SynthesisBMC psychiatry2019
Active contact and follow-up interventions to prevent repeat suicide attempts during high-risk periods among patients admitted to emergency departments for suicidal behavior: a systematic review and meta-analysis.
Synthesis in BMC psychiatry, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07120477 (Esketamine Versus Crisis Response Planning Versus Enhanced Treatment as Usual for Suicide Prevention), which is not on this map. Cited by 42 papers, 5 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Esketamine Versus Crisis Response Planning Versus Enhanced Treatment as Usual for Suicide Prevention: A Pragmatic Randomized Trial in a Brazilian Municipality (SAVE)
Who cites it
42 citing papers in PubMed, 5 syntheses or guidelines pooled it, 91 citations in OpenAlex.
- Acute-Phase Interventions After Self-Harm for Preventing Suicide and Recurrence: A Systematic Review and Meta-Analysis.Acta psychiatrica Scandinavica · 2026Pooled it
- Synchronous remote-based interventions for suicidal behaviour prevention: a systematic review and meta-analyses of clinical trials.BMJ open · 2025Pooled it
- Secondary mental health service utilisation following emergency department contact for suicidal behaviour: A systematic review.The Australian and New Zealand journal of psychiatry · 2023Pooled it
- Brief Interventions for Self-injurious Thoughts and Behaviors in Young People: A Systematic Review.Clinical child and family psychology review · 2023Pooled it
- Psychosocial interventions for self-harm in adults.The Cochrane database of systematic reviews · 2021Pooled it
- Impact of posttraumatic stress disorder and comorbid psychiatric conditions on suicide reattempts.European journal of psychotraumatology · 2025Trial
- Physician Follow-up Among Transgender and Gender Diverse Individuals after Psychiatric Emergency Department Visits and Hospitalizations: A Retrospective Population-Based Cohort Study.Transgender health · 2026Article
- Field survey on warnings to prevent drug abuse when selling over-the-counter drugs at drugstores.Exploratory research in clinical and social pharmacy · 2026Article
- Effectiveness of brief interventions and contacts after suicide attempt: a systematic review and meta-analysis.EClinicalMedicine · 2026Article
- Treatment Adherence and Recurrence of Suicidal Behaviour in a Cohort of Suicide Attempters in a Nurse-Led Suicide Prevention Programme.Journal of psychiatric and mental health nursing · 2026Article
- Acute psychiatric care experiences and post-discharge trajectories among transgender and gender diverse adults: A constructivist grounded theory.International journal of transgender health · 2026Article
- Comparative analysis of socio-demographic and clinical profiles among suicide attempt patients: A three-month follow-up study.Bioinformation · 2026Article
- Evaluating the follow-up care system after suicide attempt in Iran: barriers and insights from a mixed-method study.BMC psychiatry · 2025Article
- The Ketamine Trial for Acute Suicidality (KETA): Study Protocol of a Double-Blind Randomized Placebo-Controlled Superiority Trial on Intranasal Racemic Ketamine Compared to the Active Placebo Intranasal Midazolam as Treatment for Acute Suicidality.International journal of methods in psychiatric research · 2025Article
- A multicenter, single-arm clinical trial of an assertive case management intervention for preventing suicide reattempts at psychiatric hospitals in Japan: ACTION-JP study.BMC psychiatry · 2025Article
- Factors influencing the effectiveness of case management interventions for suicide attempters in a psychiatric hospital.PCN reports : psychiatry and clinical neurosciences · 2025Article
- Outcomes and Cost-Benefit of a National Suicide Reattempt Prevention Program.JAMA network open · 2025Article
- Improved Mental Health Support for Patients With Self-Harm Injuries in the Emergency Department: Design and Development of a Future Patient Care Pathway.International journal of mental health nursing · 2025Article
- Health worker delivered Contact and Safety Planning (CASP) for suicide prevention in Chhattisgarh, India: Protocol for a non-randomized, controlled pilot study.F1000Research · 2025Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThere is evidence that several intervention types, including psychotherapy, reduce repeat suicide attempts. However, these interventions are less applicable to the heterogeneous patients admitted to emergency departments (EDs). The risk of a repeat suicide attempt is especially high in the first 6 months after the initial attempt. Therefore, it is particularly important to develop effective ED interventions to prevent repeat suicide attempts during this 6-month period.
methodsWe systematically reviewed randomized controlled trials of ED-initiated interventions for suicidal patients admitted to EDs using the databases MEDLINE, PsychoINFO, CINAHL, and EMBASE up to January 2015 in accordance with an a priori published protocol (PROSPERO: CRD42013005463). Interventions were categorized into four types, including active contact and follow-up interventions (intensive care plus outreach, brief interventions and contact, letter/postcard, telephone, and composite of letter/postcard and telephone), and a meta-analysis was conducted to determine pooled relative risks (RRs) and 95% confidence intervals (CIs) of a repeat suicide attempt within 6 months.
resultsOf the 28 selected trials, 14 were active contact and follow-up interventions. Two of these trials (n = 984) reported results at 6 months (pooled RR = 0.48; 95% CI: 0.31 to 0.76). There were not enough trials of other interventions to perform meta-analysis. Some trials included in the meta-analysis were judged as showing risk of bias.
conclusionActive contact and follow-up interventions are recommended for suicidal patients admitted to an ED to prevent repeat suicide attempts during the highest-risk period of 6 months. SYSTEMATIC REVIEW REGISTRATION: PROSPERO CRD42013005463 (27 August 2013).
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.