Implementation and use of a crisis hotline during the treatment as usual and universal screening phases of a suicide intervention study

Contemporary Clinical Trials
Sarah A AriasEdwin D Boudreaux

Abstract

Although research suggests that crisis hotlines are an effective means of mitigating suicide risk, lack of empirical evidence may limit the use of this method as a research safety protocol. This study describes the use of a crisis hotline to provide clinical backup for research assessments. Data were analyzed from participants in the Emergency Department Safety and Follow-up Evaluation (ED-SAFE) study (n=874). Socio-demographics, call completion data, and data available on suicide attempts occurring in relation to the crisis counseling call were analyzed. Pearson chi-squared statistic for differences in proportions were conducted to compare characteristics of patients receiving versus not receiving crisis counseling. P<0.05 was considered statistically significant. Overall, there were 163 counseling calls (6% of total assessment calls) from 135 (16%) of the enrolled subjects who were transferred to the crisis line because of suicide risk identified during the research assessment. For those transferred to the crisis line, the median age was 40 years (interquartile range 27-48) with 67% female, 80% white, and 11% Hispanic. Increasing demand for suicide interventions in diverse healthcare settings warrants consideration of crisis ...Continue Reading

References

Aug 1, 1987·American Journal of Diseases of Children
Apr 5, 1965·JAMA : the Journal of the American Medical Association·R E LITMANJ A KRAMER
Jun 21, 2007·Suicide & Life-threatening Behavior·Madelyn S GouldMarjorie Kleinman
Jun 26, 2010·Journal of Clinical Psychology·Tracy K WitteJohn Kalafat
May 28, 2013·Contemporary Clinical Trials·Edwin D BoudreauxCarlos A Camargo
Mar 5, 2014·Suicide & Life-threatening Behavior·Sarah A AriasCarlos A Camargo

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Citations

Jun 4, 2019·Suicide & Life-threatening Behavior·Danielle R BusbyUNKNOWN Pediatric Emergency Care Applied Research Network (PECARN)
Aug 14, 2018·Community Mental Health Journal·Thomson J LingRebecca Messano

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