PMID- 12195542
OWN - NLM
STAT- MEDLINE
DCOM- 20030227
LR  - 20191210
IS  - 0933-7954 (Print)
IS  - 0933-7954 (Linking)
VI  - 37
IP  - 8
DP  - 2002 Aug
TI  - Patients' needs during the year after a suicide attempt. A secondary analysis of 
      a randomised controlled intervention study.
PG  - 357-63
AB  - OBJECTIVE: We first studied whether changes of needs were influenced by randomly 
      allocated telephone interventions between 1 and 12 months after a suicide attempt 
      in addition to treatment as usual. These were aimed at improving motivation for 
      professional treatment. As a secondary analysis we investigated the frequency and 
      changes of needs during this period and if changes were related to other outcome 
      measures. METHOD: One month after a suicide attempt 216 patients were randomised 
      to two telephone interventions or to no such interventions within 1 year. The 
      Camberwell Assessment of Need (CAN) was used to evaluate 22 different need areas 
      at 1 and 12 months. Other outcome measurements used were Global functioning axis 
      V (GAF), psychological symptoms (SCL-90, GSI) and scale of suicide ideation 
      (SSI). RESULTS: Of 178 patients who were followed up, 140 had been rated by CAN 
      at both 1 and 12 months. Changes of needs did not differ between the randomised 
      groups. At 1 month the patients had a mean number of 5.1 +/- 2.4 needs and 2.4 
      +/- 1.5 of these were considered as unmet. The most frequently reported needs 
      concerned health aspects, basic needs and social needs. At 12 months needs 
      concerning health aspects were significantly reduced, while basic needs and 
      social needs were not. Changes of GAF explained 21 % and changes of GSI 4 % of 
      the variance of the reduction of needs. CONCLUSIONS: After 12 months, needs in 
      health aspects, basic needs and social needs were still common. A structured 
      evaluation of the patient's needs seems to be helpful when planning treatment 
      after a suicide attempt.
FAU - Cedereke, Marie
AU  - Cedereke M
AD  - Department of Clinical Neuroscience, Division of Psychiatry, Lund University 
      Hospital, 22185 Lund, Sweden.
FAU - Ojehagen, Agneta
AU  - Ojehagen A
LA  - eng
PT  - Clinical Trial
PT  - Journal Article
PT  - Randomized Controlled Trial
PT  - Research Support, Non-U.S. Gov't
PL  - Germany
TA  - Soc Psychiatry Psychiatr Epidemiol
JT  - Social psychiatry and psychiatric epidemiology
JID - 8804358
SB  - IM
MH  - *Aftercare
MH  - Female
MH  - *Health Services Needs and Demand
MH  - Humans
MH  - Male
MH  - *Mental Health Services
MH  - Middle Aged
MH  - Multivariate Analysis
MH  - Outcome Assessment, Health Care
MH  - Regression Analysis
MH  - Statistics, Nonparametric
MH  - Suicide, Attempted/*psychology
MH  - Sweden
MH  - Telephone
EDAT- 2002/08/27 10:00
MHDA- 2003/02/28 04:00
CRDT- 2002/08/27 10:00
PHST- 2002/08/27 10:00 [pubmed]
PHST- 2003/02/28 04:00 [medline]
PHST- 2002/08/27 10:00 [entrez]
AID - 10.1007/s00127-002-0562-7 [doi]
PST - ppublish
SO  - Soc Psychiatry Psychiatr Epidemiol. 2002 Aug;37(8):357-63. doi: 
      10.1007/s00127-002-0562-7.