title: Benefits of a Secondary Prevention Program in Suicide.
abstract: BACKGROUND
  The effectiveness of suicide intervention programs has not been assessed with experimental designs.
  
  
  OBJECTIVE
  To determine the risk of suicide reattempts in patients engaged in a secondary prevention program.
  
  
  METHODS
  We included 154 patients with suicidal behavior in a quasi-experimental study with a nontreatment concurrent control group. In all, 77 patients with suicidal behavior underwent the Suicide Behavior Prevention Program (SBPP), which includes specialized early assistance during a period of 3-6 months. A matched sample of patients with suicidal behavior (n = 77) was selected without undergoing any specific suicide prevention program. Data on sociodemographics, clinical characteristics, and suicidal behavior were collected at baseline (before SBPP) and at 12 months.
  
  
  RESULTS
  After 12 months, SBPP patients showed a 67% lower relative risk of reattempt (χ2= 11.75, p = .001, RR = 0.33 95% CI = 0.17-0.66). Cox proportional hazards models revealed that patients under SBPP made a new suicidal attempt significantly much later than control patients did (Cox regression = 0.293, 95% CI = 0.138-0.624, p = .001). The effect was even stronger among first attempters.
  
  
  CONCLUSIONS
  Sampling was naturalistic and patients were not randomized.
  
  
  CONCLUSIONS
  The SBPP was effective in delaying and preventing suicide reattempts at least within the first year after the suicide behavior. In light of our results, implementation of suicide prevention programs is strongly advisable.
authors.affiliation: 1 Department of Psychiatry - Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona (UAB), Institut d'Investigació Biomèdica Sant Pau (IIB Sant Pau), Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Barcelona, Spain.|2 Institut de Neuropsiquiatria i Addicions, Hospital del Mar, Universitat Autònoma de Barcelona (UAB), CIBERSAM, Barcelona, Spain.
authors.forename: Adriana
authors.initials: A
authors.lastname: Farré
authors.affiliation: 1 Department of Psychiatry - Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona (UAB), Institut d'Investigació Biomèdica Sant Pau (IIB Sant Pau), Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Barcelona, Spain.
authors.forename: Maria J
authors.initials: MJ
authors.lastname: Portella
authors.affiliation: 3 CPB Centres Salut Mental, Barcelona, Spain.
authors.forename: Luis
authors.initials: L
authors.lastname: De Angel
authors.affiliation: 1 Department of Psychiatry - Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona (UAB), Institut d'Investigació Biomèdica Sant Pau (IIB Sant Pau), Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Barcelona, Spain.
authors.forename: Ana
authors.initials: A
authors.lastname: Díaz
authors.affiliation: 1 Department of Psychiatry - Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona (UAB), Institut d'Investigació Biomèdica Sant Pau (IIB Sant Pau), Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Barcelona, Spain.
authors.forename: Javier
authors.initials: J
authors.lastname: de Diego-Adeliño
authors.affiliation: 3 CPB Centres Salut Mental, Barcelona, Spain.
authors.forename: Joan
authors.initials: J
authors.lastname: Vegué
authors.affiliation: 1 Department of Psychiatry - Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona (UAB), Institut d'Investigació Biomèdica Sant Pau (IIB Sant Pau), Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Barcelona, Spain.
authors.forename: Santiago
authors.initials: S
authors.lastname: Duran-Sindreu
authors.affiliation: 3 CPB Centres Salut Mental, Barcelona, Spain.
authors.forename: Gustavo
authors.initials: G
authors.lastname: Faus
authors.affiliation: 1 Department of Psychiatry - Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona (UAB), Institut d'Investigació Biomèdica Sant Pau (IIB Sant Pau), Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Barcelona, Spain.
authors.forename: Carmen
authors.initials: C
authors.lastname: Tejedor
authors.affiliation: 1 Department of Psychiatry - Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona (UAB), Institut d'Investigació Biomèdica Sant Pau (IIB Sant Pau), Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Barcelona, Spain.
authors.forename: Enric
authors.initials: E
authors.lastname: Álvarez
authors.affiliation: 1 Department of Psychiatry - Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona (UAB), Institut d'Investigació Biomèdica Sant Pau (IIB Sant Pau), Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Barcelona, Spain.|2 Institut de Neuropsiquiatria i Addicions, Hospital del Mar, Universitat Autònoma de Barcelona (UAB), CIBERSAM, Barcelona, Spain.
authors.forename: Víctor
authors.initials: V
authors.lastname: Pérez
mesh_terms: D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D015397:Program Evaluation; D016016:Proportional Hazards Models; D055502:Secondary Prevention / Q000379:methods* / Q000458:organization & administration; D013406:Suicide, Attempted / Q000517:prevention & control / Q000706:statistics & numerical data; D000092864:Suicide Prevention
keywords: reattempt; secondary prevention program; suicidal behavior