Veterans psychiatrically hospitalized face significantly elevated suicide risk, particularly in the three months post-discharge. While Safety Planning is a required component of discharge planning, many safety plans lack personalization thereby reducing their effectiveness. The proposed intervention, Personalized Safety Plans (PSP), will be developed for rapid delivery on acute inpatient psychiatry units. PSP is a single-session intervention followed by twice monthly brief, personalized coaching sessions during the three-month high-risk discharge period. PSP will be iteratively refined and finalized in a case series (N = 15) then evaluated in a pilot randomized controlled trial (N = 96) comparing PSP to Safety Plans as Usual among psychiatrically hospitalized Veterans. Overall, the study aims to: 1) iteratively refine PSP; 2) examine PSP's preliminary effectiveness in reducing suicide ideation and increasing adaptive coping; 3) identify barriers and facilitators to implementation; and 4) develop a fidelity measure to support future personalization monitoring.
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Columbia-Suicide Severity Rating Scale - Suicide Ideation Duration
Timeframe: Baseline and 1, 3, and 6-month follow-up, an average of 6 months
Columbia-Suicide Severity Rating Scale - Suicide Ideation Frequency
Timeframe: Baseline and 1, 3, and 6-month follow-up, an average of 6 months
Feasibility of PSP Intervention
Timeframe: Throughout Part 1 of study completion, an average of 1 month
Acceptability of PSP Intervention - Patient Satisfaction
Timeframe: Throughout Part 1 of study completion, an average of 1 month
Acceptability of PSP Intervention
Timeframe: Throughout Part 1 of study completion, an average of 1 month
Beck Scale for Suicide Ideation
Timeframe: Baseline and 1, 3, and 6-month follow-up