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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

Authors :
Vicenç Valles
Montserrat Pàmias
Anna Escayola
Myriam Cavero
Víctor Pérez-Sola
Gemma García-Parés
Joaquim Puntí
Isabel Parra
Diego Palao
Ulrich Hegerl
Andrés Laredo
Joan Carles Oliva
Ana Isabel Cebrià
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

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