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Biomedical subjects

M Gognalons

Publications and source records attributed to M Gognalons.

3 recordsLinked to original sources

[Crisis intervention and psychiatric mortality].

Since mortality and suicide were found markedly increased in hospitalized psychiatric patients and may be predicted by treatment assignment, we developed a prospective investigation of treatment choice/mortality and suicide relationships in a well-assessed sample of these subjects. The overall psychiatric patients calling for inpatient care in a Geneva (Switzerland) 115,000 inhabitants catchment area within 2 months (N = 78) entered the study. During the second follow-up year, we found high Standardized Mortality Ratio (SMR respectively 10.5 for overall deaths and 257.7 for suicides). Increased number and crude rates of suicide were associated to emergency intervention only assignment at intake. Suicide risk was underestimated in subjects with acute psychiatric illness, and should be better investigated in the future.

Adolescent↗

Crisis intervention response and long-term outcome: a pilot study.

We investigated whether process variables (therapeutic alliance and insight) measured at the termination of crisis intervention predict long-term treatment compliance and 2-year outcome. Thirty-seven consecutive depressed psychiatric patients assigned to outpatient crisis intervention (CCI) were assessed with both questionnaires and standardized instruments at intake, 1 week, and CCI termination (mean, 6 weeks). Thirty-one subjects (84%) were also evaluated at 1-year and 2-year follow-up. We found that working alliance and development of insight predicted positive global change and symptom improvement at 1 and 2 years' follow-up. Furthermore, the observed correlation between process measures and 2-year outcome was found to be independent of age, sex, symptoms severity at intake, improvement of symptoms at CCI termination, premorbid adjustment, DSM-III-R axis I/axis II diagnosis, and therapeutic alliance at intake.

Adult↗