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

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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 […]

Collaboration Between General Hospitals and Community Health Services in the Care of Suicide Attempters in Norway: a Longitudinal Study

Collaboration between emergency departments in general hospitals & community health services in Norway when providing psychosocial care & aftercare to suicide attempt patients treated in emergency departments was studied. Data were collected through structured interviews with informants from 95% of all general hospitals in 1999 & 2006, & informants from a stratified sample of municipalities […]

Suicide Prevention Training: one Department’s Response (In: Suicide and Law Enforcement, edited by D C Sheehan & J I Warren)

The proactive response of the Miami-Dade Police Department to law enforcement suicide & indirect self-destructive behaviour through an interactive training program is described in this chapter. Law enforcement suicide is defined as a problem-solving behaviour primarily aimed at improving a threatened self-image (sudden shame). The dynamics of the suicidal paradox, the avoidance of euphemisms, & […]

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 […]

Depression, Depressiveness and Suicide: Report of the Superior Health Council (SHC No. 8108)

This report aims at improving the understanding of depression, depressiveness, & suicide in Belgium. Several areas are proposed in which to focus first & in which it would be useful to develop new models or optimize the facilities currently being used. Epidemiological data is provided & general observations are made about risk & protective factors, […]

Follow up of People Recently Discharged From Psychiatric Inpatient Care

In this letter to the editor, the authors report on an initiative to improve the follow-up assessment of patients within the first week after discharge from inpatient care. There was one suicide during the initial audit period & no suicides occurred in the second audit phase. There were no records of non-fatal deliberate self-harm during […]

Maytree: a Respite Center for the Suicidal. An Evaluation

For the full evaluation report, please see SIEC #2007-0238.

Psychiatric Aftercare and Suicide Risk: a Case-Control Study Using Blind Rating

Blindly abstracted records of last episode of care together with aftercare records of 39 psychiatric patient suicides & their matched controls were rated blind for suicidal talk during aftercare, reduction of aftercare at last appointment & high-low suicide risk. Neither suicidal talk nor reduction of aftercare was confirmed as a predictor of suicide, although trends […]

Discharging Psychiatric Patients From Hospital

In the period following discharge from hospital, psychiatric patients are at high risk of readmission. Suicide data tend to mirror those for readmission. Rates of suicide are high in the year after discharge, particularly within the first 28 days. In this editorial, it is noted there is no good evidence to direct efforts to improve […]

A Retrospective Evaluation of TeleMental Healthcare Services for Remote Military Populations

The objective of this study was to compare specific treatment & outcome variables between mental health care via videoconferencing to care provided in person. The study was a retrospective record review of service members & their adult civilian family members seen at 2 remotely located military bases. Passive or intermittent suicide ideation was noted in […]

Mortality and Suicide After Non-Fatal Self-Poisoning: 16-Year Outcome Study

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7-DFUP: Guidance on 7 Day Follow-Up Procedures and Practice

This paper details the findings & recommendations of research into 7-day follow-up procedures for patients on Enhanced Care Programme Approach discharged from hospital/inpatient psychiatric units. There does not appear to be a consistent model of coordinating or delivering this program across health trusts. Recommendations are made for training & education for all community mental health […]

An Evaluation of the Maytree Respite Centre

This report evaluates the Maytree Respite Centre in its first 3 years of operation (2002-2005). The Maytree model, identified as providing respite, opportunities for change towards a wish to live rather than a wish to die, & the reduction of stigma, was evaluated. The evaluation showed, on both qualitative & quantitative measures, very strong evidence […]

Health Care Contacts Before and After Attempted Suicide

This study systematically investigated the pattern of all health care contacts both before & after attempted suicide. All consecutive 1,198 suicide attempters treated in hospital emergency rooms in Helsinki during a 12-month period were identified. The vast majority of subjects had contact with health care during the 12 months before & after the index attempt. […]