ICTs for suicide prevention implemented in clinical settings. Furthermore, this review identified and characterized implementation barriers and facilitators, evaluation outcomes, and measures. Methods We conducted this review following the Joanna Briggs Institute methodology for scoping reviews. A search strategy was completed using the following databases between August 17–20, 2021: MEDLINE, Embase, CINAHL, PsycINFO, Web of Science, and Library, Information Science and Technology Abstracts. We also supplemented our search with Google searches and scanning of reference lists of relevant reviews. We used the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews to report our findings. Results This review included a total of 75 articles, describing 70 studies and 66 ICTs for suicide prevention implemented in clinical settings. The majority of ICTs were computerized interventions and applications (n = 55). These ICTs were commonly used as indicated strategies (n = 49) targeting patients who were actively presenting with suicide risk. The three most common suicide prevention intervention categories identified were post-discharge follow-up (n = 27), screening and assessment (n = 22), and safety planning (n = 20). A paucity of reported information was identified related to implementation strategies, barriers and facilitators. The most reported implementation strategies included training, education, and collaborative initiatives. Barriers and facilitators of implementation included the need for resource supports, knowledge, skills, motivation as well as engagement with clinicians with research teams. Studies included outcomes at patient, clinician, and health system levels, and implementation outcomes included acceptability, feasibility, fidelity, and penetration. Conclusion The findings from this review illustrate several trends of the ICTs for suicide prevention in the literature and identify a need for future research to strengthen the evidence base for improving implementation. More effort is required to better understand and support the implementation and sustainability of ICTs in clinical settings. The findings can also serve as a future resource for researchers seeking to evaluate the impact and implementation of ICTs.

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mentioning

confidence: 99%

Information and communication technology-based interventions for suicide prevention implemented in clinical settings: A scoping review

Shin

Durocher

Sequeira

et al. 2022

Preprint

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Recognising and Responding to Suicide-Risk Factors in Primary Care: A Scoping Review

Saini,

Hunt,

Blaney

et al. 2024

J of Prevention

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The cost of one suicide is estimated to be £1.67 million (2 million euros) to the UK economy. Most people who die by suicide have seen a primary care practitioner (PCP) in the year prior to death. PCPs could aim to intervene before suicidal behaviours arise by addressing suicide-risk factors noted in primary care consultations, thereby preventing suicide and promoting health and wellbeing. This study aimed to conduct a rapid, systematic scoping review to explore how PCPs can effectively recognise and respond to suicide-risk factors. MedLine, CINAHL, PsycINFO, Web of Science and Cochrane Library databases were searched for three key concepts: suicide prevention, mental health and primary care. Two reviewers screened titles, abstracts and full papers independently against the eligibility criteria. Data synthesis was achieved by extracting and analysing study characteristics and findings. Forty-two studies met the eligibility criteria and were cited in this scoping review. Studies were published between 1990 and 2020 and were of good methodological quality. Six themes regarding suicide risk assessment in primary care were identified: Primary care consultations prior to suicide; Reasons for non-disclosure of suicidal behaviour; Screening for suicide risk; Training for primary care staff; Use of language by primary care staff; and, Difference in referral pathways from general practitioners or primary care practitioners. This review focused on better recognition and response to specific suicide-risk factors more widely such as poor mental health, substance misuse and long-term physical health conditions. Primary care is well placed to address the range of suicide-risk factors including biological, physical-health, psychological and socio-economic factors and therefore these findings could inform the development of person-centred approaches to be used in primary care.

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Ethical and methodological challenges slowing progress in primary care-based suicide prevention: Illustrations from a randomized controlled trial and guidance for future research

Jerant¹,

Duberstein²,

Kravitz³

et al. 2022

Journal of Psychiatric Research

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Tailored Activation of Middle-Aged Men to Promote Discussion of Recent Active Suicide Thoughts: a Randomized Controlled Trial

Cited by 4 publications

References 51 publications

Information and communication technology-based interventions for suicide prevention implemented in clinical settings: A scoping review

Information and communication technology-based interventions for suicide prevention implemented in clinical settings: A scoping review

Recognising and Responding to Suicide-Risk Factors in Primary Care: A Scoping Review

Ethical and methodological challenges slowing progress in primary care-based suicide prevention: Illustrations from a randomized controlled trial and guidance for future research

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