21st international Congress of the ESCAP 2025
< back to event website
Converia – Conference Management Software

Detailed contribution information

Back to list

Contribution title Changes in Suicidal Ideation and Behavior After ASAP and BRITE App Intervention for Suicidal Adolescents Following Hospitalization
Contribution code D1.128
Authors
  1. Moriah Bar Nitsan Hadassah Medical Organization and Faculty of Medicine Hebrew University of Jerusalem Presenter
  2. Amichai Ben-Ari Ariel University
  3. Amit Shalev Hadassah Medical Organization and Faculty of Medicine Hebrew University of Jerusalem
Form of presentation Poster
Topic
  • T40 - Suicide
Abstract Aims: Suicide is the second cause of death among youth. Adolescents hospitalized in psychiatric wards due to suicidality face an elevated risk of suicide attempts during the post-discharge period, emphasizing the need for targeted interventions that address suicidal urges before discharge. This study evaluated the efficacy of an innovative intervention, ASAP, combined with a mobile app, in reducing suicidality at 4, 12, and 24 weeks post-discharge.
Methods: A total of 81 adolescents (aged 12-18) admitted for suicidality were enrolled and randomly assigned to either treatment as usual (TAU, n = 41) or the ASAP intervention group (ASAP + app). Suicidal ideation and behavior were assessed at 4, 12, and 24 weeks using the Columbia–Suicide Severity Rating Scale (CSSRS).
Results: The two groups did not differ significantly in demographic or clinical differences at baseline. Over time, self-harm, intensity, and suicidal scores decreased significantly (p =.003, p < .001, p < .001). No significant interaction between time and treatment groups was observed for self-harm, suicidal, or intensity scores (p > 0.05), indicating similar trends in both groups. However, group comparisons revealed that the TAU group had significantly higher intensity scores than the ASAP group at discharge (p < .05) and after 12 weeks (p < .05). Additionally, ICU admissions were three times higher in the TAU group vs the ASAP group, although not statistically significant. (OR=3.569, p=.079).
Conclusions: These findings suggest the ASAP intervention may effectively reduce suicidality among suicidal adolescents during the post-hospitalization period.