Universidad Loyola Andalucía.
Psicothema. 2019 May;31(2):107-113. doi: 10.7334/psicothema2018.247.
Development of effective programs for suicide prevention is a global priority. This study evaluated the differential effectiveness of the combination of several strategies to prevent repetition of suicide attempts.
Participants were patients who entered the Emergency Department after a non-fatal suicide attempt. A total of 163 participants (68.1% females, mean age = 41.39) met the inclusion criteria and were spread across three groups: One group received a passive strategy consisting of preventive information, a second group received the passive strategy combined with an active component of case management (MAC), and a third group received the passive strategy, case management and a psychoeducational programme (PSyMAC). Randomization of participants was not possible. The study included assessments at the beginning, and follow-ups every six months up to 30 months.
The study showed no significant differences between groups in the number of re-attempts. Logistic regression showed a positive effect for MAC.
The present study showed that the use of case management could be a promising strategy, but more research is needed.
制定有效的预防自杀计划是全球的当务之急。本研究评估了几种策略相结合预防自杀企图再次发生的效果差异。
参与者为非致命性自杀未遂后进入急诊科的患者。共有 163 名符合纳入标准的参与者（68.1%为女性，平均年龄为 41.39 岁）被分为三组：一组接受包括预防信息的被动策略，第二组接受被动策略加病例管理主动成分（MAC），第三组接受被动策略、病例管理和心理教育计划（PSyMAC）。由于无法对参与者进行随机分组，因此该研究仅包括开始时的评估以及随后的 30 个月内每六个月一次的随访。
研究显示，三组患者再次尝试自杀的人数没有显著差异。逻辑回归显示 MAC 具有积极作用。
本研究表明，病例管理的使用可能是一种很有前途的策略，但需要进一步研究。
