@Article{info:doi/10.2196/43526,
author="Law, Yik Wa
and Lok, Rita Hui Ting
and Chiang, Byron
and Lai, Carmen Chui Shan
and Tsui, Sik Hon Matthew
and Chung, Pui Yin Joseph
and Leung, Siu Chung",
title="Effects of Community-Based Caring Contact in Reducing Thwarted Belongingness Among Postdischarge Young Adults With Self-Harm: Randomized Controlled Trial",
journal="JMIR Form Res",
year="2023",
month="Aug",
day="16",
volume="7",
pages="e43526",
keywords="self-harm; suicidal ideation; volunteers; mobile app; thwarted belongingness; suicide; youth; community; support; treatment; effectiveness; risk; patient; intervention; model; care; hospital",
abstract="Background: For patients with self-harm behaviors, the urge to hurt themselves persists after hospital discharge, leading to costly readmissions and even death. Hence, postdischarge intervention programs that reduce self-harm behavior among patients should be part of a cogent community mental health care policy. Objective: We aimed to determine whether a combination of a self-help mobile app and volunteer support could complement treatment as usual (TAU) to reduce the risk of suicide among these patients. Methods: We conducted a pragmatic randomized controlled trial on discharged patients aged between 18 and 45 years with self-harm episodes/suicide attempts, all of whom were recruited from 4 hospital emergency departments in Hong Kong. Participants were randomly assigned to one of three groups: (1) mobile app + TAU (``apps''), (2) mobile app + volunteer support + TAU (``volunteers''), or (3) TAU only as the control group (``TAU''). They were asked to submit a mobile app--based questionnaire during 4 measurement time points at monthly intervals. Results: A total of 40 participants were recruited. Blending volunteer care with a preprogrammed mobile app was found to be effective in improving service compliance. Drawing upon the interpersonal-psychological theory of suicide, our findings suggested that a reduction in perceived burdensomeness and thwarted belongingness through community-based caring contact are linked to improvement in hopelessness, albeit a transient one, and suicide risk. Conclusions: A combination of volunteer care with a self-help mobile app as a strategy for strengthening the continuity of care can be cautiously implemented for discharged patients at risk of self-harm during the transition from the hospital to a community setting. Trial Registration: ClinicalTrials.gov NCT03081078; https://clinicaltrials.gov/study/NCT03081078 ",
issn="2561-326X",
doi="10.2196/43526",
url="https://formative.jmir.org/2023/1/e43526",
url="https://doi.org/10.2196/43526",
url="http://www.ncbi.nlm.nih.gov/pubmed/37585260"
}