Evidence map›Paper›PMID 35897119›Full record

ArticlePilot and feasibility studies2022

SAFETEL: a pilot randomised controlled trial to assess the feasibility and acceptability of a safety planning and telephone follow-up intervention to reduce suicidal behaviour.

Rory C O'Connor, Susie Smillie, Heather McClelland, Jenna-Marie Lundy, Corinna Stewart, Suzy Syrett, Marcela Gavigan, Alex McConnachie, Bethany Stanley, Michael Smith and 3 more

Abstract read
In one paragraph

Article in Pilot and feasibility studies, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Supported Decision-Making Interventions in Mental Healthcare: A Systematic Review of Evidence on the Outcomes for People With Mental Ill Health.Health expectations : an international journal of public participation in health care and health policy · 2024
    Pooled it
  4. Supported decision-making interventions in mental healthcare: A systematic review of current evidence and implementation barriers.Health expectations : an international journal of public participation in health care and health policy · 2024
    Pooled it
  5. Article
  6. Developing a Co-Produced Practice Framework to Support Personalised Safety Planning for Adults Experiencing Suicidality.Health expectations : an international journal of public participation in health care and health policy · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Rory C O'ConnorSuicidal Behaviour Research Laboratory, Institute of Health and Wellbeing, University of Glasgow, Glasgow, UK. rory.oconnor@glasgow.ac.uk.ORCID http://orcid.org/0000-0002-3650-4994
Susie SmillieInstitute of Health and Wellbeing, MRC/CSO Social and Public Health Sciences Unit, University of Glasgow, Glasgow, UK.
Heather McClellandSuicidal Behaviour Research Laboratory, Institute of Health and Wellbeing, University of Glasgow, Glasgow, UK.
Jenna-Marie LundySuicidal Behaviour Research Laboratory, Institute of Health and Wellbeing, University of Glasgow, Glasgow, UK.
Corinna StewartSuicidal Behaviour Research Laboratory, Institute of Health and Wellbeing, University of Glasgow, Glasgow, UK.
Suzy SyrettInstitute of Health and Wellbeing, MRC/CSO Social and Public Health Sciences Unit, University of Glasgow, Glasgow, UK.
Marcela GaviganInstitute of Health and Wellbeing, University of Glasgow, Glasgow, UK.
Alex McConnachieInstitute of Health and Wellbeing, Robertson Centre for Biostatistics, University of Glasgow, Glasgow, UK.
Bethany StanleyInstitute of Health and Wellbeing, Robertson Centre for Biostatistics, University of Glasgow, Glasgow, UK.
Michael SmithMental Health Services, NHS Greater Glasgow and Clyde, Glasgow, UK.
Gregory K BrownPerelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Barbara StanleyDepartment of Psychiatry, Columbia University College of Physicians and Surgeons, New York, USA.
Sharon A SimpsonInstitute of Health and Wellbeing, MRC/CSO Social and Public Health Sciences Unit, University of Glasgow, Glasgow, UK.

Funding

Chief Scientist Office SPHSU14Chief Scientist Office SPHSU16Medical Research Council MC_PC_13027Medical Research Council MC_UU_00022/1Medical Research Council MC_UU_12017/14MQ: Transforming Mental Health MQ16PI100009MRC MC_PC_13027MRC MC_UU_12017/14, MC_UU_00022/1
6 · The paper itself

Abstract

backgroundA previous suicide attempt is an important predictor of future suicide. However, there are no evidence-based interventions administered in UK general hospital contexts to reduce suicidal behaviour in patients admitted following a suicide attempt. Consequently, the objective of this pilot randomised controlled trial was to explore whether a safety planning and telephone follow-up intervention (SAFETEL) was feasible and acceptable for individuals treated in hospital following a suicide attempt.

methodsIn this three-phase study with an embedded process evaluation, a safety planning intervention was tailored to the UK context (Phase I), piloted (Phase II, n = 32), and tested in a feasibility randomised controlled trial (Phase III). In Phase III, participants were allocated to either the intervention (n = 80) or control group (n = 40) using telephone randomisation with a 2:1 ratio. The acceptability and feasibility of the trial and intervention procedures were evaluated using both qualitative (interviews and focus groups) and quantitative data. The number of hospital representations of suicidal behaviour was also collected 6 months after study recruitment based on electronic patient records.

resultsFindings indicated that SAFETEL was both acceptable and feasible. Hospital staff reported the intervention fitted and complemented existing services, and patients reported that they favoured the simplicity and person-centred approach of the safety planning intervention.

conclusionsAll progression criteria were met supporting further evaluation of the intervention in a full-scale clinical effectiveness trial.

trial registrationISRCT, ISRCTN62181241 , 5/5/2017.

Indexed as

Feasibility studyProcess evaluationRandomised controlled trial (RCT)Safety planningSelf-harmSuicideTelephone support

Identifiers

PMID35897119
PMCPMC9327159

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.