Effectiveness of brief intervention and contact for suicide attempters: a randomized controlled trial in five countries.

نویسندگان

  • Alexandra Fleischmann
  • José M Bertolote
  • Danuta Wasserman
  • Diego De Leo
  • Jafar Bolhari
  • Neury J Botega
  • Damani De Silva
  • Michael Phillips
  • Lakshmi Vijayakumar
  • Airi Värnik
  • Lourens Schlebusch
  • Huong Tran Thi Thanh
چکیده

OBJECTIVE To determine whether brief intervention and contact is effective in reducing subsequent suicide mortality among suicide attempters in low and middle-income countries. METHODS Suicide attempters (n = 1867) identified by medical staff in the emergency units of eight collaborating hospitals in five culturally different sites (Campinas, Brazil; Chennai, India; Colombo, Sri Lanka; Karaj, Islamic Republic of Iran; and Yuncheng, China) participated, from January 2002 to October 2005, in a randomized controlled trial to receive either treatment as usual, or treatment as usual plus brief intervention and contact (BIC), which included patient education and follow-up. Overall, 91% completed the study. The primary study outcome measurement was death from suicide at 18-month follow-up. FINDINGS Significantly fewer deaths from suicide occurred in the BIC than in the treatment-as-usual group (0.2% versus 2.2%, respectively; chi2 = 13.83, P < 0.001). CONCLUSION This low-cost brief intervention may be an important part of suicide prevention programmes for underresourced low- and middle-income countries.

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عنوان ژورنال:
  • Bulletin of the World Health Organization

دوره 86 9  شماره 

صفحات  -

تاریخ انتشار 2008