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Open AccessArticle

Effectiveness of a Flexible and Continuous Case Management Program for Suicide Attempters

1
Department of Psychiatry, Yonsei University Wonju College of Medicine, Wonju 26426, Korea
2
Hopefull Psychiatric Clinic, Anyang, Korea
3
Department of Psychiatry, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul 06351, Korea
4
Department of Emergency Medicine, Yonsei University Wonju College of Medicine, Wonju 26426, Korea
5
Department of Preventive Medicine, Yonsei University Wonju College of Medicine, Wonju 26426, Korea
*
Author to whom correspondence should be addressed.
These authors contributed equally to this work.
Int. J. Environ. Res. Public Health 2020, 17(7), 2599; https://doi.org/10.3390/ijerph17072599
Received: 7 March 2020 / Revised: 3 April 2020 / Accepted: 9 April 2020 / Published: 10 April 2020
The purpose of this study was to investigate the effect of continuous case management with a flexible approach on the prevention of suicide by suicide reattempt in a real clinical setting. The subjects in this study were 526 suicide attempters who visited emergency rooms in a teaching hospital in South Korea. Subjects were provided a continuous case management program with a flexible approach according to the severity of their suicide risk and needs. During the entire observation period (from 182 days to 855 days, mean = 572 ± 254), 18 patients (3.7%) died by suicide reattempt: Eight patients (2.27%) in the case management group and 10 patients (7.35%) in the no-case management group. The Cox regression analysis showed that the case management group had a 75% lower risk of death from suicide attempts than the no-case management group (HR = 0.34, 95% CI = 0.13–0.87). This result was shown to be more robust after adjusting for confounding factors such as gender, age, psychiatric treatment, suicide attempts, and family history of suicide (adjusted HR = 0.27, 95% CI = 0.09–0.83). This study was conducted in a single teaching hospital and not a randomized controlled one. A flexible and continuous case management program for suicide attempters is effective for preventing death by suicide reattempts. View Full-Text
Keywords: suicide; suicide attempts; intervention; case management suicide; suicide attempts; intervention; case management
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MDPI and ACS Style

Kim, M.-H.; Lee, J.; Noh, H.; Hong, J.-P.; Kim, H.; Cha, Y.S.; Ahn, J.-S.; Chang, S.-J.; Min, S. Effectiveness of a Flexible and Continuous Case Management Program for Suicide Attempters. Int. J. Environ. Res. Public Health 2020, 17, 2599.

AMA Style

Kim M-H, Lee J, Noh H, Hong J-P, Kim H, Cha YS, Ahn J-S, Chang S-J, Min S. Effectiveness of a Flexible and Continuous Case Management Program for Suicide Attempters. International Journal of Environmental Research and Public Health. 2020; 17(7):2599.

Chicago/Turabian Style

Kim, Min-Hyuk; Lee, Jinhee; Noh, Hyunjean; Hong, Jin-Pyo; Kim, Hyun; Cha, Yong S.; Ahn, Joung-Sook; Chang, Sei-Jin; Min, Seongho. 2020. "Effectiveness of a Flexible and Continuous Case Management Program for Suicide Attempters" Int. J. Environ. Res. Public Health 17, no. 7: 2599.

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