Title |
Effect of Crisis Response Planning on Patient Mood and Clinician Decision Making: A Clinical Trial With Suicidal U.S. Soldiers
|
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Published in |
Psychiatric Services, October 2017
|
DOI | 10.1176/appi.ps.201700157 |
Pubmed ID | |
Authors |
Craig J Bryan, Jim Mintz, Tracy A Clemans, T Scott Burch, Bruce Leeson, Sean Williams, M David Rudd |
Abstract |
The study examined the immediate effect of crisis interventions on the emotional state of acutely suicidal soldiers and clinician decision making. Soldiers (N=97) presenting to a military emergency department or behavioral health clinic were randomly assigned to receive a contract for safety (N=32), standard crisis response plan (S-CRP; N=32), or enhanced crisis response plan (E-CRP; N=33). Soldiers completed self-report scales before and after the intervention. Clinicians blinded to treatment group assignment rated participants' suicide risk level and made a decision about inpatient psychiatric admission. Larger reductions in negative emotional states occurred in S-CRP and E-CRP. Larger increases in positive emotional states occurred in E-CRP. Clinician suicide risk ratings did not differ across treatment groups. Participants in E-CRP were less likely to be psychiatrically admitted. The CRP immediately reduces negative emotional states among acutely suicidal soldiers. Discussing a patient's reasons for living during a CRP also reduces the likelihood of inpatient psychiatric admission. |
X Demographics
Geographical breakdown
Country | Count | As % |
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United States | 2 | 100% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 2 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 100 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Bachelor | 15 | 15% |
Student > Master | 11 | 11% |
Other | 9 | 9% |
Student > Ph. D. Student | 8 | 8% |
Student > Doctoral Student | 7 | 7% |
Other | 22 | 22% |
Unknown | 28 | 28% |
Readers by discipline | Count | As % |
---|---|---|
Psychology | 32 | 32% |
Medicine and Dentistry | 15 | 15% |
Nursing and Health Professions | 5 | 5% |
Neuroscience | 5 | 5% |
Social Sciences | 5 | 5% |
Other | 6 | 6% |
Unknown | 32 | 32% |