Amadéo Stéphane, Nguyen Ngoc Lam, Teai Taivini, Favro Patrick, Mulet Aurélia, Colin-Fagotin Nathalie, Rereao Moerani, Malogne Aurélia, Simone Michel De, Rioche Géraldine, Gassion Virginie, Pere Paul, Prokop Alban, Bernis Fabienne, Dufour Pierre, Tuheiava Annie, Vanquin Germaine, Vilhem Steve, Gokalsing Erick, Spodenkiewicz Michel, Pradem Marianne, Seguin Monique, Beauchamp Guy, Thomas Pierre, Vaiva Guillaume, Jehel Louis
Centre hospitalier de Polynésie française (CHPF), & Maison des Sciences de l'Homme du Pacifique (USR 2003, UPF / CNRS) Tahiti, Polynésie française (SA), Tahiti, Polynésie française, France.
Centre de prévention du suicide (SPC), SOS Suicide NGO, Tahiti, Polynésie française, France.
J Int Med Res. 2020 Sep;48(9):300060520946237. doi: 10.1177/0300060520946237.
To assess understudied, alternative suicide prevention modalities in a mental health care setting.
This was a prospective study of patients (n = 140, 68 cases and 72 controls) who were admitted to hospital or who contacted an SOS suicide crisis line for suicidal ideation or attempts. Psychiatric diagnoses (Mini-International Neuropsychiatric Interview) and intensity of anxiety/depression/suicidality (Hamilton Anxiety Rating Scale, Montgomery-Åsberg Depression Rating Scale, and Beck Scale for Suicidal Ideation) were assessed. All intervention group subjects received a crisis card with a crisis line number, interviews with psychologists or volunteers and a telephone call on days 10 to 21, then 6 months later. These subjects also had a choice between two further 4-month interventions: body contact care or mobile intervention team visits.
The interventions significantly reduced the number of suicide attempts and suicide (3%) at 6 months compared with the control condition (12%). There were fewer losses to follow-up in the intervention group (7.35%) than in the control group (9.72%).
The results favour the implementation of integrated care and maintaining contact in suicide prevention.
评估在精神卫生保健环境中未得到充分研究的替代性自杀预防模式。
这是一项对因自杀意念或自杀未遂而住院或拨打SOS自杀危机热线的患者（n = 140，68例病例和72例对照）进行的前瞻性研究。评估了精神科诊断（迷你国际神经精神访谈）以及焦虑/抑郁/自杀倾向的严重程度（汉密尔顿焦虑评定量表、蒙哥马利-阿斯伯格抑郁评定量表和贝克自杀意念量表）。所有干预组受试者都收到一张印有危机热线号码的危机卡片，接受心理学家或志愿者的访谈，并在第10至21天以及6个月后接到电话。这些受试者还可以在另外两种为期4个月的干预措施中进行选择：身体接触护理或移动干预小组探访。
与对照组（12%）相比，干预措施在6个月时显著减少了自杀未遂和自杀的人数（3%）。干预组的失访率（7.35%）低于对照组（9.72%）。
结果支持在自杀预防中实施综合护理并保持联系。
