Attempted suicide is a major public health problem, and the efficacies of current postvention protocols vary. We evaluated the effectiveness of telephone follow-up of patients referred to an emergency psychiatric unit for attempted suicide on any further attempt/s over the following year.
In a single-center, controlled study with intent to treat, we evaluated the efficacy of a protocol of telephone follow-up of 436 patients at 8, 30, and 60 days after they were treated for attempted suicide. As controls for comparison, we evaluated patients with similar social and demographic characteristics referred to our emergency psychiatric unit in the year prior to the study who did not receive telephone follow-up after their initial hospitalization. Data were analyzed using logistic regression.
Very early telephone follow-up of our patients effectively reduced recidivism and seemed to be the only protective factor against repeated suicide attempt.
Implementing a protocol of early telephone follow-up after attempted suicide could help prevent repeated attempt/s. More controlled studies are needed to assess optimal techniques to prevent such repetition.
World Health Organization. Preventing suicide: a global imperative. Geneva: WHO; 2014.
French Federation of Psychiatry. The suicidal crisis: recognition and taking care. Paris: Consensus conference; 2001. [In French]
Gilbody S, House A, Owens D. The early repetition of deliberate self-harm. J R Coll Physicians Lond. 1997;31(2):171–2. PubMed
Carter GL, Clover K, Whyte IM, Dawson AH, D’Este C. Postcards from the EDge project: randomised controlled trial of an intervention using postcards to reduce repetition of hospital treated deliberate self-poisoning. BMJ. 2005;331(7520):805. doi: 10.1136/bmj.38579.455266.E0. CrossRefPubMedPubMedCentral
Geneste J, Durand Roger J, Peyrat S, Christol N, Damsa C, Llorca PM, et al. Recall of patients admitted to the emergency department of the university hospital of Clermont-Ferrand for attempted suicide : assessment at 6 months. Eur J Emerg. 2009;22(S2):A114. [Article in French]
Vaiva G, Walter M, Al Arab AS, Courtet P, Bellivier F, Demarty AL, et al. ALGOS: the development of a randomized controlled trial testing a case management algorithm designed to reduce suicide risk among suicide attempters. BMC Psychiatry. 2011;11(1):1–10. doi: 10.1186/1471-244X-11-1. CrossRefPubMedPubMedCentral
Jehel L, Simon G. Criteria for evaluation and monitoring in managing a suicidal crisis. Soins Psychiatr. 2010;266:37–41. doi:SPSY-01-02-2010-31-266-0241-6972-101019-200909229 [Article in French]
Shea SC, Terra JL, Séguin M. Evaluation of suicide potential: how to intervene for prevention. Paris: Elsevier Masson; 2008. [Article in French]
Cebrià AI, Parra I, Pàmias M, Escayola A, García-Parés G, Puntí J, et al. Effectiveness of a telephone management programme for patients discharged from an emergency department after a suicide attempt: controlled study in a Spanish population. J Affect Disord. 2013;147(1-3):269–76. doi: 10.1016/j.jad.2012.11.016. CrossRefPubMed
Fleischmann A, Bertolote JM, Wasserman D, De Leo D, Bolhari J, Botega NJ, et al. Effectiveness of brief intervention and contact for suicide attempters: a randomized controlled trial in five countries. Bull World Health Organ. 2008;86(9):703–9. doi: 10.2471/BLT.07.046995. CrossRefPubMedPubMedCentral
Kudo K, Otsuka K, Endo J, Yoshida T, Isono H, Yambe T, et al. Study of the outcome of suicide attempts: characteristics of hospitalization in a psychiatric ward group, critical care center group, and non-hospitalized group. BMC Psychiatry. 2010;10(1):4. doi: 10.1186/1471-244X-10-4. CrossRefPubMedPubMedCentral
- Effect of telephone follow-up on repeated suicide attempt in patients discharged from an emergency psychiatry department: a controlled study
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