Section related Recommendations Fund substantially more research that use

Section related recommendations fund substantially

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Section-related Recommendations: Fund substantially more research that use randomized methods and that use sui- cide attempts as outcome variables. Suicide attempts are the strongest, most easily recognized predictors of suicide deaths. Suicide attempts are a more viable outcome measure than suicide deaths. Because of their high frequency of occurrence, suicide attempts have advantageous sampling characteristics and provide a close approximate measure of actual suicide deaths, especially in individuals at high risk for making ad- ditional attempts. (Please see Appendix Two: “Sampling and Design Characteristics of Clinical Trials Measuring Changes in Suicide Behaviors.”) Consider setting the standard for the first follow-up appointment subsequent to high-risk patients being discharged from ED or psychiatric inpatient units at “within one week or less.” This standard needs to be linked to the identification and adoption of outreach interventions that motivate adherence to the recommended treat- ment plan. The rapid availability of high-quality outpatient treatment may offset the need for hospitalization. This hypothesis needs investigation; the results may impact both the quality and expenses of mental health care in general. Fund additional research targeting patients that refuse the recommended treat- ment plan. Better understanding of these outcomes of non-adherence may provide strategies and motivational tools for working with this understudied population. Identify the component parts of psychosocial therapies that best explain their effi- cacy and onset of action. This identification will likely lead to the development of more rapidly acting and enduring anti-suicide psychological therapies for suicide prevention. Investigate the use of various types of electronic contacts (e.g., text messaging) as part of an overall follow-up plan for a suicide-prone patient discharged from an emergency department or inpatient unit. Randomized controlled trials find short letters, brief contacts, and even postcards reduce suicide attempts and suicide. New technology makes this form of stay-in-contact suicide prevention extremely doable without great expense.
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Continuity of Care for Suicide Prevention and Research 78 Table 1: Evidence-based Treatments for the Prevention of Suicide Sources USA. Motto JA, Bostrom AG. Psych Services 2001;52:828–33 . (See also: Motto JA. Suicide Life Threat Behav 1976;6:223–230.) Design Multi-center RCT. 3,005 psychiatric inpatients received a 2- to 4-hour, face- to-face psychosocial interview and assessment. Of those interviewed, 2,782 patients were followed over 60 months. Surveillance continued for 15 years. Question In a population of psychiatric inpatients admitted due to a “depressive and suicidal state,” do regular contacts, made over a series of years and expressing unconditional concern, prevent suicide?
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