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A Mobile Text Message Intervention to Reduce Repeat Suicidal Episodes: Design and Development of Reconnecting After a Suicide Attempt (RAFT)
- Source :
- JMIR Mental Health, JMIR Mental Health, JMIR Publications, 2017, 4 (4), pp.e56-. ⟨10.2196/mental.7500⟩
- Publication Year :
- 2017
- Publisher :
- HAL CCSD, 2017.
-
Abstract
- Background Suicide is a leading cause of death, particularly among young people. Continuity of care following discharge from hospital is critical, yet this is a time when individuals often lose contact with health care services. Offline brief contact interventions following a suicide attempt can reduce the number of repeat attempts, and text message (short message service, SMS) interventions are currently being evaluated. Objective The aim of this study was to extend postattempt caring contacts by designing a brief Web-based intervention targeting proximal risk factors and the needs of this population during the postattempt period. This paper details the development process and describes the realized system. Methods To inform the design of the intervention, a lived experience design group was established. Participants were asked about their experiences of support following their suicide attempt, their needs during this time, and how these could be addressed in a brief contact eHealth intervention. The intervention design was also informed by consultation with lived experience panels external to the project and a clinical design group. Results Prompt outreach following discharge, initial distraction activities with low cognitive demands, and ongoing support over an extended period were identified as structural requirements of the intervention. Key content areas identified included coping with distressing feelings, safety planning, emotional regulation and acceptance, coping with suicidal thoughts, connecting with others and interpersonal relationships, and managing alcohol consumption. Conclusions The RAFT (Reconnecting AFTer a suicide attempt) text message brief contact intervention combines SMS contacts with additional Web-based brief therapeutic content targeting key risk factors. It has the potential to reduce the number of repeat suicidal episodes and to provide accessible, acceptable, and cost-effective support for individuals who may not otherwise seek face-to-face treatment. A pilot study to test the feasibility and acceptability of the RAFT intervention is underway.
- Subjects :
- Coping (psychology)
Short Message Service
Population
Psychological intervention
[INFO.INFO-IU]Computer Science [cs]/Ubiquitous Computing
emergency service, hospital
03 medical and health sciences
Interpersonal relationship
Hospital
[INFO.INFO-MC]Computer Science [cs]/Mobile Computing
0302 clinical medicine
Nursing
[INFO.INFO-CY]Computer Science [cs]/Computers and Society [cs.CY]
Health care
eHealth
030212 general & internal medicine
education
Attempted
Original Paper
education.field_of_study
Internet
Suicide attempt
business.industry
[INFO.INFO-WB]Computer Science [cs]/Web
Continuity of patient care
030227 psychiatry
3. Good health
Psychiatry and Mental health
Suicide
Text messaging
[SDV.MHEP.PSM]Life Sciences [q-bio]/Human health and pathology/Psychiatrics and mental health
suicide, attempted
business
Psychology
Emergency service
Subjects
Details
- Language :
- English
- ISSN :
- 23687959
- Database :
- OpenAIRE
- Journal :
- JMIR Mental Health, JMIR Mental Health, JMIR Publications, 2017, 4 (4), pp.e56-. ⟨10.2196/mental.7500⟩
- Accession number :
- edsair.doi.dedup.....226698f82c9e7f6404de75b1d6d846b0