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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.
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.
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.
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