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NLM_20513463

Auteurs : Gruat G1, Cottencin O, Ducrocq F1, Duhem S2, Vaiva G1
Affiliations : 1Service de psychiatrie adulte, CHRU de Lille, Lille, France2CIC, CHRU de Lille, Lille, France
Date 2010 Juin, Vol 36 Suppl 2, pp D7-D13Revue : L'EncéphaleType de publication : article de périodique; étude multicentrique; essai contrôlé randomisé; DOI : 10.1016/j.encep.2009.10.009
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SummaryAt a time when increasing importance is given to providing satisfaction to the users of health services, it is surprising that this concept has hardly ever been examined in the field of suicide. Although suicide (prevention and management) is an important part of public health, there seems to be little interest in finding out patients’ opinions about the healthcare services which are offered to them. Back in 1976, some authors found a link between the risk of suicide and a low level of satisfaction of healthcare. To date, only two studies looking at management of suicidal patients have included an assessment of patient satisfaction (a strong link between dissatisfaction and suicidal risk was found). During the SYSCALL study, which measured the impact of systematic recontacting by telephone on recurrence of suicide, in the weeks following a suicide attempt, we aimed to find out if this procedure and its methods were well-accepted by the patients. When the patients were first recontacted, 13 months after the suicide attempt, and included in our study, we assessed by means of a questionnaire, their experience of being faced with this intervention, and its impact on their future. Of the 605 patients included, 312 were put into the control group, 147 were recontacted at the end of the first month, and 146 at the end of the third month. The rate of repeat suicide attempts in the year following the initial attempt, was significantly lower in the group that was recontacted after one month, than in the control group [12% against 22%;P = 0.03]. It would therefore seem that systematic recontacting by telephone one month after attempted suicide may have contributed in reducing the risk of an early repeat suicide attempt. Of the 482 patients whom we managed to contact by 13 months, 254 had filled out the questionnaire about their subjective experience, in writing or by telephone, this making a response rate of 52.7%. Amongst the patients who replied, female patients are over-represented with more of them being recontacted than males, but no difference was found in the psychiatric symptomatology observed when they were assessed and included in the study. On the other hand, we found a higher incidence of mood disorders and suicidal risk in those who were examined at the final assessment at 13 months. A large majority (78.9%) of the patients who were recontacted, considered recontacting as beneficial, 40.4% considered that it had influenced their lives, and 29.4% thought that recontacting had contributed to avoiding them making a further suicide attempt. Out of the patients recontacted, 94.5% had appreciated the person that had recontacted them, and only 8.3% had been disturbed at being recontacted by a different doctor than the one whom they had met in the Emergency department. A majority of them (54.1%) considered that telephoning was the most appropriate method for recontacti...

Mot-clés auteurs
Telephone contact; Suicide attempt; Recurrence of suicide attempt; Client satisfaction;
 Source : Elsevier-Masson
 Source : MEDLINE©/Pubmed© U.S National Library of Medicine
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Gruat G, Cottencin O, Ducrocq F, Duhem S, Vaiva G. NLM_20513463. Encephale. 2010 Juin;36 Suppl 2:D7-D13.
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Dernière date de mise à jour : 27/11/2015.


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