A real-world effectiveness study comparing a priority appointment, an enhanced contact intervention, and a psychotherapeutic program following attempted suicide

dc.creatorMartínez-Alés, Gonzalo
dc.creatorAngora, Ricardo
dc.creatorBarrigón-Estévez, María L.
dc.creatorRomán-Mazuecos, Eva
dc.creatorJiménez-Sola, Eduardo
dc.creatorVilloria Borrego, Lucía
dc.creatorSánchez-Castro, Pilar
dc.creatorLópez-Castroman, Jorge
dc.creatorCasado-Florez, Isabel
dc.creatorPacheco, Teresa
dc.creatorRodrí­guez-Vega, Beatriz
dc.creatorNaví­o, Mercedes
dc.creatorBravo-Ortiz, María-Fé
dc.creatorBaca-Garcia, Enrique
dc.date2023-03-14T18:22:36Z
dc.date2023-03-14T18:22:36Z
dc.date2019
dc.date.accessioned2024-05-02T20:30:40Z
dc.date.available2024-05-02T20:30:40Z
dc.identifierhttp://repositorio.ucm.cl/handle/ucm/4506
dc.identifier.urihttps://repositorioslatinoamericanos.uchile.cl/handle/2250/9274750
dc.descriptionObjective: To determine the comparative effectiveness of 3 real-practice preventive programs aimed at lowering the relapse risk following a suicide attempt: a single priority appointment with an outpatient psychiatrist, an enhanced contact intervention, and an individual psychotherapy program. Methods: This observational study was conducted in a sample of 1,492 suicide attempters from 3 catchment areas in Madrid, Spain, between 2013 and 2017. Relapse was defined as an emergency department return after a new attempt within a 1-year follow-up. Kaplan-Meier survival functions were obtained by intervention, and Cox proportional hazard regression models were used to estimate unadjusted and adjusted risks of relapse by intervention. Sex- and age-stratified analyses were also conducted. Covariates were age, sex, history of suicide attempts, history of psychiatric disorders, main ICD-10 psychiatric diagnostic groups, medical comorbidities, and family support. Results: A total of 133 subjects (8.9%) relapsed. The psychotherapy group had a lower presence of known risk factors for suicide attempt. Individual psychotherapy and enhanced contact were more effective than a single priority appointment at reducing suicide reattempt, with a 40% lower relapse risk in adjusted models. Results did not differ after sex and age stratification. Conclusions: In a naturalistic clinical setting, patients exposed to individual psychotherapy or an enhanced contact intervention had a similar, lower relapse risk than the single priority appointment group.
dc.languageen
dc.rightsAtribución-NoComercial-SinDerivadas 3.0 Chile
dc.rightshttp://creativecommons.org/licenses/by-nc-nd/3.0/cl/
dc.sourceJournal of Clinical Psychiatry, 80(2), 18m12416
dc.titleA real-world effectiveness study comparing a priority appointment, an enhanced contact intervention, and a psychotherapeutic program following attempted suicide
dc.typeArticle


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