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.

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