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A Contact-Based Intervention for People Recently Discharged from Inpatient Psychiatric Care: A Pilot Study

Bennewith, Olive; Evans, Jonathan; Donovan, Jenny; Paramasivan, Sangeetha; Owen-Smith, Amanda; Hollingworth, William; Davies, Rosemary; O'Connor, Susan; Hawton, Keith; Kapur, Navneet; Gunnell, David


Olive Bennewith

Jonathan Evans

Jenny Donovan

Sangeetha Paramasivan

Amanda Owen-Smith

William Hollingworth

Rosie Davies
Research Fellow in Patient and Public Invol

Susan O'Connor

Keith Hawton

Navneet Kapur

David Gunnell


People recently discharged from inpatient psychiatric care are at high risk of suicide and self-harm, with 6% of all suicides in England occurring in the 3 months after discharge. There is some evidence from a randomized trial carried out in the United States in the 1960s-70s that supportive letters sent by psychiatrists to high-risk patients in the period following hospital discharge resulted in a reduction in suicide. The aim of the current pilot study was to assess the feasibility of conducting a similar trial, but in a broader group of psychiatric discharges, in the context of present day UK clinical practice. The intervention was piloted on 3 psychiatric inpatient wards in southwest England. On 2 wards a series of 8 letters were sent to patients over the 12 months after discharge and 6 letters were sent from the third ward over a 6 month period. A total of 102 patients discharged from the wards received at least 1 letter, but only 45 (44.1%) received the full series of letters. The main reasons for drop-out were patient opt-out (n = 24) or readmission (n = 26). In the context of a policy of intensive follow-up post-discharge, qualitative interviews with service users showed that most already felt adequately supported and the intervention added little to this. Those interviewed felt that it was possible that the intervention might benefit people new to or with little follow-up from mental health services but that fewer letters should be mailed. © 2014 Copyright International Academy for Suicide Research.


Bennewith, O., Evans, J., Donovan, J., Paramasivan, S., Owen-Smith, A., Hollingworth, W., …Gunnell, D. (2014). A Contact-Based Intervention for People Recently Discharged from Inpatient Psychiatric Care: A Pilot Study. Archives of Suicide Research, 18(2), 131-143.

Journal Article Type Article
Acceptance Date Mar 27, 2014
Publication Date Jan 1, 2014
Deposit Date Feb 1, 2016
Journal Archives of Suicide Research
Print ISSN 1381-1118
Electronic ISSN 1543-6136
Publisher Taylor & Francis (Routledge)
Peer Reviewed Peer Reviewed
Volume 18
Issue 2
Pages 131-143
Keywords inpatient, intervention, psychiatric patients, self-harm, suicide
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