O'Connor Rory C, Smillie Susie, McClelland Heather, Lundy Jenna-Marie, Stewart Corinna, Syrett Suzy, Gavigan Marcela, McConnachie Alex, Stanley Bethany, Smith Michael, Brown Gregory K, Stanley Barbara, Simpson Sharon A
Suicidal Behaviour Research Laboratory, Institute of Health and Wellbeing, University of Glasgow, Glasgow, UK.
Institute of Health and Wellbeing, MRC/CSO Social and Public Health Sciences Unit, University of Glasgow, Glasgow, UK.
Pilot Feasibility Stud. 2022 Jul 27;8(1):156. doi: 10.1186/s40814-022-01081-5.
A previous suicide attempt is an important predictor of future suicide. However, there are no evidence-based interventions administered in UK general hospital contexts to reduce suicidal behaviour in patients admitted following a suicide attempt. Consequently, the objective of this pilot randomised controlled trial was to explore whether a safety planning and telephone follow-up intervention (SAFETEL) was feasible and acceptable for individuals treated in hospital following a suicide attempt.
In this three-phase study with an embedded process evaluation, a safety planning intervention was tailored to the UK context (Phase I), piloted (Phase II, n = 32), and tested in a feasibility randomised controlled trial (Phase III). In Phase III, participants were allocated to either the intervention (n = 80) or control group (n = 40) using telephone randomisation with a 2:1 ratio. The acceptability and feasibility of the trial and intervention procedures were evaluated using both qualitative (interviews and focus groups) and quantitative data. The number of hospital representations of suicidal behaviour was also collected 6 months after study recruitment based on electronic patient records.
Findings indicated that SAFETEL was both acceptable and feasible. Hospital staff reported the intervention fitted and complemented existing services, and patients reported that they favoured the simplicity and person-centred approach of the safety planning intervention.
All progression criteria were met supporting further evaluation of the intervention in a full-scale clinical effectiveness trial.
ISRCT, ISRCTN62181241 , 5/5/2017.
既往自杀未遂是未来自杀的重要预测因素。然而，在英国综合医院环境中，尚无基于证据的干预措施来减少自杀未遂后入院患者的自杀行为。因此，这项试点随机对照试验的目的是探讨安全计划和电话随访干预措施（SAFETEL）对于自杀未遂后在医院接受治疗的个体是否可行且可接受。
在这项包含嵌入式过程评估的三阶段研究中，安全计划干预措施针对英国情况进行了调整（第一阶段），进行了试点（第二阶段，n = 32），并在可行性随机对照试验中进行了测试（第三阶段）。在第三阶段，采用2:1的电话随机分组法将参与者分配至干预组（n = 80）或对照组（n = 40）。使用定性数据（访谈和焦点小组）和定量数据评估试验及干预程序的可接受性和可行性。还根据电子病历在研究招募6个月后收集自杀行为的医院复诊次数。
研究结果表明SAFETEL既可行又可接受。医院工作人员报告称该干预措施与现有服务相契合且互为补充，患者报告称他们喜欢安全计划干预措施的简单性和以患者为中心的方法。
所有进展标准均已满足，支持在全面的临床疗效试验中对该干预措施进行进一步评估。
ISRCT，ISRCTN62181241，2017年5月5日。
