Psychosocial therapy to people at risk of suicide in the Danish Suicide Prevention Clinics: a register-based multicenter study presented by Associate Professor Annette Erlangsen
Friday 22 January, 2016
Although people after self-harm are at elevated risks of repeating self-harm as well as dying by suicide and other causes of death, the evidence for effective interventions is meager. Danish Suicide Prevention Clinics have since 1992 offered psychosocial therapy to persons at risk of suicide in an out-patient setting. The current study examined whether psychosocial therapy after self-harm was linked to lower risks of repeated self-harm, suicide, and general mortality using a propensity score matched control group.
All people who, after self-harm, received a psychosocial therapy intervention at seven Suicide Prevention Clinics in Denmark during 19922010 were compared with people who did not receive the psychosocial therapy intervention after self-harm. Using the unique personal identifiers, clinical data was linked to national register data in this matched cohort study. Propensity score matching was applied with a 1:3 ratio and 31 matching factors, and odds ratios for 1, 5, 10, and 20 years of follow-up were calculated. The primary endpoints were repeated self-harm, death by suicide, and death by any cause.
A total of 5,678 recipients of psychosocial therapy after self-harm were observed over 42,828 person-years and matched with 17 034 individuals with no psychosocial therapy. A lower risk of repeated self-harm and general mortality was found for recipients after short-term and long-term follow-up. On long-term follow-up, a protective effect was also noted for death by suicide.
Effect of assertive outreach after suicide attempt in the AID (Assertive Intervention for Deliberate Self-harm) trial: randomised controlled trial presented by Britt Morthorst
Tuesday 16 February, 2016
Objective: To determine if an assertive outreach intervention after suicide attempt compared to standard treatment was able to reduce the frequency of suicidal acts.
Design: Randomised, parallel-group, superiority trial with blinded outcome assessment.
Setting: Outpatient intervention carried out at a single location at Copenhagen University Hospital, Denmark.
Participants: Patients > 12 years of age with a recent suicide attempt, admitted to regional hospitals in Copenhagen. Patients diagnosed with schizophrenia spectrum disorders and patients living in institutions were not included.
Intervention: Case-management as assertive outreach providing crises intervention and flexible, problem solving, incorporating motivational support and actively assisting patients to scheduled appointments in order to improve adherence with after-treatment as add on to standard treatment.
Main outcome: Repeated suicide attempt and death by suicide recorded in medical records and death register at one-year follow-up.
Conclusion: A significant effect of the AID-intervention was not found. Comparing register data with self-reports on subsequent events could indicate a potential detection bias.
This presentation will include a discussion on what we can learn from the Danish study.
Preventing Suicide: The Solution Focused Approach presented by John Henden
Tuesday 15 March, 2016
This evening seminar is for therapists, counsellors and researchers wanting to know more about how lives are saved from a solution focused (SF) perspective. Some of the effective techniques and points covered during the evening will be:
- How we can tell whether someone is suicidal or not
- Sample questions to elicit suicidal ideation
- Being as effective as possible: 10 key points to cover
- Rapid rapport building
- Empathy and deep empathy
- Pre-session change and exception finding
- Sample questions for when suicidal ideation has been established
- The Miracle Question (Adapted) and Scaling
- Presuppositional language, generally; and presuppositional questions, specifically
- The power of compliments
- Worst case (graveside/crematorium) scenario
- Ending a session positively, constructively and assertively with a suicidal service user
John Henden has specialized in this area for over 20 years. His internationally best-selling book on the subject is written in an easy-to-understand-and-apply style. The book, Preventing Suicide: the Solution Focused Approach, is shortly to be translated into both Japanese and Russian, with current interest from Poland and Finland. Suicide is a great problem worldwide and the SF approach has a track record in being highly effective and should, therefore, be adopted more widely. The evidence base for SF continues to grow (Franklin, et al, 2011; www.solutionsdoc.co.uk ) It is a tragedy that many approaches to suicide prevention do not deliver on prevention targets.
AISRAP invites you to register your attendance at one of the free upcoming AISRAP STARS workshops.
Brisbane: 9th June, 9:00 am - 4:30 pm.
