Short- and Long-term Effects of Case Management on Suicide Prevention among Individuals with Previous Suicide Attempts: a Survival Analysis
Journal of Korean Medical Science
;
: e203-2018.
Article
Dans Anglais
| WPRIM
| ID: wpr-716527
ABSTRACT
BACKGROUND:
This study examined the long-term preventive effects of a case management service on suicide reattempts, and clarified the factors related to suicide reattempts.METHODS:
We reviewed the medical records of suicide attempters who visited the emergency department of Ulsan University Hospital from August 28, 2013 to July 31, 2017. A 4-week case management service was provided to consenting participants, either face-to-face or by telephone. Using survival analysis, we analyzed differences in the time to the next emergency department visit for a suicide attempt according to whether participants completed the case management service. We also assessed which characteristics of participants were associated with suicide reattempts.RESULTS:
We found no overall difference in time to suicide reattempt between case-managed participants and controls over the entire observation period (median period 19 months). However, in the first 24 weeks after the initial suicide attempt, the case-managed group showed a longer time to reattempt than did the control group (log-rank test = 4.243; P = 0.039). A higher risk of reattempt was found among participants with the medical benefit type of health insurance compared to those with national health insurance (hazard ratio [HR], 5.134; P < 0.001) and among participants aged 20–39 compared to those aged ≥ 60 (HR, 3.502; P = 0.05).CONCLUSION:
Case management had only short-term benefits (within 24 weeks of initial suicide attempt). Risk factors for suicide reattempts were having a medical benefit health insurance and being aged 20–39 years.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Facteurs socioéconomiques
/
Suicide
/
Téléphone
/
Analyse de survie
/
Dossiers médicaux
/
Facteurs de risque
/
Prise en charge personnalisée du patient
/
Service hospitalier d'urgences
/
Assurance maladie
/
Programmes nationaux de santé
Type d'étude:
Etude d'étiologie
/
Facteurs de risque
langue:
Anglais
Texte intégral:
Journal of Korean Medical Science
Année:
2018
Type:
Article
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