@article{ref1,
title="Crisis service utilization following completion of a suicide safety plan for Veterans with and without affective and nonaffective psychosis",
journal="Journal of psychiatric research",
year="2022",
author="Chalker, Samantha A. and Parrish, Emma M. and Martinez Ceren, Camila S. and Depp, Colin A. and Ilgen, Mark A. and Goodman, Marianne and Twamley, Elizabeth W. and Doran, Neal",
volume="154",
number="",
pages="219-223",
abstract="OBJECTIVE: Psychosis is associated with increased suicide risk. Safety planning is a suicide prevention practice that is associated with decreased suicidal behavior and psychiatric hospitalizations. A common feature of safety planning is listing of crisis line numbers. The primary purpose of this study was to compare Veterans with and without psychosis who completed a safety plan in terms of their next year crisis service use, including Veterans Crisis Line (VCL) calls, and suicidal behavior. <br><br>METHODS: Data were drawn from the VA San Diego's electronic medical record system for (N = 1602) safety plans from 2018 to 2021. Clinical records of crisis services and suicide attempt/death were recorded for one year after the safety plan. <br><br>RESULTS: Following completion of a safety plan, Veterans with psychosis were more likely to have a next year psychiatric hospitalization (OR = 4.1), emergency department visit (OR = 2.3), and psychiatric emergency clinic visit (OR = 2.2) than those without psychosis. In contrast, there were no group differences in likelihood of calling the VCL. <br><br>CONCLUSIONS: Veterans with psychosis who recently completed a safety plan do not show elevated rates of VCL use that are commensurate with increases in crisis service use. Interventions for this high-risk group may focus on understanding the motivation and ability to call the VCL as ways to enhance safety planning.<p /> <p>Language: en</p>",
language="en",
issn="0022-3956",
doi="10.1016/j.jpsychires.2022.07.034",
url="http://dx.doi.org/10.1016/j.jpsychires.2022.07.034"
}