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Because of the reach and automated nature of this and similar programs, we recommend including a referral to a suicide prevention hotline for all smoking cessation mHealth interventions.
This is the first intervention study to promote psychiatric patients' help-seeking using text messaging, and although it was not a randomized controlled trial, this intervention has practical value and may lead to the prevention of suicide.
There is no evidence that these and similar, primarily telephone, services lower the suicide rate; they seem to be more effective as crisis centres than as suicide prevention centres.
It also concludes that this substantial evidence base makes the compelling case that all suicide prevention programs need to include postvention services as a direct form of suicide prevention with a population of people known to be at heightened risk for suicide themselves: suicide loss survivors.
Suicide prevention specialists and prevention planners may benefit from study findings.
A key element to suicide prevention is intervention by close others.
These findings could serve as a base for development of suicide-prevention-focused programmes and optimal use of telephone hotlines for assessment and timely intervention of persons in great crisis.
Far from being pessimistic about research into suicide prevention, the present review suggests that by introducing a number of these interventions we can be optimistic that the unacceptable rate of suicide world wide can be reduced.
Unguided Internet interventions for suicide prevention, depression and smoking cessation demonstrated cost-effectiveness compared to TAU or attention control.
This program is the first known one in which a dedicated suicide prevention helpline has been installed at a site of known suicides and linked with a mental health service.
Further research is needed to evaluate the efficacy of stand-alone mHealth technology–based interventions in suicide prevention.