SAFETEL Study: Safety Planning Intervention with Follow-up Telephone Contact to Reduce Suicidal Behaviour

SAFETEL Study: Safety Planning Intervention with Follow-up Telephone Contact to Reduce Suicidal Behaviour 1400px

There are no evidence-based effective interventions that can be administered in hospital settings following a general hospital admission after a suicide attempt.

SAFETEL is an innovative and theoretically driven Safety Planning Intervention (SPI) with follow-up telephone support which was developed in the US and aims to reduce suicide attempts. The SPI is a collaborative emergency safety plan developed by the patient in collaboration with a trained practitioner. The SPI is then supplemented with up to five structured follow-up telephone calls over four weeks.

The aim of the SAFETEL Study is to determine whether this safety planning intervention (SPI) with follow-up telephone support is feasible and acceptable to patients admitted to UK hospitals following a suicide attempt.

This is a three-phase development and feasibility study with embedded process evaluation:

  • Phase 1 - tailoring a SPI with telephone follow-up originally designed for veterans in the US, for use in the UK NHS context.
  • Phase 2 - piloting the intervention with patients (n = 30) who have been hospitalised following a suicide attempt.
  • Phase 3 - a feasibility randomised controlled trial of 120 patients who have been hospitalised following a suicide attempt with a six month follow-up [SPI with telephone follow-up + Treatment as Usual (n = 80) or Treatment as Usual only (n = 40)]

Participants were recruited from across four NHS hospitals in Scotland.

The primary outcomes are feasibility outcomes and include the acceptability of the intervention to participants and intervention staff, the feasibility of delivery in this setting, recruitment, retention and intervention adherence, as well as the feasibility of collecting the self-harm re-admission to hospital outcome data (which would be the primary outcome in a full trial). 

 The SAFETEL Study is funded by MQ Research.

Staff

MRC/CSO Social and Public Health Sciences Unit

Sharon Simpson (Process Evaluation Lead)
Marcela Gavigan (Project Manager)
Susan Smillie (Process Evaluation Research Assistant)

Mental Health and Wellbeing Unit

Rory O’Connor (Principal Investigator)
Jenna-Marie Lundy (Research Associate)
Corinna Stewart (Research Assistant)
Heather McClelland (Research Assistant)
Suzanne Syrett (Peer Researcher)
Daniel Smith (Co-Investigator)

Robertson Centre for Biostatistics

Alex McConnachie (Co-Investigator)


Preventing repeated suicide attempts

MRC/CSO Social and Public Health Sciences Unit logo 800 wide