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首页> 外文期刊>JMIR mHealth and uHealth >Toward mHealth Brief Contact Interventions in Suicide Prevention: Case Series From the Suicide Intervention Assisted by Messages (SIAM) Randomized Controlled Trial
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Toward mHealth Brief Contact Interventions in Suicide Prevention: Case Series From the Suicide Intervention Assisted by Messages (SIAM) Randomized Controlled Trial

机译：迈向预防自杀的mHealth简短接触干预：来自信息辅助自杀干预的病例系列（SIAM）随机对照试验

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Background Research indicates that maintaining contact either via letter or postcard with at-risk adults following discharge from care services after a suicide attempt (SA) can reduce reattempt risk. Pilot studies have demonstrated that interventions using mobile health (mHealth) technologies are feasible in a suicide prevention setting. Objective The aim of this study was to report three cases of patients recruited in the Suicide Intervention Assisted by Messages (SIAM) study to describe how a mobile intervention may influence follow-up. Methods SIAM is a 2-year, multicenter randomized controlled trial conducted by the Brest University Hospital, France. Participants in the intervention group receive SIAM text messages 48 hours after discharge, then at day 8 and day 15, and months 1, 2, 3, 4, 5, and 6. The study includes participants aged 18 years or older, who have attended a participating hospital for an SA, and have been discharged from the emergency department (ED) or a psychiatric unit (PU) for a stay of less than 7 days. Eligible participants are randomized between the SIAM intervention messages and a control group. In this study, we present three cases from the ongoing SIAM study that demonstrate the capability of a mobile-based brief contact intervention for triggering patient-initiated contact with a crisis support team at various time points throughout the mobile-based follow-up period. Results Out of the 244 patients recruited in the SIAM randomized controlled trial, three cases were selected to illustrate the impact of mHealth on suicide risk management. Participants initiated contact with the emergency crisis support service after receiving text messages up to 6 months following discharge from the hospital. Contact was initiated immediately following receipt of a text message or up to 6 days following a message. Conclusions This text message–based brief contact intervention has demonstrated the potential to reconnect suicidal individuals with crisis support services while they are experiencing suicidal ideation as well as in a period after receiving messages. As follow-up phone calls over an extended period of time may not be feasible, this intervention has the potential to offer simple technological support for individuals following discharge from the ED. Trial Registration ClinicalTrials.gov {"type":"clinical-trial","attrs":{"text":"NCT02106949","term_id":"NCT02106949"}} NCT02106949 ; https://clinicaltrials.gov/ct2/show/ {"type":"clinical-trial","attrs":{"text":"NCT02106949","term_id":"NCT02106949"}} NCT02106949 (Archived by WebCite at http://www.webcitation.org/6wMtAFL49).
机译：背景研究表明，自杀未遂（SA）后离开护理机构后，通过信函或明信片与处于危险中的成年人保持联系可以减少重新尝试的风险。初步研究表明，使用移动健康（mHealth）技术进行干预可预防自杀。目的这项研究的目的是报告在“信息协助自杀干预”（SIAM）研究中招募的三例患者，以描述移动干预如何影响随访。方法SIAM是一项由法国布雷斯特大学医院进行的为期2年的多中心随机对照试验。干预组的参与者出院后48小时，然后在第8天和第15天以及第1、2、3、4、5和6个月收到SIAM短信。该研究包括18岁以上的参与者参加SA的参与医院，并已从急诊科（ED）或精神科（PU）出院，停留时间少于7天。合格的参与者在SIAM干预信息和对照组之间随机分配。在这项研究中，我们介绍了正在进行的SIAM研究中的三个案例，这些案例展示了基于移动的简短接触干预在整个基于移动的随访期间的各个时间点上可以触发患者发起的与危机支持团队的联系的能力。结果在SIAM随机对照试验中招募的244例患者中，选择了3例病例来说明mHealth对自杀风险管理的影响。参与者出院后六个月内收到短信后，他们开始与紧急危机支持服务联系。收到短信后立即开始联系，或在收到短信后最多6天开始联系。结论基于文本消息的短暂接触干预已证明，在自杀念头期间以及收到消息后的一段时间内，自杀者可以与危机支持服务重新建立联系。由于长时间不进行后续通话可能不可行，因此这种干预措施有可能为急诊科出院后的个人提供简单的技术支持。试验注册ClinicalTrials.gov {“ type”：“ clinical-trial”，“ attrs”：{“ text”：“ NCT02106949”，“ term_id”：“ NCT02106949”}} NCT02106949; https://clinicaltrials.gov/ct2/show/ {“ type”：“ clinical-trial”，“ attrs”：{“ text”：“ NCT02106949”，“ term_id”：“ NCT02106949”}} NCT02106949（由WebCite存档在http://www.webcitation.org/6wMtAFL49）。

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