A Volunteer-Run, Face-to-Face, Early Intervention Service for Reducing Suicidality
A Service Evaluation of The Listening Place
Abstract
Abstract.Background: Befriending is one of many strategies with the potential to reduce suicidal ideation and decrease the risk of suicide. Aims: To measure change in suicidal ideation and behavior among visitors (service users) supported at The Listening Place (TLP), a charity which offers volunteer-run, face-to-face befriending to people who are suicidal. Method: This study was peer reviewed and preregistered on the Open Science Framework prior to data extraction. Anonymized data were extracted for visitors at the point of referral and after 3 months of receiving support. Paired-sample tests were used to test whether self-reported suicidal ideation and behaviors changed after 3 months of support from TLP. Multivariable regressions were used to test whether change in suicidal feelings was associated with demographic characteristics or baseline self-reported suicidality. Results: TLP received 13,938 referrals from July 2016 to February 2022. Self-reported suicidal ideation, suicidal behavior, and feelings of distress decreased after 3 months, while feelings of support increased. Only self-reported suicidal behavior prior to referral was associated with a lesser reduction in self-reported suicidality after 3 months. Limitations: In the absence of a control group, it cannot be concluded that TLP causes the reduction in self-reported suicidality. Conclusions: An empathetic, nonjudgmental, listening service for people who are feeling suicidal was well received by users, who experienced a reduction in suicidality.
References
2020). C-SSRS performance in emergency department patients at high risk for suicide. Suicide and Life-Threatening Behavior, 50(6), 1097–1104. 10.1111/sltb.12657
(2016). Is psychotherapy effective for reducing suicide attempt and non-suicidal self-injury rates? Meta-analysis and meta-regression of literature data. Journal of Psychiatric Research, 79, 8–20. 10.1016/j.jpsychires.2016.04.003
(2014). Does asking about suicide and related behaviours induce suicidal ideation? What is the evidence? Psychological Medicine, 44(16), 3361–3363. 10.1017/S0033291714001299
(2014). How feedback biases give ineffective medical treatments a good reputation. Journal of Medical Internet Research, 16(8), Article e193. 10.2196/jmir.3214
(2017). Preventing suicide in England: Third progress report on the cross-government outcomes strategy to save lives. https://www.gov.uk/government/publications/suicide-prevention-third-annual-report
. (2009). Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behavior Research Methods, 41(4), 1149–1160. 10.3758/brm.41.4.1149
(2007). G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods, 39(2), 175–191. 10.3758/bf03193146
(2020). The effectiveness of crisis line services: A systematic review. Frontiers in Public Health, 7, Article 399. 10.3389/fpubh.2019.00399
(2018). Suicidal ideation and subsequent completed suicide in both psychiatric and non-psychiatric populations: A meta-analysis. Epidemiology and Psychiatric Sciences, 27(2), 186–198. 10.1017/S2045796016001049
(2022). Trends in college student mental health and help-seeking by race/ethnicity: Findings from the national healthy minds study, 2013–2021. Journal of Affective Disorders, 306, 138–147. 10.1016/j.jad.2022.03.038
(2015). Data collection mode effect on feeling thermometer questions: A comparison of face-to-face and web surveys. Computers in Human Behavior, 48, 212–218. 10.1016/j.chb.2015.01.057
(2016). Chapter 12: Suicidal thoughts, suicide attempts and self-harm. https://digital.nhs.uk/data-and-information/publications/statistical/adult-psychiatric-morbidity-survey/adult-psychiatric-morbidity-survey-survey-of-mental-health-and-wellbeing-england-2014#related-links
(2017). Suicide in trans populations: A systematic review of prevalence and correlates. Psychology of Sexual Orientation and Gender Diversity, 4(3), 341–353. 10.1037/sgd0000235
(2010). Feasibility and validation of a computer-automated Columbia-Suicide Severity Rating Scale using interactive voice response technology. Journal of Psychiatric Research, 44(16), 1224–1228. 10.1016/j.jpsychires.2010.04.025
(2019). Suicides in the UK: 2018 registrations. Registered deaths in the UK from suicide analysed by sex, age, area of usual residence of the deceased and suicide method.https://www.ons.gov.uk/eoplepopulationandcommunity/birthsdeathsandmarriages/deaths/bulletins/suicidesintheunitedkingdom/2018registrations
(2015). Interventions to reduce suicides at suicide hotspots: A systematic review and meta-analysis. The Lancet Psychiatry, 2(11), 994–1001. 10.1016/S2215-0366(15)00266-7
(2020). Suicide prevention programs. Crisis, 41(Supplement 1), S99–S124. 10.1027/0227-5910/a000671
(2011). The Columbia–Suicide Severity Rating Scale: Initial validity and internal consistency findings from three multisite studies with adolescents and adults. American Journal of Psychiatry, 168(12), 1266–1277. 10.1176/appi.ajp.2011.10111704
(2008). Cognitive-behavioral interventions to reduce suicide behavior: A systematic review and meta-analysis. Behavior Modification, 32(1), 77–108. 10.1177/0145445507304728
(2019). Suicide and suicide risk. Nature Reviews Disease Primers, 5(1), Article 74. 10.1038/s41572-019-0121-0
(2018). Befriending: Active placebo or effective psychotherapy?. British Journal of Psychiatry, 211(1), 5–6. 10.1192/bjp.bp.116.197467
(2021). Suicide. https://www.who.int/news-room/fact-sheets/detail/suicide
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