A Comparative Follow-up Study of Aftercare and Compliance of Suicide Attempters Following Standardized Psychosocial Assessment

This comparative longitudinal study investigated aftercare and compliance of attempted suicide patients after standardized psychosocial assessment. Structured interviews were conducted 1 month (FU1) and 6 months (FU2) after an index suicide attempt. Assessment was associated with more frequent discussion of treatment options with the patient at the hospital and a shorter interval between discharge and contacting the general practitioner (GP). A near significant effect was found for discussing the suicide attempt with the GP more frequently and with start or change of the medication scheme after the index attempt. The current findings support the use of a standardized tool for the assessment of suicide attempters and are in line with the chain of care model for suicide attempters.

[1]  S. Gibb,et al.  Mortality and further suicidal behaviour after an index suicide attempt: a 10-year study. , 2005, The Australian and New Zealand journal of psychiatry.

[2]  N. Kreitman Reflections on the Management of Parasuicide , 1979, British Journal of Psychiatry.

[3]  G. O'Brien,et al.  Deliberate Self-harm and Predictors of Out-patient Attendance , 1987, British Journal of Psychiatry.

[4]  H. Morgan,et al.  Deliberate Self-Harm: Clinical and Socio-Economic Characteristics of 368 Patients , 1975, British Journal of Psychiatry.

[5]  A. Kerkhof Attempted suicide in Europe : findings from the multicentre study on parasuicide by the WHO Regional Office for Europe , 1994 .

[6]  R. Taylor,et al.  NATIONAL INSTITUTE FOR CLINICAL EXCELLENCE (NICE) , 2002, International Journal of Technology Assessment in Health Care.

[7]  A. Morishima,et al.  Are adolescent suicide attempters noncompliant with outpatient care? , 1993, Journal of the American Academy of Child and Adolescent Psychiatry.

[8]  B. Barraclough,et al.  A Hundred Cases of Suicide: Clinical Aspects , 1974, British Journal of Psychiatry.

[9]  A. House,et al.  Management of deliberate self poisoning in adults in four teaching hospitals: descriptive study , 1998, BMJ.

[10]  K. Hawton,et al.  Psychosocial assessment following self-harm: results from the multi-centre monitoring of self-harm project. , 2008, Journal of affective disorders.

[11]  H. Morgan,et al.  General practitioners' contact with victims of suicide. , 1993, BMJ.

[12]  H. Möller,et al.  Efficacy of Different Strategies of Aftercare for Patients who have Attempted Suicide , 1989, Journal of the Royal Society of Medicine.

[13]  D. Skinner,et al.  The Psychosocial Assessment of Patients Discharged from Accident and Emergency Departments after Deliberate Self-Poisoning , 1994, Journal of the Royal Society of Medicine.

[14]  K. Hawton,et al.  Repetition of deliberate self-harm and subsequent suicide risk: Long-term follow-up study of 11 583 patients , 2004, British Journal of Psychiatry.

[15]  A. Dietrich,et al.  Preventing suicide in primary care patients: the primary care physician's role. , 2004, General hospital psychiatry.

[16]  Kevin Mackway-Jones,et al.  Suicide after deliberate self-harm: a 4-year cohort study. , 2005, The American journal of psychiatry.