Pilot randomized clinical trial of the Teachable Moment Brief Intervention for hospitalized suicide attempt survivors
| Autor: | Richard H. Carlson, Stephen E. Nicolson, Yaima Alonso, Kyle Lavin, Lisa Venanzi, Michael M. Mcclay, Stephen S. O'Connor, Jo Ellen Wilson, Angela D. Shields, Katherine Anne Comtois, Shujah Choudhry |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Teachable moment MEDLINE Pilot Projects Suicide Attempted law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law Intervention (counseling) Health care medicine Humans Single-Blind Method Survivors 030212 general & internal medicine Inpatients Suicide attempt business.industry Middle Aged Patient Acceptance of Health Care Mental health 030227 psychiatry Hospitalization Psychiatry and Mental health Outcome and Process Assessment Health Care Physical therapy Feasibility Studies Psychotherapy Brief Female Brief intervention business |
| Zdroj: | General Hospital Psychiatry. 63:111-118 |
| ISSN: | 0163-8343 |
| Popis: | Objective The aim of this study was to further evaluate the acceptability and feasibility of the Teachable Moment Brief Intervention (TMBI). Method A single blind, pilot randomized controlled trial of the TMBI + care as usual (CAU) compared to CAU was conducted for patients who survived a recent suicide attempt that required medical inpatient hospitalization. The intervention was delivered on medical/surgical and inpatient psychiatry units in the medical center. Interviews were completed at baseline, 1, 3, and 12 months. Results Patients reported high ratings of satisfaction with the TMBI. Interventionists representing fields of Psychiatry, Social Work, and Counseling were able to deliver the intervention with fidelity to the treatment manual with equal adherence ratings. The TMBI patients were more likely to maintain a positive recovery trajectory on motivation and engagement in mental health services at 3 months. Conclusion The TMBI provides an option for targeted intervention to health care providers as they engage patients admitted to an acute medical setting after a serious suicide attempt. This is the second pilot study demonstrating enhanced motivation in the post-hospitalization period. |
| Databáze: | OpenAIRE |
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