Predictors and moderators of improved social‐emotional functioning in mothers with substance use disorders and their young children enrolled in a relationship‐based case management program

2020 ◽  
Vol 41 (5) ◽  
pp. 677-696
Author(s):  
Ursula C. Hildebrandt ◽  
J. Christopher Graham ◽  
Therese M. Grant
Author(s):  
Mohcene Abdessemed ◽  
Fatima Mougharbel ◽  
Kaamel Hafizi ◽  
Jameason D. Cameron ◽  
Brandon Heidinger ◽  
...  

Author(s):  
Min-Hyuk Kim ◽  
Jinhee Lee ◽  
Hyunjean Noh ◽  
Jin-Pyo Hong ◽  
Hyun Kim ◽  
...  

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.


Sign in / Sign up

Export Citation Format

Share Document