Loss to follow-up in a population-wide brief contact intervention to prevent suicide attempts: The VigilanS program, France

Background Brief Contact Interventions (BCIs) after a suicide attempt (SA) are an important element of prevention against SA and suicide. VigilanS generalizes to a whole French region a BCI combining resource cards, telephone calls and sending postcards, according to a predefined algorithm. However, a major obstacle to such real-life intervention is the loss of contact […]

Suicide attempt aftercare in geriatric patients: A pilot project

Hospitalized patients after suicide attempts gave informed consent to a postvention project after discharge. A continuous caregiver contacted the subjects monthly by phone for a period of 1 year. In case of significant worsening and reoccurrence of suicidal ideations, immediate re-admission was possible. Ten subjects 65 years and older and hospitalized because of suicide attempts were […]

Aftercare and suicide reattempt prevention in Tehran, Iran: Outcome of 12-month randomized controlled study

Background: A previous suicide attempt is one of the strongest risk factors for subsequent suicide. Effective care following a suicide attempt may reduce the risk of suicide reattempts. Aims: We aimed to investigate the effect of a brief educational intervention and contact program on suicide reattempts. Method: This study was performed as a randomized clinical trial (RCT) recruiting 305 individuals who […]

Association of suicide prevention interventions with subsequent suicide attempts, linkage to follow-up care, and depression symptoms for acute care settings: A systematic review and meta-analysis

IMPORTANCE To prevent suicide deaths, acute care settings need tools to ensure individuals at risk of suicide access mental health care and remain safe until they do so. OBJECTIVE To examine the association of brief acute care suicide prevention interventions with patients’ subsequent suicide attempts, linkage to follow-up care, and depression symptoms at follow-up. DATASOURCES […]

Implementing an emergency department telephone follow-up program for suicidal patients: Successes and challenges

Background Many emergency department (ED) patients are at risk of suicide, and the ED is a key setting for suicide prevention. Although ED interventions are associated with reduced suicide attempts and societal costs, most EDs do not have follow-up programs. This pilot investigated the feasibility and implementation process of a statewide program. Methods This multicenter […]

Experience of health care services after a suicide attempt: Results from an online survey

Failure to provide follow‐up care after a suicide attempt is associated with increased risk of reattempt. This online survey examined the experiences of patients of the Australian health system after a suicide attempt. Just over half of the participants had a psychiatric assessment within 1 week of their attempt. Fewer than half believed they had been […]

Effectiveness of assertive case management on repeat self-harm in patients admitted for suicide attempt: Findings from ACTION-J study.

Highlights • The assertive case management reduced the incident rate of repeat overall self-harm Reduction was greater among patients with no previous suicide attempt at baseline. The intervention group had fairly good adherence to the assertive case management.

Suicide prevention and follow-up services: A narrative review.

Previous suicide attempt is the most important predictor of death by suicide. Thus preventive interventions after attempting to suicide is essential to prevent reattempts. This paper attempts to determine whether phone preventive interventions or other vehicles (postal cards, email and case management) are effective in reattempt prevention and health promotion after discharge by providing an […]

Postcards in Persia: A twelve to twenty-four month follow-up of a randomized controlled trial for hospital-treated deliberate self-poisoning.

This study reports the outcomes, during follow-up, of a low-cost postcard intervention in a Randomized Control Trial of hospital-treated self-poisoning (n = 2300). The intervention was 9 postcards over 12 months (plus usual treatment) versus usual treatment. Three binary endpoints at 12–24 months (n = 2001) were: any suicidal ideation, suicide attempt, or self-cutting. There was a significant reduction […]

Can postdischarge follow-up contacts prevent suicide and suicidal behavior? A review of the evidence.

The time period following discharge from inpatient psychiatry and emergency department (ED) treatment is one of heightened risk for repeat suicide attempts for patients. Evidence reported in the literature shows that follow-up contacts might reduce suicide risk, although there has not been a comprehensive and critical review of the evidence to date. Repeated follow-up contacts […]

The return on investment of postdischarge follow-up calls for suicidal ideation or deliberate self-harm.

Transitions of care are critical for individuals at risk of suicide. This study determined the return on investment (ROI) for providing postdischarge follow-up calls to patients at risk of suicide who are discharged from a hospital or an emergency department. The study supports the business case for payers, particularly Medicaid, to invest in postdischarge follow-up […]

Safety Planning Intervention: A brief intervention to mitigate suicide risk.

