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A Brief Text-Messaging Intervention for Suicidal Youths After Emergency Department Discharge
Taylor C Ryan1, Shawn Chambers1, Michel Gravey1
1Department of Mental Health (Ryan, Wilcox) and Center for American Indian Health (Cwik), Johns Hopkins University Bloomberg School of Public Health, Baltimore; Department of Psychiatry and Behavioral Sciences, Johns Hopkins University, Baltimore (Chambers); SAS Sys. Vision, Lannion, France (Gravey); Department of Psychology, University of Maryland Baltimore County, Baltimore (Jay). Marcela Horvitz-Lennon, M.D., Kenneth Minkoff, M.D., and Esperanza Diaz, M.D., are editors of this column.
Abstract:
Research has shown that the months after hospital discharge following treatment for suicidal thoughts or behaviors is a high-risk period for suicide. Moreover, the needs of a subset of youths at increased risk for suicide are not being met by community mental health providers, resulting in frequent emergency department (ED) visits. While undertaking a quality improvement effort, the authors' health care system piloted caring text messages to support youths discharged from the hospital after screening positive for suicide risk in the ED. The text-messaging intervention was feasible and acceptable, and youths reported that the messages helped reduce their suicidal thoughts and behaviors postdischarge. The results of this text-messaging intervention prompted the Maryland Department of Health to offer a similar intervention to all Marylanders.
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