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Randomized Controlled Trial
. 2011 Jan 2:11:1.
doi: 10.1186/1471-244X-11-1.

ALGOS: the development of a randomized controlled trial testing a case management algorithm designed to reduce suicide risk among suicide attempters

Guillaume Vaiva  1 , Michel Walter, Abeer S Al Arab, Philippe Courtet, Frank Bellivier, Anne Laure Demarty, Stephane Duhem, Francois Ducrocq, Patrick Goldstein, Christian Libersa
Affiliations
Randomized Controlled Trial

ALGOS: the development of a randomized controlled trial testing a case management algorithm designed to reduce suicide risk among suicide attempters

Guillaume Vaiva et al. BMC Psychiatry. .

Abstract

Background: Suicide attempts (SA) constitute a serious clinical problem. People who attempt suicide are at high risk of further repetition. However, no interventions have been shown to be effective in reducing repetition in this group of patients.

Methods/design: Multicentre randomized controlled trial. We examine the effectiveness of "ALGOS algorithm": an intervention based in a decisional tree of contact type which aims at reducing the incidence of repeated suicide attempt during 6 months. This algorithm of case management comprises the two strategies of intervention that showed a significant reduction in the number of SA repeaters: systematic telephone contact (ineffective in first-attempters) and "Crisis card" (effective only in first-attempters). Participants who are lost from contact and those refusing healthcare, can then benefit from "short letters" or "postcards".

Discussion: ALGOS algorithm is easily reproducible and inexpensive intervention that will supply the guidelines for assessment and management of a population sometimes in difficulties with healthcare compliance. Furthermore, it will target some of these subgroups of patients by providing specific interventions for optimizing the benefits of case management strategy.

Trial registration: ClinicalTrials.gov NCT01123174.

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Figures

Figure 1
Figure 1
Example of crisis card.
Figure 2
Figure 2
Examples of postcards.
Figure 3
Figure 3
Study design.
See this image and copyright information in PMC

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References

    1. Reulbach U, Bleich S. Suicide risk after a suicide attempt. BMJ. 2008;337:a2512. doi: 10.1136/bmj.a2512. - DOI - PubMed
    1. Isacsson G, Rich CL. Management of patients who deliberately harm themselves. BMJ. 2001;322:213–215. doi: 10.1136/bmj.322.7280.213. - DOI - PMC - PubMed
    1. van der Sande R, Buskens E, Allart E, van der Graaf Y, van Engeland H. Psychosocial intervention following suicide attempt: a systematic review of treatment interventions. Acta Psychiatr Scand. 1997;96:43–50. doi: 10.1111/j.1600-0447.1997.tb09903.x. - DOI - PubMed
    1. Guthrie E, Kapur N, Mackway-Jones K, Chew-Graham C, Moorey J, Mendel E, Marino-Francis F, Sanderson S, Turpin C, Boddy G, Tomenson B. Randomised controlled trial of brief psychological intervention after deliberate self poisoning. BMJ. 2001;323:135–138. doi: 10.1136/bmj.323.7305.135. - DOI - PMC - PubMed
    1. Gillieron E. Short psychotherapeutic interventions (four sessions) Psychother Psychosom. 1989;51:32–37. doi: 10.1159/000288131. - DOI - PubMed

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