Family psychoeducation in schizophrenia and schizophrenia related disorder, treatment compliance, and suicidal risk reduction: questions about their relationship from a naturalistic observation

• Published in: Frontiers in psychiatry 2024-04, Vol.15, p.1370566-1370566
• Main Authors: Hode, Yann, Padovani, Romain, Hikmat, Wydad, Guillard-Bouhet, Nathalie, Attal, Jérome, Bralet, Marie-Cecile, Biotteau, Mélanie, Chereau Boudet, Isabelle, Canceil, Olivier, Montagne Larmurier, Aurélie, Roussel, Céline, Lemestré, Stéphanie, Willard, Dominique
• Format: Article
• Language: English
• Subjects: compliance; family intervention; Psychiatry; psychoeducation; schizophrenia; suicide; treatment
• ISSN: 1664-0640; 1664-0640
• DOI: 10.3389/fpsyt.2024.1370566

The Profamille V3.2 multi-family psycho-educational program directed at caregivers of relatives with schizophrenia or schizophrenia related disorder has been shown to decrease the annual prevalence of suicide attempts. It has been reported that psychoeducation of families can sometimes improve compliance with treatment. This study investigates whether the Profamille program improves compliance and thus reduces the risk of suicide among patients. This is a retrospective study of 179 groups of family caregivers, encompassing 1946 participants enrolled in Module 1 of the Profamille program and followed up one year after completion of the module. Evaluations were conducted using questionnaires filled out by family caregivers at three distinct times: prior to beginning the program, upon its completion, and again one year following its conclusion. The annual prevalence of suicide attempts was measured both before the program began and one year after its conclusion, while compliance to treatment was evaluated at the start and end of the program. After the Profamille program, the annual prevalence of suicide attempts fell by a factor of 2 (p-value = 0.00002) and patient compliance improved (p-value