TY  - JOUR
PY  - 2020//
TI  - Effectiveness of a flexible and continuous case management program for suicide attempters
JO  - International journal of environmental research and public health
A1  - Kim, Min-Hyuk
A1  - Lee, Jinhee
A1  - Noh, Hyunjean
A1  - Hong, Jin-Pyo
A1  - Kim, Hyun
A1  - Cha, Yong Sung
A1  - Ahn, Joung-Sook
A1  - Chang, Sei-Jin
A1  - Min, Seongho
SP  - e2599
EP  - e2599
VL  - 17
IS  - 7
N2  - The purpose of this study was to investigate the effect of continuous case management with a flexible approach on the prevention of suicide by suicide reattempt in a real clinical setting. The subjects in this study were 526 suicide attempters who visited emergency rooms in a teaching hospital in South Korea. Subjects were provided a continuous case management program with a flexible approach according to the severity of their suicide risk and needs. During the entire observation period (from 182 days to 855 days, mean = 572 ± 254), 18 patients (3.7%) died by suicide reattempt: Eight patients (2.27%) in the case management group and 10 patients (7.35%) in the no-case management group. The Cox regression analysis showed that the case management group had a 75% lower risk of death from suicide attempts than the no-case management group (HR = 0.34, 95% CI = 0.13-0.87). This result was shown to be more robust after adjusting for confounding factors such as gender, age, psychiatric treatment, suicide attempts, and family history of suicide (adjusted HR = 0.27, 95% CI = 0.09-0.83). This study was conducted in a single teaching hospital and not a randomized controlled one. A flexible and continuous case management program for suicide attempters is effective for preventing death by suicide reattempts.<p />  <p>Language: en</p>
LA  - en
SN  - 1661-7827
UR  - http://dx.doi.org/10.3390/ijerph17072599
ID  - ref1
ER  -