J Telemed Telecare - Effect of mobile phone-based psychotherapy in suicide prevention: a randomized controlled trial in Sri Lanka.

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Resumo

We conducted a randomized controlled trial to test whether a Brief Mobile Treatment (BMT) intervention could improve outcomes relative to usual care among suicide attempters. The intervention included training in problem solving therapy, meditation, a brief intervention to increase social support as well as advice on alcohol and other drugs, and mobile phone follow-up. The effect of the intervention was measured in terms of a reduction in suicidal ideation, depression and self-harm at Baseline, six and 12 months. A wait-list control group received usual care. A total of 68 participants was recruited from a Sri Lankan hospital following a suicide attempt. Participants who received the intervention were found to achieve significant improvements in reducing suicidal ideation and depression than those receiving usual care. The BMT group also experienced a significant improvement of social support when compared to the control group. However, the BMT group did not demonstrate a significant effect in reducing actual self-harm and most substance use, and differential effects on alcohol use were restricted to men. Although the present study was limited in revealing which component of the intervention was more effective in preventing suicide, it showed its efficacy in reducing suicide as a whole.

Resumo Limpo

conduct random control trial test whether brief mobil treatment bmt intervent improv outcom relat usual care among suicid attempt intervent includ train problem solv therapi medit brief intervent increas social support well advic alcohol drug mobil phone followup effect intervent measur term reduct suicid ideat depress selfharm baselin six month waitlist control group receiv usual care total particip recruit sri lankan hospit follow suicid attempt particip receiv intervent found achiev signific improv reduc suicid ideat depress receiv usual care bmt group also experienc signific improv social support compar control group howev bmt group demonstr signific effect reduc actual selfharm substanc use differenti effect alcohol use restrict men although present studi limit reveal compon intervent effect prevent suicid show efficaci reduc suicid whole

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