@article{ref1,
title="A real-world effectiveness study comparing a priority appointment, an enhanced contact intervention, and a psychotherapeutic program following attempted suicide",
journal="Journal of clinical psychiatry",
year="2019",
author="Martínez-Alés, Gonzalo and Angora, Ricardo and Barrigón, María Luisa and Román-Mazuecos, Eva and Jiménez-Sola, Eduardo and Villoria, Lucía and Sánchez-Castro, Pilar and Lopez-Castroman, Jorge and Casado, Isabel and Pacheco, Teresa and Rodríguez-Vega, Beatriz and Navio, Mercedes and Bravo-Ortiz, María-Fe and Baca-Garcia, Enrique",
volume="80",
number="2",
pages="e12416-e12416",
abstract="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. <br><br>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. <br><br>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. <br><br>RESULTS did not differ after sex and age stratification. <br><br>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.<br><br>© Copyright 2019 Physicians Postgraduate Press, Inc.<p /> <p>Language: en</p>",
language="en",
issn="0160-6689",
doi="10.4088/JCP.18m12416",
url="http://dx.doi.org/10.4088/JCP.18m12416"
}