U.S. Department of Veterans Affairs (VA) Medical Center, White River Junction, Vermont (Riblet, Stevens, Watts, Forehand, Cornelius, Powell, Lewicki, Shiner); Geisel School of Medicine, Dartmouth College, Hanover, New Hampshire (Riblet, Stevens, Watts, Gui, Powell, Lewicki, Shiner); VA Office of Systems Redesign and Improvement, White River Junction, Vermont (Watts); National Centre for Suicide Research and Prevention of Mental Ill-Health, and World Health Organization Collaborating Centre for Research, Methods, Development and Training in Suicide Prevention, Karolinska Institutet, Stockholm (Wasserman).Send correspondence to Dr. Riblet (
Psychiatr Serv. 2021 Nov 1;72(11):1320-1323. doi: 10.1176/appi.ps.202000537. Epub 2021 May 12.
Risk for suicide is high after psychiatric hospitalization. The World Health Organization's Brief Intervention and Contact (BIC) program has shown efficacy in preventing suicide. A version adapted for the U.S. Department of Veterans Affairs (VA) was studied to determine preliminary effects.
Patients receiving psychiatric hospitalization because of acute risk for self-harm were randomly assigned to the VA BIC or standard care alone. Effect sizes (Hedges' g) for suicidal ideation (primary outcome), social connectedness (measured as thwarted belongingness and perceived burdensomeness), hopelessness, and engagement were calculated at 1 and 3 months.
Patients were randomly assigned to the VA BIC (N=10) or standard care (N=9). The VA BIC had a medium or large effect on most measures at 1 month (suicidal ideation, g=0.45). Effects diminished at 3 months, except for thwarted belongingness (g=0.81).
The VA BIC had meaningful effects on suicide-related outcomes. The largest effect was seen in the first month.
精神科住院后自杀风险很高。世界卫生组织的简短干预和联系（BIC）计划已被证明在预防自杀方面有效。研究了为美国退伍军人事务部（VA）改编的版本，以确定初步效果。
因急性自杀风险而接受精神科住院治疗的患者被随机分配到 VA BIC 或单独接受标准护理。在 1 个月和 3 个月时计算自杀意念（主要结果）、社交联系（衡量受挫归属感和感知负担）、绝望和参与度的效应大小（Hedges' g）。
患者被随机分配到 VA BIC（N=10）或标准护理（N=9）。VA BIC 在 1 个月时对大多数措施具有中等或较大的影响（自杀意念，g=0.45）。3 个月时效果减弱，除了受挫归属感（g=0.81）。
VA BIC 对与自杀相关的结果有明显影响。最大的效果出现在第一个月。
