TY - JOUR
PY - 2021//
TI - A pilot randomized trial of a brief intervention to prevent suicide after inpatient psychiatric discharge
JO - Psychiatric services
A1 - Riblet, Natalie B.
A1 - Stevens, Susan P.
A1 - Watts, Bradley V.
A1 - Gui, Jiang
A1 - Forehand, Jenna
A1 - Cornelius, Sarah
A1 - Powell, Robert
A1 - Lewicki, Karen
A1 - Wasserman, Danuta
A1 - Shiner, Brian
SP - ePub
EP - ePub
VL - ePub
IS - ePub
N2 - OBJECTIVE: Risk for suicide is high after psychiatric hospitalization. The World Health Organization's Brief Intervention and Contact (BIC) program has shown efficacy in preventing suicide. A version adapted for the U.S. Department of Veterans Affairs (VA) was studied to determine preliminary effects.
METHODS: Patients receiving psychiatric hospitalization because of acute risk for self-harm were randomly assigned to the VA BIC or standard care alone. Effect sizes (Hedges' g) for suicidal ideation (primary outcome), social connectedness (measured as thwarted belongingness and perceived burdensomeness), hopelessness, and engagement were calculated at 1 and 3 months.
RESULTS: Patients were randomly assigned to the VA BIC (N=10) or standard care (N=9). The VA BIC had a medium or large effect on most measures at 1 month (suicidal ideation, g=0.45). Effects diminished at 3 months, except for thwarted belongingness (g=0.81).
CONCLUSIONS: The VA BIC had meaningful effects on suicide-related outcomes. The largest effect was seen in the first month.
Language: en
LA - en SN - 1075-2730 UR - http://dx.doi.org/10.1176/appi.ps.202000537 ID - ref1 ER -