Hospital-Based Psychosocial Case Management and Suicide Prevention in South Korea: A Randomized Clinical Trial - Summary - MDSpire

Hospital-Based Psychosocial Case Management and Suicide Prevention in South Korea: A Randomized Clinical Trial

  • By

  • Sang Min Lee

  • Kyoung-Hoon Kim

  • Kyu-Man Han

  • Min-Hyuk Kim

  • Min-Kyoung Kim

  • Kwang-Yeon Choi

  • A-La Park

  • Myungjae Baik

  • Ah Rah Lee

  • Peter Jongho Na

  • Hyeon-Ah Lee

  • Hwa-Young Lee

  • Jong-Woo Paik

  • July 7, 2026

  • 0 min

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Objective:

To evaluate the effectiveness of hospital-based assertive case management (ACM) as an adjunct to standard psychiatric treatment for patients with major depressive disorder (MDD) presenting with suicidal ideation.

Approach:
  • Outcome Measures: The primary outcome was the reduction in the severity of suicidal thoughts and behaviors, measured by the Columbia–Suicide Severity Rating Scale (C-SSRS) total score at 6 months post-intervention.
Key Findings:
  • ACM showed potential in improving treatment adherence and continuity of care.
  • Previous studies indicated short-term efficacy of ACM but lacked evidence for sustained impact.
  • The study aimed to fill the evidence gap regarding manualized outpatient interventions for MDD.
Interpretation:

Limitations:
  • The study's findings may not be generalizable beyond the specific population and settings in South Korea.
  • Potential biases due to the lack of masking for participants and case managers.
Conclusion:

The study aims to provide evidence on the effectiveness of ACM in reducing suicidal thoughts and behaviors in patients with MDD.

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