The effect of the SAFE intervention on post-discharge suicidal behavior: a quasi-experimental study using propensity score matching
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The effect of the SAFE intervention on post-discharge suicidal behavior : a quasi-experimental study using propensity score matching. / Madsen, Trine; Erlangsen, Annette; Egilsdottir, Eybjørg; Andersen, Per Kragh; Nordentoft, Merete.
In: Social Psychiatry and Psychiatric Epidemiology, Vol. 59, 2024, p. 1053–1061.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - The effect of the SAFE intervention on post-discharge suicidal behavior
T2 - a quasi-experimental study using propensity score matching
AU - Madsen, Trine
AU - Erlangsen, Annette
AU - Egilsdottir, Eybjørg
AU - Andersen, Per Kragh
AU - Nordentoft, Merete
N1 - © 2023. The Author(s).
PY - 2024
Y1 - 2024
N2 - OBJECTIVES: The risk of suicidal behavior after discharge from psychiatric admission is high. The aim of this study was to examine whether the SAFE intervention, an implementation of a systematic safer discharge procedure, was associated with a reduction in suicidal behavior after discharge.METHODS: The SAFE intervention was implemented at Mental Health Center Copenhagen in March 2018 and consisted of three systematic discharge procedures: (1) A face-to-face meeting between patient and outpatient staff prior to discharge, (2) A face-to-face meeting within the first week after discharge, and (3) Involvement of relatives. Risk of suicide attempt at six-month post-discharge among patients discharged from the SAFE intervention was compared with patients discharged from comparison mental health centers using propensity score matching.RESULTS: 7604 discharges took place at the intervention site, which were 1:1 matched with discharges from comparison sites. During the six months of follow-up, a total of 570 suicide attempts and 25 suicides occurred. The rate of suicide attempt was 11,652 per 100,000 person-years at the SAFE site, while it was 10,530 at comparisons sites. No observable difference in suicide attempt 1.10 (95% CI: 0.89-1.35) or death by suicide (OR = 1.27; 95% CI:0.58-2.81) was found between sites at 6-month follow-up.CONCLUSION: No difference in suicidal behavior between the sites was found in this pragmatic study. High rates of suicidal behavior were found during the 6-months discharge period, which could suggest that a preventive intervention should include support over a longer post-discharge period than the one-week follow-up offered in the SAFE intervention.
AB - OBJECTIVES: The risk of suicidal behavior after discharge from psychiatric admission is high. The aim of this study was to examine whether the SAFE intervention, an implementation of a systematic safer discharge procedure, was associated with a reduction in suicidal behavior after discharge.METHODS: The SAFE intervention was implemented at Mental Health Center Copenhagen in March 2018 and consisted of three systematic discharge procedures: (1) A face-to-face meeting between patient and outpatient staff prior to discharge, (2) A face-to-face meeting within the first week after discharge, and (3) Involvement of relatives. Risk of suicide attempt at six-month post-discharge among patients discharged from the SAFE intervention was compared with patients discharged from comparison mental health centers using propensity score matching.RESULTS: 7604 discharges took place at the intervention site, which were 1:1 matched with discharges from comparison sites. During the six months of follow-up, a total of 570 suicide attempts and 25 suicides occurred. The rate of suicide attempt was 11,652 per 100,000 person-years at the SAFE site, while it was 10,530 at comparisons sites. No observable difference in suicide attempt 1.10 (95% CI: 0.89-1.35) or death by suicide (OR = 1.27; 95% CI:0.58-2.81) was found between sites at 6-month follow-up.CONCLUSION: No difference in suicidal behavior between the sites was found in this pragmatic study. High rates of suicidal behavior were found during the 6-months discharge period, which could suggest that a preventive intervention should include support over a longer post-discharge period than the one-week follow-up offered in the SAFE intervention.
U2 - 10.1007/s00127-023-02585-y
DO - 10.1007/s00127-023-02585-y
M3 - Journal article
C2 - 37993566
VL - 59
SP - 1053
EP - 1061
JO - Social Psychiatry and Psychiatric Epidemiology
JF - Social Psychiatry and Psychiatric Epidemiology
SN - 0933-7954
ER -
ID: 377784535