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 Gold Coast hospital. Both groups sustained equally positive symptom reductions of depression, suicide ideation & hopelessness at 6 months & beyond. However, the intensive case management patients maintained consistently greater reductions in symptoms. Findings indicated intensive case management may have a positive impact on re-hospitalization rates, thus providing a cost-effective alternative to inpatient care for older male psychiatric patients at risk of suicide. (96 refs.)