Stephen S O'Connor1, Michael M Mcclay2, Shujah Choudhry3, Angela D Shields3, Richard Carlson3, Yaima Alonso3, Kyle Lavin3, Lisa Venanzi3, Katherine Anne Comtois4, Jo Ellen Wilson3, Stephen E Nicolson5. 1. University of Louisville, 401 E. Chestnut St., STE 610, Louisville, KY 40202, United States of America. Electronic address: stephen.oconnor@louisville.edu. 2. Western Kentucky University, 1906 College Heights Blvd, Bowling Green, KY 42101, United States of America. 3. Vanderbilt University, 1601 23rd Avenue South, Nashville, TN 37212, United States of America. 4. University of Washington, 325 9th Ave., 401 E. Broadway, Seattle, WA 98104, United States of America. 5. Beth Israel Deaconess Hospital, 275 Sandwich St, Plymouth, MA 02360, United States of America.
Abstract
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.
RCT Entities:
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 TMBIpatients 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.
Authors: Katrina G Witt; Sarah E Hetrick; Gowri Rajaram; Philip Hazell; Tatiana L Taylor Salisbury; Ellen Townsend; Keith Hawton Journal: Cochrane Database Syst Rev Date: 2021-04-22
Authors: Kenneth R Conner; Jaclyn C Kearns; Erika C Esposito; Edmund Pizzarello; Timothy J Wiegand; Peter C Britton; Konrad Michel; Anja C Gysin-Maillart; David B Goldston Journal: Gen Hosp Psychiatry Date: 2021-07-19 Impact factor: 7.587
Authors: Linda A Dimeff; David A Jobes; Kelly Koerner; Nadia Kako; Topher Jerome; Angela Kelley-Brimer; Edwin D Boudreaux; Blair Beadnell; Paul Goering; Suzanne Witterholt; Gabrielle Melin; Vicki Samike; Kathryn M Schak Journal: JMIR Ment Health Date: 2021-03-01