A case series study of an innovative community-based brief psychological model for men in suicidal crisis

Objectives To conduct a 1-year evaluation of James' Place, a suicidal crisis centre delivering a clinical intervention in a community setting. Design A case series study, following men entering the service during the first year of operation. Participants Men experiencing a suicidal crisis referred to the service (N = 265), with N = 176 going on to engage in therapy. Intervention The James' Place Model is a therapeutic intervention offered to men who are in a suicidal crisis. Trained therapists provide a range of therapeutic approaches and interventions, focusing on decreasing suicidal distress and supporting men to develop resilience and coping strategies. Main outcome measures CORE-34 Clinical Outcome Measure (CORE-OM). Results For all subscales of the CORE-OM there was a significant reduction in mean scores between assessment and discharge (p < 0.001), with all outcomes demonstrating a large effect size. All reductions illustrated a clinically significant change or a reliable change. Conclusions Our results support the use of the James' Place Model for men in suicidal distress to aid in potentially preventing suicides in this high-risk group of the population.