Venue: Griffith University Mt Gravatt Campus, Building M10, room 5.02, 176 Messines Ridge Rd, Mt Gravatt Qld 4122.
Melbourne: 16th June, 9:00 am - 4:30 pm.
Venue: Mercure Melbourne Treasury Gardens, 13 Spring St, Melbourne VIC 3000.
Sydney: 23rd June, 9:00 am - 4:30 pm.
Venue: Mercure Hotels Sydney, 818-820 George St, Ultimo NSW 2007.
AISRAP STARS (Screening Tool for Assessing Risk of Suicide) is a guiding framework for information-gathering about a person's presenting experience of a "suicidal state", in order to support decision-making about safety planning (commensurate with a 'current' appraisal of suicide risk). This tool is meant to elicit a sufficient level of assessment of the individual, thus providing a guide for risk management and safety planning/recovery.
What do we now know about exploring Aboriginal suicides in a social and emotional wellbeing framework? by Raelene Ward
Tuesday July 5, 2016
The purpose of this research (PhD) was to explore Aboriginal understandings of suicide from a Social and Emotional Wellbeing (holistic) Framework through the establishment of interviews and focus groups. The research was undertaken across Darling Downs and South West Queensland. Participants consisted of young people, middle-aged and elders residing within communities. From an analysis perspective a number of research themes were identified from the data in which this presentation will provide. It is evident that suicides among Aboriginal and Torres Strait Islanders are much more frequent in comparison to other Queenslanders, for Aboriginal and Torres Strait Islanders suicide rates are 50 percent higher (Kolves, Potts & De Leo, 2015 as cited in Queensland Mental Health Commission, 2015). Not only are these high rates characteristic of the interplay of both risk and protective factors but broader social, economic and historic factors affecting social and emotional wellbeing and mental health of Aboriginal and Torres Strait Islanders are also important. Evidence suggests improving social and emotional wellbeing of people results in a reduction in suicides for Aboriginal and Torres Strait Islanders (Queensland Mental Health Commission, 2015). This research contributes to a new body of knowledge and research into achieving an understanding of suicide and suicide prevention specific to Aboriginal people and their communities.
Mental Health Workers, Clinicians, Therapists
2 day Workshop by Professor David Jobes, founder of Collaborative Assessment and Management of Suicidality (CAMS)
Monday 18th and Tuesday 19th of July, 2016
First Australian Workshop on CAMS latest theory, clinical and research findings
Workshop Aim: to facilitate the adherent use of CAMS (Collaborative Assessment and Management of Suicidality) via supportive training by the developer of CAMS, Prof Dave Jobes.
- Understand the overall philosophy and conceptual and skills-based elements of the CAMS framework;
- Gain knowledge and skills for effective and competent application of the central CAMS clinical tool called the "Suicide Status Form" (SSF); and
- Demonstrate these skills during a live role-play training of the framework, as well as understand its usefulness in specific treatment, research and work settings relevant to each participant's background/workplace.
An initiative of the International Association for Suicide Prevention (IASP) and the World Health Organization (WHO), the 14th Annual World Suicide Prevention Day occurs on Saturday, 10 September 2016. AISRAP is again contributing towards raising public awareness by hosting a 'World Suicide Prevention Day Community Forum' in Brisbane on Friday, 9 September 2016.
Since 2004, AISRAP has hosted and welcomed between 150-250 community members (both professionals in the field and those bereaved by suicide, or touched in some way by suicide) at this annual event. In line with the annual IASP WSPD theme, Connect. Communicate. Care AISRAP's forum will present expert speakers, a lived experience panel, a live webcast and a post event networking function as well as display tables for stakeholder exhibitions throughout the day.
Check in on someone you may be concerned about, and start a caring conversation with them, asking them how they're going. Investigate ways of connecting with others who are trying to prevent suicide in your community, your country, or internationally.
AISRAP's forum will present expert speakers, a lived experience panel, a live webcast and a post event networking function as well as display tables for stakeholder exhibitions throughout the day.
We invite you to join us for a day of insightful, motivating and meaningful discussion...