TY  - JOUR
PY  - 2020//
TI  - A critical review of the first six months of operation of a trial Hospital Outreach Post-suicidal Engagement (HOPE) service in Australia
JO  - Australasian psychiatry
A1  - Williamson, Phoebe
A1  - Hope, Judith
A1  - Segal, Jose
A1  - Gill, Lisa
A1  - Orr, Michele
A1  - Trevorah, Brooke
A1  - Garbutt, Rebecca
A1  - Hurter, Pieter
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - OBJECTIVE: To review the Hospital Outreach Post-suicidal Engagement (HOPE) service  in the first six months of the pilot program in a metropolitan Melbourne setting,  including a description of: (a) socio-demographic, health and psychosocial stressors  of people referred; (b) method of presentation; (c) interventions provided and (d)  outcomes measured. <br><br>METHOD: A retrospective case file analysis reviewed the first six  months of HOPE service operation. <br><br>RESULTS: Forty people received HOPE service during  the study period, 60% female, mean age 35 years (range 17-58). The majority had  previously engaged in self-harm (72.5%) or attempted suicide (67.5%). Stressors  included social isolation, relationship breakdown, unemployment, financial stress,  medical problems, history of mental illness, exposure to family violence and adverse  childhood events. Statistically significant improvements occurred in the Outcome  Rating Scale (ORS) and Session Rating Scale (SRS) following intervention. There were  no deaths by suicide during the study period. <br><br>CONCLUSION: People referred to HOPE  had significant health and psychosocial stressors. Engagement significantly improved  subjective well-being and connection with supports. <br><br>FINDINGS highlighted the need  for an integrated clinical and psychosocial model to promote hope and connection in  life post suicide attempt. It remains unclear which interventions improved  well-being and if this contributes to suicide prevention.<p />  <p>Language: en</p>
LA  - en
SN  - 1039-8562
UR  - http://dx.doi.org/10.1177/1039856220971934
ID  - ref1
ER  -