The efficacy of telephonic follow up in prevention of suicidal reattempt in patients with suicide attempt history

Authors

1 Department of Psychiatry, Behavioral Sciences Research Center, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

2 Department of Epidemiology and Statistics, School of Health, Isfahan University of Medical Sciences, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

Abstract

Background: prevention of suicide is one of priority world health. Suicide is one of the preventable causes of death. The aim of this study is evaluation of telephone follow up on suicide reattempt.
Materials and Methods : This randomized controlled clinical trial is a prospective study which has been done in Noor Hospital of Isfahan-Iran, at 2010. 139 patients who have suicide attempt history divided in one of two groups, randomly, 70 patients in" treatment as usual (TAU)" and 69 patients in "brief interventional control (BIC). Seven telephone contact with BIC group patients have been done "during six months" and two questionnaires have been filled in each session. The data has been analyzed by descriptive and Chi-square test, under SPSS.
Results : No significant differences of suicide reattempt has been found between two groups (P = 0.18), but significant reduction in frequency of suicidal thoughts (P = 0.007) and increase in hope at life (P = 0.001) was shown in intervention group.
Conclusion : Telephones follow up in patients with suicide history decrease suicidal thought frequency" and increase hope in life, significantly.

Keywords

1. Fleischmann A, Bertolote JM, Wasserman D, De Leo D, Bolhari J, Botega NJ, et al. Effectiveness of brief intervention and control for suicide attempters. Bull World Health Organ 2008;86:657-736.  Back to cited text no. 1
    
2. The world health report: Shaping the future. Geneva: WHO; 2003.  Back to cited text no. 2
    
3. The world health report: Mental health: New understanding, new hope. Geneva: WHO; 2001.  Back to cited text no. 3
    
4. Bertolote JM, Fleischmann A, De Leo D, Bolhari J, Botega N, De Silva D, et al. Suicide attempts, plans and ideation in culturally diverse sites: The WHO SUPRE-MISS community survey. Psychol Med 2005;35:1457-65.  Back to cited text no. 4
    
5. Fleischmann A, Bertolote JM, De Leo D, Botega N, Phillips M, Sisask M, et al. Characteristics of attempted suicides seen in emergency-care setting of general hospitals in eight low-and middle- income countries. Psychol Med 2005;35:1467-74.  Back to cited text no. 5
    
6. World Health Organization. The World Health Report: Shaping the Future. WHO: Geneva; 2003.  Back to cited text no. 6
    
7. Cederke M, Monti K, Ojehagen A. Telephone contact with patients in the year after a suicide attempt: Does it affect treatment attendance and outcome? Arandomized controlled study. Eur Psychiatry 2002;17:82-91.  Back to cited text no. 7
    
8. Nordentoft M, Branner J, Drejer K, Mejsholm B, Hansen H, Peterson B. Effects of a suicide prevention centre for young people with suicidal behavior in copenhagen. Eur Psychiatry 2005;20:121-8.  Back to cited text no. 8
    
9. Nock MK, Borges G, Bromet EJ, Cha CB, Kessler RC, Lee S. Suicide and Suicidal Behavior. Epidemiol Rev 2008;30:133-54.  Back to cited text no. 9
    
10. Cederke M, Ojehagen A. Prediction of repeated parasuicide after 1-12 months. Eur Psychiatry 2005;20:101-9.  Back to cited text no. 10
    
11. Suominen KH, Isometsa ET, Lonnqvist JK. Attempted suicide and psychiatric consultation. Eur Psychiatry 2004;19:140-5.  Back to cited text no. 11
    
12. Kapur N, Cooper J, Urara H, May C, Appleby L, House A. Emergency department management and outcome for self-poisoning: A cohort study. Gen Hosp Psychiatry 2004;26:36-41.  Back to cited text no. 12
    
13. Hoyer EH, Olesen AV, Monrtensen PB. Suicide risk in patient hospitalized because of an affective disorder: A follow-up study, 1973-1993. J Affect Disord 2004;78:209-17.  Back to cited text no. 13
    
14. Guthrie E, Kapur N, Mackway-Jones K, Chew-Graham C, Moorey J, Mendel E, et al. Randomized controlled trial of brief psychological intervention after deliberate self-poisoning. BMJ 2001;323:1-5.  Back to cited text no. 14
    
15. Rotheram-Borus MJ, Piacentini J, Cantwell C, Belin TR, Song J. The 18-Month Impact of an emergency room intervention for adolescent female suicide attempters. J Consult Clin Psychol 2000;68:1081-93.  Back to cited text no. 15
    
16. Kapur N, Turnbull P, Hawton K, Simkin S, Mackway-Jones K, Gunnell D. The hospital management at fatal self poisoming of industrialized contries. An appartunity for suicide prevention? Suicide Life Threat Behav 2006;36:302-11.  Back to cited text no. 16
    
17. Motto JA, Bostrom AG. A randomized controlled trial of postcrisis suicide prevention. Psychiatr Serv 2001;52:828-33.  Back to cited text no. 17
    
18. De Leo D, DelloBuono M, Dwyer J. Suicide among the elderly: The long-term impact of a telephone support and assessment intervention in northern Italy. Br J Psychiatry 2002;181:226-9.  Back to cited text no. 18
    
19. Howard S, Sudak MD. Psychiatric Emergencies, Suicide. In: Sadock BJ, Sadock VA, Ruiz P, editors. Kaplan and Sadock's Comprehensive Textbook of Psychiatry. 9 th ed. United States: Lippincott Williams and Wilkins; 2009. p. 2717-45.  Back to cited text no. 19
    
20. Brook R, Klap R, Liao D, Wells KB. Mental health care for adults with suicide ideation. Gen Hosp Psychiatry 2006;28:271-7.  Back to cited text no. 20
    
21. van der Sande R, van Rooijen L, Buskens E, Allart E, Hawton K, van der Graaf Y, et al. Intensive in-patient and community intervention versus routine care after attempted suicide: A randomized controlled intervention study. Br J Psychiatry 1997;171:35-41.  Back to cited text no. 21
    
22. Hassanzadeh M, Khaheddin N, Nojomi M, Fleischmann A, Esmatic T. Brief Intervantion and Contact after Deliberate Self-Harm. Iran J Psychiatry Behav Sci 2010;4:5-12.  Back to cited text no. 22