Provision of a Multidisciplinary Post-Suicidal, Community-Based Aftercare Program: A Longitudinal Study

Community Ment Health J. 2023 May;59(4):680-691. doi: 10.1007/s10597-022-01051-4. Epub 2022 Nov 14.

Abstract

Suicide is a global concern with rates in Australia continuing to increase. Effective post-suicidal care is critical for reducing persistent suicidal behaviour. One model of care is that adopted by Alfred Health, delivering a multidisciplinary, hybrid clinical and non-clinical (psycho-social support), assertive outreach approach. This study measured improvements in resilience and wellbeing, changes to distress and suicidal ideation at least 6-months post-discharge from care. Thirty-one consumers participated including a one-on-one interview to gather qualitative feedback. There was a significant change on all outcome measures with large effect sizes. Participants had significantly reduced suicidal ideation and distress and increased coping self-efficacy, hope and well-being. The qualitative findings indicated that a key component to recovery was the staff. Limitations included a low sample size, and broad time range of follow-up data collection. Providing assertive, multidisciplinary, collaborative and outreach-focused post-suicidal care can increase and sustain protective psychological factors and reduced suicidal ideation in most individuals.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aftercare*
  • Humans
  • Longitudinal Studies
  • Patient Discharge
  • Risk Factors
  • Suicidal Ideation*