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Toward mHealth Brief Contact Interventions in Suicide Prevention: Case Series From the Suicide Intervention Assisted by Messages (SIAM) Randomized Controlled Trial
- Source :
- JMIR mHealth and uHealth, JMIR mHealth and uHealth, JMIR Publications, 2018, 6 (1), pp.e8-⟨10.2196/mhealth.7780⟩, JMIR mHealth and uHealth, Vol 6, Iss 1, p e8 (2018)
- Publication Year :
- 2018
- Publisher :
- HAL CCSD, 2018.
-
Abstract
- BackgroundResearch indicates that maintaining contact either via letter or postcard with at-risk adults following discharge from care services after a suicide attempt (SA) can reduce reattempt risk. Pilot studies have demonstrated that interventions using mobile health (mHealth) technologies are feasible in a suicide prevention setting. ObjectiveThe aim of this study was to report three cases of patients recruited in the Suicide Intervention Assisted by Messages (SIAM) study to describe how a mobile intervention may influence follow-up. MethodsSIAM is a 2-year, multicenter randomized controlled trial conducted by the Brest University Hospital, France. Participants in the intervention group receive SIAM text messages 48 hours after discharge, then at day 8 and day 15, and months 1, 2, 3, 4, 5, and 6. The study includes participants aged 18 years or older, who have attended a participating hospital for an SA, and have been discharged from the emergency department (ED) or a psychiatric unit (PU) for a stay of less than 7 days. Eligible participants are randomized between the SIAM intervention messages and a control group. In this study, we present three cases from the ongoing SIAM study that demonstrate the capability of a mobile-based brief contact intervention for triggering patient-initiated contact with a crisis support team at various time points throughout the mobile-based follow-up period. ResultsOut of the 244 patients recruited in the SIAM randomized controlled trial, three cases were selected to illustrate the impact of mHealth on suicide risk management. Participants initiated contact with the emergency crisis support service after receiving text messages up to 6 months following discharge from the hospital. Contact was initiated immediately following receipt of a text message or up to 6 days following a message. ConclusionsThis text message–based brief contact intervention has demonstrated the potential to reconnect suicidal individuals with crisis support services while they are experiencing suicidal ideation as well as in a period after receiving messages. As follow-up phone calls over an extended period of time may not be feasible, this intervention has the potential to offer simple technological support for individuals following discharge from the ED. Trial RegistrationClinicalTrials.gov NCT02106949; https://clinicaltrials.gov/ct2/show/NCT02106949 (Archived by WebCite at http://www.webcitation.org/6wMtAFL49)
- Subjects :
- 020205 medical informatics
Psychological intervention
Health Informatics
Information technology
02 engineering and technology
Suicide prevention
law.invention
[INFO.INFO-IU]Computer Science [cs]/Ubiquitous Computing
03 medical and health sciences
[INFO.INFO-MC]Computer Science [cs]/Mobile Computing
0302 clinical medicine
Randomized controlled trial
[INFO.INFO-CY]Computer Science [cs]/Computers and Society [cs.CY]
law
0202 electrical engineering, electronic engineering, information engineering
medicine
Secondary Prevention
Tertiary Prevention
Electronic Health Records
Suicide intervention
Suicidal ideation
mHealth
Original Paper
Text Messaging
Suicide attempt
business.industry
Emergency department
T58.5-58.64
medicine.disease
3. Good health
030227 psychiatry
Suicide
[SDV.MHEP.PSM]Life Sciences [q-bio]/Human health and pathology/Psychiatrics and mental health
[SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie
Medical emergency
Public aspects of medicine
RA1-1270
medicine.symptom
business
Cell Phone
Subjects
Details
- Language :
- English
- ISSN :
- 02106949 and 22915222
- Database :
- OpenAIRE
- Journal :
- JMIR mHealth and uHealth, JMIR mHealth and uHealth, JMIR Publications, 2018, 6 (1), pp.e8-⟨10.2196/mhealth.7780⟩, JMIR mHealth and uHealth, Vol 6, Iss 1, p e8 (2018)
- Accession number :
- edsair.doi.dedup.....edb0c5637ad83a7864cba207363d3949