{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T08:58:26Z","timestamp":1773392306541,"version":"3.50.1"},"reference-count":59,"publisher":"Hogrefe Publishing Group","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Crisis"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:p>Abstract: Background: The relative risk of subsequent suicidal behaviors (and suicide mortality) is high following an episode of hospital-treatment for suicidal behavior. This study evaluated the effectiveness of telehealth aftercare interventions in reducing suicidal behaviors. Methods: A systematic review was conducted using 13 online databases (from inception until July 2024). Analyses included narrative synthesis and random effects meta-analyses based on study design. Risk of bias was assessed by Cochrane tools. Results: We identified n = 14 studies involving n = 14,420 participants. Pooled effect estimates compared to usual treatment showed nonsignificantly reduced suicidal behavior in nonrandomized controlled trials (RR, 0.676 [CI 95% 0.453\u20131.008]), (7 studies), but no difference in randomized controlled trials (RR, 0.929 [CI 95% 0.734\u20131.175]) (6 studies, one study precluded analysis). The overall risk of bias was high across studies. Limitations : Many studies were underpowered, telehealth was often delivered in combination with other interventions, and the mode of telehealth was limited to telephone. Conclusions: Telehealth does not appear to confer benefit above usual treatment for suicidal behavior during follow-up, although the small number of studies and high risk of bias limits confidence in the precision of estimates of effect size. Further research might use well-designed studies to examine different clinical end points for suicidal behavior (number of or time to events) or other outcomes (retention in aftercare or other healthcare treatment).<\/jats:p>","DOI":"10.1027\/0227-5910\/a001029","type":"journal-article","created":{"date-parts":[[2025,12,17]],"date-time":"2025-12-17T08:02:26Z","timestamp":1765958546000},"page":"105-119","source":"Crossref","is-referenced-by-count":0,"title":["A Systematic Review and Meta-Analysis of Telehealth Aftercare Interventions to Reduce Suicidal Behavior or Suicide Following Hospital Treatment in the Emergency Department"],"prefix":"10.1027","volume":"47","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4313-248X","authenticated-orcid":true,"given":"Eva","family":"Louie","sequence":"first","affiliation":[{"name":"Sydney Medical School, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia"},{"name":"Edith Collins Centre (Translational Centre in 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