Citation

Demesmaeker A, Benard V, Leroy A, Vaiva G. Encephale (1974) 2019; 45(Spec 1): S27-S31.

Vernacular Title

Impacts d’un système de veille en prévention du suicide sur les consommations de soins.

Affiliation

Service de Psychiatrie Adultes, Hopital Fontan, rue André Verhaegue, 59037 Lille Cedex, France; Univ. Lille, CNRS UMR-9193, SCALab-Sciences Cognitives et Sciences Affectives, & CHU Lille, hôpital Fontan, plateforme CURE, 59000 Lille, France; CHU Lille, hôpital Fontan, service de psychiatrie adulte, 59000 Lille, France.

Copyright

(Copyright © 2019, Masson Editeur)

DOI

10.1016/j.encep.2018.09.004

PMID

30551792

Abstract

INTRODUCTION: Suicide prevention is a major objective in public health. The development of alternative approaches to the prevention of suicide, such as monitoring systems, is growing quickly. The results are encouraging, but the analysis of the effectiveness remains complex. The objective of this study is to evaluate the medico-economic impact of the ALGOS brief contact intervention (BCI) on the consumption of medical care.

METHOD: ALGOS is a prospective, comparative, multicentre, single-blind, randomized, controlled trial, which compared two groups after a suicide attempt (SA). The ALGOS algorithm assigned each BCI to the subgroup of participants. The medico-economic impact of each intervention was evaluated at 6 and 13 months after inclusion.

RESULTS: In all, 987 patients were included. There was no significant difference between the two groups at 6 months and at 13 months after SA in the total number of patients who had been hospitalized in psychiatry or other care services. However, the average number of rheumatology visits was significantly higher in the control group (P=0.01) at 13 months. The total number of rheumatologist and physiotherapist visits was significantly higher in the control group at 6 and 13 months.

CONCLUSION: Our results suggest that the use of a BCI after SA does not lead to increased consumption of medical care.

Copyright © 2018 L'Encéphale, Paris. Published by Elsevier Masson SAS. All rights reserved.

Language: fr

Keywords

Impact médico-économique; Medico-economic impact; Prevention; Prévention; Suicide; Suicide attempts; Tentative de suicide