Combining Postcards, Crisis Cards, and Telephone Contact Into a Decision-Making Algorithm to Reduce Suicide Reattempt

Vaïva, Guillaume; Berrouiguet, Sofian; Walter, Michel; Courtet, Philippe; Ducrocq, François; Jardon, Vincent; Larsen, Mark E.; Cailhol, Lionel; Godesense, Carole; Couturier, Christophe; Mathur, Anjali; Lagree, Virginie; Pichene, C.; Travers, D.; Lemogne, Cédric; Henry, Jean-Marc; Jover, Frederic; Chastang, Françoise; Prudhomme, Olivier; Lestavel, P.; Gignac, C. Thevenon; Duhem, S.; Demarty, Anne-Laure; Mesmeur, Catherine; Bellivier, Frank; Labreuche, Julien; Duhamel, Alain; Goldstein, Patrick

doi:10.4088/jcp.17m11631

Cited by 31 publications

(40 citation statements)

References 2 publications

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“…Our results confirmed the central place of primary care in the aftercare of SA patients [7,11,24], but also the high frequency of those who reveive no care after a SA [22]. Brief contact interventions for any patient leaving the ED after a SA, to help to cope with any new suicidal crisis could be reliable suicide prevention strategies, could be reliable suicide prevention strategies, in collaboration with GPs [23,35,36].…”

Section: Patient Management By Gps After the Sasupporting

confidence: 78%

Management in primary care at the time of a suicide attempt and its impact on care post-suicide attempt: an observational study in the French GP sentinel surveillance system

et al. 2020

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Background: We aimed to describe primary care management at the time of a suicide attempt (SA) and after the SA. Methods: An observational (cross-sectional) study was conducted among 166 sentinel GPs within France (a nongatekeeping country) between 2013 and 2017 for all GP's patients who attempted suicide. Measurements: frequency of patients 1) managed by the GP at the time of the SA, 2) addressed to an emergency department (ED), 3) without care at the time of the SA, and 4) managed by the GP after the SA and factors associated with GP management at the time of and after the SA. Results: Three hundred twenty-one SAs were reported, of which N = 95 (29.6%) were managed by the GP at the time of the SA, N = (70.5%) were referred to an ED, and N = (27.4%) remained at home. Forty-eight (14.9%) patients did not receive any care at the time of the SA and 178 (55.4%) were managed directly by an ED. GPs were more likely to be involved in management of the patient at the time of the SA if they were younger (39.2% for patients < 34 years old; 22.9% for those 35 to 54 years old, and 30.3% for those more than 55 years old p = 0.02) or the SA involved a firearm or self-cutting (51.9%) versus those involving drugs (23.7%); p = 0.006). After the SA, GPs managed 174 patients (54.2%), more often (60%) when they provided care at home at the time of the SA, p = 0.04; 1.87 [1.07; 3.35]. No other factor was associated with management by GPs after the SA.

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Section: Patient Management By Gps After the Sasupporting

confidence: 78%

Management in primary care at the time of a suicide attempt and its impact on care post-suicide attempt: an observational study in the French GP sentinel surveillance system

et al. 2020

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“…The average BSSI score (4.72 vs. 13.1) also decreased between pre-protocol and post-protocol evaluation. The BSSI scores were high (reference scores [11][12][13][14][15][16][17][18][19][20][21][22][23][24][25] before the intervention and dropped to average after treatment (reference scores of [4][5][6][7][8][9][10]. No safety issues were observed with the BCC treatment.…”

Section: Resultsmentioning

confidence: 99%

“… 5 Two examples are the World Health Organization (WHO) Multisite Intervention Study on Suicidal Behaviours (SUPRE-MISS) programme, which involves nine phone contacts (at 1, 2, 4, 7 and 11 weeks, and 4, 6, 12 and 18 months after the index SA) and a 1-hour psychoeducation intervention (with information about suicide risks and protective factors), 7 , 8 and the ACTION-J programme (psychoeducation, intensive case management and telephone calls at 1, 3, 6, 12 and 18 months, with short or long intervention). 9 Drawing on the SYSCALL 6 study (three contacts: phone call at 1, 3, 13 months after hospital discharge), researchers in France developed the AlgoS 10 programme. This programme comprises an algorithm of different strategies for suicide case management.…”

