Combining Postcards, Crisis Cards, and Telephone Contact Into a Decision-Making Algorithm to Reduce Suicide Reattempt

Guillaume Vaiva 1, 2 Sofian Berrouiguet 3 Michel Walter 3 Philippe Courtet 4, 5 François Ducrocq 2, 6 Vincent Jardon 1 Mark Larsen Lionel Cailhol 7 Carole Godesense 8 Christophe Couturier 9 Anjali Mathur 10 Virginie Lagree 11 Catherine Pichene 12 David Travers 13 Cédric Lemogne 14, 15 Jean Marc Henry 16 Frederic Jover 17 Francoise Chastang 18 Olivier Prudhomme 19 Philippe Lestavel Catherine Thevenon Gignac 20 Stéphane Duhem 21 Anne Laure Demarty 21 Catherine Mesmeur 3 Frank Bellivier 22 Julien Labreuche 23 Alain Duhamel 23 Patrick Goldstein 6
Abstract : BACKGROUND: There is growing evidence in the literature that brief contact interventions (BCIs) might be reliable suicide prevention strategies. OBJECTIVE: To assess the effectiveness of a decision-making algorithm for suicide prevention (ALGOS) combining existing BCIs in reducing suicide reattempts in patients discharged after a suicide attempt. METHODS: A randomized, multicenter, controlled, parallel trial was conducted in 23 hospitals. The study was conducted from January 26, 2010, to February 28, 2013. People who had made a suicide attempt were randomly assigned to either the intervention group (ALGOS) or the control group. The primary outcome was the rate of participants who reattempted suicide (fatal or not) within the 6-month study period. RESULTS: 1,040 patients were recruited. After 6 months, 58 participants in the intervention group (12.8%) reattempted suicide compared with 77 (17.2%) in the control group. The difference between groups (4.4%; 95% CI, -0.7% to 9.0%) was not significant (complete-case analysis, P = .059). CONCLUSIONS: These results may help researchers better integrate BCIs into routine health care and provide new insights concerning personalized suicide prevention strategies. TRIAL REGISTRATION: ClinicalTrials.gov identifier: NCT01123174.
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Soumis le : vendredi 11 octobre 2019 - 14:38:26
Dernière modification le : mercredi 4 décembre 2019 - 09:52:03

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Guillaume Vaiva, Sofian Berrouiguet, Michel Walter, Philippe Courtet, François Ducrocq, et al.. Combining Postcards, Crisis Cards, and Telephone Contact Into a Decision-Making Algorithm to Reduce Suicide Reattempt. Journal of Clinical Psychiatry, Physicians Postgraduate Press, 2018, 79 (6), ⟨10.4088/JCP.17m11631⟩. ⟨hal-02313690⟩

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