Báo cáo y học: " ALGOS: the development of a randomized controlled trial testing a case management algorithm designed to reduce suicide risk among suicide attempters"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: ALGOS: the development of a randomized controlled trial testing a case management algorithm designed to reduce suicide risk among suicide attempters | Vaiva et al. BMC Psychiatry 2011 11 1 http 1471-244X 11 1 BMC Psychiatry STUDY PROTOCOL Open Access ALGOS the development of a randomized controlled trial testing a case management algorithm designed to reduce suicide risk among suicide attempters 3 2 4 5 2 Guillaume Vaiva 1 Michel Walter Abeer S Al Arab Philippe Courtet Frank Bellivier Anne Laure Demarty Stephane Duhem2 Francois Ducrocq6 Patrick Goldstein6 Christian Libersa2 Abstract Background Suicide attempts SA constitute a serious clinical problem. People who attempt suicide are at high risk of further repetition. However no interventions have been shown to be effective in reducing repetition in this group of patients. Methods Design Multicentre randomized controlled trial. We examine the effectiveness of ALGOS algorithms an intervention based in a decisional tree of contact type which aims at reducing the incidence of repeated suicide attempt during 6 months. This algorithm of case management comprises the two strategies of intervention that showed a significant reduction in the number of SA repeaters systematic telephone contact ineffective in first-attempters and Crisis card effective only in firstattempters . Participants who are lost from contact and those refusing healthcare can then benefit from short letters or postcards . Discussion ALGOS algorithm is easily reproducible and inexpensive intervention that will supply the guidelines for assessment and management of a population sometimes in difficulties with healthcare compliance. Furthermore it will target some of these subgroups of patients by providing specific interventions for optimizing the benefits of case management strategy. Trial Registration The study was registered with the Registry number NCT01123174. Background Suicidal behaviors are multifactorial phenomena. It is therefore difficult to define only one strategy to manage a suicidal attempt SA for the whole population 1 . In a review of .

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