Background:To evaluate the efficacy of different ways of communications on prevention of suicidal reattempt, we compared the efficacy of phone call versus face-to-face follow-up in patients with previous attempt.Materials and Methods:In a randomized controlled clinical trial, 55 suicide reattempters who were admitted to the poisoning emergency were divided into phone call (29 patients) and face-to-face (26 patients) groups randomly. They were followed at 8 occasions: 2nd and 4th weeks, and the 2nd, 3rd, 4th, 5th, 6th, and 8th months. The suicidal reattempt, suicidal thought, hope, and interest of the patients were assessed on each occasion, and the patients were guided to visit by a therapist, if needed. The findings were analyzed by Mann–Whitney, Chi-square, Cochran, Friedman, and independent t-tests using SPSS 20.Results:The status of “hope” and “interest” improved in both groups, but it showed more significant difference in the face-to-face group. Suicidal thoughts in both groups decreased over time, and this was more significant in the face-to-face group. However, we did not found any significant difference in the frequency of the suicidal reattempts between two groups.Conclusion:Face-to-face versus phone call follow-up of suicide attempters can significantly alleviate suicidal thoughts and improve hopes and interests.

Background:Nephrolithiasis is a recurrent disease, and one of the most effective methods for prevention of stone recurrence is increasing the urine output (>2 L/day), but it is difficult to achieve it. The aim of this study was to evaluate the effect of behavioral intervention by measurement of urine specific gravity using dipstick on 24-h urine volume in first renal stone patients.Materials and Methods:In this prospective randomize clinical study, 80 adult patients with history of first renal stone were included. Patients were divided into two groups with 40 patients in each group. We explained the importance of high fluid intake and high urine volume in the prevention of renal stones for all patients. Group A patients were trained to measure 24-h urine volume every 15 days, and group B patients were trained to keep urine specific gravity below 1.010 by using dipstick. We measured 24-h urine volume in each group before intervention, and at 3 months and 6 months after intervention and compared them.Results:There were no significant differences between the two groups in 24-h urine volume before intervention (P = 0.41), but it was significant 3 months (P = 0.01) and 6 months (P = 0.01) after intervention. Patients’ compliance was 20% in group A and 90% in group B (P < 0.05).Conclusion:The use of behavioral modification with dipstick is an effective method for control and maintenance of optimal urine volume, and it has resulted in more patient compliance for drinking water and is more effective for prevention of renal stone.

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Background: Psychological factors play an important role as predisposing precipitating factors for coronary heart disease (CHD). Coping strategies, type D personality, illness perception (IP), and fatigue are among major psychological factors in myocardial infarction (MI) patients. Objectives: The study aimed to investigate relationships between coping strategies, type D personality subscales, illness perception, and fatigue in MI patients. Methods: In this cross-sectional study, we collected the demographic and clinical information of 241 consecutive MI patients (mean age: 54.53 ± 9.76 years) in the first week of hospitalization. After four months, we used questionnaires to collect information on type D personality subscales, coping strategies, illness perception, and fatigue at patients' houses. To verify relationships between the variables, the collected data were analyzed by structural equation modeling. Results: The participants with more positive illness perception regarding MI were less likely to be fatigued and/or less probably used emotion coping. Patients who experienced fatigue as a symptom after MI were probably inhibited socially. Social inhibition, negative affectivity, and emotion coping were seen more in women than in men and younger participants used task coping strategy more than older ones. Conclusions: Improving psychological factors such as illness perception, coping strategies, and type D personality may promote the health condition of patients in the post-MI period although these factors may influence the process of MI prevention.