The purpose of the SAFE
project is to test whether a more comprehensive and closer follow-up after
discharge from a psychiatric hospitalization can significantly reduce the risk
of suicidal behavior in the first half year after discharge, which is a period
of high suicide risk.
In the project, we will hire 17 clinically working project staff as additional
capacity to implement the SAFE project in the already existing clinical organization
(emergency teams, district psychiatry, OP and OPUS teams and at the Competence
Center for Suicide Prevention). This additional capacity to ensure that the
procedures on discharge from psychiatric hospitalization are systematized and
improved. Specifically, procedures should be improved and systematized by
implementing the following:
- Establish routines for personal contact with the following outpatient unit
before the patient is discharged.
- Secure outpatient contact primarily at home visits within the first week
- Invite relatives to the patient to discharge meeting and/or the home visit.
The SAFE project are being implemented and tested at the Psychiatric Center
Copenhagen in the period 2018-2020. In a scientific evaluation of the SAFE
project, we have planned an experimental design where patients discharged from
the Psychiatric Center Copenhagen are compared relative to the proportion of
suicidal behavior in the first half year after discharge with patients discharged
from other psychiatric centers in the Capital Region of Denmark. The comparison
group is selected using the propensity score matching technique to ensure that
the control group is as comparable as possible with regard to known risk
factors of suicidal behavior.