An Open Trial of Motivational Interviewing to Address Suicidal Ideation With Hospitalized Veterans

Britton, Peter C.; Conner, Kenneth R.; Maisto, Stephen A.

doi:10.1002/jclp.21885

Cited by 39 publications

(37 citation statements)

References 45 publications

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“…() reported that an Internet‐based brief motivational interviewing approach employed in 13 pediatric primary care practices reduced depressive symptoms and feelings of hopelessness in treated adolescents compared with controls at 6‐month follow‐up. Further, a small study by Britton, Conner, and Maisto () suggested that brief motivational interviewing might be beneficial for hospitalized patients, in this case veterans, with suicidal ideation. In addition to brief interventions in the hospital setting, several forms of psychotherapy employed after discharge, including Cognitive Behavioral Therapy and Dialectical Behavioral Therapy, show promise at reducing further suicide attempts (Knesper et al., ).…”

Section: Discussionmentioning

confidence: 99%

Hospitalizations for Suicide‐Related Drug Poisonings and Co‐occurring Alcohol Overdoses in Adolescents (Ages 12–17) and Young Adults (Ages 18–24) in the United States, 1999–2008: Results from the Nationwide Inpatient Sample

White

Macinnes²,

Hingson

et al. 2013

Suicide & Life Threat Behav

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Drug poisoning is the leading method of suicide-related deaths among females and third among males in the United States. Alcohol can increase the severity of drug poisonings, yet the prevalence of alcohol overdoses in suicide-related drug poisonings (SRDP) remains unclear. Data from the Nationwide Inpatient Sample was examined to determine rates of inpatient hospital stays for SRDP and co-occurring alcohol overdoses in adolescents (ages 12-17) and young adults (ages 18-24) between 1999 and 2008. Among adolescents, there were 14,615 hospitalizations for drug poisonings in 2008, of which 72% (10,462) were suicide-related at a cost of $43 million. Rates of SRDP in this age group decreased between 1999 and 2008. The prevalence of co-occurring alcohol overdoses increased from 5% in 1999 to 7% in 2008. Among young adults, there were 32,471 hospitalizations for drug poisonings in 2008, of which 64% (20,746) were suicide-related at a cost of $110 million. Rates of SRDP did not change significantly between 1999 and 2008. The prevalence of co-occurring alcohol overdoses increased from 14% in 1999 to 20% in 2008. Thus, while rates of SRDP decreased for adolescents and remained unchanged for young adults, the prevalence of co-occurring alcohol overdoses increased for both age groups. Such hospitalizations provide important opportunities to employ intervention techniques to prevent further suicide attempts.

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Section: Discussionmentioning

confidence: 99%

Hospitalizations for Suicide‐Related Drug Poisonings and Co‐occurring Alcohol Overdoses in Adolescents (Ages 12–17) and Young Adults (Ages 18–24) in the United States, 1999–2008: Results from the Nationwide Inpatient Sample

White

Macinnes²,

Hingson

et al. 2013

Suicide & Life Threat Behav

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“…These can be developed to provide immediate assessment and treatment, improve access, and inform care pathways. 47 The lack of empirically based risk stratification screening and assessment limits providers' abilities to match patient needs to care. Stepped care treatment models may offer a solution for indicated suicide risk, but should be tested in more rigorous ways.…”

Section: Evidence Synthesismentioning

confidence: 99%

National Pathways for Suicide Prevention and Health Services Research

Ahmedani

Vannoy

2014

American Journal of Preventive Medicine

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Context In 2012, the National Action Alliance for Suicide Prevention (Action Alliance)'s Research Prioritization Task Force (RPTF) released a series of Aspirational Goals (AGs) to decrease suicide deaths and attempts. The RPTF asked experts to summarize what was known about particular AGs, and to propose research pathways that would help reach them. This manuscript describes what is known about the benefits of access to health care (AG8) and continuity of care (AG9) for individuals at risk for suicide. Research pathways are proposed to address limitations in current knowledge, particularly in U.S. healthcare-based research. Evidence acquisition Using a three-step process, the expert panel reviewed available literature from electronic databases. For two AGs, the experts summarized the current state of knowledge, determined breakthroughs needed to advance the field, and developed a series of research pathways to achieve prevention goals. Evidence synthesis Several components of healthcare provision have been found to be associated with reduced suicide ideation, and in some cases mitigated suicide deaths. Randomized trials are needed to provide more definitive evidence. Breakthroughs that support more comprehensive patient data collection (e.g., real-time surveillance, death record linkage, patient registries) would facilitate the steps needed to establish research infrastructure so that various interventions could be tested efficiently within various systems of care. Short-term research should examine strategies within the current healthcare systems, and long-term research should investigate models that redesign the health system to prioritize suicide prevention. Conclusions Evidence exists to support optimism regarding future suicide prevention, but knowledge is limited. Future research is needed on U.S. healthcare services and system enhancements to determine which of these approaches can provide empirical evidence for reducing suicide.

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“…Other researchers are examining the application of brief interventions for suicidal patients in different settings, such as Safety Planning with non-demand follow-up contacts in emergency departments [28] and Motivational Interviewing for suicidal Veterans on inpatient psychiatry units [29]. Interacting with suicide attempt survivors in their medical/ surgical hospital room is an unstudied clinical situation.…”

Section: Discussionmentioning

confidence: 99%

The development and implementation of a brief intervention for medically admitted suicide attempt survivors

O’Connor

Comtois

Wang

et al. 2015

General Hospital Psychiatry

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Objective The current study endeavored to establish the feasibility and acceptability of a brief intervention for medically admitted suicide attempt survivors. Method Fifty patients admitted to a Level 1 trauma center were recruited following a suicide attempt. The first 10 patients provided information on what constituted usual care, which in turn informed the creation of the intervention manual and research design. The next 10 patients informed refinement of the intervention and research procedures. The final 30 patients were randomized in a pre-post research design to receive the teachable moment brief intervention plus usual care or usual care only. Patients were assessed prior to randomization and 1 month later by blinded research assistants. Outcomes included patient satisfaction, readiness to change problematic behaviors, reasons for living, and suicidal ideation. Results Patients rated the brief intervention as “good” to “great” on all items related to client satisfaction. Significant group × time interactions were observed for readiness to change (β=9.02, S.D.=3.73, P=.02) and reasons for living (β=29.60, S.D.=10.22, P=.004), suggesting greater improvement for those patients who received the brief intervention. Conclusions Patients admitted to an acute inpatient medical setting may benefit from a brief intervention that complements usual care by focusing specifically on the functional aspects of the suicide attempt in a collaborative, patient-centered manner.

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An Open Trial of Motivational Interviewing to Address Suicidal Ideation With Hospitalized Veterans

Cited by 39 publications

References 45 publications

Hospitalizations for Suicide‐Related Drug Poisonings and Co‐occurring Alcohol Overdoses in Adolescents (Ages 12–17) and Young Adults (Ages 18–24) in the United States, 1999–2008: Results from the Nationwide Inpatient Sample

Hospitalizations for Suicide‐Related Drug Poisonings and Co‐occurring Alcohol Overdoses in Adolescents (Ages 12–17) and Young Adults (Ages 18–24) in the United States, 1999–2008: Results from the Nationwide Inpatient Sample

National Pathways for Suicide Prevention and Health Services Research

The development and implementation of a brief intervention for medically admitted suicide attempt survivors

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