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The management of non-compliance with referral to out-patient after-care among attempted suicide patients: a controlled intervention study

Published online by Cambridge University Press:  09 July 2009

C. Van Heeringen ,
S. Jannes ,
W. Buylaert ,
H. Henderick ,
D. De Bacquer  and
J. Van Remoortel
C. Van Heeringen*
Affiliation:
Departments of Psychiatry, Emergency Medicine and Public Health, University Hospital Gent and the Association for Mental Health, Gent, Belgium
S. Jannes
Affiliation:
Departments of Psychiatry, Emergency Medicine and Public Health, University Hospital Gent and the Association for Mental Health, Gent, Belgium
W. Buylaert
Affiliation:
Departments of Psychiatry, Emergency Medicine and Public Health, University Hospital Gent and the Association for Mental Health, Gent, Belgium
H. Henderick
Affiliation:
Departments of Psychiatry, Emergency Medicine and Public Health, University Hospital Gent and the Association for Mental Health, Gent, Belgium
D. De Bacquer
Affiliation:
Departments of Psychiatry, Emergency Medicine and Public Health, University Hospital Gent and the Association for Mental Health, Gent, Belgium
J. Van Remoortel
Affiliation:
Departments of Psychiatry, Emergency Medicine and Public Health, University Hospital Gent and the Association for Mental Health, Gent, Belgium
*
1Address for correspondence: Dr C. van Heeringen, Department of Psychiatry, University Hospital, De Pintelaan 185, 9000 Gent, Belgium.
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Synopsis

The failure to comply with referral for out-patient after-care is a well-documented problem among attempted suicide patients. The present study aimed at the investigation of an experimental referral procedure by means of a randomized controlled study. Non-compliant patients in the experimental group were visited in their homes by a community nurse in order to assess reasons for non-compliance and to motivate patients to comply with referral. One year after their suicide attempt patients were visited in their homes in order to assess repetition of suicidal behaviour. Uni-and multi-variate analyses showed a significant beneficial effect of the experimental procedure on compliance with referral. A near-significant effect of the experimental procedure on the rate of repetition of suicidal behaviour was found.

Type
Original Articles
Information
Psychological Medicine , Volume 25 , Issue 5 , September 1995 , pp. 963 - 970
Copyright
Copyright © Cambridge University Press 1995

