Employing crisis postcards with case management in Kaohsiung, Taiwan: 6-month outcomes of a randomised controlled trial for suicide attempters
- PMID: 23865947
- PMCID: PMC3720180
- DOI: 10.1186/1471-244X-13-191
Employing crisis postcards with case management in Kaohsiung, Taiwan: 6-month outcomes of a randomised controlled trial for suicide attempters
Abstract
Background: Suicide attempts constitute a serious clinical problem and have important implications for healthcare resources. The aim of the present study was to evaluate the effectiveness of case management using crisis postcards over a 6-month follow-up period.
Method: A randomised controlled trial was conducted in Kaohsiung, Taiwan. Prevention of further suicide attempts was compared between two groups with and without the postcard intervention. The intervention group consisted of 373 participants (139 males, 234 females; age: 39.8 ± 14.0 yrs.). The control group consisted of 388 participants (113 males, 275 females; age: 40.0 ± 16.0 yrs.). A survival analysis was used to test the effectiveness of the crisis postcard intervention for the prevention of suicide reattempts. Per-protocol and intention-to-treat analyses were conducted.
Results: The intention-to-treat analysis indicated that the crisis postcard had no effect (hazard ratio = 0.84; 95% CI = 0.56 - 1.29), whereas the per-protocol analysis showed a strong benefit for the crisis postcard (hazard ratio = 0.39; 95% CI = 0.21 - 0.72).
Conclusion: Although the results of the present study indicated that the postcard intervention did not reduce subsequent suicide behaviour, our study provides an alteration to the postcard intervention. Further studies need to be conducted to clarify whether this type of intervention can reduce subsequent suicidal behaviour, with a particular focus on reducing the rate of loss to follow-up.
Figures
![Figure 1](https://cdn.statically.io/img/www.ncbi.nlm.nih.gov/pmc/articles/instance/3720180/bin/1471-244X-13-191-1.gif)
![Figure 2](https://cdn.statically.io/img/www.ncbi.nlm.nih.gov/pmc/articles/instance/3720180/bin/1471-244X-13-191-2.gif)
![Figure 3](https://cdn.statically.io/img/www.ncbi.nlm.nih.gov/pmc/articles/instance/3720180/bin/1471-244X-13-191-3.gif)
Similar articles
-
[An example of post-discharge monitoring after a suicide attempt: VigilanS].Encephale. 2019 Jan;45 Suppl 1:S13-S21. doi: 10.1016/j.encep.2018.09.009. Epub 2018 Nov 23. Encephale. 2019. PMID: 30477899 Review. French.
-
The predictors of suicidality in previous suicide attempters following case management services.Suicide Life Threat Behav. 2013 Oct;43(5):469-78. doi: 10.1111/sltb.12031. Epub 2013 May 3. Suicide Life Threat Behav. 2013. PMID: 23638619
-
Effect of assertive outreach after suicide attempt in the AID (assertive intervention for deliberate self harm) trial: randomised controlled trial.BMJ. 2012 Aug 22;345:e4972. doi: 10.1136/bmj.e4972. BMJ. 2012. PMID: 22915730 Free PMC article. Clinical Trial.
-
ALGOS: the development of a randomized controlled trial testing a case management algorithm designed to reduce suicide risk among suicide attempters.BMC Psychiatry. 2011 Jan 2;11:1. doi: 10.1186/1471-244X-11-1. BMC Psychiatry. 2011. PMID: 21194496 Free PMC article. Clinical Trial.
-
Prevention of suicide and attempted suicide in Denmark. Epidemiological studies of suicide and intervention studies in selected risk groups.Dan Med Bull. 2007 Nov;54(4):306-69. Dan Med Bull. 2007. PMID: 18208680 Review.
Cited by
-
The effect of the SAFE intervention on post-discharge suicidal behavior: a quasi-experimental study using propensity score matching.Soc Psychiatry Psychiatr Epidemiol. 2024 Jun;59(6):1053-1061. doi: 10.1007/s00127-023-02585-y. Epub 2023 Nov 23. Soc Psychiatry Psychiatr Epidemiol. 2024. PMID: 37993566 Free PMC article.
-
The association between reattempted suicide and incoming calls to the brief contact intervention service, VigilanS: a study of the clinical profile of callers.BMC Psychiatry. 2023 Jan 9;23(1):21. doi: 10.1186/s12888-022-04503-z. BMC Psychiatry. 2023. PMID: 36624409 Free PMC article.
-
Effectiveness of Suicide Safety Planning Interventions: A Systematic Review Informing Occupational Therapy.Can J Occup Ther. 2023 Jun;90(2):208-236. doi: 10.1177/00084174221132097. Epub 2022 Nov 2. Can J Occup Ther. 2023. PMID: 36324257 Free PMC article.
-
Sequential multiple assignment randomised trial of a brief contact intervention for suicide risk management among discharged psychiatric patients: an implementation study protocol.BMJ Open. 2021 Nov 26;11(11):e054131. doi: 10.1136/bmjopen-2021-054131. BMJ Open. 2021. PMID: 34836907 Free PMC article.
-
Mechanisms of brief contact interventions in clinical populations: a systematic review.BMC Psychiatry. 2016 Jun 8;16:194. doi: 10.1186/s12888-016-0896-4. BMC Psychiatry. 2016. PMID: 27277833 Free PMC article. Review.
References
-
- Hendin H, Phillips M, Vijayuakumar L, Pirkis J, Wang H, Yip P. Epidemiology of suicide in Asia. Geneva, Switzerland: WHO Document Production Services; 2008. pp. 7–18.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Other Literature Sources
Medical