Application progress of safety planning intervention in preventing patients’ suicide

doi:10.3761/j.issn.0254-1769.2023.17.016

Abstract

Abstract:

Safety planning intervention can provide patients with personalized coping strategies during suicidal ideation and suicide-related behaviors，thus preventing patients from committing suicide. This paper summarizes the concept，development，implementation content，advantages and application effect of safety plan intervention，in order to provide references for constructing and perfecting the suicide prevention training program for patients in China.

Key words: Safety Planning Intervention, Suicide Prevention, Patient Safety, Review, Nursing Care

摘要：

安全计划干预可以为患者在有自杀意念和做出自杀相关行为期间提供个性化应对策略，从而预防患者的自杀行为。该文对安全计划干预的概念、来源与发展、实施内容、优势、应用效果进行综述，以期为构建和完善国内预防患者自杀培训计划提供参考。

关键词: 安全计划干预, 自杀预防, 患者安全, 综述, 护理

MIAO Yingying, XU Hui, LI Minyue. Application progress of safety planning intervention in preventing patients’ suicide[J]. Chinese Journal of Nursing, 2023, 58(17): 2166-2170.

苗莹莹, 徐晖, 李旻玥. 安全计划干预在预防患者自杀中的应用进展[J]. 中华护理杂志, 2023, 58(17): 2166-2170.

