Effect of crisis response planning vs. contracts for safety on suicide risk in U.S. Army Soldiers: A randomized clinical trial

Integrating crisis response planning for suicide prevention into trauma‐focused treatments: A military case example

“…The Crisis Response Plan (CRP), similar to a safety plan, was developed as a procedure to help suicidal patients manage acute suicidal crises (Bryan, Mintz, Clemans, Leeson et al, 2017; Rudd, Mandrusiak, & Joiner, 2006). The CRP, typically written on an index card, is a personalized problem‐solving tool that serves as a plan to help an individual manage a crisis.…”

“…Research has shown that the CRP, used as a one‐time intervention, reduces suicidal behavior by 76%, reduces suicidal ideation, decreases the number of psychiatric inpatient days, and increases optimism as compared to treatment as usual (TAU; Bryan, Mintz, Clemans, Leeson et al, 2017; Bryan, Mintz, Clemans, Burch et al, 2017, Rozek et al, 2018). Additionally, the CRP has been integrated into treatment protocols including brief cognitive behavioral therapy for suicide prevention (BCBT), which has been shown to reduce suicide attempts by 60% compared to TAU (Bryan & Rudd, 2018; Rudd et al, 2015).…”

Cognitive behavioral therapy for suicide prevention (CBT‐SP): Implications for meeting standard of care expectations with suicidal patients

“…Typically written on an index card (or, in the case of the SPI, on a paper form), the CRP includes several key sections, as summarized in Table . In addition to playing a prominent and central role in CBT‐SP, the CRP has been tested as a stand‐alone intervention, with results of two separate clinical trials indicating that the procedure reduces suicidal behaviors by 45–76% as compared with treatment as usual among acutely suicidal patients (Bryan, Mintz, Clemans, Leeson, et al, ; Stanley et al, ). A self‐guided version of the intervention, in which patients create a plan without the assistance or input of a trained healthcare professional, also reduces suicidal behavior as compared to treatment as usual, although to a lesser degree (i.e., 20% relative reduction; Miller et al, ).…”

Risikoabschätzung bei suizidalen Patienten: Geht das überhaupt?

“…Die hohe "Missklassifikationsrate" von vermeintlichen "Niedrigrisikopatienten" verweist hingegen darauf, dass therapeutische Interventionen Anwendung über das gesamte Schweregradspektrum suizidalen Erlebens und Verhaltens finden sollten. Hierzu gehören beispielsweise Strategien wie die Sicherung letaler Mittel [Bryan et al, 2011], die Erstellung von Notfallplänen [Bryan et al, 2017] sowie intensivierte Kontaktangebote [Milner et al, 2015]. Darüber hinaus haben sich indizierte Prä-ventionsangebote für Patienten nach einem Suizidversuch als hochwirksam erwiesen [Gysin-Maillart et al, 2016] -und dies unabhängig vom aktuellen Schweregrad suizidalen Erlebens und Verhaltens [Calati und Courtet, 2016 …”