Participants/subjects will be stratified (first ever hospital-treated DSH verses any subsequent episode), then randomly assigned and enrolled into the study following the Zelen single-consent design. If an SMS text messaging follow-up intervention is found to be effective in reducing DSH re-presentations, it would provide a lower-cost, higher coverage medical follow-up system than what has previously existed for this population. Most participants considered the text message contacts an acceptable and useful form of help and indicated they wished to continue receiving those text messages. These studies demonstrated the technical feasibility and acceptability of text messaging outreach in post-acute suicide attempters in different cultural contexts. Text messaging has been associated with positive outcomes for hospital patients in a pilot study and in a prospective study. SMS text messaging provides more immediate communication and may be a more effective intervention than postcards. The individual studies identified in the systematic review and meta-analysis generally lacked statistical power and varied considerably in intervention timeframes and methodologies, highlighting the need for well-designed, large, RCTs to determine the efficacy of these BCIs. A recent systematic review and meta-analysis of BCIs for reducing DSH (letters, telephone calls and crisis “green cards”) found a non-significant benefit for any episode of repeat DSH (binary outcome) and a significant benefit for repetition event rates. Hospital-treated DSH is associated with an increased risk of suicide death, highlighting the importance of effective prevention and early intervention strategies.īCIs, such as follow-up postcards, supportive letters, or phone calls have previously been shown to be associated with reductions in hospital re-presentation event rates. Hospital-treated DSH predominantly includes deliberate self-poisoning (DSP) (approximately 90% of DSH cases) and other various methods, including, cutting, hanging, jumping, and burning. In Australia, DSH accounted for 6% of all hospitalised injury cases during 2012–2013 and four-billion dollars in healthcare expenditure annually, making prevention and early intervention an Australian national health priority. ĭSH is associated with a range of psychiatric issues, an increased risk of suicide attempts, and suicide. Repetition of DSH within 1 year of hospital admission occurs at a median proportion of 15% (interquartile range 12–25%). You will be able to see when they checked in (daily) and how they feel at the time they checked in.Hospital-treated DSH is common and costly. This feature allows you to see everyone who uses the app to share their daily status with you. If you do not check in, your emergency contacts will be contacted. Once you check in at your set time, your supporters will be alerted (reassured) and will also receive notice of your “how you feel” status. For example, if you want us to check in at noon every day, that will be your set check-in time, and your supporters will understand that is your check-in time. This feature allows you to set the time of day that you want us to send you notifications reminding you to check in. They will also be able to see if you have not checked in.
The person or people of your choice who have the Just Checking In app will be sent a notification within the app when you check in, sharing how you feel as you noted that day. This feature allows you to share your daily check-in status with anyone you choose. These contacts will receive a text message from us, alerting them when you have not checked in within a 24-hour period.
This feature allows you to add up to 3 emergency contacts who will be contacted if you have not checked in as scheduled.
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