Citation

Kroll DS. J. Clin. Outcomes Manag. 2018; 25(7): 304-310.

Copyright

(Copyright © 2018, Turner White Communications)

DOI

unavailable

PMID

unavailable

Abstract

OBJECTIVE: To provide a review of emergency department (ED)-based psychosocial interventions that support adult patients with an identified suicide risk towards a goal of reducing subsequent suicidal behavior through the period after discharge, which is known to be a time of high risk for suicidal behavior.

METHODS: Non-systematic review of the literature.

RESULTS: Multiple methods of engaging patients after discharge from the ED have been shown to reduce subsequent suicidal behaviors. These methods include sending caring letters in the mail, facilitating supportive phone conversations, case management, and protocols that combine different services. Overall, the existing literature is insufficient to recommend widespread adoption of any individual strategy or protocol. However, providing psychosocial and emotional support to patients with an identified suicide risk after they are discharged from the ED is feasible and may reduce subsequent suicidal behaviors. Templates for providing supportive outreach using different modalities now exist, and these may help guide the ongoing development and widespread adoption of more effective and cost-effective solutions.

CONCLUSION: Many ED-based interventions that provide enhanced support to patients with suicide risk after they are discharged have demonstrated a potential to reduce the risk of future suicidal behavior. Copyright © 2018 Frontline Medical Communications Inc.

Language: en

Keywords

adult; human; Suicide; suicide attempt; suicidal behavior; Emergency department; automutilation; emergency ward; hospital discharge; cost effectiveness analysis; social work; case management; conversation; Article