title: [Study protocol of a prevention of recurrent suicidal behaviour program based on case management (PSyMAC)].
abstract: BACKGROUND
  Prevention of suicidal behaviour is a public health priority in the European Union. A previous suicide attempt is the best risk predictor for future attempts, as well as completed suicides. The primary aim of this article is to describe a controlled study protocol designed for prevention of recurrent suicidal behaviour that proposes case management, and includes a psychoeducation program, as compared with the standard intervention (PSyMAC).
  
  
  METHODS
  Patients admitted from January 2011 to June 2013 to the emergency room of the Hospital Universitario Central de Asturias were evaluated using a protocol including sociodemographic, psychiatric, and psychosocial assessment. Patients were randomly assigned to either a group receiving continuous case management including participation in a psychoeducation program (experimental group), or a control group receiving standard care. The primary objective is to examine whether or not the period of time until recurrent suicidal behaviour in the experimental group is significantly different from that of the control group.
  
  
  CONCLUSIONS
  PSyMAC proposes low cost and easily adaptable interventions to the usual clinical setting that can help to compensate the shortcoming of specific action protocols and suicidal behaviour prevention programs in our country. The evaluation of PSyMAC results will determine their real effectivity as a case-magament program to reduce suicidal risk.
authors.affiliation: Área de Psiquiatría, Facultad de Medicina, Universidad de Oviedo, Oviedo, España; Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Oviedo, España; Instituto Universitario de Neurociencias del Principado de Asturias (INEUROPA), Oviedo, España; Servicio de Salud del Principado de Asturias (SESPA), Oviedo, España. Electronic address: frank@uniovi.es.
authors.forename: Pilar A
authors.initials: PA
authors.lastname: Sáiz
authors.affiliation: Instituto Universitario de Neurociencias del Principado de Asturias (INEUROPA), Oviedo, España; Servicio de Salud del Principado de Asturias (SESPA), Oviedo, España.
authors.forename: Julia
authors.initials: J
authors.lastname: Rodríguez-Revuelta
authors.affiliation: Servicio de Salud del Principado de Asturias (SESPA), Oviedo, España.
authors.forename: Leticia
authors.initials: L
authors.lastname: González-Blanco
authors.affiliation: Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Oviedo, España; Instituto Universitario de Neurociencias del Principado de Asturias (INEUROPA), Oviedo, España.
authors.forename: Patricia
authors.initials: P
authors.lastname: Burón
authors.affiliation: Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Oviedo, España; Instituto Universitario de Neurociencias del Principado de Asturias (INEUROPA), Oviedo, España.
authors.forename: Susana
authors.initials: S
authors.lastname: Al-Halabí
authors.affiliation: Instituto Universitario de Neurociencias del Principado de Asturias (INEUROPA), Oviedo, España.
authors.forename: Marlen
authors.initials: M
authors.lastname: Garrido
authors.affiliation: Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Oviedo, España; Instituto Universitario de Neurociencias del Principado de Asturias (INEUROPA), Oviedo, España.
authors.forename: Leticia
authors.initials: L
authors.lastname: García-Alvarez
authors.affiliation: Área de Psiquiatría, Facultad de Medicina, Universidad de Oviedo, Oviedo, España; Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Oviedo, España; Instituto Universitario de Neurociencias del Principado de Asturias (INEUROPA), Oviedo, España; Servicio de Salud del Principado de Asturias (SESPA), Oviedo, España.
authors.forename: Paz
authors.initials: P
authors.lastname: García-Portilla
authors.affiliation: Área de Psiquiatría, Facultad de Medicina, Universidad de Oviedo, Oviedo, España; Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Oviedo, España; Instituto Universitario de Neurociencias del Principado de Asturias (INEUROPA), Oviedo, España; Servicio de Salud del Principado de Asturias (SESPA), Oviedo, España.
authors.forename: Julio
authors.initials: J
authors.lastname: Bobes
mesh_terms: D019090:Case Management; D002985:Clinical Protocols; D005260:Female; D006801:Humans; D008297:Male; D011446:Prospective Studies; D012008:Recurrence; D013406:Suicide, Attempted / Q000517:prevention & control*
keywords: Case management; Intento de suicidio; Manejo de casos; Prevención de recurrencia; Prevention of repetition; Psicoeducación; Psychoeducation; Suicide attempt