Background: There is growing evidence in the literature that brief contact interventions (BCIs) might be reliable suicide prevention strategies.
Objective: To assess the effectiveness of a decision-making algorithm for suicide prevention (ALGOS) combining existing BCIs in reducing suicide reattempts in patients discharged after a suicide attempt.
Methods: A randomized, multicenter, controlled, parallel trial was conducted in 23 hospitals. The study was conducted from January 26, 2010, to February 28, 2013. People who had made a suicide attempt were randomly assigned to either the intervention group (ALGOS) or the control group. The primary outcome was the rate of participants who reattempted suicide (fatal or not) within the 6-month study period.
Results: 1,040 patients were recruited. After 6 months, 58 participants in the intervention group (12.8%) reattempted suicide compared with 77 (17.2%) in the control group. The difference between groups (4.4%; 95% CI, −0.7% to 9.0%) was not significant (complete-case analysis, P = .059).
Conclusions: These results may help researchers better integrate BCIs into routine health care and provide new insights concerning personalized suicide prevention strategies.
Trial Registration: ClinicalTrials.gov identifier: NCT01123174
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About the Authors
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Cédric Lemogne, MD, PhDView full profile
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Frank Bellivier, MD, PhDView full profile
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Philippe Courtet, MD, PhD, PhDView full profile
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Guillaume Vaiva, MD, PhDView full profile
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Sofian Berrouiguet, MDView full profile
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Michel Walter, MD, PhDView full profile
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François Ducrocq, MDView full profile
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Vincent Jardon, MDView full profile
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Mark E. Larsen, PhDView full profile
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Lionel Cailhol, MD, PhDView full profile
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Carole Godesense, MDView full profile
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Christophe Couturier, MDView full profile
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Anjali Mathur, MDView full profile
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Virginie Lagree, MDView full profile
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Catherine Pichene, MDView full profile
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David Travers, MD, PhDView full profile
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Jean Marc Henry, MDView full profile
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Frederic Jover, MDView full profile
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Francoise Chastang, MDView full profile
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Olivier Prudhomme, MDView full profile
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Philippe Lestavel, MDView full profile
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Catherine Thevenon Gignac, MDView full profile
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Stéphane Duhem, PhDView full profile
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Anne Laure DemartyView full profile
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Catherine MesmeurView full profile
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Julien Labreuche, BSTView full profile
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Alain Duhamel, MD, PhDView full profile
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Patrick Goldstein, MDView full profile
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