Can receipt of a regular postcard reduce suicide-related behaviour in young help seekers? A randomized controlled trial

Jo Robinson, Hok Pan Yuen, Sara Gook, Alison Hughes, Elizabeth Cosgrave, Eoin Killackey, Kathryn Baker, Anthony Jorm, Patrick Mcgorry, Alison Yung

    Research output: Contribution to journalArticlepeer-review

    Abstract

    Aim: Suicide attempt, ideation and deliberate self-harm are common among adolescents. Limited evidence exists regarding interventions that can reduce risk; however, research indicates that maintaining contact with at-risk adults following discharge from services via letter or postcard can reduce risk. The aim of the study was to test a postcard intervention among people aged 15-24 who presented to mental health services but were not accepted, yet were at risk of suicide. Methods: A randomized controlled trial of 3years in duration was used. The intervention consisted of 12 postcards sent once a month for 12months following presentation to the service. Key outcomes of interest were reduced rates of suicide attempt, suicidal ideation and deliberate self-harm, assessed at 12 and 18months. Results: Participants reported that they liked receiving the postcard and that they used the strategies recommended. However, no significant effect of the postcard intervention was found on suicide risk, although participants in both groups improved on measures of mental health over the course of the study. Conclusions: There remains a need for further research into youth-friendly interventions for young people at risk of suicide. © 2012 Blackwell Publishing Asia Pty Ltd.
    Original languageEnglish
    Pages (from-to)145-152
    Number of pages7
    JournalEarly Intervention in Psychiatry
    Volume6
    Issue number2
    DOIs
    Publication statusPublished - May 2012

    Keywords

    • Adolescent
    • Deliberate self-harm
    • Randomized controlled trial
    • Suicide

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