Brief Intervention and Follow-Up for Suicidal Patients With Repeat Emergency Department Visits Enhances Treatment Engagement

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Abstract

We implemented an innovative, brief, easy-to-administer 2-part intervention to enhance coping and treatment engagement. The intervention consisted of safety planning and structured telephone follow-up postdischarge with 95 veterans who had 2 or more emergency department (ED) visits within 6 months for suicide-related concerns (i.e., suicide ideation or behavior). The intervention significantly increased behavioral health treatment attendance 3 months after intervention, compared with treatment attendance in the 3 months after a previous ED visit without intervention. The trend was for a decreasing hospitalization rate.

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Author and article information

Journal

Journal ID (nlm-ta): Am J Public Health

Journal ID (iso-abbrev): Am J Public Health

Journal ID (publisher-id): ajph

Title: American Journal of Public Health

Publisher: American Public Health Association

ISSN (Print): 0090-0036

ISSN (Electronic): 1541-0048

Publication date (Print): August 2015

Publication date (Electronic): August 2015

Volume: 105

Issue: 8

Pages: 1570-1572

Affiliations

Barbara Stanley and Megan Chesin are with the Department of Psychiatry, Columbia University, New York, NY, and the New York State Psychiatric Institute, New York. Gregory K. Brown is with the Department of Psychiatry, University of Pennsylvania, Philadelphia. Glenn W. Currier and Kerry L. Knox are with the Department of Psychiatry, University of Rochester, Rochester, NY. Chelsea Lyons is with Health Services Research and Policy, University of Rochester.

Author notes

Correspondence should be sent to Barbara Stanley, PhD, Department of Psychiatry, Columbia University, 1051 Riverside Drive, Unit 42, New York, NY 10032 (e-mail: bhs2@ 123456cumc.columbia.edu ). Reprints can be ordered at http://www.ajph.org by clicking the “Reprints” link.

Contributors

B. Stanley, G. K. Brown, G. W. Currier, and K. L. Knox planned and designed the project and oversaw data acquisition. All authors were involved in analysis and interpretation of the data and drafting and revising the article. All authors approved the final article.

Peer Reviewed

Article

Accession ID: PMC4504270 Pmcid ID: PMC4504270 Pmc-uid ID: 4504270 Publisher ID: 201412008

DOI: 10.2105/AJPH.2015.302656

PMC ID: 4504270

PubMed ID: 26066951

SO-VID: 4ee4eaa6-0870-4bd7-8ae7-03168357765e

History

Date accepted : 24 February 2015

Page count

Pages: 3

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