Suicide risk after psychiatric discharge: study protocol of a naturalistic, long-term, prospective observational study

Pilot and Feasibility Studies

Jasmin Schneider¹  Elmar Etzersdorfer¹  Magdalena Sauer²  Burkhard Jabs²  Ute Lewitzka³  Michael Bauer³  Susann Richter³  Cathrin Sauer⁴  Axel Genz⁴  Dan Rujescu⁵  Tim J. Krause⁵  Annette Lederer⁵ 

[1] Department of Psychiatry and Psychotherapy, Furtbach Hospital, Stuttgart, Germany;Department of Psychiatry and Psychotherapy, Municipal Hospital Dresden, Dresden, Germany;Department of Psychiatry and Psychotherapy, University Hospital Carl Gustav Carus, Technische Universität Dresden, Fetscherstr. 74, D-01307, Dresden, Germany;Department of Psychiatry and Psychotherapy, University Hospital Magdeburg, Faculty of Medicine, Otto-von-Guericke-Universität Magdeburg, Magdeburg, Germany;Department of Psychiatry, Psychotherapy and Psychosomatic Medicine, University Hospital Halle, Faculty of Medicine, Martin-Luther-Universität Halle-Wittenberg, Dresden, Germany;

关键词: Suicide risk;    Suicidality;    Suicidality after discharge;    Suicide prevention;    Affective disorders;    Schizophrenia;    Perfectionism;    Public health;   

DOI  :  10.1186/s40814-020-00685-z

来源: Springer

【 摘 要 】

BackgroundSuicide risk of psychiatric patients has proven to be strongly increased in the months after discharge from a psychiatric hospital. Despite this high risk, there is a lack of systematic research on the causes of this elevated suicide risk as well as a lack of treatment and intervention for patients at high risk after discharge. The main objective of this pilot study is, firstly, to examine the factors contributing to the elevated suicide risk and, secondly, to investigate whether an additional setting of care starting at discharge may reduce suicidality.MethodsIn this multi-centre pilot study, treatment as usual is complemented by an additional 18-month post-discharge setting of care for psychiatric patients at high risk for suicide. Two groups of patients differing in the amount of post-discharge personal contacts will be compared. One group of patients will be offered continuous personal contacts after discharge (months 1–6: monthly contacts; months 6–18: every 2 months) while another group of patients will receive contacts only at months 6, 12, and 18 after discharge. Data on suicidality, as well as associated with other symptoms, treatment, and significant events, will be collected. In the case of health-related severe events, the setting of care allows the patient to have the opportunity to connect with the doctor or therapist treating the patient.DiscussionThe results of this study will contribute to identifying critical factors raising suicide risk after discharge and will demonstrate the potential influence on suicide prevention of a setting of care with regular personal contact after discharge.Trial registrationZMVI1-2517FSB135 – funded by the German Federal Ministry of Health.

【 授权许可】

CC BY