BACKGROUND: A randomised clinical trial was carried out in suicide attempters to assess clinical efficacy of an intensive psychosocial intervention compared with treatment as usual. METHOD: Two hundred and seventy-four suicide attempters presenting for medical treatment were randomly assigned to either intensive psychosocial treatment or 'care as usual'. Intensive psychosocial treatment consisted of brief admission to a special crisis-intervention unit and problem-solving aftercare. 'Care as usual' included any form of treatment the assessing clinicians thought appropriate. Psychological well-being was evaluated by the SCL-90 and the Hopelessness Scale at 3, 6 and 12 months following entry in the study. RESULTS: No differences in outcome were found. The probability of repeat suicide attempts in the 12-month follow-up was 0.17 for patients in the experimental group and 0.15 for the control group. There were no differences in ratings on the SCL-90 and the Hopelessness Scale. Patients in the experimental group attended significantly more out-patient treatment sessions. CONCLUSIONS: General implementation of an intensive in-patient and community intervention programme for suicide attempters does not seem justified.
RCT Entities:
BACKGROUND: A randomised clinical trial was carried out in suicide attempters to assess clinical efficacy of an intensive psychosocial intervention compared with treatment as usual. METHOD: Two hundred and seventy-four suicide attempters presenting for medical treatment were randomly assigned to either intensive psychosocial treatment or 'care as usual'. Intensive psychosocial treatment consisted of brief admission to a special crisis-intervention unit and problem-solving aftercare. 'Care as usual' included any form of treatment the assessing clinicians thought appropriate. Psychological well-being was evaluated by the SCL-90 and the Hopelessness Scale at 3, 6 and 12 months following entry in the study. RESULTS: No differences in outcome were found. The probability of repeat suicide attempts in the 12-month follow-up was 0.17 for patients in the experimental group and 0.15 for the control group. There were no differences in ratings on the SCL-90 and the Hopelessness Scale. Patients in the experimental group attended significantly more out-patient treatment sessions. CONCLUSIONS: General implementation of an intensive in-patient and community intervention programme for suicide attempters does not seem justified.
Authors: Guillaume Vaiva; Guillaume Vaiva; François Ducrocq; Philippe Meyer; Daniel Mathieu; Alain Philippe; Christian Libersa; Michel Goudemand Journal: BMJ Date: 2006-05-27
Authors: Sarah T Lawrence; James H Willig; Heidi M Crane; Jiatao Ye; Inmaculada Aban; William Lober; Christa R Nevin; D Scott Batey; Michael J Mugavero; Cheryl McCullumsmith; Charles Wright; Mari Kitahata; James L Raper; Micheal S Saag; Joseph E Schumacher Journal: Clin Infect Dis Date: 2010-04-15 Impact factor: 9.079
Authors: E Guthrie; N Kapur; K Mackway-Jones; C Chew-Graham; J Moorey; E Mendel; F Marino-Francis; S Sanderson; C Turpin; G Boddy; B Tomenson Journal: BMJ Date: 2001-07-21
Authors: K Hawton; E Arensman; E Townsend; S Bremner; E Feldman; R Goldney; D Gunnell; P Hazell; K van Heeringen; A House; D Owens; I Sakinofsky; L Träskman-Bendz Journal: BMJ Date: 1998-08-15