Exbrayat Sophie, Coudrot Clotilde, Gourdon Xavier, Gay Aurélia, Sevos Jessica, Pellet Jacques, Trombert-Paviot Béatrice, Massoubre Catherine
Department of Emergency Psychiatry, University Hospital, Saint-Étienne, France.
Department of Adult Psychiatry, University Hospital, Saint-Étienne, France.
BMC Psychiatry. 2017 Mar 20;17(1):96. doi: 10.1186/s12888-017-1258-6.
Attempted suicide is a major public health problem, and the efficacies of current postvention protocols vary. We evaluated the effectiveness of telephone follow-up of patients referred to an emergency psychiatric unit for attempted suicide on any further attempt/s over the following year.
In a single-center, controlled study with intent to treat, we evaluated the efficacy of a protocol of telephone follow-up of 436 patients at 8, 30, and 60 days after they were treated for attempted suicide. As controls for comparison, we evaluated patients with similar social and demographic characteristics referred to our emergency psychiatric unit in the year prior to the study who did not receive telephone follow-up after their initial hospitalization. Data were analyzed using logistic regression.
Very early telephone follow-up of our patients effectively reduced recidivism and seemed to be the only protective factor against repeated suicide attempt.
Implementing a protocol of early telephone follow-up after attempted suicide could help prevent repeated attempt/s. More controlled studies are needed to assess optimal techniques to prevent such repetition.
自杀未遂是一个重大的公共卫生问题，当前的事后干预方案效果各异。我们评估了转至急诊精神科的自杀未遂患者在接下来一年中接受电话随访对预防再次自杀未遂的有效性。
在一项单中心、意向性治疗的对照研究中，我们评估了对436例自杀未遂患者在治疗后第8天、30天和60天进行电话随访方案的疗效。作为对照比较，我们评估了在研究前一年转至我们急诊精神科、初次住院后未接受电话随访且具有相似社会和人口统计学特征的患者。数据采用逻辑回归分析。
对我们的患者进行极早期电话随访有效降低了复发率，似乎是预防再次自杀未遂的唯一保护因素。
实施自杀未遂后早期电话随访方案有助于预防再次自杀未遂。需要更多对照研究来评估预防此类复发的最佳技术。
