Preventing repetition of attempted suicide - III. The Amager Project, 5-year follow-up of a
randomized controlled trial
Engelsk titel: Preventing repetition of attempted suicide - III. The Amager Project, 5-year follow-up of a
randomized controlled trial
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Författare:
Lahoz, Titia
;
Hvid, Marianne
;
Wang, August G
Email: august.g.wang@gmail.com
Språk: Eng
Antal referenser: 26
Dokumenttyp:
RCT
UI-nummer: 16113495
Sammanfattning
Background: The Amager Project was initiated as a quasi-experimental study in 2005, based on
an active outreach suicide preventive intervention inspired by the Norwegian Baerum Model. A 1-
year follow-up study was conducted as a randomized controlled trial showing that this kind of active
outreach to suicide attempters had a significant preventive effect on the prevalence of suicide
attempts and significantly reduced the number of patients repeating a suicide attempt.
Aims: In this 5-year RCT follow-up the aim was to investigate the sustainability of the suicide
preventive effect shown in a 1-year follow-up study.
Method: One hundred and thirty-three suicide attempters were included at this 5-year follow-up RCT
study at Copenhagen University Hospital, Amager, and randomized to a rapid outreach suicide
preventive intervention (OPAC) or TAU.
Results: Offering OPAC intervention to patients after a suicide attempt has a significant preventive
effect on the total of suicide attempts and significantly reduces the number of patients repeating a
suicide attempt. The suicide preventive effect lasts up to 265 weeks. After 3-4 years the effect on the
number of patients repeating a suicide attempt is no longer sustainable, while the effect on the
number of repetitive events remains significant.
Conclusion: This study emphasizes the importance of a rapid and active outreach intervention and
points out that the effect on the number of patients repeating a suicide attempt wears off and is no
longer sustainable after 3-4 years, suggesting the need for a follow-up intervention.