Current Research on Suicide and Parasuicide: Selected Proceedings of the Second European Symposium on Suicidal Behaviour, Edinburgh, June 1988

By Stephen David Platt; Norman Kreitman | Go to book overview
tions (r = 0.20-0.45) were found only between the first self-rating factor and most of the categories of ratings by the doctor.From these results one would like to conclude that motivation of parasuicide patients assessed at the time of hospital stay seems not to be an important predictor of compliance. Therefore, each patient for whom after-care seems to be indicated should be offered after-care independent of his estimated motivation.
Other background factors for compliance
During our large study on compliance and motivation we also analysed socio-demographic and psychiatric variables with respect to compliance. The following characteristics were correlated with compliance:
male
older age (40-59)
history of psychiatric treatment
more suicidal thoughts
a. in the history of the patient
b. before the index parasuicide
somewhat more psychopathological disturbances reflected by different scales.

Conclusion
The main results of these empirical studies can be summarised as follows:
1. Compliance of parasuicide patients depends very strongly on different variables of the care system, not only on patients' characteristics.
2. Each patient for whom after-care seems to be indicated should be offered after-care independent of his or her assumed motivation.
3. Especially in problematic cases, compliance with after-care can be increased, among other things, by a fixed after-care appointment, by at least weekly sessions and, if possible, by continuity of care.

References

Bogard, M. ( 1970). "Follow-up Study of Suicidal Patients Seen in Emergency Room Consultation". American Journal of Psychiatry, 1261017- 20.

Dietzfelbinger, T., Kurz, A., Torhorst, A. and Möller, H. J. ( 1988). 'Description and Prognostic Value of Standardized Procedures for Determining Remarkable Personality Traits in Patients Following a Suicide Attempt'

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