Section: Introductionmentioning

confidence: 99%

Supportive effect of body contact care with ylang ylang aromatherapy and mobile intervention team for suicide prevention: A pilot study

Amadéo

Nguyễn²,

Teai³

et al. 2020

J Int Med Res

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Objectives To assess understudied, alternative suicide prevention modalities in a mental health care setting. Methods This was a prospective study of patients (n = 140, 68 cases and 72 controls) who were admitted to hospital or who contacted an SOS suicide crisis line for suicidal ideation or attempts. Psychiatric diagnoses (Mini-International Neuropsychiatric Interview) and intensity of anxiety/depression/suicidality (Hamilton Anxiety Rating Scale, Montgomery–Åsberg Depression Rating Scale, and Beck Scale for Suicidal Ideation) were assessed. All intervention group subjects received a crisis card with a crisis line number, interviews with psychologists or volunteers and a telephone call on days 10 to 21, then 6 months later. These subjects also had a choice between two further 4-month interventions: body contact care or mobile intervention team visits. Results The interventions significantly reduced the number of suicide attempts and suicide (3%) at 6 months compared with the control condition (12%). There were fewer losses to follow-up in the intervention group (7.35%) than in the control group (9.72%). Conclusions The results favour the implementation of integrated care and maintaining contact in suicide prevention.

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“…Given the divergent findings between studies on SA reduction, Vaiva and colleagues proposed a composite BCI called "Algos" [6,18]. This BCI relied on three types of contact intervention: a phone call for those who had attempted suicide several times, a series of postcards when the patient was not reachable or did not adhere to post-discharge treatment, and a crisis card for first-time attempters.…”

Section: Introductionmentioning

confidence: 99%

“…Results from this trial led the authors and health care authorities to scale it up to the general population. Given some equivocal results from the Algos trial [18,19], the intervention was significantly enhanced, and relabeled VigilanS (Vigilance for the prevention of Suicide recurrence).…”

Section: Introductionmentioning

confidence: 99%

Changes in the number of suicide re-attempts in a French region since the inception of VigilanS, a regionwide program combining brief contact interventions (BCI)

et al. 2020

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Background: Brief Contact Interventions (BCIs) after a suicide attempt (SA) are an important element of prevention against SA and suicide. They are easier to generalize to an entire population than other forms of intervention. VigilanS generalizes to a whole French region a BCI combining resource cards, telephone calls and mailings, according to a predefined algorithm. It was implemented gradually in the Nord-Pas-de-Calais (NPC), France, between 2015 and 2018. Here, we evaluate the effectiveness of VigilanS, in terms of SA reduction, using annual data collected by participating centers. Hypothesis tested: the higher the VigilanS implementation in a center (measured by penetrance), the greater the decrease in the number of SA observed in this center. Methods: The study period was from 2014 to 2018, across all of NPC centers. We performed a series of linear regressions, each center representing a statistical unit. The outcome was the change in the number of SA, relative to the initial number, and the predictive variable was VigilanS' penetrance: number of patients included in VigilanS over the total number of SA. Search for influential points (points beyond threshold values of 3 influence criteria) and weighted least squares estimations were performed. Results: Twenty-one centers were running VigilanS in 2018, with an average penetrance of 32%. A significant relationship was identified, showing a sharp decrease in SA as a function of penetrance (slope = − 1.13; p = 3*10 − 5). The model suggested that a 25% of penetrance would yield a SA decrease of 41%. Conclusion: VigilanS has the potential to reduce SA. Subgroup analyzes are needed to further evaluate its effectiveness. Subgroup analyses remain to be done, in order to evaluate the specific variations of SA by group.

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Combining Postcards, Crisis Cards, and Telephone Contact Into a Decision-Making Algorithm to Reduce Suicide Reattempt

Cited by 31 publications

References 2 publications

Management in primary care at the time of a suicide attempt and its impact on care post-suicide attempt: an observational study in the French GP sentinel surveillance system

Management in primary care at the time of a suicide attempt and its impact on care post-suicide attempt: an observational study in the French GP sentinel surveillance system

Supportive effect of body contact care with ylang ylang aromatherapy and mobile intervention team for suicide prevention: A pilot study

Changes in the number of suicide re-attempts in a French region since the inception of VigilanS, a regionwide program combining brief contact interventions (BCI)

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