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Citation
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Martínez-Alés G, Angora R, Barrigón ML, Román-Mazuecos E, Jiménez-Sola E, Villoria L, Sánchez-Castro P, Lopez-Castroman J, Casado I, Pacheco T, Rodríguez-Vega B, Navio M, Bravo-Ortiz MF, Baca-Garcia E. J. Clin. Psychiatry 2019; 80(2): e12416. |
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Abstract
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OBJECTIVE: To determine the comparative effectiveness of 3 real-practice preventive programs aimed at lowering the relapse risk following a suicide attempt: a single priority appointment with an outpatient psychiatrist, an enhanced contact intervention, and an individual psychotherapy program.
METHODS: This observational study was conducted in a sample of 1,492 suicide attempters from 3 catchment areas in Madrid, Spain, between 2013 and 2017. Relapse was defined as an emergency department return after a new attempt within a 1-year follow-up. Kaplan-Meier survival functions were obtained by intervention, and Cox proportional hazard regression models were used to estimate unadjusted and adjusted risks of relapse by intervention. Sex- and age-stratified analyses were also conducted. Covariates were age, sex, history of suicide attempts, history of psychiatric disorders, main ICD-10 psychiatric diagnostic groups, medical comorbidities, and family support.
RESULTS: A total of 133 subjects (8.9%) relapsed. The psychotherapy group had a lower presence of known risk factors for suicide attempt. Individual psychotherapy and enhanced contact were more effective than a single priority appointment at reducing suicide reattempt, with a 40% lower relapse risk in adjusted models.
RESULTS did not differ after sex and age stratification.
CONCLUSIONS: In a naturalistic clinical setting, patients exposed to individual psychotherapy or an enhanced contact intervention had a similar, lower relapse risk than the single priority appointment group.
© Copyright 2019 Physicians Postgraduate Press, Inc.
Language: en |