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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
Repetition of suicide attempts data from emergency care settings in five culturally different low- and middle-income countries participating in the WHO SUPRE-MISS study
Crisis, Volume 31, No. 4, Year 2010
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Description
Background: Attempted suicide is a strong risk factor for subsequent suicidal behaviors. Innovative strategies to deal with people who have attempted suicide are needed, particularly in resource-poor settings. Aims: To evaluate a brief educational intervention and periodic follow-up contacts (BIC) for suicide attempters in five culturally different sites (Campinas, Brazil; Chennai, India; Colombo, Sri Lanka; Karaj, Islamic Republic of Iran; and Yuncheng, People's Republic of China) as part of the WHO Multisite Intervention Study on Suicidal Behaviors (SUPRE-MISS). Methods: Among the 1, 867 suicide attempters enrolled in the emergency departments of the participating sites, 922 (49.4%) were randomly assigned to a brief intervention and contact (BIC) group and 945 (50.6%) to a treatment as usual (TAU) group. Repeated suicide attempts over the 18 months following the index attempt - the secondary outcome measure presented in this paper - were identified by follow-up calls or visits. Subsequent completed suicide - the primary outcome measure - has been reported in a previous paper. Results: Overall, the proportion of subjects with repeated suicide attempts was similar in the BIC and TAU groups (7.6% vs. 7.5%, χ2 = 0.013; p = .909), but there were differences in rates across the five sites. Conclusions: This study from five low- and middle-income countries does not confirm the effectiveness of brief educational intervention and follow-up contacts for suicide attempters in reducing subsequent repetition of suicide attempts up to 18 months after discharge from emergency departments. © 2010 Hogrefe Publishing.
Authors & Co-Authors
Bertolote, José M.
Brazil, Sao Paulo
Universidade Estadual Paulista Júlio de Mesquita Filho
Fleischmann, Alexandra
Switzerland, Geneva
Organisation Mondiale de la Santé
De Leo, D.
Australia, Brisbane
Griffith Health
Phillips, Michael Robert
China, Beijing
Beijing Huilongguan Hospital
Botega, Neury
Brazil, Campinas
Universidade Estadual de Campinas
Vijayakumar, Lakshmi
India, Chennai
The Voluntary Health Services, Chennai
De Silva, Damani
Sri Lanka, Colombo
University of Colombo Faculty of Medicine
Schlebusch, Lourens
South Africa, Durban
Durban University of Technology
Nguyen, Van Tuong
Viet Nam, Hanoi
Hanoi Medical University
Sisask, Merike
Estonia, Tallinn
Estonian Centre of Behavioral and Health Sciences
Bolhari, Jafar
Iran, Tehran
School of Behavioral Sciences and Mental Health Iums
Wasserman, Danuta
Sweden, Stockholm
Karolinska Institutet
Statistics
Citations: 12
Authors: 12
Affiliations: 12
Identifiers
Doi:
10.1027/0227-5910/a000052
Research Areas
Mental Health
Study Design
Randomised Control Trial
Cohort Study