b'|Suicide Prevention Workplan - Los Angleles|77 |78 A Snapshot of Existing Programs and Initiatives in Sample Studies Los Angeles County:A US study explored whether follow-up calls provided a return on investment by examining the 30 days postdischarge through a multi-state Medicaid database. This study found that follow-upLos Angeles County already has all elements of recommended best practices in place including reduced subsequent readmission by at least 13.3% and therefore saved money.an Emergency Department Follow-up Program after a suicide attempt and attempt survivor Richardson, J. S., Mark, T. L., & McKeon, R. (2014). The return on investment of postdischarge follow-up calls forsupport groups.These efforts are limited to a few hospitals and geographic locations and suicidal ideation or deliberate self-harm. Psychiatric Services, 65(8), 10121019. should be expanded with the goal of providing immediate and long-term follow-up care to every person after a suicide attempt.A review of 11 research studies concluded that multiple contacts with patients discharged fromDidi Hirsch Emergency Department Follow Up Program with Ronald Reagan UCLA psychiatric hospitalization or emergency departments after a suicide attempt or ideation may preventMedical Center and Cedars-Sinai Medical Centerfuture suicidal behaviors. The authors caution that more research is needed to understand the number and type of contacts that are most successful, as well as whether the effect of follow-up isFollow up services are provided to recently discharged patients who have had thoughts of affected by availability of mental health care or patient characteristics like gender and culture. Thesuicide or contemplated an attempt. Once the Crisis Line Program Coordinator receives a authors point out that the research on suicide demonstrates that the time after discharge fromreferral from these medical centers, they conduct an intake by phone within 24 hours. Three psychiatric hospitalization is one of heightened risk for suicide and repeat suicide attempts forcall attempts are made to contact the patient. If the patient agrees to enroll in the follow up patients and that fewer than half of suicidal patients admitted to inpatient psychiatric units orprogram, a Crisis Line Shift Supervisor is assigned to them. The Crisis Line Shift Supervisor treated in emergency departments receive aftercare. The authors suggest that multiple follow-upschedules weekly check-ins with the patient to monitor their risk for suicide and provide contacts may be effective because they provide a sense of connectedness and assurance thatemotional support and link them to long term care.These calls focus on the development of someone cares about the patient, remind the patient that mental health care is available, givecoping strategies, safety planning, and finding treatment. Crisis Follow-Up Services typically information on how to access this care, and motivate patients to participate in treatment.terminate 4-6 weeks after the patient is connected with the appropriate long-term care, but Luxton, D.D., June, J.D., & Comtois, K.A. (2013). Can post-discharge follow-up contacts prevent suicide and suicidalcan go longer if needed.behavior? A review of the evidence. Crisis 34(1): 32-41.Attempt Survivor Support Group Caring, handwritten letters sent quarterly to monthly throughout the year for up to 5 years afterIn 2011, Didi Hirsch developed one of the first group processes to work with suicide attempt inpatient hospitalization significantly reduced the number of suicide deaths among patients whosurvivors in the nation. The group is an eight-week group facilitated by a licensed clinician received them compared to similar patients who did not. The study targeted patients who refusedand a peer facilitator, someone with lived experience. The eight weeks best practice long-term care or to engage with the health care system. Reger MA,Gebhart HM, et al. (2018) Veteranprogram consists of learning to discuss suicide and tell your story; talking about suicide in preferences for the Caring Contacts suicide prevention intervention. Suicide Life Threat Behav doi:order to understand your personal risk and protective factors;learning to understand 10.1111/sltb.12528precipitating events that had the potential to trigger suicidal thoughts or feelings; developing coping mechanisms through an understanding of some simple cognitive techniques; Veteran psychiatric inpatients were surveyed on their preferences for caring contact wording,identifying personal and community resources; and developing a safety plan.Currently one correspondent, frequency, duration, imagery and mailing modality. Eighty-five percent wanted togroup is offered.receive caring contacts, primarily from counselors or primary care physicians. They preferred mail over email or text.V.A. Clinical Guidelines for Assessing and Treating Suicidal ClientsRichardson, J. S., Mark, T. L., & McKeon, R. (2014). The return on investment of postdischarge follow-up calls for suicidal ideation or deliberate self-harm. Psychiatric Services, 65(8), 10121019. The V.A. has one of the most comprehensive guidelines that support strong assessment, management, and treatment for suicidal clients.Clinical Standards outlined by DOD/VA Clinical Practice Standard Guidelines include follow-up appointments with continued evaluation of suicidal desire, capability and intent and specic treatment plans targeting suicidality, assessment of adherence and any adverse effects, support, reinforcement, and update of the safety plan.Draft 3.3.2020 Not For Distribution Draft 3.3.2020 Not For Distribution'