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Aim: To investigate if crises intervention and assertive outreach as a guiding and motivational support towards compliance in follow-up treatment after suicide attempts reduces frequency of fatal and non-fatal suicide acts in the following year.Methods: A randomised, clinical trial, with patients allocated to either standard (n =123) or assertive intervention treatment (N =120), representing 8-20 assertive outreach consultations with a psychiatric nurse after recent suicide attempt.Experimental intervention: Had crises interaction and flexible outreach consultations that in it self had a problem-solving focus and were supporting towards compliance with follow-up treatment.The consultations were multiple, ex.Café-visits, attendance to alcohol units, somatic consultations, family, or social counselling.The intervention was offered for half a year.Inclusion criteria: Males and females aged >12 years with a recent suicide attempt, living independently.Patients were recruited from the acute emergency units, intensive care units, and psychiatric emergency rooms in six regional general hospitals in the catchments area of Copenhagen and were included within 14 days of index attempt in the period 2008-2011.Data on socio-demographic aspects, medical status, and information concerning abuse, previous psychiatric treatment and suicide attempts were obtained at baseline.Exclusion criteria: Disorders in the schizophrenia spectrum (IDC-10: F20-29), severe depression (IDC-10: F32.2, F32.3, F33.2 and F33.3.), mania and bipolar affective disorder (ICD 10: F30 and F31), severe dementia (ICD 10: F0-9) and receiving outreach services from social agencies.Randomisation was computerised with concealed allocation sequence.The primary outcome is suicide assessed by the Danish Cause of Death Register and the rate of repeated suicide attempts registered in the medical records by the collaborating wards and units in their routine procedure of treating people applying for help in relation to suicidal behaviour.Results: 184 women (75,7 %) and 59 men (24,3 %) were included.Mean age 30,8 years (range 11 to 70), with 67 patients (27,6 %) < twenty years.We have identified two deaths of other causes.Results on the frequency of fatal and non-fatal events will be available for presentation in September 2011.