Sáiz Pilar A, Rodríguez-Revuelta Julia, González-Blanco Leticia, Burón Patricia, Al-Halabí Susana, Garrido Marlen, García-Alvarez Leticia, García-Portilla Paz, Bobes Julio
Área de Psiquiatría, Facultad de Medicina, Universidad de Oviedo, Oviedo, España; Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Oviedo, España; Instituto Universitario de Neurociencias del Principado de Asturias (INEUROPA), Oviedo, España; Servicio de Salud del Principado de Asturias (SESPA), Oviedo, España.
Instituto Universitario de Neurociencias del Principado de Asturias (INEUROPA), Oviedo, España; Servicio de Salud del Principado de Asturias (SESPA), Oviedo, España.
Rev Psiquiatr Salud Ment. 2014 Jul-Sep;7(3):131-8. doi: 10.1016/j.rpsm.2014.01.001. Epub 2014 Mar 20.
Prevention of suicidal behaviour is a public health priority in the European Union. A previous suicide attempt is the best risk predictor for future attempts, as well as completed suicides. The primary aim of this article is to describe a controlled study protocol designed for prevention of recurrent suicidal behaviour that proposes case management, and includes a psychoeducation program, as compared with the standard intervention (PSyMAC).
Patients admitted from January 2011 to June 2013 to the emergency room of the Hospital Universitario Central de Asturias were evaluated using a protocol including sociodemographic, psychiatric, and psychosocial assessment. Patients were randomly assigned to either a group receiving continuous case management including participation in a psychoeducation program (experimental group), or a control group receiving standard care. The primary objective is to examine whether or not the period of time until recurrent suicidal behaviour in the experimental group is significantly different from that of the control group.
PSyMAC proposes low cost and easily adaptable interventions to the usual clinical setting that can help to compensate the shortcoming of specific action protocols and suicidal behaviour prevention programs in our country. The evaluation of PSyMAC results will determine their real effectivity as a case-magament program to reduce suicidal risk.
预防自杀行为是欧盟的一项公共卫生重点工作。既往自杀未遂是未来自杀未遂以及自杀死亡的最佳风险预测因素。本文的主要目的是描述一项为预防复发性自杀行为而设计的对照研究方案，该方案提出了个案管理，并包括一个心理教育项目，与标准干预措施（PSyMAC）进行比较。
对2011年1月至2013年6月入住阿斯图里亚斯中央大学医院急诊室的患者，使用包含社会人口学、精神病学和心理社会评估的方案进行评估。患者被随机分配到接受包括参与心理教育项目的持续个案管理的组（实验组）或接受标准护理的对照组。主要目的是检验实验组中出现复发性自杀行为的时间与对照组是否有显著差异。
PSyMAC提出了低成本且易于在常规临床环境中应用的干预措施，有助于弥补我国特定行动方案和自杀行为预防项目的不足。对PSyMAC结果的评估将确定其作为降低自杀风险的个案管理项目的实际有效性。
