TY  - JOUR
PY  - 2021//
TI  - Effectiveness of assertive case management for patients with suicidal intent
JO  - Psychiatry research
A1  - Inui-Yukawa, Masami
A1  - Miyaoka, Hitoshi
A1  - Yamamoto, Kenji
A1  - Kamijo, Yoshito
A1  - Takai, Michiko
A1  - Yonemoto, Naohiro
A1  - Kawanishi, Chiaki
A1  - Otsuka, Kotaro
A1  - Tachikawa, Hirokazu
A1  - Hirayasu, Yoshio
SP  - e114125
EP  - e114125
VL  - 304
IS  - 
N2  - The aim of this study was to examine the effectiveness of assertive case management intervention in preventing suicidal behaviour in self-poisoning patients. We conducted a secondary analysis of data from the ACTION-J study. Participants were self-poisoning patients with clear suicide intent admitted to emergency departments and with a primary psychiatric diagnosis (as per DSM-IV-TR axis 1). Patients were randomly assigned either to assertive case management or enhanced usual care. The primary outcome measure was the incidence of a first recurrent suicide attempt within 6 months. This study is registered at ClinicalTrials.gov (NCT00736918) and UMIN-CTR (C000000444). There were 297 self-poisoning patients in the intervention group and 295 in the control group. The primary outcome was significantly lower in the intervention group than in the control group. The incidence of a first recurrent suicide attempt within 1 and 3 months was also significantly lower in the intervention group, as was the number of overall self-harm episodes over the entire study period. Furthermore, the number of non-suicidal self-harm episodes and suicide attempts was significantly lower in the intervention group. Assertive case management is effective when promptly introduced in a hospital setting as an intervention following a suicide attempt, particularly for self-poisoning patients.<p />  <p>Language: en</p>
LA  - en
SN  - 0165-1781
UR  - http://dx.doi.org/10.1016/j.psychres.2021.114125
ID  - ref1
ER  -