Evaluation of an after-care service for parasuicide (attempted suicide) patients

Chowdhury, Nilima; Hicks, Roger; Kreitman, Norman

doi:10.1007/bf00589238

Cited by 119 publications

(48 citation statements)

References 14 publications

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“…However in this study random allocation did not occur and the degree of patient self-selection may have affected the results. Chowdhury et al (1973), in a more carefully controlled study, did not find any difference between intensive psychiatric follow-up and the control group.…”

Section: Introductionmentioning

confidence: 75%

The prevention of recurrent suicidal acts.

Montgomery¹,

Roy²,

Montgomery³

1983

Brit J Clinical Pharma

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1 There have been few controlled prospective investigations into the prevention of suicidal behaviour and by and large they have failed to demonstrate the efficacy of social work, psychotherapy or psychiatric treatment. 2 A group of 58 high‐risk patients with multiple episodes of suicidal behaviour was treated with mianserin 30 mg at night or placebo in a six month double‐blind trial of the efficacy of an antidepressant in reducing suicidal behaviour. 3 Patients were screened for depression, schizophrenia and organic disease. Patients were diagnosed as suffering from personality disorders according to DSM‐III criteria mainly borderline or histrionic. 4 There was no significant difference in outcome between the mianserin and placebo treated group at any point in the six month study. 5 An item analysis of the MADRS showed that at entry the item ‘reduced appetite’ predicted subsequent suicidal attempt. The total MADRS score did not predict further suicidal acts at entry but was highly significant at four weeks. At four weeks the items ‘reduced sleep’ and ‘reduced appetite’ were highly significant predictors of further suicidal acts and the items ‘lassitude’, ‘suicidal thoughts’, ‘inability to feel’ and ‘pessimistic thoughts' were significant predictors.

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Section: Introductionmentioning

confidence: 75%

The prevention of recurrent suicidal acts.

Montgomery¹,

Roy²,

Montgomery³

1983

Brit J Clinical Pharma

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“…One study (Welu, 1977) also found 4 months of in-home monitoring (including psychotherapy, crisis intervention, and family therapy as needed) was associated with a reduced rate of self-inflicted injury compared to usual care. By contrast, another study (Chowdhury, Hicks, & Kreitman, 1973) did not find a difference between usual care plus home visits for nonattendance compared to usual care alone. Still another study (Cedereke, Monti, & Ojehagen, 2002) did not find a difference when contacting participants by phone at 4 and 8 months after a self-inflicted injury to motivate them to attend or stay in treatment.…”

Section: Efficacy For Prevention Of Suicidementioning

confidence: 86%

Psychosocial treatments of suicidal behaviors: A practice‐friendly review

2005

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Worldwide, almost a million people die by suicide each year. Intentional, nonfatal, self-inflicted injury, including both suicide attempts and acts without suicide intent, also has very high prevalence. This article provides a practice-friendly review of controlled studies of psychosocial treatments aiming to prevent suicide, attempted suicide, and nonsuicidal self-inflicted injuries. Despite relatively small sample sizes for a low-base-rate outcome such as self-inflicted injury, several psychotherapies have been found effective, including cognitive therapy, dialectical behavior therapy, problem-solving therapy, and interpersonal psychotherapy, as well as outreach interventions, such as sending caring letters. The clinical implications of the review are discussed with the goal of translating the science to service-particularly the importance of outreach and treatment of non-compliance, the assessment and management of suicide risk, and competency in effective psychotherapies. These are critical steps for clinical psychology and psychotherapists to take in their role in suicide prevention.

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Section: Subjectsmentioning

confidence: 99%

“…These studies showed a significantly greater improvement in social circumstances in the experimental group without differentially improving the repeat rate (Chowdhury et al, 1973;Hawton 1979;Welu 1977). Five studies showed some sort of symptomatic improvement without altering the repeat rate (Chowdhury et al, 1973;Welu, 1977;Gibbons et al, 1978;Hawton, 1979). That specific treatments do not significantly reduce the relapse rate may not be surprising if one considers the impulsive component in parasuicide (Greer & Anderson, 1979) If Liberman & Eckman (1981) are correct in suggesting that suicidal behaviour may be learned and maintained by social environment, altering behaviour and environment is not enough.…”

Section: Subjectsmentioning

confidence: 99%