Cited by 279Suicide and Self-Harm StudiesPsychiatric care and mental health servicesSubstance Abuse Treatment and Outcomes

Effect of telephone contact on further suicide attempts in patients discharged from an emergency department: randomised controlled study.

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Vaiva, Guillaume, Vaiva, Guillaume, Ducrocq, François, Meyer, Philippe, Mathieu, Daniel, Philippe, Alain, Libersa, Christian, Goudemand, Michel·2006·BMJ

Abstract

OBJECTIVE: To determine the effects over one year of contacting patients by telephone one month or three months after being discharged from an emergency department for deliberate self poisoning compared with usual treatment. DESIGN: Multicentre, randomised controlled trial. SETTING: 13 emergency departments in the north of France. PARTICIPANTS: 605 people discharged from an emergency department after attempted suicide by deliberate self poisoning. INTERVENTION: The intervention consisted of contacting patients by telephone at one month or three months after discharge from an emergency department for attempted suicide to evaluate the success of recommended treatment or to adjust treatment. Control patients received treatment as usual, in most cases referral back to their general practitioner. MAIN OUTCOME MEASURES: The primary outcome measures were proportion of participants who reattempted suicide, number of deaths by suicide, and losses to follow-up at 13 months' follow-up. Secondary outcome measures were types and number of contacts with health care. RESULTS: On an intention to treat basis, the three groups did not differ significantly for further suicide attempts, deaths by suicide, or losses to follow-up: contact at one month (intervention 23% (34/147) v controls 30% (93/312), difference 7%, 95% confidence interval - 2% to 15%), three months (25% (36/146) v 30%, difference 5%, - 4% to 14%). Participants contacted at one month were less likely at follow-up to report having reattempted suicide (12% v 22% in control group, difference 10%, 2% to 18%). CONCLUSION: Contacting people by telephone one month after being discharged from an emergency department for deliberate self poisoning may help reduce the number of reattempted suicides over one year.

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  1. [4]4. 4 Repetition of attempted suicide: results from the WHO/EU multicentre study on par- asuicide, repetition-prediction part. 7th European Symposium on suicide and suicidal behaviour. Ghent: Ghent University Press, 1998.
  2. [9]9. Guthrie E, Kapur N, Mackway-Jones K, Chew-Graham C, Moorey J, Mendel E, et al. Randomised controlled trial of brief psychological intervention after deliberate self poisoning. BMJ 2001;323:135-8.
  3. [16]16. Pariente P, Guelfi JD. SCL-90-R. Inventaire d'autoévaluation de la psychopathologie chez l'adulte. 1ère partie. Inventaires multidimensionnels. Psychiatr Psychobiol 1990;5:49-63.

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Authors
Vaiva, G., Vaiva, G., Ducrocq, F., Meyer, P., Mathieu, D., Philippe, A., Libersa, C., & Goudemand, M.
Affiliations
  • Université de Lille (FR)
  • University of Luxembourg (LU)
  • Inserm (FR)
Venue
BMJ
Publisher
BMJ
Published
2006-05-25
Volume
332
Issue
7552
Pages
1241-1245
ISSN
  • 0007-1447 (ISSN-L)
  • 0959-8138
  • 1468-5833
OpenAlex
W1969871914
Cited by
279
References
24
Citations by year
2026: 6 · 2025: 11 · 2024: 8 · 2023: 14 · 2022: 11 · 2021: 15 · 2020: 14 · 2019: 18 · 2018: 16 · 2017: 13 · 2016: 25 · 2015: 19 · 2014: 20 · 2013: 18 · 2012: 12
FWCI
10.68
Type
journal article
Language
en
Open access
Locations
  • BMJ (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
  • HAL (submittedVersion)
Funders
Université de Lille
Topics
  • Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
  • Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Keywords
suicide attempts, self-poisoning, telephone follow-up, emergency department discharge, suicide prevention, follow-up care, suicide mortality, loss to follow-up, post-discharge care
MeSH terms
Adolescent, Adult, Aged, Emergency Service, Hospital, Humans, Middle Aged, Patient Acceptance of Health Care, Suicide, Attempted, Telephone, Self-Injurious Behavior, Drug Overdose

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