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Coaching third parties for suicide prevention.

Lily A Brown1, Cindy Swinkels2,3, Crystal Barnes2

  • 1University of Pennsylvania, Department of Psychiatry.

The Behavior Therapist
|September 9, 2024
PubMed
Summary
This summary is machine-generated.

Family and friends calling about Veterans’ suicide risk need better support. Coaching Into Care found many callers were open to intervention, and some Veterans connected to care after coaching, highlighting opportunities for risk reduction education.

Keywords:
Suicide ideationVeteranscrisis linessuicide attempts

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Area of Science:

  • Mental Health Services Research
  • Suicide Prevention
  • Veteran Care

Background:

  • Concerned family and friends frequently contact support centers regarding loved ones' mental health, particularly concerning suicide risk in Veterans.
  • The non-crisis call center, Coaching Into Care, receives calls about Veterans' suicide risk, but optimal support strategies for these callers are not well-understood.

Purpose of the Study:

  • To examine standard operating procedures, identify barriers, and explore opportunities for suicide risk reduction among callers to Coaching Into Care.
  • To understand the characteristics of calls concerning Veterans' mental health and suicide risk.

Main Methods:

  • A documentation review was conducted.
  • 1,581 unique initial calls over six months were analyzed.
  • 225 caller contact notes were reviewed and coded.

Main Results:

  • Calls frequently involved suicidal ideation (62.7%), suicide attempts (24.0%), and access to lethal means (35.6%).
  • Lethal means safety interventions were infrequently documented (12.9%).
  • Most callers (83.4%) were open to intervention, and 16% of previously unconnected Veterans initiated mental health care post-coaching.

Conclusions:

  • Significant variation exists in assessments and interventions, especially regarding lethal means access documentation.
  • There is a clear opportunity to enhance risk reduction education and communication skills for family and friends supporting Veterans.
  • Family and friends of Veterans are receptive to learning new approaches for engaging in discussions about safety and mental wellness.