Krause Tim J, Lederer Annette, Sauer Magdalena, Schneider Jasmin, Sauer Cathrin, Jabs Burkhard, Etzersdorfer Elmar, Genz Axel, Bauer Michael, Richter Susann, Rujescu Dan, Lewitzka Ute
Department of Psychiatry, Psychotherapy and Psychosomatic Medicine, University Hospital Halle, Faculty of Medicine, Martin-Luther-Universität Halle-Wittenberg, Dresden, Germany.
Department of Psychiatry and Psychotherapy, Municipal Hospital Dresden, Dresden, Germany.
Pilot Feasibility Stud. 2020 Sep 30;6:145. doi: 10.1186/s40814-020-00685-z. eCollection 2020.
Suicide risk of psychiatric patients has proven to be strongly increased in the months after discharge from a psychiatric hospital. Despite this high risk, there is a lack of systematic research on the causes of this elevated suicide risk as well as a lack of treatment and intervention for patients at high risk after discharge. The main objective of this pilot study is, firstly, to examine the factors contributing to the elevated and, secondly, to investigate whether an additional setting of care starting at discharge may reduce
In this multi-centre pilot study, treatment as usual is complemented by an additional 18-month post-discharge setting of care for psychiatric patients at high risk for suicide. Two groups of patients differing in the amount of post-discharge personal contacts will be compared. One group of patients will be offered continuous personal contacts after discharge (months 1-6: monthly contacts; months 6-18: every 2 months) while another group of patients will receive contacts only at months 6, 12, and 18 after discharge. Data on suicidality, as well as associated with other symptoms, treatment, and significant events, will be collected. In the case of health-related severe events, the setting of care allows the patient to have the opportunity to connect with the doctor or therapist treating the patient.
The results of this study will contribute to identifying critical factors raising suicide risk after discharge and will demonstrate the potential influence on suicide prevention of a setting of care with regular personal contact after discharge.
ZMVI1-2517FSB135 - funded by the German Federal Ministry of Health.
事实证明，精神科患者出院后的几个月内自杀风险会大幅增加。尽管存在这种高风险，但对于这种自杀风险升高的原因缺乏系统性研究，并且对于出院后高危患者也缺乏治疗和干预措施。这项试点研究的主要目的，一是检查导致自杀风险升高的因素，二是调查出院后额外的护理安排是否可以降低自杀风险。
在这项多中心试点研究中，对于有高自杀风险的精神科患者，在常规治疗的基础上增加为期18个月的出院后护理安排。将比较两组出院后个人接触量不同的患者。一组患者在出院后将获得持续的个人接触（第1至6个月：每月接触；第6至18个月：每2个月接触），而另一组患者仅在出院后的第6、12和18个月接受接触。将收集有关自杀倾向以及与其他症状、治疗和重大事件相关的数据。在发生与健康相关的严重事件时，护理安排使患者有机会与治疗该患者的医生或治疗师联系。
这项研究的结果将有助于确定出院后增加自杀风险的关键因素，并将证明出院后定期个人接触的护理安排对自杀预防的潜在影响。
ZMVI1 - 2517FSB135 - 由德国联邦卫生部资助。
