The Aeschi Working Group
MEETING THE SUICIDAL PERSON
The therapeutic approach to the suicidal patient
Non-attendance in aftercare
| FUTURE EVENTS |
| NEW: www.assip.ch |
| THE BOOK: BUILDING A THERAPEUTIC ALLIANCE WITH THE SUICIDAL PATIENT |
| THE GUIDELINES FOR CLINICIANS |
| PAST EVENTS |
| 1st Aeschi Conference |
| 2nd Aeschi Conference |
| 3rd Aeschi Conference |
| 4th Aeschi Conference |
| 5th Aeschi Conference |
| 6th Aeschi Conference |
| 7th Aeschi Conference (Aeschi West) |
| 8th Aeschi Conference (Aeschi 8) |
| 9th Aeschi Conference (Aeschi 9) |
| 10th Aeschi Conference (Aeschi 10) |
| PROBLEMS
IN CLINICAL PRACTICE |
| The usual clinical practice |
| Clinicians' attitudes |
| Patients' dissatisfaction |
| Non-attendance in aftercare |
| Treatment failures |
| A PATIENT-ORIENTED APPROACH |
| New perspectives |
| Patients' narratives |
| Patients' inner experiences |
| Joining the patient |
| CAMS |
| The
Narrative Action Theoretical (NAT) approach |
| Mental Pain |
| INFORMATIONS |
| The Aeschi Group |
| Publications |
| Links |
| Sonnenalp Resort |
| Hotel Aeschi Park |
| Destination Aeschi |
| Download main text as pdf here |
| Download Guidelines for Clinicians as pdf here |
| Get Acrobat Reader here |
| Home |
A common problem in the aftercare of suicidal patients -
and possibly a result of the shortcomings of the medical model - is that
non-attendance at follow-up interviews is alarmingly high (Möller
1990, Morgan et al. 1976, O'Brien et al. 1987). Möller found that
compliance was somewhat better if the clinic appointment offered to the
patient was with the same person who conducted the initial assessment
interview. Nevertheless, even in such cases, non-compliance for the first
outpatient interview was as high as 50% or even 60% (Kurz et al. 1988,
O'Brien et al. 1987). Similarly, De Vanna et al. (1990) found that 57%
of patients after hospital admission due to attempting suicide had no
contacts with medical staff after their hospitalization.
Torhorst et al. (1987) in a project aimed at increasing outpatient compliance
found that compliance seemed to be a positive function of the therapist's
experience with suicidal patients.
References
De Vanna, M., Zolli, P., Bercio, G., Duse, P., Qurantotto,
G., Toneguzzi, D., Aguglia, E. (1990) Parasuicides: benefits and limitations
of aftercare programs, In: Ferrari, G., Bellini, M., Crepet, P. (eds):
Suicidal Behavior and Risk Factors. Monduzzi Editore, Bologna.
Kurz, A., Möller. H.J., Bürk, F., Torhorst, A., Wächtler,
C., Lauter, H. (1988) Evaluation of two different aftercare strategies
of an outpatient aftercare program for suicide attempters in a general
hospital. In: Möller HJ, Schmidtke A, Welz R (eds): Current Issues
in Suicidology. Berlin: Springer; 414-18.
Möller, H.J. (1990) Evaluation of aftercare strategies. In G. Ferrari,
M. Bellini, P. Crepet (eds), Suicidal Behaviour and Risk Factors. Bologna,
Monduzzi Editore, pp 39-44.
O'Brien, G., Holton, AR., Hurren, K., Watt, L., Hassanyeh, F. (1987) Deliberate
self-harm and predictors of out-patient attendance. British Journal of
Psychiatry, 150, 246-7.
Torhorst, A., Möller, HJ., Bürk, F., Kurz, A., Wächtler,
C., Lauter, H. (1987) The psychiatric management of parasuicide patients:
A controlled clinical study comparing different strategies of outpatient
treatment. Crisis 8, 53-61.