title: OSTA program: A French follow up intervention program for suicide prevention.
abstract: Attempted suicide is a strong risk factor for subsequent suicidal behavior. In recent years, a particular interest has been given to follow-up interventions as a potential effective strategy in preventing recurrent suicidal behavior. We developed a follow-up intervention program called OSTA (organization of a suitable monitoring for suicide attempters) aimed at addressing this issue and tested its effectiveness in a 1-year randomized controlled trial. Individuals who attempted suicide and were admitted to the emergency department (ED) of Bicêtre Hospital (n=320) were randomly allocated to receive either the OSTA program or a control treatment. On an intention to treat basis, the proportion of patients who reattempted suicide did not differ significantly between the interventional group (IG) 14.5% (22/152) and the control group (CG) 14% (21/150). There were also no significant differences, between the two arms, in the number of suicide attempts. Although no significant difference has been found between the OSTA program and the control treatment concerning the rate of suicide reattempts, we believe that further studies should be conducted to test the effectiveness of more standardized follow-up studies in suicide prevention.
authors.affiliation: Service de Psychiatrie, CHU de Bicêtre, HUPS, APHP 78, rue du General Leclerc, 94270 Le Kremlin Bicêtre, France; INSERM U1178, Equipe "Dépression et Antidépresseurs", CESP, University Paris-Sud, 94275 Le Kremlin Bicêtre, France; Faculté de Médecine Paris-Sud, 94275 Le Kremlin Bicêtre, France.
authors.forename: Fayçal
authors.initials: F
authors.lastname: Mouaffak
authors.affiliation: Service de Psychiatrie, CHU de Bicêtre, HUPS, APHP 78, rue du General Leclerc, 94270 Le Kremlin Bicêtre, France.
authors.forename: Arnaud
authors.initials: A
authors.lastname: Marchand
authors.affiliation: Service de Psychiatrie, CHU de Bicêtre, HUPS, APHP 78, rue du General Leclerc, 94270 Le Kremlin Bicêtre, France.
authors.forename: Emmanuelle
authors.initials: E
authors.lastname: Castaigne
authors.affiliation: Unité de Recherche Clinique (URC), HUPS, APHP 78, Rue du General Leclerc, 94270 Le Kremlin Bicêtre, France.
authors.forename: Armelle
authors.initials: A
authors.lastname: Arnoux
authors.affiliation: Service de Psychiatrie, CHU de Bicêtre, HUPS, APHP 78, rue du General Leclerc, 94270 Le Kremlin Bicêtre, France; INSERM U1178, Equipe "Dépression et Antidépresseurs", CESP, University Paris-Sud, 94275 Le Kremlin Bicêtre, France; Faculté de Médecine Paris-Sud, 94275 Le Kremlin Bicêtre, France.
authors.forename: Patrick
authors.initials: P
authors.lastname: Hardy
mesh_terms: D000328:Adult; D001521:Behavior Therapy / Q000379:methods*; D004636:Emergency Service, Hospital; D005260:Female; D005500:Follow-Up Studies; D006760:Hospitalization; D006801:Humans; D008297:Male; D008875:Middle Aged; D012307:Risk Factors; D059020:Suicidal Ideation; D013406:Suicide, Attempted / Q000517:prevention & control*; D016896:Treatment Outcome; D000092864:Suicide Prevention
keywords: Practitioner outreach; Suicide; Suicide attempt; Telephone; Tertiary prevention