Abstract
Although a previous suicide attempt constitutes a major risk factor for an eventual completed suicide, few interventions specifically
designed to prevent suicide reattempts have been evaluated. The aim of this study was to determine the effectiveness of case
management for the prevention of suicide reattempts. A total of 4,765 subjects with a recent suicide attempt referred from
medical and non-medical organizations were consecutively recruited from July 2006 to June 2008. The suicide prevention program
of Kaohsiung Suicide Prevention Center (KSPC) provided case management and followed up suicide-attempt cases for 6 months.
Survival analysis showed that the risk of suicide reattempt was significantly lower in the case management group than in the
non-contact group throughout a six-month follow-up period (hazard ratio = 2.93; 95% CI = 2.47–3.47). The hazard ratio (HR)
of the Cox proportional hazard model for sex was 0.77 (95% CI = 0.65–0.91). Case management appears to be effective in preventing
suicide reattempts in patients with a recent prior attempt. In addition, case management appeared to be more beneficial in
preventing suicide reattempts in male subjects.
designed to prevent suicide reattempts have been evaluated. The aim of this study was to determine the effectiveness of case
management for the prevention of suicide reattempts. A total of 4,765 subjects with a recent suicide attempt referred from
medical and non-medical organizations were consecutively recruited from July 2006 to June 2008. The suicide prevention program
of Kaohsiung Suicide Prevention Center (KSPC) provided case management and followed up suicide-attempt cases for 6 months.
Survival analysis showed that the risk of suicide reattempt was significantly lower in the case management group than in the
non-contact group throughout a six-month follow-up period (hazard ratio = 2.93; 95% CI = 2.47–3.47). The hazard ratio (HR)
of the Cox proportional hazard model for sex was 0.77 (95% CI = 0.65–0.91). Case management appears to be effective in preventing
suicide reattempts in patients with a recent prior attempt. In addition, case management appeared to be more beneficial in
preventing suicide reattempts in male subjects.
- Content Type Journal Article
- Category Original Paper
- Pages 1-6
- DOI 10.1007/s10597-012-9480-7
- Authors
- Wei-Jen Chen, Kai-Suan Psychiatric Hospital, 130, Kai-Suan 2nd Road, Ling-Ya District, Kaohsiung City, 802 Taiwan, ROC
- Cheng-Chung Chen, Kai-Suan Psychiatric Hospital, 130, Kai-Suan 2nd Road, Ling-Ya District, Kaohsiung City, 802 Taiwan, ROC
- Chi-Kung Ho, Bureau of Health, Kaohsiung City Government, No.132, Kaisyuan 2nd Rd., Lingya District, Kaohsiung City, 80276 Taiwan, ROC
- Ming-Been Lee, Department of Psychiatry, National Taiwan University Hospital, No.1, Changde St., Zhongzheng District, Taipei City, 10048 Taiwan, ROC
- Guei-Ging Lin, Kai-Suan Psychiatric Hospital, 130, Kai-Suan 2nd Road, Ling-Ya District, Kaohsiung City, 802 Taiwan, ROC
- Frank Huang-Chih Chou, Kai-Suan Psychiatric Hospital, 130, Kai-Suan 2nd Road, Ling-Ya District, Kaohsiung City, 802 Taiwan, ROC
- Journal Community Mental Health Journal
- Online ISSN 1573-2789
- Print ISSN 0010-3853