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Article: Effects of Community-Based Caring Contact in Reducing Thwarted Belongingness Among Postdischarge Young Adults With Self-Harm: Randomized Controlled Trial

TitleEffects of Community-Based Caring Contact in Reducing Thwarted Belongingness Among Postdischarge Young Adults With Self-Harm: Randomized Controlled Trial
Authors
Keywordscare
community
effectiveness
hospital
intervention
mobile app
model
patient
risk
self-harm
suicidal ideation
suicide
support
thwarted belongingness
treatment
volunteers
youth
Issue Date16-Aug-2023
PublisherJMIR Publications
Citation
JMIR Formative Research, 2023, v. 7 How to Cite?
Abstract

Background: For patients with self-harm behaviors, the urge to hurt themselves persists after hospital discharge, leading to costly readmissions and even death. Hence, postdischarge intervention programs that reduce self-harm behavior among patients should be part of a cogent community mental health care policy.

Objective: We aimed to determine whether a combination of a self-help mobile app and volunteer support could complement treatment as usual (TAU) to reduce the risk of suicide among these patients.

Methods: We conducted a pragmatic randomized controlled trial on discharged patients aged between 18 and 45 years with self-harm episodes/suicide attempts, all of whom were recruited from 4 hospital emergency departments in Hong Kong. Participants were randomly assigned to one of three groups: (1) mobile app + TAU ("apps"), (2) mobile app + volunteer support + TAU ("volunteers"), or (3) TAU only as the control group ("TAU"). They were asked to submit a mobile app-based questionnaire during 4 measurement time points at monthly intervals.

Results: A total of 40 participants were recruited. Blending volunteer care with a preprogrammed mobile app was found to be effective in improving service compliance. Drawing upon the interpersonal-psychological theory of suicide, our findings suggested that a reduction in perceived burdensomeness and thwarted belongingness through community-based caring contact are linked to improvement in hopelessness, albeit a transient one, and suicide risk.

Conclusions: A combination of volunteer care with a self-help mobile app as a strategy for strengthening the continuity of care can be cautiously implemented for discharged patients at risk of self-harm during the transition from the hospital to a community setting.


Persistent Identifierhttp://hdl.handle.net/10722/331732
ISSN
2023 Impact Factor: 2.0
2023 SCImago Journal Rankings: 0.637
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorLaw, YW-
dc.contributor.authorLok, R-
dc.contributor.authorChiang, B-
dc.contributor.authorLai, C-
dc.contributor.authorTsui, S-
dc.contributor.authorChung, P-
dc.contributor.authorLeung, S-
dc.date.accessioned2023-09-21T06:58:26Z-
dc.date.available2023-09-21T06:58:26Z-
dc.date.issued2023-08-16-
dc.identifier.citationJMIR Formative Research, 2023, v. 7-
dc.identifier.issn2561-326X-
dc.identifier.urihttp://hdl.handle.net/10722/331732-
dc.description.abstract<p><strong>Background: </strong>For patients with self-harm behaviors, the urge to hurt themselves persists after hospital discharge, leading to costly readmissions and even death. Hence, postdischarge intervention programs that reduce self-harm behavior among patients should be part of a cogent community mental health care policy.</p><p><strong>Objective: </strong>We aimed to determine whether a combination of a self-help mobile app and volunteer support could complement treatment as usual (TAU) to reduce the risk of suicide among these patients.</p><p><strong>Methods: </strong>We conducted a pragmatic randomized controlled trial on discharged patients aged between 18 and 45 years with self-harm episodes/suicide attempts, all of whom were recruited from 4 hospital emergency departments in Hong Kong. Participants were randomly assigned to one of three groups: (1) mobile app + TAU ("apps"), (2) mobile app + volunteer support + TAU ("volunteers"), or (3) TAU only as the control group ("TAU"). They were asked to submit a mobile app-based questionnaire during 4 measurement time points at monthly intervals.</p><p><strong>Results: </strong>A total of 40 participants were recruited. Blending volunteer care with a preprogrammed mobile app was found to be effective in improving service compliance. Drawing upon the interpersonal-psychological theory of suicide, our findings suggested that a reduction in perceived burdensomeness and thwarted belongingness through community-based caring contact are linked to improvement in hopelessness, albeit a transient one, and suicide risk.</p><p><strong>Conclusions: </strong>A combination of volunteer care with a self-help mobile app as a strategy for strengthening the continuity of care can be cautiously implemented for discharged patients at risk of self-harm during the transition from the hospital to a community setting.</p>-
dc.languageeng-
dc.publisherJMIR Publications-
dc.relation.ispartofJMIR Formative Research-
dc.rightsThis work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.-
dc.subjectcare-
dc.subjectcommunity-
dc.subjecteffectiveness-
dc.subjecthospital-
dc.subjectintervention-
dc.subjectmobile app-
dc.subjectmodel-
dc.subjectpatient-
dc.subjectrisk-
dc.subjectself-harm-
dc.subjectsuicidal ideation-
dc.subjectsuicide-
dc.subjectsupport-
dc.subjectthwarted belongingness-
dc.subjecttreatment-
dc.subjectvolunteers-
dc.subjectyouth-
dc.titleEffects of Community-Based Caring Contact in Reducing Thwarted Belongingness Among Postdischarge Young Adults With Self-Harm: Randomized Controlled Trial-
dc.typeArticle-
dc.identifier.doi10.2196/43526-
dc.identifier.scopuseid_2-s2.0-85169781239-
dc.identifier.volume7-
dc.identifier.eissn2561-326X-
dc.identifier.isiWOS:001161692200004-
dc.identifier.issnl2561-326X-

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