Understanding public perspectives of prehospital trauma research: A qualitative community engagement study on consent and blood transfusion.

Death by suicide affects around 800,000 people globally each year, with an estimated death every 40 s. In the United States, about one million suicide attempts occur annually. In France, the annual suicide mortality rate is 13.07 per 100,000 inhabitants, which is higher than the European average. Among the risk factors for suicide are psychiatric disorders (depression, bipolar disorder, schizophrenia, substance use disorders, etc.), gender, age, traumatic experience, and a family history of suicide. However, the primary risk factor is a previous suicide attempt with an increased risk during the 6 months following the attempt. Thus, preventing further suicidal acts involves addressing these comorbidities, such as depression, which has long been a primary focus of treatment. However, suicidal thoughts require specific management. The Safety Planning-Type Intervention (SPI), developed by Stanley’s group, is one of these interventions. The SPI helps patients create a personalized safety plan to manage crises and reduce the risk of future self-harm. This plan includes strategies to limit access to means of suicide and alternative ways to handle suicidal thoughts. This brief intervention was initially developed for specific populations, such as U.S. veterans, showing a 45% reduction in suicidal behaviors. Subsequent studies conducted by Stanley’s team demonstrated the effectiveness of SPI in the general population. However, few studies exist in Europe, and no cohort data are available in France. Thus, in 2020, we conducted an initial study to evaluate the feasibility of implementing SPI for patients at risk of suicide presenting to the emergency department after a suicide attempt. However, our study revealed that implementing SPI in this setting was neither appropriate, feasible, nor acceptable. Consequently, in 2021, we conducted a second study aimed at assessing the feasibility of implementing this intervention in a short-term post-emergency psychiatry unit. This unit provides the management of suicidal crises in patients in the immediate aftermath of emergency care.The results showed high rates of patient adherence and satisfaction (85.1%), with 81.1% of patients believing that this intervention could be useful in the future. Professionals also found the intervention feasible in 80.5% of cases.