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Coping Card Usage can Further Reduce Suicide Reattempt in Suicide Attempter Case Management Within 3-Month
Ying-Chuan Wang1, Ling-Yu Hsieh2, Ming-Yu Wang3,4
1Institute of Behavioral Medicine, Medical College, National Cheng Kung University, Tainan, Taiwan.
Insights
Crisis coping cards significantly improved suicide prevention outcomes. This intervention reduced suicide risk, depression, anxiety, and hopelessness, and prolonged time to suicide reattempts over three months.
Area of Science:
- Psychiatry
- Clinical Psychology
- Public Health
Background:
- Suicide remains a significant public health concern globally.
- Effective interventions for suicide prevention are crucial in clinical practice.
- Case management is a common approach, but its efficacy can be enhanced.
Purpose of the Study:
- To evaluate the effectiveness of crisis coping cards as an adjunct to case management for suicide prevention.
- To compare outcomes between patients receiving case management with coping cards versus case management alone.
Main Methods:
- A randomized controlled trial involving 64 participants over a 3-month intervention period.
- Participants were assigned to either crisis coping cards with case management or case management alone.
- Generalized estimating equation analysis examined treatment effects on suicide risk, depression, anxiety, and hopelessness.
Main Results:
- The crisis coping card group demonstrated significant reductions in subsequent suicidal behaviors, suicide risk severity, depression, anxiety, and hopelessness.
- Survival analysis revealed a significantly longer time to suicide reattempt in the coping card group at 2 and 3 months.
- The intervention group showed superior outcomes compared to the case management only group.
Conclusions:
- Crisis coping cards are an effective tool to enhance case management in suicide prevention.
- This intervention can lead to reduced psychological distress and lower rates of suicide reattempt.
- Integrating coping cards into suicide prevention strategies holds promise for improving patient outcomes.
Abstract:
This randomized controlled trial was designed to evaluate the effectiveness of using crisis coping cards (n = 32) in the case management of suicide prevention compared with case management without the use of coping cards (n = 32) over a 3-month intervention period. The generalized estimating equation was used to examine the interaction effect between treatments and time on suicide risk, depression, anxiety, and hopelessness. Results indicated that subsequent suicidal behaviors, severity of suicide risk, depression, anxiety, and hopelessness were reduced more in the coping card intervention group compared to the case management only group. Moreover, for the survival curves of time to suicide reattempt, the coping card group showed a significantly longer time to reattempt than the case management only group at 2-month and 3-month intervention periods.
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