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Evid Based Mental Health doi:10.1136/eb-2012-101042
  • Therapeutics

An assertive outreach intervention does not reduce repeat suicide attempts compared with usual care

Question

Question: Is an assertive outreach intervention better than usual care for reducing subsequent suicide attempts in a group of people who have attempted suicide?

Patients: In total, 243 people (76% female, mean age 31) older than 12 years admitted in 14 days following suicide attempt to six regional hospitals in the catchment area of Copenhagen. Exclusion criteria: patients diagnosed with schizophrenia spectrum disorders, severe depression, severe bipolar disorder and severe dementia; those receiving outreach services from social services or living in institutions; patients admitted to a psychiatric ward more than 14 days after the initial suicide attempt.

Setting: Outpatient department, Copenhagen University Hospital, Denmark; time period not stated.

Intervention: Assertive intervention for deliberate self-harm (AID) or usual care. The AID intervention consisted of 8–20 outreach consultations delivered by psychiatric nurses over a 6-month period. The intervention included case management with crisis intervention and flexible problem solving. Motivational support was provided and patients were actively assisted to and from scheduled appointments to improve compliance. Usual care consisted of referral to a range …

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