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Psychol Med. 1995 Sep;25(5):963-70.

The management of non-compliance with referral to out-patient after-care among attempted suicide patients: a controlled intervention study.

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Department of Psychiatry, University Hospital Gent, Belgium.


The failure to comply with referral for out-patient after-care is a well-documented problem among attempted suicide patients. The present study aimed at the investigation of an experimental referral procedure by means of a randomized controlled study. Non-compliant patients in the experimental group were visited in their homes by a community nurse in order to assess reasons for non-compliance and to motivate patients to comply with referral. One year after their suicide attempt patients were visited in their homes in order to assess repetition of suicidal behaviour. Uni- and multi-variate analyses showed a significant beneficial effect of the experimental procedure on compliance with referral. A near-significant effect of the experimental procedure on the rate of repetition of suicidal behaviour was found.

[Indexed for MEDLINE]

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