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BMC Psychiatry. 2017 Mar 20;17(1):96. doi: 10.1186/s12888-017-1258-6.

Effect of telephone follow-up on repeated suicide attempt in patients discharged from an emergency psychiatry department: a controlled study.

Author information

1
Department of Emergency Psychiatry, University Hospital, Saint-Étienne, France.
2
Department of Adult Psychiatry, University Hospital, Saint-Étienne, France.
3
TAPE Laboratory, EA 7423, Jean Monnet University, Saint-Étienne, France.
4
Department of Adult Psychiatry, University Hospital, Saint-Étienne, France. j.sevos@hotmail.fr.
5
TAPE Laboratory, EA 7423, Jean Monnet University, Saint-Étienne, France. j.sevos@hotmail.fr.
6
Centre Hospitalier Universitaire de Saint-Étienne, Département de Psychiatrie Adulte, Hôpital Bellevue, Pavillon 52A, 25 Boulevard Pasteur, 42055, Saint-Étienne Cedex 2, France. j.sevos@hotmail.fr.
7
Department of Public Health and Medical Information, University Hospital, Saint-Étienne, France.

Abstract

BACKGROUND:

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.

METHOD:

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.

RESULTS:

Very early telephone follow-up of our patients effectively reduced recidivism and seemed to be the only protective factor against repeated suicide attempt.

CONCLUSIONS:

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.

KEYWORDS:

Emergency; Follow-up; Nurse; Phone; Suicide attempts

PMID:
28320345
PMCID:
PMC5359948
DOI:
10.1186/s12888-017-1258-6
[Indexed for MEDLINE]
Free PMC Article

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