The usual care for suicidal patients who are seen in the emergency department (ED) and other emergency settings is to assess level of risk and refer to the appropriate level of care. Brief psychosocial interventions such as those administered to promote lower alcohol intake or to reduce domestic violence in the ED are not typically […]

ALGOS: the Development of a Randomized Controlled Trial Testing a Case Management Algorithm Designed to Reduce Suicide Risk Among Suicide Attempters

In this article, the authors present the protocol for a study in which they will examine the effectiveness of the ALGOS algorithm, an intervention based in a decisional tree of contact type which aims to reduce the incidence of repeated suicide attempts during 6 months. This algorithm of case management comprises the 2 strategies of […]

A Framework for the Development of a Suicide Prevention Strategy

The purpose of this document is provide recommendations or strategies aimed at the prevention of suicide in London-Middlesex. 5 key recommendations include: improve intervention & treatment for those at risk of suicide; improve interventions & support for those affected by suicide; increase efforts to reduce access to lethal means of suicide; increase research activities; & […]

Suicide risk assessment and management: a systematic evidence review for the clinical practice guidelines for emergency departments and mental health services project


Lifeline Service and Outreach Strategies Suggested by Suicide Attempt Survivors. Final Report of the Attempt Survivor Advisory Summit Meeting and Individual Interviews

In June 2006, the Steering Committee of the National Suicide Prevention Lifeline Network identified better outreach & service to suicide attempt survivors as a strategy for reducing suicide nationally. A workplan identified direct input from survivors as a necessary & valuable method for clarifying their unique needs. Attempt survivors shared their experiences & perspectives at […]

Post-Discharge Care in Psychiatric Patients at High-Risk of Suicide

The purpose of this study was to assess the effectiveness of Intensive Case Management on outcomes for suicidal psychiatric patients in the post-discharge period, compared to Treatment as Usual. The intensive case management consisted of 2 primary components: weekly face-to-face case management & active telephone contact. Participants were adult male psychiatric patients drawn from the […]

Study of the Outcome of Suicide Attempts: Characteristics of Hospitalization in a Psychiatric Ward Group, Critical Care Center Group, and Non-Hospitalized Group

The outcomes of 1348 Japanese individuals who attempted suicide & visited the critical care center or the psychiatric emergency department of the hospital were categorized into 3 groups. Physical, mental, & social characteristics were compared. The hospitalized groups, particularly those hospitalized in the critical care centre, were found to have biopsychosocially serious factors with regard […]

The European Alliance Against Depression: a Multilevel Approach to the Prevention of Suicidal Behavior

This article describes the creation of the European Alliance Against Depression in 2004 & the cornerstone of the alliance, which is a shared multi-level approach that includes interventions on 4 levels: education of primary care physicians; a professional public relations campaign, training of community facilitators, & interventions with affected persons & high-risk groups. Several countries […]

Continuity of Care in the Treatment of Suicide Attempters – Current Challenges

Suicide attempters presenting for hospital treatment are a major public health challenge in most countries. Their tendency to drop out of treatments & their high risk of repeat suicidal behaviour call for systematic assessments, in-hospital management, treatment engagement, & follow-up treatments after discharge from hospital. However, hospital services provided for suicide attempters & follow-up care […]

Engaging Suicidal Youth in Outpatient Treatment: Theoretical and Empirical Underpinnings

The treatment engagement literature for suicidal youth has largely focused on identifying empirical correlates of attendance & testing interventions to increase compliance. In an effort to promote the use of theory in this field, this article employs Staudt’s (2007) conceptual model of the treatment engagement process to both organize the empirical literature & to explain […]

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

This comparative longitudinal study investigated aftercare & compliance of attempted suicide patients after standardized psychosocial assessment. Structured interviews were conducted 1 month & 6 months after an index suicide attempt. Assessment was associated with more frequent discussion of treatment options with the patient at the hospital & a shorter interval between discharge & contacting the […]

Quality of Psychosocial Care of Suicide Attempters at General Hospitals in Norway – a Longitudinal Nationwide Study

This study identified predictors of a high level of quality of care for suicide attempters at general hospital emergency departments in Norway. Structured interviews with key informants covering the quality of care of patients admitted following attempted suicide were conducted in 1999 & 2006 at 87% of all general hospitals. Hospitals having implemented a chain […]