New study sheds light on repeat use of out-of-hours mental health crisis service

Around half of clients of an out-of-hours mental health crisis service returned for repeat support, according to a new ARC West supported study. The research, published in BMJ Public Health, demonstrates how these ‘safe spaces’ – community-based crisis support – are an important touchpoint for people experiencing severe mental health difficulties. This is the first time use of a safe space service has been evaluated.

The researchers examined 2 years of data, between April 2020 and June 2022, from Bath Mind’s Breathing Space service. This service offers non-clinical out-of-hours mental health support in Bath and North East Somerset.

A key finding was that half of all clients returned during the study period, underlining the significant demand for ongoing crisis care beyond a single contact.

Certain groups were more likely to re-engage. Clients reporting depressive symptoms were more than 3 times as likely to return, while those presenting with suicidal ideation or self-harm were more than twice as likely. A diagnosis of psychosis was also linked to higher overall numbers of contacts.

These findings are particularly relevant for service designers and commissioners. While repeat contact can indicate unmet needs, it may also reflect the accessibility and acceptability of safe spaces as an ongoing source of support.

The researchers emphasise that further evaluation is needed to understand how best to optimise care for people experiencing depression, suicidal thoughts, self-harm or psychosis within community-based models.