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电话随访与面对面随访对有多次自杀未遂史个体预防复发性自杀未遂的效果。

Effect of phone call versus face-to-face follow-up on recurrent suicide attempts prevention in individuals with a history of multiple suicide attempts.

作者信息

Mousavi Seyed Ghafur, Amini Mohsen, Mahaki Behzad, Bagherian-Sararoudi Reza

机构信息

Department of Psychiatry, Behavioral Sciences Research Center, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.

Department of Epidemiology, Behavioral Sciences Research Center, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran.

出版信息

Adv Biomed Res. 2016 Nov 28;5:184. doi: 10.4103/2277-9175.190990. eCollection 2016.

Abstract

BACKGROUND

To evaluate the efficacy of different ways of communications on prevention of suicidal reattempt, we compared the efficacy of phone call versus face-to-face follow-up in patients with previous attempt.

MATERIALS AND METHODS

In a randomized controlled clinical trial, 55 suicide reattempters who were admitted to the poisoning emergency were divided into phone call (29 patients) and face-to-face (26 patients) groups randomly. They were followed at 8 occasions: 2 and 4 weeks, and the 2, 3, 4, 5, 6, and 8 months. The suicidal reattempt, suicidal thought, hope, and interest of the patients were assessed on each occasion, and the patients were guided to visit by a therapist, if needed. The findings were analyzed by Mann-Whitney, Chi-square, Cochran, Friedman, and independent -tests using SPSS 20.

RESULTS

The status of "hope" and "interest" improved in both groups, but it showed more significant difference in the face-to-face group. Suicidal thoughts in both groups decreased over time, and this was more significant in the face-to-face group. However, we did not found any significant difference in the frequency of the suicidal reattempts between two groups.

CONCLUSION

Face-to-face versus phone call follow-up of suicide attempters can significantly alleviate suicidal thoughts and improve hopes and interests.

摘要

背景

为评估不同沟通方式对预防自杀再次未遂的效果,我们比较了对有过自杀未遂史患者进行电话随访与面对面随访的效果。

材料与方法

在一项随机对照临床试验中,将55名因中毒急诊入院的自杀再次未遂者随机分为电话随访组(29例患者)和面对面随访组(26例患者)。在2周、4周以及第2、3、4、5、6和8个月这8个时间点对他们进行随访。每次随访时评估患者的自杀再次未遂情况、自杀念头、希望和兴趣,如有需要,由治疗师指导患者就诊。使用SPSS 20软件,通过曼-惠特尼检验、卡方检验、 Cochr an检验、弗里德曼检验和独立样本检验对研究结果进行分析。

结果

两组患者的“希望”和“兴趣”状况均有所改善,但面对面随访组的改善更为显著。两组患者的自杀念头均随时间减少,且面对面随访组更为明显。然而,两组间自杀再次未遂的频率未发现显著差异。

结论

对自杀未遂者进行面对面随访与电话随访相比,可显著减轻自杀念头,改善希望和兴趣。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/01d2/5156977/c99e45f31228/ABR-5-184-g001.jpg

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