Preventing repetition of attempted suicide-II. The Amager Project, a randomized controlled trial
Preventing repetition of attempted suicide-II. The Amager Project, a randomized controlled trial
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DOI：
10.3109/08039488.2010.544404
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发表时间：
2011-10-01
影响因子：
1.8
通讯作者：
Wang, August G.
中科院分区：
文献类型：
--
作者：
Hvid, Marianne;Vangborg, Kerstin;Wang, August G.
自杀未遂后的重复率很高，但仅进行了很少的效果研究。挪威的贝鲁姆模式为那些未接受精神治疗的人提供了实用且负担得起的干预措施。 2005年至2007年期间，除患有严重精神疾病（精神分裂症、双相情感障碍、严重/精神抑郁症）的患者外，所有企图自杀的患者都被邀请参加。干预组接受 OPAC 计划（外展、解决问题、坚持、连续性），对照组接受照常治疗 (TAU)。干预期为6个月。干预期结束后，所有患者均被动随访 6 个月。该设计是一种意图治疗的设计。结果是：1）重复尝试自杀或自杀，2）自杀行为总数。共有 200 名患者提出参与，67 名患者拒绝。在 133 名参与者中，69 名被随机分配到 OPAC 计划，64 名被分配到（非干预）对照组。每组中有四人在最初参与后退出。干预组重复尝试自杀的比例（8.7%）显着低于对照组（21.9%），重复行为的次数也显着降低（干预组重复 8 次，对照组重复 22 次）。总之，我们的研究结果表明，OPAC 计划对重复自杀企图的比例以及随访期间重复自杀的总数具有保护作用。
Repetition after attempted suicide is high but only few effect studies have been carried out. The Baerum Model from Norway offers practical and affordable intervention for those not being offered psychiatric treatment. During a period from 2005-2007, all attempted suicide patients except those with major psychiatric diagnoses (schizophrenia, bipolar disorder, severe/psychotic depression), were offered participation. The intervention group received the OPAC programme (outreach, problem solving, adherence, continuity) and the control group received treatment as usual (TAU). The intervention period was 6 months. After this intervention period, all patients were followed passively for an extra 6 months. The design was an intent-to-treat one. The outcomes were: 1) repetition of attempted suicide or suicide, and 2) total number of suicidal acts. A total of 200 patients were offered participation, 67 refused. Of the 133 participants, 69 were randomized to the OPAC programme and 64 to the (non-intervention) control group. Four in each group dropped out after initial participation. There was a significant lower proportion who repeated a suicide attempt the intervention group (proportion 8.7%) than in the control group (proportion 21.9%) and the number of repetitive acts was also significant lower (eight repetitions in the intervention group vs. 22 in the control group). In conclusion, our findings suggest a protective effect of the OPAC programme on the proportion who repeated a suicide attempt and on the total number of repetitions during the follow-up.