Avaliação de um modelo para prevenção do suicídio pós-alta hospitalar

Abstract

Introduction: Patients who survive a suicide attempt have an increased risk for relapse during post-discharge period. Objective: To compare the efficacy of a new Intensive Psychosocial Care (IPC) program after discharge for a suicide attempt with Standard Treatment Protocol (STP), routinely used in the emergency department. Methods: A prospective clinical study was conducted during 6 months comparing suicide attempters who treated with IPC program and those treated with STPafter discharge. The number of repeat suicide attempt and the severity ofdepressive symptoms were assessed. Results: At endpoint, 260 participants were included in the study. The IPC program significantly decreased the level of depressive symptoms and reduced the time lag between discharge and the improvement of depressive symptoms.These are important contributory factors to the decrease of suicidal risk.Moreover, dropout rates were lower in patients receiving IPC approach. The median survival time to re-attempt in the IPC condition was longer, however the difference was not statically significant.: Conclusion: A high number of personalized contacts and continuity of care with the same psychiatric team after discharge from emergency departments, after asuicide attempt, seem to be an effective approach for suicide prevention.