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Related Experiment Videos

Parasuicides without follow-up.

B Runeson1

  • 1Institute of Clinical Neuroscience, Karolinska Institute, Department of Psychiatry, St Göran's Hospital, SE-112 81 Stockholm, Sweden.

Nordic Journal of Psychiatry
|February 13, 2002
PubMed
Summary
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Many individuals who attempt suicide do not receive recommended care. A second approach successfully engaged 34% of those initially refusing follow-up, indicating a need for case management in suicide prevention.

Area of Science:

  • Psychiatry
  • Public Health
  • Mental Health Services Research

Background:

  • Parasuicide (self-harm) is a significant risk factor for completed suicide.
  • Many individuals who engage in parasuicide do not receive or accept recommended psychiatric care.
  • Effective interventions are needed to engage high-risk individuals in follow-up care.

Purpose of the Study:

  • To investigate the characteristics of parasuicide patients who did not receive or accept recommended care.
  • To assess the effectiveness of a second approach in engaging these individuals in follow-up.
  • To explore the potential of a case manager approach for this population.

Main Methods:

  • A prospective study of 329 consecutive parasuicide patients (aged 10-89).
  • Comparison of patients who received follow-up versus those who did not.

Related Experiment Videos

  • A second approach was used to re-engage patients who initially refused or did not receive follow-up.
  • Assessment of psychiatric history, substance use, global functioning (GAF), and demographics.

    • Main Results:

    • 96 out of 329 patients (29%) left without follow-up.
    • Patients without follow-up were younger, more likely to be male, single, and unemployed.
    • Significant rates of depression (27%), substance addiction (57%), and low global functioning (54%) were observed.
    • A second approach successfully engaged 34% of initially non-adherent patients in follow-up care.

    Conclusions:

    • Individuals who do not receive initial recommended care after parasuicide are a distinct, high-risk group.
    • A proactive, case manager approach can successfully engage a substantial portion of these individuals.
    • This highlights the importance of persistent outreach and tailored interventions for suicide prevention.