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

Author

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  • Min-Hyuk Kim

    (Department of Psychiatry, Yonsei University Wonju College of Medicine, Wonju 26426, Korea
    These authors contributed equally to this work.)

  • Jinhee Lee

    (Department of Psychiatry, Yonsei University Wonju College of Medicine, Wonju 26426, Korea
    These authors contributed equally to this work.)

  • Hyunjean Noh

    (Hopefull Psychiatric Clinic, Anyang, Korea)

  • Jin-Pyo Hong

    (Department of Psychiatry, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul 06351, Korea)

  • Hyun Kim

    (Department of Emergency Medicine, Yonsei University Wonju College of Medicine, Wonju 26426, Korea)

  • Yong Sung Cha

    (Department of Emergency Medicine, Yonsei University Wonju College of Medicine, Wonju 26426, Korea)

  • Joung-Sook Ahn

    (Department of Psychiatry, Yonsei University Wonju College of Medicine, Wonju 26426, Korea)

  • Sei-Jin Chang

    (Department of Preventive Medicine, Yonsei University Wonju College of Medicine, Wonju 26426, Korea)

  • Seongho Min

    (Department of Psychiatry, Yonsei University Wonju College of Medicine, Wonju 26426, Korea)

Abstract

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.

Suggested Citation

  • Min-Hyuk Kim & Jinhee Lee & Hyunjean Noh & Jin-Pyo Hong & Hyun Kim & Yong Sung Cha & Joung-Sook Ahn & Sei-Jin Chang & Seongho Min, 2020. "Effectiveness of a Flexible and Continuous Case Management Program for Suicide Attempters," IJERPH, MDPI, vol. 17(7), pages 1-11, April.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:7:p:2599-:d:344121
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    References listed on IDEAS

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    1. Robert Carroll & Chris Metcalfe & David Gunnell, 2014. "Hospital Presenting Self-Harm and Risk of Fatal and Non-Fatal Repetition: Systematic Review and Meta-Analysis," PLOS ONE, Public Library of Science, vol. 9(2), pages 1-9, February.
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