TY - JOUR
PY - 2019//
TI - Safety planning on crisis lines: feasibility, acceptability, and perceived helpfulness of a brief intervention to mitigate future suicide risk
JO - Suicide and life-threatening behavior
A1 - Labouliere, Christa D.
A1 - Stanley, Barbara
A1 - Lake, Alison M.
A1 - Gould, Madelyn S.
SP - ePub
EP - ePub
VL - ePub
IS - ePub
N2 - 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.
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).
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.
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.
© 2019 The American Association of Suicidology.
Language: en
LA - en SN - 0363-0234 UR - http://dx.doi.org/10.1111/sltb.12554 ID - ref1 ER -