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Controlled Clinical Trial
. 2020 Feb;50(1):211-219.
doi: 10.1111/sltb.12576. Epub 2019 Jul 25.

Prevention of Suicidal Behavior with Telemedicine in Patients with a Recent Suicide Attempt: Is a 6-month Intervention Long Enough?

Andrea Gabilondo  1   2 , Edurne Aristegi  3 , Ana Gonzalez-Pinto  4   5 , José Martin Zurimendi  3 , Maider Mateos Del Pino  4 , Raquel Roca  6 , Iñaki Zorrilla  4   5 , Alvaro Iruin  1   2
Affiliations
Controlled Clinical Trial

Prevention of Suicidal Behavior with Telemedicine in Patients with a Recent Suicide Attempt: Is a 6-month Intervention Long Enough?

Andrea Gabilondo et al. Suicide Life Threat Behav. 2020 Feb.

Abstract

Objective: To analyze the results of a 6-month telephone follow-up program for the prevention of suicidality in adult patients discharged from three general hospitals after a suicide attempt. Results are compared with traditional programs lasting 12 months or more.

Methods: This is a prospective, multicenter, study with the control group. Patients in the intervention group received five protocolized telephone calls which were added to their usual treatment. Those in the control group only received usual treatment. Each patient was followed up for 12 months.

Results: A total of 123 patients were included in the intervention group and 463 in the control group. 57.7% received at least three calls. Patients in the intervention group took longer to perform a reattempt (p = .05). The percentage of those who did a reattempt (p = .67) and the number of reattempts per patient (p = .66) did not differ between groups. Those in the intervention group showed higher percentages of adherence to the outpatient follow-up (p < .001).

Conclusion: The intervention was well accepted and showed improved percentages of adherence to outpatient follow-up; however, the results in the prevention of suicidality were worse than those obtained by programs lasting 12 months or more. It is advisable to maintain the telephone follow-up for a minimum of 12 months.

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References

    1. Bertolote, J. M., Fleischmann, A., de Leo, D., Phillips, M. R., Botega, N. J., Vijayakumar, L., et al. (2010). Repetition of suicide attempts: Data from emergency care settings in five culturally different low- and middle-income countries participating in the WHO SUPRE-MISS Study. Crisis, 31, 194-201.
    1. Carroll, R., Metcalfe, C., & Gunnell, D. (2014). Hospital presenting self-harm and risk of fatal and non-fatal repetition: Systematic review and meta-analysis. PLoS ONE, 9, e89944, eCollection 2014.
    1. Cebrià, A. I., Parra, I., Pàmias, M., Escayola, A., García-Parés, G., Puntí, J., et al. (2013). Effectiveness of a telephone management programme for patients discharged from an emergency department after a suicide attempt: Controlled study in a Spanish population. Journal of Affective Disorders, 147, 269-276.
    1. Cedereke, M., Monti, K., & Ojehagen, A. (2002). Telephone contact with patients in the year after a suicide attempt: Does it affect treatment attendance and outcome? A randomised controlled study. European Psychiatry, 17, 82-91.
    1. Chakrabarti, S. (2014). What's in a name? Compliance, adherence and concordance in chronic psychiatric disorders. World Journal of Psychiatry, 4, 30-36.

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