Safety planning intervention with follow-up telephone contact to reduce suicidal behaviour

Conditions

Suicidal behaviour Mental and Behavioural Disorders

Rory C. O’Connor, Susie Smillie, Heather McClelland, Jenna-Marie Lundy, Corinna Stewart et al. (13 authors)

Pilot and Feasibility Studies2022-07-2722 citations

SAFETEL randomised controlled feasibility trial of a safety planning intervention with follow-up telephone contact to reduce suicidal behaviour: study protocol

Rory C. O’Connor, Jenna-Marie Lundy, Corinna Stewart, Susie Smillie, Heather McClelland et al. (13 authors)

BMJ Open2019-02-0117 citations

10.1136/bmjopen-2018-025591

Interventions

Safety Planning Intervention The core element of the SPI is the collaborative development of the Safety Plan (within the initial session), which is a prioritised written list – in the

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: Phase 1: 1. Past history of a suicide attempt, or 2. Experience of contact with those who have attempted suicide (in a clinical or research role) Phases 2 and 3: 1. Admission to hospital, presenting with a self-harm episode where there was evidence of suicidal intent (i.e., a suicide attempt) 2. Age 18 years or over These inclusion criteria for may change following feedback during Phases 1 and 2

Exclusion criteria

Exclusion criteria: Phase 1: 1. Imminent risk of suicide Phases 2 and 3: 1. Participants with no suicidal intent 2. Participants who are unfit for interview 3. Those from whom we cannot gain informed consent 4. Those patients whose understanding of English is not sufficient to complete the SPI 5. Those patients who are participating in another psychological intervention in the hospitals 6. Those patients who do not have access to a telephone

Design outcomes

Primary

Measure	Time frame
Feasibility outcomes including: 1. The acceptability of the intervention to participants and intervention staff 2. The feasibility of delivery in this setting 3. Recruitment 4. Retention 5. Intervention adherence 6. The feasibility of collecting the suicide attempt outcome data (which would be the primary outcome in a full trial) In Phase 3, the feasibility/acceptability information will be collected after participants have completed their participation in the study. The actual timeline will be informed by feedback from Phases 1 and 2, however, these data will be collected no earlier than 4 weeks post intervention. Staff and intervention staff will also be interviewed.	—

Measure

Time frame

Feasibility outcomes including: 1. The acceptability of the intervention to participants and intervention staff 2. The feasibility of delivery in this setting 3. Recruitment 4. Retention 5. Intervention adherence 6. The feasibility of collecting the suicide attempt outcome data (which would be the primary outcome in a full trial) In Phase 3, the feasibility/acceptability information will be collected after participants have completed their participation in the study. The actual timeline will be informed by feedback from Phases 1 and 2, however, these data will be collected no earlier than 4 weeks post intervention. Staff and intervention staff will also be interviewed.

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Secondary

Measure	Time frame
In Phase 3, hospital-treated suicidal behaviour (self-harm and suicide attempts) in the 6 months post-randomisation, determined by hospital medical records linked by hospital CHI numbers, will be used to estimate the primary outcome event rates to inform a full trial	—

Countries

Scotland, United Kingdom

Outcome results

None listed