Impact of Digital Safety Plan Activation on Subsequent Emergency Departments Visits Following an Initial Suicide Attempt: Quasi-Experimental Study

María Luisa Barrigón   ^{1, 2 *} , MD, PhD ;   Carlos Schmidt   ^{2, 3 *} , PhD ;   Matilde Elices   ^{2, 3 *} , PhD ;   Alejandro Porras-Segovia   ^{4 *} , MD, PhD ;   Ana María De Granda-Beltrán   ^{5 *} , MD ;   Antonio Artés-Rodríguez   ^{2, 6, 7, 8 *} , PhD ;   Philippe Courtet   ^{9 *} , MD, PhD ;   Víctor Pérez-Sola   ^{2, 3, 10 *} , MD, PhD ;   Enrique Baca-García   ^{2, 4, 5, 11, 12, 13 *} , MD, PhD

¹ Institute of Psychiatry and Mental Health, Hospital General Universitario Gregorio Marañón, IiSGM, School of Medicine, Universidad Complutense de Madrid, Madrid, Spain

² Centro de Investigación Biomédica en Red (CIBERSAM), Madrid, Spain

³ Hospital del Mar Research Institute (IMIM), Barcelona, Spain

⁴ Fundacion Jiménez Díaz Health Research Institute, Department of Psychiatry, Rey Juan Carlos Hospital Móstoles, Madrid, Spain

⁵ Department of Psychiatry, Fundacion Jiménez Díaz University Hospital, Madrid, Spain

⁶ Department of Signal Theory and Communications, Universidad Carlos III de Madrid, Leganés, Madrid, Spain

⁷ Evidence-Based Behavior (eB2), Madrid, Spain

⁸ Instituto de Investigación Sanitaria Gregorio Marañón, Madrid, Spain

⁹ Department of Emergency Psychiatry and Acute Care, Centre Hospitalier Universitaire Montpellier, University of Montpellier, Montpellier, France

¹⁰ Universidad Pompeu Fabra (UPF), Barcelona, Spain

¹¹ Departamento de Psiquiatría, Universidad Autónoma de Madrid, Madrid, Spain

¹² Departamento de Psiquiatría, Hospital Central de Villalba Villalba, Madrid, Spain

¹³ Departamento de Psiquiatría, Hospital Universitario Infanta Elena Valdemoro, Madrid, Spain

*all authors contributed equally