- Title
- A mobile text message intervention to reduce repeat suicidal episodes: design and development of Reconnecting after a Suicide Attempt (RAFT)
- Creator
- Larsen, Mark Erik; Shand, Fiona; Morley, Kirsten; Batterham, Philip J.; Petrie, Katherine; Reda, Bill; Berrouiguet, Sofian; Haber, Paul S.; Carter, Gregory; Christensen, Helen
- Relation
- JMIR Mental Health Vol. 4, Issue 4, no. e56
- Publisher Link
- http://dx.doi.org/10.2196/mental.7500
- Publisher
- JMIR Publications
- Resource Type
- journal article
- Date
- 2017
- Description
- Suicide is a leading cause of death, particularly among young people. Continuity of care following discharge from hospital is critical, yet this is a time when individuals often lose contact with health care services. Offline brief contact interventions following a suicide attempt can reduce the number of repeat attempts, and text message (short message service, SMS) interventions are currently being evaluated.The aim of this study was to extend postattempt caring contacts by designing a brief Web-based intervention targeting proximal risk factors and the needs of this population during the postattempt period. This paper details the development process and describes the realized system.To inform the design of the intervention, a lived experience design group was established. Participants were asked about their experiences of support following their suicide attempt, their needs during this time, and how these could be addressed in a brief contact eHealth intervention. The intervention design was also informed by consultation with lived experience panels external to the project and a clinical design group.Prompt outreach following discharge, initial distraction activities with low cognitive demands, and ongoing support over an extended period were identified as structural requirements of the intervention. Key content areas identified included coping with distressing feelings, safety planning, emotional regulation and acceptance, coping with suicidal thoughts, connecting with others and interpersonal relationships, and managing alcohol consumption.The RAFT (Reconnecting AFTer a suicide attempt) text message brief contact intervention combines SMS contacts with additional Web-based brief therapeutic content targeting key risk factors. It has the potential to reduce the number of repeat suicidal episodes and to provide accessible, acceptable, and cost-effective support for individuals who may not otherwise seek face-to-face treatment. A pilot study to test the feasibility and acceptability of the RAFT intervention is underway.
- Subject
- attempted suicide; hospital emergency service; continuity of patient care; text messaging; Internet
- Identifier
- http://hdl.handle.net/1959.13/1353733
- Identifier
- uon:31143
- Identifier
- ISSN:2368-7959
- Rights
- This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Mental Health, is properly cited. The complete bibliographic information, a link to the original publication on http://mental.jmir.org/, as well as this copyright and license information must be included.
- Language
- eng
- Full Text
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