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References

American Psychiatric Association (1980). Diagnostic and Statistical Manual of Mental Disorders, 3rd edn.American Psychiatric Association: Washington, DC.Google Scholar
American Psychiatric Association (1987). Diagnostic and Statistical Manual of Mental Disorders, 3rd edn.–revised. American Psychiatric Association: Washington, DC.Google Scholar
Appleby, L. & Warner, R. (1993). Parasuicide: features of repetition and the implications for intervention. Psychological Medicine 23, 13–16.CrossRefGoogle ScholarPubMed
Blackwell, B. (1976). Treatment adherence. British Journal of Psychiatry 129, 513–531.CrossRefGoogle ScholarPubMed
Catalan, J., Marsack, P., Hawton, K., Whitwell, D., Fagg, J. & Bancroft, J. H. J. (1980). Comparison of doctors and nurses in the assessment of deliberate self-poisoning patients. Psychological Medicine 10, 483–491.CrossRefGoogle ScholarPubMed
Dunbar, J. (1980). Adhering to medical advice: a review. International Journal of Mental Health 9, 70–87.CrossRefGoogle Scholar
Eraker, S. A., Kirscht, J. P. & Becker, M. H. (1984). Understanding and improving patient compliance. Annals of Internal Medicine 100, 258–268.CrossRefGoogle ScholarPubMed
Fleiss, J. L. (1981). Statistical Method for Rates and Proportions, 2nd edn.John Wiley & Sons: New York.Google Scholar
Grootenhuys, M. A. & Paap, R. P. S. C. (1993). How do suicide attempters evaluate the treatment in a general hospital? Italian Journal of Suicidology 1, 25–28.Google Scholar
Hawton, K. (1989). Controlled studies of psychosocial interventions following attempted suicide. In Current Research on Suicide and Parasuicide (ed. Kreitman, N. and Plan, S.), pp. 180–195. Edinburgh University Press: Edinburgh.Google Scholar
Hawton, K. & Catalan, J. (1987). Attempted Suicide: A Practical Guide to its Nature and Management, 2nd edn.Oxford University Press: Oxford.Google Scholar
Heiby, E. M. & Carlson, J. G. (1986). The health compliance model. Journal of Compliance in Health Care 2, 135–152.Google Scholar
Hengeveld, M. W., Kerkhof, A. J. F. M. & Van der Wal, J. (1988). Evaluation of psychiatric consultation with suicide attempters. Acta Psychiatrica Scandinavica 77, 289–293.CrossRefGoogle ScholarPubMed
Kreitman, N. (1979). Reflections on the management of parasuicide. British Journal of Psychiatry 125, 275.CrossRefGoogle Scholar
Leventhal, H. & Cameron, L. (1987). Behavioral theories and the problem of compliance. Patient Education and Counselling 10, 117–138.CrossRefGoogle Scholar
Ley, P. (1982). Satisfaction, compliance, and communication. British Journal of Clinical Psychology 21, 241–254.CrossRefGoogle ScholarPubMed
Miettinen, O. S. (1985). Theoretical Epidemiology: Principles of Occurrence Research in Medicine. Delmar: New York.Google Scholar
Möller, H. J. (1989). Efficacy of different strategies of after-care for patients who have attempted suicide. Journal of the Royal Society of Medicine 82, 643–647.CrossRefGoogle ScholarPubMed
Möller, H. J. & Geiger, V. (1981). Möglichkeiten zur ‘compliance’ Verbesserung bei Parasuizidenten. Crisis 2, 122–129.Google Scholar
Möller, H. J. & Geiger, V. (1982). Inanspruchsnahme von nach-betreuungs-massnahmen durch Parasuizidenten: Problemen und Verbesserungsmöglichkeiten. In Psychotherapie in der Psychiatrie (ed. Helmchen, H., Linden, M. and Rüger, U.), pp. 110–117. Springer Verlag: Berlin.Google Scholar
Morgan, H. G., Burns-Cox, C. J., Pocock, H. & Pottle, S. (1975). Deliberate self-harm: clinical and socio-economic characteristics of 368 patients. British Journal of Psychiatry 126, 564–574.CrossRefGoogle Scholar
Newson-Smith, J. G. B. & Hirsch, S. R. (1979). A comparison of social workers and psychiatrists in evaluating parasuicide. British Journal of Psychiatry 134, 335–342.CrossRefGoogle ScholarPubMed
O'Brien, G., Holton, A. R., Hurren, K., Watt, L. & Hassanyeh, F. (1987). Deliberate self-harm and predictors of outpatient attendance. British Journal of Psychiatry 150, 246–247.CrossRefGoogle Scholar
SAS (1988). SAS/STAT User's Guide – SAS Technical Report: P- 179, Additional SAS/STAT Procedures, Release 6.03. SAS Institute Inc.: Cary, NC.Google Scholar
Torhorst, A., Bürk, F., Kurz, A., Wächtler, C. & Möller, H. J. (1988). Motivation for compliance with outpatient treatment of patients hospitalized after parasuicide. In Current Issues of Suicidology (ed. Möller, H. J., Schmidtke, A. and Welz, R.), pp. 458–462. Springer Verlag: Berlin.CrossRefGoogle Scholar
van Heeringen, C. (1992). The management of non-compliance with outpatient after-care in suicide attempters: a review. Italian Journal of Suicidology 2, 79–83.Google Scholar
van Heeringen, C., Rijckebusch, W., De Schinkel, C. & Jannes, C. (1993). The reliability of the assessment of suicide attempters. Archives of Public Health 51, 443–456.Google Scholar