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Intensive follow-up does not decrease the risk of repeat suicide attempts.

R Allard1, M Marshall, M C Plante

  • 1Department of Community Health, Saint-Luc Hospital, Montréal, Canada.

Suicide & Life-Threatening Behavior
|January 1, 1992
PubMed
Summary
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An intensive intervention after suicide attempts did not reduce repeat attempts. The study aimed to halve the risk, but both intervention and usual care groups showed similar repeat attempt rates.

Area of Science:

  • Psychiatry
  • Public Health
  • Clinical Psychology

Background:

  • Suicide attempts represent a significant public health concern.
  • Reducing repeat suicide attempts is a critical clinical goal.
  • Evidence-based interventions are needed to improve outcomes for individuals with a history of suicide attempts.

Purpose of the Study:

  • To evaluate the efficacy of an intensive intervention in reducing repeat suicide attempts.
  • To determine if the intervention could decrease the risk of a repeat attempt by 50% over two years.
  • To compare outcomes between individuals receiving the intensive intervention and those receiving usual care.

Main Methods:

  • A randomized controlled trial was conducted.
  • Participants were individuals who had recently attempted suicide.

Related Experiment Videos

  • The experimental group received 18 therapy sessions and a home visit over one year; the control group received usual care.

    • Main Results:

    • 35% of the 63 experimental subjects made a repeat attempt.
    • 30% of the 63 control subjects made a repeat attempt.
    • The study possessed 99% power to detect a risk reduction from 30% to 15%.

    Conclusions:

    • The intensive intervention did not achieve its objective of halving the risk of repeat suicide attempts.
    • The observed rates of repeat attempts were not significantly different between the intervention and control groups.
    • Further research is needed to identify effective strategies for preventing repeat suicide attempts.