{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T09:10:10Z","timestamp":1788772210181,"version":"build-2803163510"},"reference-count":31,"publisher":"Royal College of Psychiatrists","issue":"5","license":[{"start":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T00:00:00Z","timestamp":1788739200000},"content-version":"unspecified","delay-in-days":6,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["BJPsych open"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:sec id=\"S2056472426120882_as1\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>National policy frameworks, including the UK Government\u2019s Suicide Prevention Strategy (2023\u20132028), emphasise person-centred, relational approaches that prioritise therapeutic engagement, collaborative safety planning and a flexible understanding of psychosocial risk. Peer support and lived experience initiatives are increasingly recognised as vital components of suicide prevention and recovery support. Community-based suicide crisis (CBSC) support, which emphasises rapid access, person-centred care and lived experience integration, was established to provide immediate support without clinical criteria, barriers to access or waiting lists.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S2056472426120882_as2\">\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To examine outcomes of a CBSC intervention supporting individuals in suicidal crisis, with particular attention to differences in outcomes across National Health Service (NHS) and non-NHS\/self-referral pathways.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S2056472426120882_as3\">\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>\n                      A mixed-methods explanatory sequential design was adopted to provide a comprehensive assessment of service impact and client outcomes among individuals (\n                      <jats:italic>n<\/jats:italic>\n                      = 9801) referred through the NHS (\n                      <jats:italic>n<\/jats:italic>\n                      = 2929, 30%) or non-NHS\/self-referrals (\n                      <jats:italic>n<\/jats:italic>\n                      = 6872, 70%) between 2019 and 2025.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S2056472426120882_as4\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A subanalysis of 1387 (14%) client interventions showed significant improvements across all mental health recovery domains (\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.05), particularly among older clients (aged \u226565 years). Fifty interviews with clients, carers, staff and referrers generated three themes around accessibility, rapid response, continuity of care and the value of lived experience in building trust, reducing stigma and helping with long-term recovery.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S2056472426120882_as5\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>CBSC services would benefit from the expansion of NHS partnerships to extend regional reach, standardised monitoring and follow-up, and the strategic use of outcome data to strengthen advocacy and secure sustainable funding. Embedding this community-based model firmly within wider health systems has the potential to enhance its impact, ensure equitable access and inform broader systemic developments in suicide prevention.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1192\/bjo.2026.12088","type":"journal-article","created":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T08:39:41Z","timestamp":1788770381000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["\u2018It wasn\u2019t just me\u2019. Community voices of hope in suicide prevention: mixed-methods study of a community-based crisis service"],"prefix":"10.1192","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4981-7914","authenticated-orcid":false,"given":"Pooja","family":"Saini","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/04zfme737","id-type":"ROR","asserted-by":"publisher"}],"name":"Liverpool John Moores University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashline","family":"George","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/04zfme737","id-type":"ROR","asserted-by":"publisher"}],"name":"Liverpool John Moores University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4798-9536","authenticated-orcid":false,"given":"Laura Marie","family":"Sambrook","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/04zfme737","id-type":"ROR","asserted-by":"publisher"}],"name":"Liverpool John Moores University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Em","family":"Avery","sequence":"additional","affiliation":[{"name":"The Martin Gallier Project"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deryn","family":"Basnett","sequence":"additional","affiliation":[{"name":"The Martin Gallier Project"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica","family":"Gallier-Booth","sequence":"additional","affiliation":[{"name":"The Martin Gallier Project"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"170","published-online":{"date-parts":[[2026,9,7]]},"reference":[{"key":"S2056472426120882_ref21","doi-asserted-by":"publisher","DOI":"10.1186\/1752-4458-4-19"},{"key":"S2056472426120882_ref27","doi-asserted-by":"publisher","DOI":"10.3109\/00048674.2010.549996"},{"key":"S2056472426120882_ref30","doi-asserted-by":"publisher","DOI":"10.1177\/1525822X05279903"},{"key":"S2056472426120882_ref31","doi-asserted-by":"publisher","DOI":"10.1016\/S2215-0366(20)30308-4"},{"key":"S2056472426120882_ref4","doi-asserted-by":"publisher","DOI":"10.3399\/bjgp20X709913"},{"key":"S2056472426120882_ref11","unstructured":"11 Saini, P , Chopra, J , Hanlon, C , Boland, J , O\u2019Donaghue, E. James\u2019 Place Liverpool Evaluation: Year Two Report. Liverpool John Moores University, 2021 (https:\/\/www.jamesplace.org.uk\/wp-content\/uploads\/2021\/11\/Year-two-Report-Final-September-2021.pdf)."