@article{ref1,
title="Safety planning on crisis lines: feasibility, acceptability, and perceived helpfulness of a brief intervention to mitigate future suicide risk",
journal="Suicide and life-threatening behavior",
year="2019",
author="Labouliere, Christa D. and Stanley, Barbara and Lake, Alison M. and Gould, Madelyn S.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="BACKGROUND: The role of crisis hotlines traditionally was limited to de-escalation and service linkage. However, hotlines are increasingly recruited to provide outreach and follow-up to suicidal individuals. Hotlines have the opportunity to not just defuse current crises but also provide brief interventions to mitigate future risk. The Safety Planning Intervention (SPI) is a brief intervention designed to help manage suicidal crises, but its feasibility and effectiveness on hotlines are not established. AIMS: This study examined feasibility and perceived effectiveness of SPI, as reported by 271 crisis counselors at five centers in the National Suicide Prevention Lifeline network. <br><br>METHOD: Counselors were trained to use SPI. Self-report surveys were completed immediately after training (time 1) and at the end of the study, approximately 9 months later (time 2). <br><br>RESULTS: Counselors reported that SPI was feasible and helpful, and was used on both incoming and follow-up calls. Utilization and perceived effectiveness at time 2 were predicted by self-efficacy, feasibility, and helpfulness at time 1. LIMITATIONS: Results are preliminary and limited to counselors' perceptions. Future RCTs should establish efficacy of SPI for crisis callers. <br><br>CONCLUSION: The Safety Planning Intervention is a promising approach to reduce crisis callers' future suicide risk that hotline counselors report is both feasible and helpful.<br><br>© 2019 The American Association of Suicidology.<p /> <p>Language: en</p>",
language="en",
issn="0363-0234",
doi="10.1111/sltb.12554",
url="http://dx.doi.org/10.1111/sltb.12554"
}