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MRI-guided dmPFC-rTMS as a Treatment for Treatment-resistant Major Depressive Disorder
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Caring contact SMS text messages following suicidal behaviour.

Lillian Ng1,2, Danielle Diamond2, Denisse Sanchez1,2

  • 1Department of Psychological Medicine, Faculty of Medical and Health Sciences, The University of Auckland, Auckland, New Zealand.

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|October 7, 2025
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Summary

Caring contact SMS text messages offer a viable suicide prevention method, fostering connection and self-agency in individuals post-suicidal behavior. Culturally tailored messages enhance therapeutic value, supporting healing and recovery.

Keywords:
SMScaring contactpsychiatrysuicide prevention

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Area of Science:

  • Mental Health Research
  • Digital Health Interventions
  • Suicide Prevention Studies

Background:

  • Suicidal behavior necessitates effective post-crisis support.
  • Brief interventions are crucial for immediate post-suicidal behavior care.
  • SMS text messages offer a discreet communication channel.

Purpose of the Study:

  • To explore user experiences with SMS-based caring contact messages.
  • To evaluate the cultural tailoring of suicide prevention messages in New Zealand.
  • To assess the acceptability and therapeutic potential of SMS interventions.

Main Methods:

  • Qualitative study involving participants presenting to Emergency Departments after suicidal behavior.
  • Delivery of a series of seven culturally tailored SMS messages.
  • Phone interviews and reflexive thematic analysis of participant experiences.

Main Results:

  • Identification of three key themes: connection, strengthened self-agency, and cultural dimensions.
  • Messages fostered a sense of connection and caring.
  • Cultural tailoring, including te reo Māori, supported healing.

Conclusions:

  • SMS interventions are acceptable for reaching individuals post-suicidal behavior.
  • Culturally adapted messages can increase therapeutic impact.
  • Further research into automated delivery and app-based interventions is recommended.