{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:34:06Z","timestamp":1753878846915,"version":"3.41.2"},"reference-count":14,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,6,17]],"date-time":"2025-06-17T00:00:00Z","timestamp":1750118400000},"content-version":"vor","delay-in-days":16,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001078","name":"Emergency Medicine Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001078","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100010398","name":"Metro South Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100010398","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Mental Health Nurs"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:p>The global rise in presentations to emergency departments (EDs) for suicidal crises has created significant challenges for healthcare systems. Traditional approaches often emphasise containment and risk aversion, leading to prolonged ED stays and resource\u2010intensive inpatient admissions. A large Australian metropolitan mental health service introduced a Wellbeing Team (WBT), and trialled the recovery\u2010oriented AIMS (assessment, intervention, monitoring, step up\/down) pathway. Grounded in the PROTECT framework, its focus is on person\u2010centred care, integrating positive risk\u2010taking and collaborative safety planning to stabilise individuals and reduce reliance on public mental health services. This study analysed 552 people referred to the WBT over 32\u2009months, primarily from EDs (47.1%) and acute care teams (47.5%). The population predominantly consisted of women (63.2%), with a mean age of 27.9\u2009years. The most common diagnoses were adjustment disorders (30.4%), depressive episodes (22.3%) and emotionally unstable personality disorder (14.7%). The WBT provided tailored interventions, including motivational interviewing, safety planning, distress tolerance techniques and psychopharmacological optimisation, guided by tools like the DESPAIR safety formulation. Outcomes revealed significant system efficiencies, with only 3.8% of participants requiring ongoing public mental health support. Most participants were successfully transitioned to primary care. Six\u2010month post\u2010intervention data showed 76.3% of individuals with no prior public mental health involvement did not re\u2010present, and 60.7% with prior involvement did not require further input from secondary mental health services. These findings demonstrate the efficiency of recovery\u2010oriented care in reducing systemic pressures while fostering sustainable outcomes, underscoring the potential of short\u2010term, intensive, structured interventions like AIMS to transform suicide prevention pathways.<\/jats:p>","DOI":"10.1111\/inm.70080","type":"journal-article","created":{"date-parts":[[2025,6,17]],"date-time":"2025-06-17T11:51:34Z","timestamp":1750161094000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Efficiency of <scp>AIMS<\/scp>: A 4\u2010Week Recovery Oriented Suicide Prevention Pathway"],"prefix":"10.1111","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8497-7083","authenticated-orcid":false,"given":"Manaan","family":"Kar Ray","sequence":"first","affiliation":[{"name":"Australian Institute for Suicide Research and Prevention Griffith University  Brisbane Queensland Australia"},{"name":"Addiction and Mental Health Services Princess Alexandra Hospital, Metro South Hospital and Health Service  Brisbane Queensland Australia"},{"name":"PA\u2010Southside Clinical Unit, Faculty of Medicine, Princess Alexandra Hospital University of Queensland  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-9614-9367","authenticated-orcid":false,"given":"Annabelle","family":"Groth","sequence":"additional","affiliation":[{"name":"Addiction and Mental Health Services Princess Alexandra Hospital, Metro South Hospital and Health Service  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-5784-3920","authenticated-orcid":false,"given":"Nicola","family":"Geffen","sequence":"additional","affiliation":[{"name":"Addiction and Mental Health Services Princess Alexandra Hospital, Metro South Hospital and Health Service  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-3859-1883","authenticated-orcid":false,"given":"Melanie","family":"Gregory","sequence":"additional","affiliation":[{"name":"Addiction and Mental Health Services Princess Alexandra Hospital, Metro South Hospital and Health Service  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eliza","family":"Farley","sequence":"additional","affiliation":[{"name":"Queensland Centre for Mental Health Learning West Moreton Health  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3436-8159","authenticated-orcid":false,"given":"Abigail","family":"Lane","sequence":"additional","affiliation":[{"name":"Addiction and Mental Health Services Princess Alexandra Hospital, Metro South Hospital and Health Service  Brisbane Queensland Australia"},{"name":"PA\u2010Southside Clinical Unit, Faculty of Medicine, Princess Alexandra Hospital University of Queensland  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1947-3070","authenticated-orcid":false,"given":"Muthur","family":"Anand","sequence":"additional","affiliation":[{"name":"Addiction and Mental Health Services Princess Alexandra Hospital, Metro South Hospital and Health Service  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9705-8094","authenticated-orcid":false,"given":"Chiara","family":"Lombardo","sequence":"additional","affiliation":[{"name":"Health Innovation East  Cambridge UK"},{"name":"Department of Psychiatry University of Cambridge  Cambridge UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8877-4232","authenticated-orcid":false,"given":"Marianne","family":"Wyder","sequence":"additional","affiliation":[{"name":"Addiction and Mental Health Services Princess Alexandra Hospital, Metro South Hospital and Health Service  Brisbane Queensland Australia"},{"name":"The Hopkins Centre Griffith University  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,6,17]]},"reference":[{"volume-title":"Provisional Drug Overdose Death Counts","year":"2021","author":"Ahmad F.","key":"e_1_2_13_2_1"},{"unstructured":"Australian Institute of Health and Welfare.2024.\u201cMental Health Services in Australia.\u201dhttps:\/\/www.aihw.gov.au\/reports\u2010data\/health\u2010welfare\u2010services\/mental\u2010health\u2010services\/overview.","key":"e_1_2_13_3_1"},{"doi-asserted-by":"publisher","key":"e_1_2_13_4_1","DOI":"10.1111\/j.1447\u20100349.2007.00455.x"},{"issue":"4","key":"e_1_2_13_5_1","first-page":"1","article-title":"Youth Risk Behavior Surveillance\u2014United States, 2011","volume":"61","author":"Eaton D. 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