},{"key":"S2056472426120882_ref19","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph17010249"},{"key":"S2056472426120882_ref9","doi-asserted-by":"publisher","DOI":"10.1080\/23311908.2022.2066824"},{"key":"S2056472426120882_ref8","unstructured":"8 Saini, P , Hendriks, O , Foster, R. \u2018When I Came Here, Everything Changed\u2019. Evaluating the Impact of Alfie\u2019s Squad: A Peer Support Service for Families Bereaved by Suicide. Liverpool John Moores University, 2025 (https:\/\/researchonline.ljmu.ac.uk\/id\/eprint\/27129\/1\/When%20I%20came%20here%20everything%20changed%20Evaluating%20the%20impact%20of%20Alfies%20Squad%20A%20peer%20support%20service%20for%20families%20bereaved%20by%20suicide.pdf)."},{"key":"S2056472426120882_ref7","unstructured":"7 Saini, P , Chopra, J , Hanlon, C , Boland, J , Harrison, R , Timpson, H. James\u2019 Place Evaluation: One-Year Report. Liverpool John Moores University, 2020 (https:\/\/www.jamesplace.org.uk\/wp-content\/uploads\/2020\/10\/James-Place-One-Year-Evaluation-Report-Final-20.10.2020.pdf)."},{"key":"S2056472426120882_ref16","doi-asserted-by":"publisher","DOI":"10.1192\/bjo.2025.10826"},{"key":"S2056472426120882_ref22","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/mzx166"},{"key":"S2056472426120882_ref23","doi-asserted-by":"publisher","DOI":"10.1016\/B978-0-323-91790-2.00070-8"},{"key":"S2056472426120882_ref26","volume-title":"Mental Health Recovery Star User Guide","year":"2008"},{"key":"S2056472426120882_ref5","year":"2023","journal-title":"Suicide Prevention Strategy for England: 2023 to 2028"},{"key":"S2056472426120882_ref12","doi-asserted-by":"publisher","DOI":"10.1037\/11869-000"},{"key":"S2056472426120882_ref17","doi-asserted-by":"publisher","DOI":"10.1111\/hex.13661"},{"key":"S2056472426120882_ref1","unstructured":"1 World Health Organisation (WHO). Suicide Fact Sheet. WHO, 2025 (https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/suicide)."},{"key":"S2056472426120882_ref3","unstructured":"3 NHS England. Staying Safe from Suicide: Guidance for Mental Health Services. NHS England, 2025 (https:\/\/www.england.nhs.uk\/long-read\/staying-safe-from-suicide\/)."},{"key":"S2056472426120882_ref6","unstructured":"6 Office for Health Improvement & Disparities. Part 1: Introducing Recovery, Peer Support and Lived Experience Initiatives. GOV.UK, 2025 (https:\/\/www.gov.uk\/government\/publications\/recovery-support-services-and-lived-experience-initiatives\/part-1-introducing-recovery-peer-support-and-lived-experience-initiatives)."},{"key":"S2056472426120882_ref14","doi-asserted-by":"publisher","DOI":"10.1098\/rstb.2017.0268"},{"key":"S2056472426120882_ref20","doi-asserted-by":"publisher","DOI":"10.3109\/09638237.2015.1036973"},{"key":"S2056472426120882_ref15","doi-asserted-by":"publisher","DOI":"10.1027\/0227-5910\/a000120"},{"key":"S2056472426120882_ref24","first-page":"446","article-title":"Research methods in education","volume":"48","author":"Cohen","year":"2000","journal-title":"Br J Educ Stud"},{"key":"S2056472426120882_ref2","unstructured":"2 Office for National Statistics (ONS). Suicides in England and Wales: 2023 Registrations. ONS, 2024 (https:\/\/www.ons.gov.uk\/peoplepopulationandcommunity\/birthsdeathsandmarriages\/deaths\/bulletins\/suicidesintheunitedkingdom\/2023)."},{"key":"S2056472426120882_ref28","unstructured":"28 Braun, V , Clarke, V. Thematic Analysis: A Practical Guide. Sage Publications Ltd, 2021 (https:\/\/uk.sagepub.com\/en-gb\/eur\/thematic-analysis\/book248481)."},{"key":"S2056472426120882_ref29","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2011.08.002"},{"key":"S2056472426120882_ref13","doi-asserted-by":"publisher","DOI":"10.1111\/j.1943-278X.2012.00119.x"},{"key":"S2056472426120882_ref10","doi-asserted-by":"publisher","DOI":"10.1192\/bjo.2025.30"},{"key":"S2056472426120882_ref25","doi-asserted-by":"publisher","DOI":"10.1192\/pb.bp.111.034264"},{"key":"S2056472426120882_ref18","unstructured":"18 LivingWorks. Our Accreditation . LivingWorks n.d. (https:\/\/livingworks.net\/evidence-impacts\/our-accreditation\/)."}],"container-title":["BJPsych Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S2056472426120882","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T08:39:48Z","timestamp":1788770388000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S2056472426120882\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9]]},"references-count":31,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2026,9]]}},"alternative-id":["S2056472426120882"],"URL":"https:\/\/doi.org\/10.1192\/bjo.2026.12088","relation":{},"ISSN":["2056-4724"],"issn-type":[{"value":"2056-4724","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9]]},"assertion":[{"value":"\u00a9 The Author(s), 2026. Published by Cambridge University Press on behalf of Royal College of Psychiatrists","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}],"article-number":"e227"}}