Effectiveness of assertive case management for patients with suicidal intent

Masami Inui-Yukawa, Hitoshi Miyaoka, Kenji Yamamoto*, Yoshito Kamijo, Michiko Takai, Naohiro Yonemoto, Chiaki Kawanishi, Kotaro Otsuka, Hirokazu Tachikawa, Yoshio Hirayasu

*この論文の責任著者

研究成果: ジャーナルへの寄稿総説査読

5 被引用数 (Scopus)

抄録

The aim of this study was to examine the effectiveness of assertive case management intervention in preventing suicidal behaviour in self-poisoning patients. We conducted a secondary analysis of data from the ACTION-J study. Participants were self-poisoning patients with clear suicide intent admitted to emergency departments and with a primary psychiatric diagnosis (as per DSM-IV-TR axis 1). Patients were randomly assigned either to assertive case management or enhanced usual care. The primary outcome measure was the incidence of a first recurrent suicide attempt within 6 months. This study is registered at ClinicalTrials.gov (NCT00736918) and UMIN-CTR (C000000444). There were 297 self-poisoning patients in the intervention group and 295 in the control group. The primary outcome was significantly lower in the intervention group than in the control group. The incidence of a first recurrent suicide attempt within 1 and 3 months was also significantly lower in the intervention group, as was the number of overall self-harm episodes over the entire study period. Furthermore, the number of non-suicidal self-harm episodes and suicide attempts was significantly lower in the intervention group. Assertive case management is effective when promptly introduced in a hospital setting as an intervention following a suicide attempt, particularly for self-poisoning patients.

本文言語英語
論文番号114125
ジャーナルPsychiatry research
304
DOI
出版ステータス出版済み - 2021/10

ASJC Scopus 主題領域

  • 精神医学および精神衛生
  • 生物学的精神医学

フィンガープリント

「Effectiveness of assertive case management for patients with suicidal intent」の研究トピックを掘り下げます。これらがまとまってユニークなフィンガープリントを構成します。

引用スタイル