Therapeutics
Psychiatric telephone contact following emergency department discharge reduces suicide re-attempts in people originally admitted for attempted suicide
Vaiva G, Ducrocq F, Meyer P, et al. Effect of telephone contact on further suicide attempts in patients discharged from an emergency department: randomised controlled study. BMJ 2006;332:12415.
Q Does telephone contact at 1 or 3 months after discharge from an emergency department reduce further suicide attempts or death by suicide in people originally admitted for attempted suicide by self-poisoning?
Key Words: suicide self-poisoning telephone follow up
| The first 150 words of the full text of this article appear below. |
Design:
Randomised controlled trial.
Allocation:
Concealed.
Blinding:
Single blind (assessors blinded)
Follow up period:
Twelve months.
Setting:
Thirteen emergency departments (EDs), France; time frame not reported.
Patients:
605 adults (1865 years) discharged from ED following attempted suicide by drug overdose/poisoning. Exclusion criteria: homeless people; people addicted to illegal drugs.
Intervention:
Telephone contact at 1 or 3 months following ED discharge, or no telephone contact. Calls were made by psychiatrists with at least 5 years experience in managing suicidal crises and consisted of psychological support (empathy, reassurance, explanation and suggestion), treatment review and promotion of treatment compliance.
Outcomes:
Proportion of people reattempting suicide; number of deaths by suicide; losses to follow up; numbers of contacts with healthcare.
Patient follow up:
70% (or 100% with intention to treat analysis)
There were no significant differences in any outcome (or in numbers of adverse outcomes) between any groups on an intention-to-treat analysis. There was,
University of Pennsylvania, Philadelphia, PA, USA
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