SAFETEL: A pilot randomised controlled trial to assess the feasibility and acceptability of a safety planning and telephone follow-up intervention to reduce suicidal behaviour

O'Connor, R. C. et al. (2022) SAFETEL: A pilot randomised controlled trial to assess the feasibility and acceptability of a safety planning and telephone follow-up intervention to reduce suicidal behaviour. Pilot and Feasibility Studies, 8, 156. (doi: 10.1186/s40814-022-01081-5) (PMID:35897119) (PMCID:PMC9327159)

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Abstract

Background: 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. Methods: 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. Results: 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. Conclusions: All progression criteria were met supporting further evaluation of the intervention in a full-scale clinical effectiveness trial.

Item Type:Articles
Additional Information:Funding: This research is funded by the MQ Research (MQ16PI100009). The funder had no role in the design of the study, its implementation or in the decision to publish. Sharon Anne Simpson was supported by an MRC Strategic Award (MC_PC_13027). Additional time on the study for Sharon Anne Simpson and Susie Smillie was also funded by grants from the MRC (MC_UU_12017/14, MC_UU_00022/1) and Chief Scientist Ofce of the Scottish Government Health Directorates (SPHSU14 and SPHSU16) and for Rory C O’Connor from the Mindstep Foundation.
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:O'Connor, Professor Rory and Simpson, Professor Sharon and Smith, Dr Michael and Syrett, Mrs Suzanne and Stewart, Dr Corinna and Gavigan, Mrs Marcela and Lundy, Dr Jenna-Marie and Stanley, Miss Bethany and McConnachie, Professor Alex and Mcclelland, Miss Heather
Authors: O'Connor, R. C., Smillie, S., McClelland, H., Lundy, J.-M., Stewart, C., Syrett, S., Gavigan, M., McConnachie, A., Stanley, B., Smith, M., Brown, G. K., Stanley, B., and Simpson, S. A.
College/School:College of Medical Veterinary and Life Sciences > School of Health & Wellbeing > Mental Health and Wellbeing
College of Medical Veterinary and Life Sciences > School of Health & Wellbeing > MRC/CSO SPHSU
College of Medical Veterinary and Life Sciences > School of Health & Wellbeing > Robertson Centre
Journal Name:Pilot and Feasibility Studies
Publisher:BioMed Central
ISSN:2055-5784
ISSN (Online):2055-5784
Copyright Holders:Copyright © The Author(s) 2022
First Published:First published in Pilot and Feasibility Studies 8: 156
Publisher Policy:Reproduced under a Creative Commons License

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Project CodeAward NoProject NamePrincipal InvestigatorFunder's NameFunder RefLead Dept
173473Safety Planning Intervention with Follow-up Telephone Contact (SAFE TEL) to Reduce Suicidal Behaviour: A Feasibility StudyRory O'ConnorMQ: Transforming Mental Health (MQTRANSM)MQ16PI100009_OConnorHW - Mental Health and Wellbeing
168560MRC SPHSU/GU Transfer FellowshipsLaurence MooreMedical Research Council (MRC)MC_PC_13027HW - MRC/CSO Social and Public Health Sciences Unit
727661Complexity in Health ImprovementLaurence MooreMedical Research Council (MRC)MC_UU_12017/14HW - MRC/CSO Social and Public Health Sciences Unit
3048231Complexity in healthSharon SimpsonMedical Research Council (MRC)MC_UU_00022/1HW - MRC/CSO Social and Public Health Sciences Unit
727661Complexity in Health ImprovementLaurence MooreOffice of the Chief Scientific Adviser (CSO)SPHSU14HW - MRC/CSO Social and Public Health Sciences Unit
3048231Complexity in healthSharon SimpsonOffice of the Chief Scientific Adviser (CSO)SPHSU16HW - MRC/CSO Social and Public Health Sciences Unit