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Evidence-Based Mental Health 2007;10:19; doi:10.1136/ebmh.10.1.19
Copyright © 2007 by BMJ Publishing Group Ltd, Royal College of Psychiatrists, & British Psychological Society.

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;332:1241–5.[Abstract/Free Full Text]

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.

METHODS

Formula Design: Randomised controlled trial.

Formula Allocation: Concealed.

Formula Blinding: Single blind (assessors blinded)

Formula Follow up period: Twelve months.

Formula Setting: Thirteen emergency departments (EDs), France; time frame not reported.

Formula Patients: 605 adults (18–65 years) discharged from ED following attempted suicide by drug overdose/poisoning. Exclusion criteria: homeless people; people addicted to illegal drugs.

Formula 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.

Formula Outcomes: Proportion of people reattempting suicide; number of deaths by suicide; losses to follow up; numbers of contacts with healthcare.

Formula Patient follow up: 70% (or 100% with intention to treat analysis)

MAIN RESULTS

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, . . . [Full text of this article]

Gregory K Brown, PhD, Shannon Wiltsey Stirman, PhD

University of Pennsylvania, Philadelphia, PA, USA


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