Multicomponent Intervention for Patients Admitted to an Emergency Unit for Suicide Attempt: An Exploratory Study
Suicide is a major cause of premature deaths worldwide and belongs to the top priority public health issues. While suicide attempt is the most important risk factor for completed suicide, intervention for suicide attempters (SA) have produced mixed results. Since an important proportion of SA reques...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2017-09-01
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| Series: | Frontiers in Psychiatry |
| Subjects: | |
| Online Access: | http://journal.frontiersin.org/article/10.3389/fpsyt.2017.00188/full |
| _version_ | 1819016724055326720 |
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| author | Sebastien Brovelli Yves Dorogi Adam-Scott Feiner Philippe Golay Friedrich Stiefel Charles Bonsack Laurent Michaud |
| author_facet | Sebastien Brovelli Yves Dorogi Adam-Scott Feiner Philippe Golay Friedrich Stiefel Charles Bonsack Laurent Michaud |
| author_sort | Sebastien Brovelli |
| collection | DOAJ |
| description | Suicide is a major cause of premature deaths worldwide and belongs to the top priority public health issues. While suicide attempt is the most important risk factor for completed suicide, intervention for suicide attempters (SA) have produced mixed results. Since an important proportion of SA request medical care, emergency units (EU) are an opportune setting to implement such interventions. This exploratory study evaluated the feasibility and acceptability of a multicomponent intervention for SA admitted to an EU. The intervention consisted of coordination by a case manager of a joint crisis plan (JCP), an early meeting with relatives and the existing care network, as well as phone contacts during 3 months after suicide attempt. Among 107 SA admitted to the emergency unit during the study period, 51 could not be included for logistical reason, 22 were excluded, and intervention was offered to 34. Of these, 15 refused the intervention, which was thus piloted with 19 SA. First-time attempters most frequently declined the intervention. Feasibility and acceptability of phone contacts and case manager were good, while JCPs and meetings were difficult to implement and perceived as less acceptable. Refusal pattern questions the global acceptability and is discussed: JCPs and meetings will have to be modified in order to improve their feasibility and acceptability, especially among first-time attempters. |
| first_indexed | 2024-12-21T02:52:10Z |
| format | Article |
| id | doaj.art-e8041863e30f49c3a70a2aea0386ac88 |
| institution | Directory Open Access Journal |
| issn | 1664-0640 |
| language | English |
| last_indexed | 2024-12-21T02:52:10Z |
| publishDate | 2017-09-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychiatry |
| spelling | doaj.art-e8041863e30f49c3a70a2aea0386ac882022-12-21T19:18:26ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402017-09-01810.3389/fpsyt.2017.00188298491Multicomponent Intervention for Patients Admitted to an Emergency Unit for Suicide Attempt: An Exploratory StudySebastien Brovelli0Yves Dorogi1Adam-Scott Feiner2Philippe Golay3Friedrich Stiefel4Charles Bonsack5Laurent Michaud6Service of Liaison Psychiatry, Department of Psychiatry, Lausanne University Hospital (CHUV), Lausanne, SwitzerlandService of Liaison Psychiatry, Department of Psychiatry, Lausanne University Hospital (CHUV), Lausanne, SwitzerlandDepartment of Emergency Medicine, Lausanne University Hospital, Lausanne, SwitzerlandService of Community Psychiatry, Department of Psychiatry, Lausanne University Hospital, Lausanne, SwitzerlandService of Liaison Psychiatry, Department of Psychiatry, Lausanne University Hospital (CHUV), Lausanne, SwitzerlandService of Community Psychiatry, Department of Psychiatry, Lausanne University Hospital, Lausanne, SwitzerlandService of Liaison Psychiatry, Department of Psychiatry, Lausanne University Hospital (CHUV), Lausanne, SwitzerlandSuicide is a major cause of premature deaths worldwide and belongs to the top priority public health issues. While suicide attempt is the most important risk factor for completed suicide, intervention for suicide attempters (SA) have produced mixed results. Since an important proportion of SA request medical care, emergency units (EU) are an opportune setting to implement such interventions. This exploratory study evaluated the feasibility and acceptability of a multicomponent intervention for SA admitted to an EU. The intervention consisted of coordination by a case manager of a joint crisis plan (JCP), an early meeting with relatives and the existing care network, as well as phone contacts during 3 months after suicide attempt. Among 107 SA admitted to the emergency unit during the study period, 51 could not be included for logistical reason, 22 were excluded, and intervention was offered to 34. Of these, 15 refused the intervention, which was thus piloted with 19 SA. First-time attempters most frequently declined the intervention. Feasibility and acceptability of phone contacts and case manager were good, while JCPs and meetings were difficult to implement and perceived as less acceptable. Refusal pattern questions the global acceptability and is discussed: JCPs and meetings will have to be modified in order to improve their feasibility and acceptability, especially among first-time attempters.http://journal.frontiersin.org/article/10.3389/fpsyt.2017.00188/fullsuicidesuicide attemptemergency unitphone contactsinterventionpilot study |
| spellingShingle | Sebastien Brovelli Yves Dorogi Adam-Scott Feiner Philippe Golay Friedrich Stiefel Charles Bonsack Laurent Michaud Multicomponent Intervention for Patients Admitted to an Emergency Unit for Suicide Attempt: An Exploratory Study Frontiers in Psychiatry suicide suicide attempt emergency unit phone contacts intervention pilot study |
| title | Multicomponent Intervention for Patients Admitted to an Emergency Unit for Suicide Attempt: An Exploratory Study |
| title_full | Multicomponent Intervention for Patients Admitted to an Emergency Unit for Suicide Attempt: An Exploratory Study |
| title_fullStr | Multicomponent Intervention for Patients Admitted to an Emergency Unit for Suicide Attempt: An Exploratory Study |
| title_full_unstemmed | Multicomponent Intervention for Patients Admitted to an Emergency Unit for Suicide Attempt: An Exploratory Study |
| title_short | Multicomponent Intervention for Patients Admitted to an Emergency Unit for Suicide Attempt: An Exploratory Study |
| title_sort | multicomponent intervention for patients admitted to an emergency unit for suicide attempt an exploratory study |
| topic | suicide suicide attempt emergency unit phone contacts intervention pilot study |
| url | http://journal.frontiersin.org/article/10.3389/fpsyt.2017.00188/full |
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