Development of Telehealth Dialogues for Monitoring Suicidal Patients with Schizophrenia

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Published in: Community Mental Health Journal, v. 50, no. 3, Apr. 2014, p. 339-342

Posted on RAND.org on April 01, 2014

by John W. Kasckow, Susan L. Zickmund, Armando J. Rotondi, Andrew Mrkva, John Gurklis, Matthew Chinman, Barbara H. Hanusa, Gretchen L. Haas, Muruga A. Loganathan, Lauren Fox

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Suicide is a health concern among individuals with schizophrenia. A telehealth system for monitoring suicidal patients with schizophrenia was developed using the Health Buddy©. The existing dialogues were improved using an expert panel; the new dialogues were tested in 10 consumers with schizophrenia and a history of suicidal behavior. Using qualitative editing, several themes emerged: (1) Certain topics elicited strong emotional responses; (2) There were concerns with confidentiality; (3) Some content was too vague and (4) There were problems with vocabulary and wording. The process yielded information for improving the intervention and demonstrated that the approach is feasible in this population.

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