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

dc.contributor.authorMartínez-Alés, Gonzalo
dc.contributor.authorAngora, Ricardo
dc.contributor.authorBarrigón-Estévez, María L.
dc.contributor.authorRomán-Mazuecos, Eva
dc.contributor.authorJiménez-Sola, Eduardo
dc.contributor.authorVilloria Borrego, Lucía
dc.contributor.authorSánchez-Castro, Pilar
dc.contributor.authorLópez-Castroman, Jorge
dc.contributor.authorCasado-Florez, Isabel
dc.contributor.authorPacheco, Teresa
dc.contributor.authorRodrí­guez-Vega, Beatriz
dc.contributor.authorNaví­o, Mercedes
dc.contributor.authorBravo-Ortiz, María-Fé
dc.contributor.authorBaca-Garcia, Enrique
dc.date.accessioned2023-03-14T18:22:36Z
dc.date.available2023-03-14T18:22:36Z
dc.date.issued2019
dc.identifier.urihttp://repositorio.ucm.cl/handle/ucm/4506
dc.description.abstractObjective: 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.es_CL
dc.language.isoenes_CL
dc.rightsAtribución-NoComercial-SinDerivadas 3.0 Chile*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/cl/*
dc.sourceJournal of Clinical Psychiatry, 80(2), 18m12416es_CL
dc.titleA real-world effectiveness study comparing a priority appointment, an enhanced contact intervention, and a psychotherapeutic program following attempted suicidees_CL
dc.typeArticlees_CL
dc.ucm.facultadFacultad de Ciencias de la Saludes_CL
dc.ucm.indexacionScopuses_CL
dc.ucm.indexacionIsies_CL
dc.ucm.uriwww.psychiatrist.com/jcp/depression/suicide/effectiveness-of-suicide-prevention-programs/es_CL
dc.ucm.doidoi.org/10.4088/JCP.18m12416es_CL


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Atribución-NoComercial-SinDerivadas 3.0 Chile
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