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A Novel Recovery-Based Suicide Prevention Program in Upstate New York.

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The Psychiatry High Risk Program (PHRP) reduced depression and suicidal thoughts in young patients. This specialized suicide prevention program also decreased hospitalizations, showing it is feasible and cost-effective.

Keywords:
Admissions and readmissionsAftercareMental health systemsOutpatient treatmentPsychotherapySuicide and self-destructive behavior

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Area of Science:

  • Psychiatry
  • Mental Health Services
  • Suicidology

Background:

  • Traditional suicide prevention often emphasizes screening and education over treating underlying vulnerabilities.
  • Specialized programs are needed to support vulnerable youth and young adults transitioning from psychiatric hospitalization.

Purpose of the Study:

  • To evaluate the impact of the Psychiatry High Risk Program (PHRP) on inpatient utilization and suicide risk.
  • To assess the feasibility, sustainability, and cost-effectiveness of a recovery-based suicide prevention program.

Main Methods:

  • A cohort of 32 patients referred to the PHRP after hospitalization for suicidality was evaluated.
  • The study assessed changes in depression and suicidal ideation over 180 days post-discharge.
  • Inpatient utilization was compared to a matched historical cohort.

Main Results:

  • Program participants showed significant reductions in depression and suicidal ideation.
  • PHRP patients experienced fewer rehospitalizations compared to the historical cohort.
  • An average savings of over 6 hospital days per patient was observed.

Conclusions:

  • A recovery-based suicide prevention program like PHRP can effectively reduce suicide risk and healthcare utilization.
  • Preliminary findings suggest such programs are feasible, sustainable, and potentially cost-effective in value-based care systems.