References 34

[1]	WHO. Suicide worldwide in 2019:global health estimates[M]. Geneva: World Health Organization, 2021.
[2]	王晨, 许冬梅, 邵静, 等. 精神科住院抑郁症患者自杀预防及护理干预措施专家共识[J]. 中华护理杂志, 2022, 57(18):2181-2185.
	Wang C, Xu DM, Shao J, et al. Expert consensus of suicide care interventions for psychiatric inpatients with depression[J]. Chin J Nurs, 2022, 57(18):2181-2185.
[3]	Martelli C, Awad H, Hardy P. In-patients suicide:epidemiology and prevention[J]. Encephale, 2010, 36(Suppl 2):D83-D91. DOI URL
[4]	胡德英, 熊宇, 丁小萍, 等. 自杀风险管理方案在综合医院住院患者中的应用[J]. 中华护理杂志, 2018, 53(8):971-974.
	Hu DY, Xiong Y, Ding XP, et al. Application of suicide pre-vention program in suicide risk management among hospita-lized patients[J]. Chin J Nurs, 2018, 53(8):971-974.
[5]	陈莹, 胡德英, 丁芳, 等. 住院患者自杀防范培训体系的构建[J]. 中华护理杂志, 2020, 55(12):1831-1836. DOI
	Chen Y, Hu DY, Ding F, et al. Research on the construction of training knowledge system to prevent inpatient suicide[J]. Chin J Nurs, 2020, 55(12):1831-1836. DOI
[6]	Stanley B, Brown GK. Safety planning intervention:a brief in-tervention to mitigate suicide risk[J]. Cogn Behav Pract, 2012, 19(2):256-264. DOI URL
[7]	Rings J, Alexander P, Silvers V, et al. Adapting the safety plan-ning intervention for use in a veterans psychiatric inpatient group setting[J]. J Ment Health Couns, 2012, 34(2):95-109.
[8]	Stanley B, Chaudhury SR, Chesin M, et al. An emergency de-partment intervention and follow-up to reduce suicide risk in the VA:acceptability and effectiveness[J]. Psychiatr Serv, 2016, 67(6):680-683. DOI URL
[9]	Bagatelas PHL, Hunt JI, Wolff JC. Assessing the quality of pa-tient responses to a psychosocial intervention implemented on an adolescent psychiatric inpatient unit:devising the safety plan quality metric[J]. R I Med J (2013),2022, 105(4):22-25.
[10]	Labouliere CD, Stanley B, Lake AM, et al. Safety planning on crisis lines:feasibility,acceptability,and perceived helpfulness of a brief intervention to mitigate future suicide risk[J]. Sui-cide Life Threat Behav, 2020, 50(1):29-41.
[11]	Ferguson M, Rhodes K, Loughhead M, et al. The effectiveness of the safety planning intervention for adults experiencing suicide-related distress:a systematic review[J]. Arch Suicide Res, 2022, 26(3):1022-1045. DOI URL
[12]	Chesin MS, Stanley B, Haigh EA, et al. Staff views of an emergency department intervention using safety planning and structured follow-up with suicidal veterans[J]. Arch Suicide Res, 2017, 21(1):127-137. DOI PMID
[13]	Vijayakumar L, Mohanraj R, Kumar S, et al. CASP-An interven-tion by community volunteers to reduce suicidal behaviour among refugees[J]. Int J Soc Psychiatry, 2017, 63(7):589-597. DOI PMID
[14]	Schuster H, Jones N, Qadri SF. Safety planning:why it is es-sential on the day of discharge from In-patient psychiatric hospitalization in reducing future risks of suicide[J]. Cureus, 2021, 13(12):e20648.
[15]	Bettis AH, Donise KR, MacPherson HA, et al. Safety planning intervention for adolescents:provider attitudes and response to training in the emergency services setting[J]. Psychiatr Serv, 2020, 71(11):1136-1142. DOI URL
[16]	Matarazzo BB, Forster JE, Hostetter TA, et al. Efficacy of the home-based mental health evaluation(HOME) program for engaging patients in care after hospitalization[J]. Psychiatr Serv, 2019, 70(12):1094-1100. DOI URL
[17]	Niels, Buus, Anette, et al. User involvement in developing the MYPLAN mobile phone safety plan app for people in suicidal crisis:case study[J]. Jmir Mental Health, 2019, 6(4):e11965. DOI URL
[18]	Pauwels K, Aerts S, Muijzers E, et al. BackUp:development and evaluation of a smart-phone application for coping with sui-cidal crises[J]. PLoS One, 2017, 12(6):e0178144. DOI URL
[19]	张素贞, 慕永刚. 安全干预计划对大学生非自杀性自伤行为干预的研究[J]. 养生保健指南, 2019(49):283.
	Zhang SZ, Mu YG. Study on the intervention of non-suicidal self-injury behavior of college students by safety intervention plan[J]. Health Care Guide, 2019(49):283.
[20]	Westers NJ, Rehfuss M, Olson L, et al. The role of forgiveness in adolescents who engage in nonsuicidal self-injury[J]. J Nerv Ment Dis, 2012, 200(6):535-541. DOI PMID
[21]	Stanley B, Brown GK, Currier GW, et al. Brief intervention and follow-up for suicidal patients with repeat emergency department visits enhances treatment engagement[J]. Am J Pub-lic Health, 2015, 105(8):1570-1572.
[22]	Nock MK, Borges G, Bromet EJ, et al. Suicide and suicidal behavior[J]. Epidemiologic reviews, 2008, 30(1):133-154. DOI URL
[23]	Klonsky ED, May AM, Saffer BY. Suicide,suicide attempts,and suicidal ideation n[J]. Annual Rev Clinic Psych, 2016, 12(1):307-330.
[24]	Spangler DA, Muñoz RF, Chu J, et al. Perceived utility of the Internet-based safety plan in a sample of Internet users screening positive for suicidality[J]. Crisis, 2020, 41(2):146-149. DOI PMID
[25]	Czyz EK, Arango A, Healy N, et al. Augmenting safety plann-ing with text messaging support for adolescents at elevated suicide risk:development and acceptability study[J]. JMIR Ment Health, 2020, 7(5):e17345. DOI URL
[26]	Stanley B, Brown GK, Brenner LA, et al. Comparison of the safety planning intervention with follow-up vs usual care of suicidal patients treated in the emergency department[J]. JAMA Psychiatry, 2018, 75(9):894-900. DOI PMID
[27]	Melvin GA, Gresham D, Beaton S, et al. Evaluating the feasibi-lity and effectiveness of an Australian safety planning smart-phone application:a pilot study within a tertiary mental health service[J]. Suicide Life Threat Behav, 2019, 49(3):846-858. DOI PMID
[28]	张爱莲, 王宗谟, 黄希庭. 国内心理咨询与治疗收费的现况调查[J]. 中国心理卫生杂志, 2017, 31(1):40-45.
	Zhang AL, Wang ZM, Huang XT. Current situation of fee of counseling and psychotherapy in China[J]. Chin Ment Health J, 2017, 31(1):40-45.
[29]	魏春燕, 赵东荣, 朱雅雯, 等. 团体认知行为疗法对住院精神分裂症患者自杀风险的干预效果观察[J]. 中国临床心理学杂志, 2021, 29(1):195-199.
	Wei CY, Zhao DR, Zhu YW, et al. Group cognitive behavioral therapy for hospitalized schizophrenics observation of inter-vention effects on suicide risk[J]. Chin J Clin Psych, 2021, 29(1):195-199.
[30]	Barbara S, Gregory B, David A, et al. Cognitive-behavioral the-rapy for suicide prevention(CBT-SP):treatment model,feasibi-lity,and acceptability[J]. J Am Academy Child & Adoles Psych, 2009, 48(10):1005-1013.
[31]	Gysin-Maillart A, Schwab S, Soravia L, et al. A novel brief the-rapy for patients who attempt suicide:a 24-months follow-up randomized controlled study of the attempted suicide short intervention program(ASSIP)[J]. PLoS Med, 2016, 13(3):e1001968. DOI URL
[32]	Czyz EK, King CA, Biermann BJ. Motivational interviewing-en-hanced safety planning for adolescents at high suicide risk:a pilot randomized controlled trial[J]. J Clin Child Adolesc Psy-chol, 2019, 48(2):250-262.
[33]	Patel SR, Sullivan SR, Mitchell EL, et al. Qualitative study of telehealth delivery of suicide-specific group treatment “project life force”[J]. J Technol Behav Sci, 2023:1-10.
[34]	Zonana J, Simberlund J, Christos P. The impact of safety plans in an outpatient clinic[J]. Crisis, 2018, 39(4):304-309. DOI PMID