Effect of telephone contact on further suicide attempts in patients discharged from an emergency department: randomised controlled study
Effect of telephone contact on further suicide attempts in patients discharged from an emergency department: randomised controlled study
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DOI：
10.1136/bmj.332.7552.1241
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发表时间：
2006-05-27
影响因子：
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通讯作者：
Goudemand, M
中科院分区：
文献类型：
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作者：
Vaiva, G;Ducrocq, F;Goudemand, M
目的 确定因故意自投毒而出院后一个月或三个月通过电话联系患者与常规治疗相比一年内的效果。设计多中心、随机对照试验。在法国北部设置 13 个急诊科。参与者 605 名因故意自投毒自杀而从急诊室出院的患者。干预措施包括在急诊出院后 1 个月或 3 个月通过电话联系患者。 自杀未遂部门评估推荐治疗的成功或调整治疗。对照患者照常接受治疗，大多数情况下转回全科医生处。 主要结局指标 主要结局指标是再次尝试自杀的参与者比例、自杀死亡人数以及 13 个月随访时失访。次要结局指标是接触医疗保健的类型和次数。 结果 在意向治疗基础上，三组在进一步自杀未遂、自杀死亡或失访方面没有显着差异：一个月接触（干预 23% (34/147) v 对照组 30% (93/312)，差异 7%,95% 置信区间 - 2% 至 15% 三个月 (25% (36/146) v) 30%，差异 5%，- 4% 至 14%）。在一个月内联系的参与者在随访中报告再次企图自杀的可能性较小（对照组为 12% 对 22%，差异分别为 10%、2% 至 18%）。 结论 因故意自投毒而从急诊室出院一个月后通过电话联系人们可能有助于减少一年内再次企图自杀的次数。
Objective To determine the effects over one year of contacting patients by telephone one month or three months after being discharged from an emergency department for deliberate self poisoning compared with usual treatment.Design Multicentre, randomised controlled trial.Setting 13 emergency departments in the north of France.Participants 605 people discharged from an emergency department after attempted suicide by deliberate self poisoning.Intervention The intervention consisted of contacting patients by telephone at one month or three months after discharge from an emergency department for attempted suicide to evaluate die success of recommended treatment or to adjust treatment. Control patients received treatment as usual, in most cases referral back to their general practitioner.Main outcome measures The primary outcome measures were proportion of participants who reattempted suicide, number of deaths by suicide, and losses to follow-up at 13 months' follow-up. Secondary outcome measures were types and number of contacts with health care.Results On an intention to treat basis, the three groups did not differ significantly for further suicide attempts, deaths by suicide, or losses to follow-up: contact at one month (intervention 23% (34/147) v controls 30% (93/312), difference 7%,95% confidence interval - 2% to 15% three months (25% (36/146) v 30%, difference 5%, - 4% to 14%). Participants contacted at one month were less likely at follow-up to report having reattempted suicide (12% v 22% in control group, difference 10%, 2% to 18%).Conclusion Contacting people by telephone one month after being discharged from an emergency department for deliberate self poisoning may help reduce the number of reattempted suicides over one year.