Intensive Case Management in Suicide Attempters Following Discharge from Inpatient Psychiatric Care

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Title Intensive Case Management in Suicide Attempters Following Discharge from Inpatient Psychiatric Care
Author De Leo, Diego; Heller, Travis
Journal Name Australian Journal of Primary Health
Year Published 2007
Place of publication Bundoora, Victoria
Publisher La Trobe University
Abstract Suicide risk is high in the first week, month and year following discharge from psychiatric inpatient settings. The decrease in care following discharge has been considered as contributing to the excessive suicide rate in this population. The aim of this research was to evaluate the impact of an intensive case management follow-up of these high-risk people for one year. Sixty males with a history of suicide attempts and psychiatric illness were recruited at discharge from a psychiatric inpatient setting at the Gold Coast Hospital, Queensland. Participants were randomly assigned to one of two conditions: Intensive Case Management (ICM) or Treatment As Usual (TAU). ICM featured weekly face-to-face contact with a community case manager and outreach telephone calls from experienced telephone counsellors. TAU participants were discharged under existing hospital practices. All participants completed assessment interviews at baseline, six and twelve months post-discharge. At the end of the twelve-month treatment phase, there was a dropout rate of 53.3% in the ICM condition, and 73.3% in the TAU condition, leaving a final sample of 22 (ICM=14, TAU=8). People in the ICM condition had significant improvements in depression scores, suicide ideation, and quality of life. ICM participants reported more contacts with mental and allied health services, had better relationships with therapists, and were more satisfied with the services that they did receive. No suicides were recorded in the twelve-month follow-up period. A few participants engaged in self-harming behaviours, though there were no differences between treatment conditions with regard to this aspect. Despite the high attrition rate and subsequent low sample size, initial indications are that intensive case management may be beneficial in assisting the post-discharge phase of high-risk psychiatric patients.
Peer Reviewed Yes
Published Yes
Alternative URI http://dx.doi.org/10.1071/PY07038
Volume 13
Issue Number 3
Page from 49
Page to 58
ISSN 1448-7527
Date Accessioned 2007-12-20
Language en_AU
Research Centre Australian Institute for Suicide Research and Prevention
Faculty Griffith Health Faculty
Subject PRE2009-Medical and Health Sciences
URI http://hdl.handle.net/10072/17391
Publication Type Journal Articles (Refereed Article)
Publication Type Code c1

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