Evidence map›Paper›PMID 40526825›Full record

ArticleJMIR mental health2025

Impact of Digital Safety Plan Activation on Subsequent Emergency Departments Visits Following an Initial Suicide Attempt: Quasi-Experimental Study.

María Luisa Barrigón, Carlos Schmidt, Matilde Elices, Alejandro Porras-Segovia, Ana María De Granda-Beltrán, Antonio Artés-Rodríguez, Philippe Courtet, Víctor Pérez-Sola, Enrique Baca-García

Abstract read
In one paragraph

Article in JMIR mental health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

  1. Article
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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

9 authors.

María Luisa Barrigón *Institute of Psychiatry and Mental Health, Hospital General Universitario Gregorio Marañón, IiSGM, School of Medicine, Universidad Complutense de Madrid, Madrid, Spain.ORCID 0000-0002-2497-6353
Carlos Schmidt *Centro de Investigación Biomédica en Red (CIBERSAM), Madrid, Spain.ORCID 0000-0002-5927-4554
Matilde Elices *Centro de Investigación Biomédica en Red (CIBERSAM), Madrid, Spain.ORCID 0000-0002-7034-4242
Alejandro Porras-Segovia *Fundacion Jiménez Díaz Health Research Institute, Department of Psychiatry, Rey Juan Carlos Hospital Móstoles, Madrid, Spain.ORCID 0000-0003-2019-9099
Ana María De Granda-Beltrán *Department of Psychiatry, Fundacion Jiménez Díaz University Hospital, Madrid, Spain.ORCID 0009-0000-6365-0535
Antonio Artés-Rodríguez *Centro de Investigación Biomédica en Red (CIBERSAM), Madrid, Spain.ORCID 0000-0001-6540-7109
Philippe Courtet *Department of Emergency Psychiatry and Acute Care, Centre Hospitalier Universitaire Montpellier, University of Montpellier, Montpellier, France.ORCID 0000-0002-6519-8586
Víctor Pérez-Sola *Centro de Investigación Biomédica en Red (CIBERSAM), Madrid, Spain.ORCID 0000-0002-5825-2337
Enrique Baca-García *Centro de Investigación Biomédica en Red (CIBERSAM), Madrid, Spain.ORCID 0000-0002-6963-6555

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Suicide is a significant global public health concern. Individuals with suicidal behaviors often seek help in emergency departments (ED), making mental health providers critical to suicide prevention. Brief interventions such as safety planning are essential in these settings. However, there is a limited understanding of how mobile digital safety planning apps can aid in secondary suicide prevention. Objective: This study evaluated the effectiveness of a digital safety plan, delivered through the MeMind app, in reducing ED visits associated with suicidal behavior (ie, suicidal ideation or attempt). Methods: A one-year follow-up was conducted for individuals who presented to the ED for an index event of suicidal behavior (N=78). Participants were provided with a digital safety plan on their mobile devices and instructed to activate it during future suicidal crises. Results: At follow-up, participants who activated the digital safety plan showed a 50% lower likelihood of returning to the ED, when compared to those who did not activate it. Conclusions: These findings suggest that digital safety planning may serve as a scalable and accessible intervention with the potential to significantly contribute to suicide prevention efforts.

Indexed as

Emergency Service, HospitalMobile ApplicationsSuicidal IdeationSuicide, AttemptedSuicide PreventionAdultFemaleFollow-Up StudiesHumansMaleMiddle AgedYoung Adultbrief interventionsdigital safety planemergency departmentsecondary suicide preventionsuicidal behaviorsuicide prevention

Identifiers

PMID40526825
PMCPMC12186861

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Registered trials

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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.