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Randomized Controlled Trial
. 2018 Sep 25;79(6):17m11631.
doi: 10.4088/JCP.17m11631.

Combining Postcards, Crisis Cards, and Telephone Contact Into a Decision-Making Algorithm to Reduce Suicide Reattempt: A Randomized Clinical Trial of a Personalized Brief Contact Intervention

Guillaume Vaiva  1   2 , Sofian Berrouiguet  3   4 , Michel Walter  4 , Philippe Courtet  5 , François Ducrocq  2   6 , Vincent Jardon  1 , Mark E Larsen  7 , Lionel Cailhol  8 , Carole Godesense  9 , Christophe Couturier  10 , Anjali Mathur  11 , Virginie Lagree  12 , Catherine Pichene  13 , David Travers  14 , Cedric Lemogne  15 , Jean Marc Henry  16 , Frederic Jover  17 , Francoise Chastang  18 , Olivier Prudhomme  19 , Philippe Lestavel  20 , Catherine Thevenon Gignac  21 , Stéphane Duhem  22 , Anne Laure Demarty  22 , Catherine Mesmeur  4 , Frank Bellivier  23 , Julien Labreuche  24 , Alain Duhamel  24 , Patrick Goldstein  6
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Randomized Controlled Trial

Combining Postcards, Crisis Cards, and Telephone Contact Into a Decision-Making Algorithm to Reduce Suicide Reattempt: A Randomized Clinical Trial of a Personalized Brief Contact Intervention

Guillaume Vaiva et al. J Clin Psychiatry. .

Abstract

Background: There is growing evidence in the literature that brief contact interventions (BCIs) might be reliable suicide prevention strategies.

Objective: To assess the effectiveness of a decision-making algorithm for suicide prevention (ALGOS) combining existing BCIs in reducing suicide reattempts in patients discharged after a suicide attempt.

Methods: A randomized, multicenter, controlled, parallel trial was conducted in 23 hospitals. The study was conducted from January 26, 2010, to February 28, 2013. People who had made a suicide attempt were randomly assigned to either the intervention group (ALGOS) or the control group. The primary outcome was the rate of participants who reattempted suicide (fatal or not) within the 6-month study period.

Results: 1,040 patients were recruited. After 6 months, 58 participants in the intervention group (12.8%) reattempted suicide compared with 77 (17.2%) in the control group. The difference between groups (4.4%; 95% CI, -0.7% to 9.0%) was not significant (complete-case analysis, P = .059).

Conclusions: These results may help researchers better integrate BCIs into routine health care and provide new insights concerning personalized suicide prevention strategies.

Trial registration: ClinicalTrials.gov identifier: NCT01123174.

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