Vécu subjectif du recontact téléphonique après tentative de suicide

Gruat, G.; Cottencin, Olivier; Ducrocq, François; Duhem, S.; Vaïva, Guillaume

doi:10.1016/j.encep.2009.10.009

Cited by 12 publications

(8 citation statements)

References 15 publications

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“…Our results have similarities with those of studies that compare intervention group versus control group, where interventions are regular mail, telephone calls and long-term follow-up after discharge from emergencies [9,14,[25][26][27][28]. In an investigation conducted for ten consecutive years, Pil and colleagues showed that phone follow-ups avoided 36% of SA and therefore reduced treatment costs [28].…”

Section: Discussionsupporting

confidence: 76%

“…In an investigation conducted for ten consecutive years, Pil and colleagues showed that phone follow-ups avoided 36% of SA and therefore reduced treatment costs [28]. According to Gruat and colleagues, the combination of the resource card and the telephone call yields a significant reduction in the number of repetitions of SA, but the telephone call is more effective among people who have already made a SA [25]. It also allows the detection of people at high risk of new SA and timely referral for emergency care within the first few weeks [9] .…”

Section: Discussionmentioning

confidence: 99%

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Changes in the number of suicide re-attempts in a French region since the inception of VigilanS, a regionwide program combining brief contact interventions (BCI)

et al. 2020

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Background: Brief Contact Interventions (BCIs) after a suicide attempt (SA) are an important element of prevention against SA and suicide. They are easier to generalize to an entire population than other forms of intervention. VigilanS generalizes to a whole French region a BCI combining resource cards, telephone calls and mailings, according to a predefined algorithm. It was implemented gradually in the Nord-Pas-de-Calais (NPC), France, between 2015 and 2018. Here, we evaluate the effectiveness of VigilanS, in terms of SA reduction, using annual data collected by participating centers. Hypothesis tested: the higher the VigilanS implementation in a center (measured by penetrance), the greater the decrease in the number of SA observed in this center. Methods: The study period was from 2014 to 2018, across all of NPC centers. We performed a series of linear regressions, each center representing a statistical unit. The outcome was the change in the number of SA, relative to the initial number, and the predictive variable was VigilanS' penetrance: number of patients included in VigilanS over the total number of SA. Search for influential points (points beyond threshold values of 3 influence criteria) and weighted least squares estimations were performed. Results: Twenty-one centers were running VigilanS in 2018, with an average penetrance of 32%. A significant relationship was identified, showing a sharp decrease in SA as a function of penetrance (slope = − 1.13; p = 3*10 − 5). The model suggested that a 25% of penetrance would yield a SA decrease of 41%. Conclusion: VigilanS has the potential to reduce SA. Subgroup analyzes are needed to further evaluate its effectiveness. Subgroup analyses remain to be done, in order to evaluate the specific variations of SA by group.

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Section: Discussionsupporting

confidence: 76%

Section: Discussionmentioning

confidence: 99%

Changes in the number of suicide re-attempts in a French region since the inception of VigilanS, a regionwide program combining brief contact interventions (BCI)

et al. 2020

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“…The most invasive procedure of the algorithm (phone call 15 days after SA) demonstrated its safety and its good support by the contacted patient [8]. …”

Section: Benefits and Risksmentioning

confidence: 99%

ALGOS: the development of a randomized controlled trial testing a case management algorithm designed to reduce suicide risk among suicide attempters

et al. 2011

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BackgroundSuicide attempts (SA) constitute a serious clinical problem. People who attempt suicide are at high risk of further repetition. However, no interventions have been shown to be effective in reducing repetition in this group of patients.Methods/DesignMulticentre randomized controlled trial.We examine the effectiveness of «ALGOS algorithm»: an intervention based in a decisional tree of contact type which aims at reducing the incidence of repeated suicide attempt during 6 months. This algorithm of case management comprises the two strategies of intervention that showed a significant reduction in the number of SA repeaters: systematic telephone contact (ineffective in first-attempters) and «Crisis card» (effective only in first-attempters). Participants who are lost from contact and those refusing healthcare, can then benefit from «short letters» or «postcards».DiscussionALGOS algorithm is easily reproducible and inexpensive intervention that will supply the guidelines for assessment and management of a population sometimes in difficulties with healthcare compliance. Furthermore, it will target some of these subgroups of patients by providing specific interventions for optimizing the benefits of case management strategy.Trial RegistrationThe study was registered with the ClinicalTrials.gov Registry; number: NCT01123174.

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“…The study was controlled and conducted with intent to treat. Limited resources required that it be a cost-saving program easily implemented and well accepted by patients and teams [18, 19]. A program of very early intervention (at +/− 8 days) was proposed.…”

Section: Introductionmentioning

confidence: 99%

Effect of telephone follow-up on repeated suicide attempt in patients discharged from an emergency psychiatry department: a controlled study

et al. 2017

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BackgroundAttempted suicide is a major public health problem, and the efficacies of current postvention protocols vary. We evaluated the effectiveness of telephone follow-up of patients referred to an emergency psychiatric unit for attempted suicide on any further attempt/s over the following year.MethodIn a single-center, controlled study with intent to treat, we evaluated the efficacy of a protocol of telephone follow-up of 436 patients at 8, 30, and 60 days after they were treated for attempted suicide. As controls for comparison, we evaluated patients with similar social and demographic characteristics referred to our emergency psychiatric unit in the year prior to the study who did not receive telephone follow-up after their initial hospitalization. Data were analyzed using logistic regression.ResultsVery early telephone follow-up of our patients effectively reduced recidivism and seemed to be the only protective factor against repeated suicide attempt.ConclusionsImplementing a protocol of early telephone follow-up after attempted suicide could help prevent repeated attempt/s. More controlled studies are needed to assess optimal techniques to prevent such repetition.

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Vécu subjectif du recontact téléphonique après tentative de suicide

Cited by 12 publications

References 15 publications

Changes in the number of suicide re-attempts in a French region since the inception of VigilanS, a regionwide program combining brief contact interventions (BCI)

Changes in the number of suicide re-attempts in a French region since the inception of VigilanS, a regionwide program combining brief contact interventions (BCI)

ALGOS: the development of a randomized controlled trial testing a case management algorithm designed to reduce suicide risk among suicide attempters

Effect of telephone follow-up on repeated suicide attempt in patients discharged from an emergency psychiatry department: a controlled study

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