Evidence map›Paper›PMID 32290297›Full record

ArticleInternational journal of environmental research and public health2020

Effectiveness of a Flexible and Continuous Case Management Program for Suicide Attempters.

Min-Hyuk Kim, Jinhee Lee, Hyunjean Noh, Jin-Pyo Hong, Hyun Kim, Yong Sung Cha, Joung-Sook Ahn, Sei-Jin Chang, Seongho Min

Abstract read
In one paragraph

Article in International journal of environmental research and public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Psychosocial interventions for self-harm in adults.The Cochrane database of systematic reviews · 2021
    Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Min-Hyuk KimDepartment of Psychiatry, Yonsei University Wonju College of Medicine, Wonju 26426, Korea.ORCID 0000-0002-6130-3254
Jinhee LeeDepartment of Psychiatry, Yonsei University Wonju College of Medicine, Wonju 26426, Korea.ORCID 0000-0003-4255-1831
Hyunjean NohHopefull Psychiatric Clinic, Anyang, Korea.
Jin-Pyo HongDepartment of Psychiatry, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul 06351, Korea.
Hyun KimDepartment of Emergency Medicine, Yonsei University Wonju College of Medicine, Wonju 26426, Korea.
Yong Sung ChaDepartment of Emergency Medicine, Yonsei University Wonju College of Medicine, Wonju 26426, Korea.
Joung-Sook AhnDepartment of Psychiatry, Yonsei University Wonju College of Medicine, Wonju 26426, Korea.
Sei-Jin ChangDepartment of Preventive Medicine, Yonsei University Wonju College of Medicine, Wonju 26426, Korea.
Seongho MinDepartment of Psychiatry, Yonsei University Wonju College of Medicine, Wonju 26426, Korea.ORCID 0000-0003-1084-7822

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The purpose of this study was to investigate the effect of continuous case management with a flexible approach on the prevention of suicide by suicide reattempt in a real clinical setting. The subjects in this study were 526 suicide attempters who visited emergency rooms in a teaching hospital in South Korea. Subjects were provided a continuous case management program with a flexible approach according to the severity of their suicide risk and needs. During the entire observation period (from 182 days to 855 days, mean = 572 ± 254), 18 patients (3.7%) died by suicide reattempt: Eight patients (2.27%) in the case management group and 10 patients (7.35%) in the no-case management group. The Cox regression analysis showed that the case management group had a 75% lower risk of death from suicide attempts than the no-case management group (HR = 0.34, 95% CI = 0.13-0.87). This result was shown to be more robust after adjusting for confounding factors such as gender, age, psychiatric treatment, suicide attempts, and family history of suicide (adjusted HR = 0.27, 95% CI = 0.09-0.83). This study was conducted in a single teaching hospital and not a randomized controlled one. A flexible and continuous case management program for suicide attempters is effective for preventing death by suicide reattempts.

Indexed as

Case ManagementSuicide, AttemptedAdultEmergency Service, HospitalFemaleHumansMaleMiddle AgedRepublic of KoreaRiskRisk FactorsYoung Adultcase managementinterventionsuicidesuicide attempts

Identifiers

PMID32290297
PMCPMC7178043

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Registered trials

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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.