Treatment engagement: a neglected aspect in the psychiatric care of suicidal patients.

@article{Alonzo2010TreatmentEA,
  title={Treatment engagement: a neglected aspect in the psychiatric care of suicidal patients.},
  author={Dana Alonzo and Barbara H Stanley},
  journal={Psychiatric services},
  year={2010},
  volume={61 12},
  pages={
          1183-91
        }
}
OBJECTIVE Suicide remains a serious health problem in the United States and worldwide. Despite changing distributions in sex, race-ethnicity, and age and considerable efforts to reduce the incidence rate, the number of suicides has remained relatively stable. The transition from emergency services to outpatient services is a crucial but often neglected step in treating suicidal individuals. Up to 50% of attempters refuse recommended treatment, and up to 60% drop out after only one session. This… 
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TLDR
Results imply that offering Veterans an ongoing therapeutic group format to give and receive support from peers also struggling with suicide risk factors is an effective way to reduce suicide-related thoughts.
Community Care of Individuals at Risk of Suicide: The Life Promotion Clinic Model
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The LPC presents an innovative model of community service, capable of engaging patients with serious mental health issues, while making the service accessible to people from various social categories.
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TLDR
Differences between accepters and decliners of guidance to care (GtC) in relation to the characteristics of patients who presented at the emergency department (ED) of an urban hospital in the Netherlands after attempted suicide are identified.
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TLDR
Based on the encouraging results of this systematic review, it can be assumed that laying the focus on suicidal episodes might be the key intervention for preventing suicide re-attempts and suicides.
OSTA program: A French follow up intervention program for suicide prevention
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TLDR
Assertive outreach showed no significant effect on subsequent suicide attempt, and the difference in rates of events between register data and self reported data could indicate detection bias.
Psychosocial interventions for self-harm in adults.
TLDR
On the basis of data from four trials, individual cognitive behavioural therapy (CBT)-based psychotherapy may reduce repetition of SH as compared to TAU or another comparator by the end of the intervention (OR 0.35, 95% CI 0.12 to 1.02; N = 238; k = 4; GRADE: low certainty evidence), although there was imprecision in the effect estimate.
Patient perspectives on an intervention after suicide attempt: The need for patient centred and individualized care
TLDR
Interventions should consider the clinician as the cornerstone of the tailored care valued by suicide attEMPters, aware that some suicide attempters put more emphasis on their own resources than on delivered health care.
Comparison of the Safety Planning Intervention With Follow-up vs Usual Care of Suicidal Patients Treated in the Emergency Department
TLDR
A large-scale cohort comparison study found that the Safety Planning Intervention was associated with a reduction in suicidal behavior and increased treatment engagement among suicidal patients following ED discharge and may be a valuable clinical tool in health care settings.
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