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Journal Article

Citation

Sreedaran P, Jayasudha N, Selvam S, Ruben JP, Ashok MV. Indian J. Psychiatry 2020; 62(1): 30-35.

Affiliation

Department of Psychiatry, St John's Medical College Hospital, Koramangala, Bengaluru, Karnataka, India.

Copyright

(Copyright © 2020, Medknow Publications)

DOI

10.4103/psychiatry.IndianJPsychiatry_485_18

PMID

32001928

PMCID

PMC6964454

Abstract

OBJECTIVE: There is limited information from India on whether individuals follow up with mental health services after a suicide attempt. The objective of this study was to determine follow-up rates after a suicide attempt with mental health services of those individuals treated as part of the assertive management of attempted suicide service in a general hospital in Bengaluru, India.

MATERIALS AND METHODS: Records from 284 persons from January 2016 to December 2016 were analyzed to ascertain their follow-up rates with mental health services after a suicide attempt.

RESULTS: After discharge, 25% individuals followed up on a single occasion with mental health services. Individuals with a psychiatric diagnosis were significantly more likely to follow up with mental health services as compared to those without a psychiatric diagnosis (P < 0.011, odds ratio: 2.875, confidence interval at 95%: 1.276-6.481). 90.8% were contacted through telephone as part of aftercare.

CONCLUSIONS: Most individuals in India, especially those without a psychiatric diagnosis, do not follow up with mental health services after a suicide attempt. Periodic telephonic contacts are a useful aftercare strategy to reach out to this high-risk population. Limitation of this study is that findings are from an urban general hospital setting.

Copyright: © 2020 Indian Journal of Psychiatry.


Language: en

Keywords

Assertive; follow-up; help seeking; service utilization; suicide attempt

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