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Mansfield Y, Hamilton S, Argus J, Wyder M, Macready R, James B, Stewart C, Meehan T. A Shelter in the Storm - Acceptability and Feasibility of a Brief Clinical Intervention for Suicidal Crisis. Crisis 2021; 43:404-411. [PMID: 34405697 DOI: 10.1027/0227-5910/a000803] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
Background: People attending the emergency department (ED) for suicidal crisis are at significantly higher risk of taking their own lives in the week following discharge. Aims: We aimed to evaluate the acceptability and feasibility of implementing a brief clinical aftercare intervention provided through Allied Health Brief Therapies (AHBTs) Clinics. Method: Consecutive referrals (n = 149) to the clinics following assessment in the ED for suicidal crisis formed the study group. This article details participant engagement and retention, service provision, therapeutic alliance, and participant satisfaction with the program. Suicidal ideation and ED utilization 3 months pre-/postintervention were used to assess short-term impact. Results: The study supports the feasibility of implementing a brief aftercare intervention for those presenting to the ED for suicidal crisis. High rates of therapeutic alliance and satisfaction with the clinic intervention were reported by participants. Impact assessments pointed to a significant reduction in both suicidal ideation and ED utilization following the intervention. Limitations: A substantial number of participants had missing follow-up data. Given this and the absence of a control group, findings must be interpreted with caution. Conclusion: The study supports the acceptability and feasibility of implementing AHBT Clinics as a potential adjunct in the aftercare of people in suicidal crisis.
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Affiliation(s)
- Yolanda Mansfield
- Mental Health and Specialised Services, West Moreton Health, Brisbane, QLD, Australia
| | - Sarah Hamilton
- Addiction and Mental Health Services, Metro South Health, Mt. Gravatt, QLD, Australia.,School of Human Services and Social Work, Griffith University, Brisbane, QLD Australia
| | - Julie Argus
- Mental Health, Other Drug and Alcohol Services, Darling Downs Health, Toowoomba, QLD, Australia
| | - Marianne Wyder
- Addiction and Mental Health Services, Metro South Health, Mt. Gravatt, QLD, Australia
| | - Rachel Macready
- Mental Health, Other Drug and Alcohol Services, Darling Downs Health, Toowoomba, QLD, Australia
| | - Bridie James
- Mental Health and Specialised Services, West Moreton Health, Brisbane, QLD, Australia
| | - Coralie Stewart
- Addiction and Mental Health Services, Metro South Health, Mt. Gravatt, QLD, Australia
| | - Tom Meehan
- Mental Health and Specialised Services, West Moreton Health, Brisbane, QLD, Australia.,School of Medicine, University of Queensland, Brisbane, QLD, Australia
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