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  1. Home
  3. Implementation Of Caring Contacts Using Patient Feedback To Reduce Suicide-related Outcomes Following Psychiatric Hospitalization.
  1. Home
  3. Implementation Of Caring Contacts Using Patient Feedback To Reduce Suicide-related Outcomes Following Psychiatric Hospitalization.

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Implementation of caring contacts using patient feedback to reduce suicide-related outcomes following psychiatric

Rosalie Steinberg1,2,3, Jasmine Amini1, Mark Sinyor1,2

  • 1Department of Psychiatry, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.

Suicide & Life-Threatening Behavior
|June 27, 2024

View abstract on PubMed

Summary
This summary is machine-generated.

Caring Contacts (CCs), brief post-discharge messages, were improved with patient feedback to reduce suicide risk. This quality improvement study found CCs helped patients feel more connected and encouraged help-seeking behavior.

Keywords:
caring contactsco‐produced researchpsychiatric hospitalizationpsychosocial interventionsquality improvementsuicidesuicide prevention

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Area of Science:

  • Mental Health Research
  • Quality Improvement Science
  • Patient-Centered Care

Background:

  • Suicide risk is significantly higher after psychiatric hospitalization.
  • Caring Contacts (CCs) are interventions designed to improve mental health outcomes post-discharge.
  • Improving post-discharge support is crucial for patient recovery and safety.

Purpose of the Study:

  • To revise and enhance an existing Caring Contacts (CC) intervention using patient and community feedback.
  • To assess the feasibility and preliminary effectiveness of improved CC messages in individuals at suicide risk post-discharge.
  • To gather patient perspectives on the helpfulness and impact of CC messages.

Main Methods:

  • A three-phase, mixed-method quality improvement study.
  • Focus groups with inpatients and community members to refine CC messages (Phases 1 & 2).
  • Pilot testing of revised CC messages with individuals at suicide risk post-discharge, including symptom measurement and feedback collection (Phase 3).

    • Main Results:

    • Patient feedback led to preferences for shorter, visually appealing, personalized, and recovery-focused CC messages.
    • Pilot participants showed reduced depressive symptoms (Hopkins-Symptom-Checklist) and entrapment (Entrapment-Scale) at 7-day follow-up.
    • The majority of participants felt CC messages increased their connection to the hospital and encouraged help-seeking.

    Conclusions:

    • An iterative process involving patient feedback is effective for improving CC interventions.
    • Pilot data suggest that enhanced CC messages can have beneficial effects on mental health symptoms and behaviors post-discharge.
    • This study supports the continued development and implementation of patient-centered CC strategies to support individuals after psychiatric hospitalization.