This study will test whether a novel intervention, Virtual Hope Box Enhanced Facilitation (VHB-EF), reduces suicide risk in Veterans after discharge from inpatient psychiatric hospitalization. Additionally, this study will also conduct interviews with Veterans and healthcare providers to explore barriers and facilitators to future adoption of the VHB-EF intervention in healthcare settings.
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Eligibility Criteria
Inclusion Criteria:
Those enrolled in the RCT component of this study must be:
* 1\) Veterans aged 18 or older
* 2\) admitted to the inpatient psychiatric unit for a recent suicidal crisis
* 3\) medically stable (the patient's medical and psychological fitness \[including aggression\] to provide i…
Inclusion Criteria:
Those enrolled in the RCT component of this study must be:
* 1\) Veterans aged 18 or older
* 2\) admitted to the inpatient psychiatric unit for a recent suicidal crisis
* 3\) medically stable (the patient's medical and psychological fitness \[including aggression\] to provide informed consent will be determined by a member of the patient's treatment team)
* 4\) A score of 3 or greater on the Callahan 6-item cognitive screening.
* 5\) report current suicidal ideation (Scale for Suicidal Ideation \[SSI\]; sum of items 4 and 5 \> 0, referencing the week prior to their hospitalization) as reported during the screening interview
* 6\) no reported use of the VHB within the past 12-months
* 7\) access to a smartphone to download the VHB app
Exclusion Criteria:
Veterans will be found ineligible for the program if:
* 1\) do not understand English
* 2\) are prisoners
* 3\) are unable to provide informed consent
* 4\) have profound psychotic symptoms and/or cognitive deficits that would prevent patients from understanding the content of the intervention and/or assessments
* 5\) to not have access to a smartphone
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