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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Suicide attempts, plans, and ideation in culturally diverse sites: The WHO SUPRE-MISS community survey
Psychological Medicine, Volume 35, No. 10, Year 2005
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Description
Background. The objectives were to assess thoughts about suicide, plans to commit suicide and suicide attempts in the community, to investigate the use of health services following a suicide attempt, and to describe basic socio-cultural indices of the community. Method. The community su rvey was one component of the larger WHO multisite intervention study on suicidal behaviours (SUPRE-MISS). In each site, it aimed at randomly selecting and interviewing at least 500 subjects of the general population living in the catchment area of the emergency department where the intervention component of the study was conducted. Communities of eight SUPRE-MISS sites (in Brazil, China, Estonia, India, Iran, South Africa, Sri Lanka, and Viet Nam) participated plus two additional sites from Australia and Sweden conducting similar surveys. Results. Suicide attempts (0·4-4·2%), plans (1·11-5·6%), and ideation (2·6-25·4%) varied by a factor of 10-14 across sites, but remained mostly within the ranges of previously published data. Depending on the site, the ratios between attempts, plans, and thoughts of suicide differed substantially. Medical attention following a suicide attempt varied between 22% and 88% of the attempts. Conclusions. The idea of the suicidal process as a continuous and smooth evolution from thoughts to plans and attempts of suicide needs to be further investigated as it seems to be dependent on the cultural setting. There are indications, that the burden of undetected attempted suicide is high in different cultures; an improved response from the health sector on how to identify and support these individuals is needed. © 2005 Cambridge University Press.
Authors & Co-Authors
Bertolote, José M.
Switzerland, Geneva
Organisation Mondiale de la Santé
Fleischmann, Alexandra
Switzerland, Geneva
Organisation Mondiale de la Santé
De Leo, D.
Australia, Brisbane
Griffith Health
Bolhari, Jafar
Iran, Tehran
School of Behavioral Sciences and Mental Health Iums
Botega, Neury
Brazil, Campinas
Universidade Estadual de Campinas
De Silva, Damani
Sri Lanka, Colombo
University of Colombo Faculty of Medicine
Thi Thanh, Huong Tran
Viet Nam, Hanoi
Hanoi Medical University
Phillips, Michael Robert
China, Beijing
Beijing Huilongguan Hospital
Schlebusch, Lourens
South Africa, Durban
The Nelson R. Mandela Medical School
Värnik, Airi
Estonia, Tallinn
Estonian Center of Behavioral and Health Sciences
Vijayakumar, Lakshmi
India, Chennai
The Voluntary Health Services, Chennai
Wasserman, Danuta
Sweden, Stockholm
Karolinska Institutet
Statistics
Citations: 383
Authors: 12
Affiliations: 11
Identifiers
Doi:
10.1017/S0033291705005404
ISSN:
00332917
Research Areas
Mental Health
Study Design
Randomised Control Trial
Cross Sectional Study
Study Approach
Quantitative
Study Locations
South Africa