Use of crisis management interventions among suicidal patients: Results of a randomized controlled trial

Depression and Anxiety
Craig J BryanT Scott Burch

Abstract

Previous research supports the efficacy of the crisis response plan (CRP) for the reduction of suicidal behaviors as compared to treatment as usual (TAU). Patient perspectives and use of the CRP, and their relationship to later suicidal thoughts, remain unknown. A secondary analysis of a randomized clinical trial comparing a standard CRP (S-CRP), a CRP enhanced with reasons for living (E-CRP), and TAU in a sample of 97 active-duty U.S. Army personnel was conducted. Participants were asked about their use, perceptions, and recall of each intervention. Generalized estimating equations were used to test the conditional effects of intervention use, perceptions, and recall on severity of suicide ideation during follow-up. Across all treatment groups, over 80% of participants retained their written CRP up to 6 months later, but less than 25% had the written plan in their physical possession at the time of each assessment. Participants in S-CRP and E-CRP were more likely to recall self-management strategies and sources of social support. Participants in TAU were more likely to recall use of professional healthcare services and crisis management services. All three interventions were rated as highly useful. More frequent use of the E-C...Continue Reading

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Citations

Sep 11, 2019·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Sasha M RojasMark A Reger
Jul 28, 2019·Journal of General Internal Medicine·Julie E RichardsEmily C Williams
Aug 11, 2019·Preventive Medicine·Brian K AhmedaniGregory E Simon
Feb 13, 2021·Frontiers in Psychiatry·Elizabeth D BallardCarlos A Zarate
Feb 25, 2021·Suicide & Life-threatening Behavior·Elizabeth D BallardCarlos A Zarate
Apr 10, 2021·Revue de l'infirmière·Vincent JardonChristophe Debien
Apr 23, 2021·The Cochrane Database of Systematic Reviews·Katrina G WittKeith Hawton
May 5, 2021·Psychiatric Services : a Journal of the American Psychiatric Association·Julie E RichardsEmily C Williams

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