More than 5.3 million individuals at risk for suicide seek treatment through emergency departments (EDs), despite the fact that EDs are not well suited for their care. Crisis Stabilization Centers (CSCs) are a person-centered alternative to EDs. CSCs are community-based, recovery-focused centers that operate 24/7 and accept suicidal persons into their receiving centers via crisis walk-ins, police drop-offs, and ED transfers. More than 600 CSCs are operational nationwide and are rapidly expanding across the United States due to the 988 Lifeline expansion. However, research on CSC care outcomes are severely limited, have mixed results, and are difficult to interpret due to methodological constraints. Importantly, CSCs currently have no brief, recovery-focused psychological interventions that can be deployed in this setting with demonstrated effectiveness for reducing suicide risk.
Toward Recovery, Interpersonal growth, Values, and Engagement (THRIVE) is a suicide recovery and care transitions program. THRIVE is theoretically rooted in the Interpersonal Theory of Suicide. In this presentation, Dr. Lockman will describe the theoretical framework for THRIVE, share preliminary data, and discuss the importance of a paradigm shift toward recovery-focused interventions to help suicidal persons not only stay safe and “not die” but THRIVE.