Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Suicide in a community based case management service.

J Pyke1, M J Steers

  • 1Case Management Services, Community Resources Consultants of Toronto (CRCT), Ontario, Canada.

Community Mental Health Journal
|December 1, 1992
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Program-specific transplant rate ratios: Association with allocation priority at listing and posttransplant outcomes.

American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons·2018
Same author

The Impact of Redistricting Proposals on Health Care Expenditures for Liver Transplant Candidates and Recipients.

American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons·2016
Same author

Broader Geographic Sharing of Pediatric Donor Lungs Improves Pediatric Access to Transplant.

American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons·2015
Same author

[The Community Resources Consultants of Toronto (CRCT): Two Case Management Programs.].

Sante mentale au Quebec·2008
Same author

Improving accessibility: the experience of a Canadian Mental Health Agency.

Psychiatric rehabilitation journal·2002
Same author

A workshop for receptionists in mental health settings.

Psychiatric rehabilitation journal·2001

Community case management for long-term mental illness patients had a 2% suicide rate. Clients who died by suicide had more chronic conditions and hospitalizations, and faced greater difficulties building a therapeutic alliance.

Area of Science:

  • Psychiatry
  • Mental Health Services Research
  • Public Health

Background:

  • Community-based case management is crucial for individuals with long-term mental illness.
  • Understanding risk factors for suicide within this population is essential for improving care.
  • Previous research indicates varied outcomes for community-based mental health interventions.

Purpose of the Study:

  • To investigate the characteristics of individuals with long-term mental illness who died by suicide while enrolled in a community-based case management program.
  • To identify potential predictors of suicide within this specific patient cohort.
  • To inform the development of targeted interventions within case management services.

Main Methods:

  • A retrospective study of 532 clients over a 9-year period in a community-based case management program.

Related Experiment Videos

  • Comparison of clients who died by suicide (n=13) with a matched control group.
  • Analysis of socio-demographic, clinical variables, chronicity, hospitalization rates, and therapeutic alliance.
  • Matched-pair analysis based on age, sex, and program length of stay.

    • Main Results:

    • The overall suicide rate was 2% (13 out of 532 clients).
    • Clients who died by suicide showed statistically significant differences in chronicity and number of post-admittance hospitalizations compared to controls.
    • Difficulties in establishing a working relationship were more frequently reported for clients who died by suicide.
    • No significant differences were found in most other socio-demographic and clinical variables.

    Conclusions:

    • Chronicity, frequent hospitalizations, and challenges in forming therapeutic alliances may be associated with suicide risk in long-term mental illness patients in community case management.
    • Case management programs should consider these factors when assessing suicide risk and tailoring interventions.
    • Further research is needed to explore the nuances of therapeutic alliance and its impact on suicide prevention in this population.