ABSTRACT

Key Points Question Does the Safety Planning Intervention (SPI) with telephone follow-up as an adjunct to enhanced standard care reduce suicide events 12 months after pretrial jail detention release? Findings This randomized clinical trial of 800 individuals at risk for suicide who were recruited in jail, of whom 655 were released and followed up in the community, found that the SPI reduced the number of suicide events by 42% compared with enhanced standard care alone. Meaning The findings of this study suggest that the SPI reduced suicide risk in the year after pretrial jail detention, a high-risk period in which 1 in 5 of all suicide deaths in the US occur.

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