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Effectiveness of a telephone management programme for patients discharged from an emergency department after a suicide attempt: Controlled study in a Spanish population
- Source :
- JOURNAL OF AFFECTIVE DISORDERS, r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau, instname
- Publication Year :
- 2013
- Publisher :
- ELSEVIER, 2013.
-
Abstract
- Objective: To determine the effectiveness over one year of a specific telephone management programme on patients discharged from an emergency department (ED) after a suicide attempt. We hypothesized that the programme will reduce the percentage of patients re-attempting suicide and delay the time between attempts. Design: A multicentre, case-control, population-based study. The effect of the 1-year intervention on the main outcome measures was evaluated with respect to a 1-year baseline period and a control group. Setting: Two hospitals with distinct catchment areas in Catalonia (Spain). Participants: A total of 991 patients discharged from the ED of either hospital after a suicide attempt during the baseline year and the intervention year. Intervention: The intervention was carried out on patients discharged from the ED for attempted suicide (Sabadell). It consisted of a systematic, one-year telephone follow-up programme: after 1 week, thereafter at 1, 3, 6,9 and 12-month intervals, to assess the risk of suicide and increasing adherence to treatment. The population in the control group (Terrassa) received treatment as usual after discharge, without additional telephone management. Main outcome measures: Time elapsed between initial suicide attempt and subsequent one, and changes in the annual rate of patients who reattempted suicide in the year of the intervention and the preceding one. Results: The telephone management programme delayed suicide reattempts in the intervention group compared to the baseline year (mean time in days to first reattempt, year 2008=346.47, sd=4.65; mean time in days to first reattempt, year 2007=316.46, sd = 7.18; P
- Subjects :
- Adult
Male
Risk
medicine.medical_specialty
Population
Psychological intervention
Poison control
Suicide, Attempted
Telephone follow-up
Population-based
Suicide prevention
Young Adult
Intervention (counseling)
Outcome Assessment, Health Care
Secondary Prevention
medicine
Suicide attempt
Humans
education
Depression (differential diagnoses)
Depressive Disorder, Major
education.field_of_study
Experimental study
business.industry
Emergency department
Middle Aged
Telephone
Psychiatry and Mental health
Clinical Psychology
Spain
Discharge from emergency department
Case-Control Studies
Emergency medicine
Female
Emergency Service, Hospital
business
Program Evaluation
Subjects
Details
- ISSN :
- 01650327
- Database :
- OpenAIRE
- Journal :
- JOURNAL OF AFFECTIVE DISORDERS, r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau, instname
- Accession number :
- edsair.doi.dedup.....60079670851e0c3ce4bb5cb1bb18fa4c