Suicide attempts, plans, and ideation in culturally diverse sites: the WHO SUPRE-MISS community survey

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Title Suicide attempts, plans, and ideation in culturally diverse sites: the WHO SUPRE-MISS community survey
Author Bertolote, Jose M; Fleischmann, Alexandra; De Leo, Diego; Bolhari, Jafar; Botega, Neury; Silva, Damani De; Huong, Huong Tran Thi; Phillips, Michael; Schlebusch, Lourens; Varnik, Airi; Vijayakumar, Lakshmi; Wasserman, Danuta
Journal Name Psychological Medicine
Year Published 2005
Place of publication United Kingdom
Publisher Cambridge University Press
Abstract 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 survey 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 (1·1–15·6%), 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.
Peer Reviewed Yes
Published Yes
Alternative URI http://dx.doi.org/10.1017/S0033291705005404
Copyright Statement Copyright 2005 Cambridge University Press. Please refer to the journal's website for access to the definitive, published version. The attached file is reproduced here in accordance with the copyright policy of the publisher.
Volume 35
Edition 2005
Page from 1457
Page to 1465
ISSN 0033-2917
Date Accessioned 2006-07-28
Date Available 2010-09-08T04:57:18Z
Language en_AU
Research Centre Australian Institute for Suicide Research and Prevention
Faculty Griffith Health Faculty
Subject PRE2009-Preventive Medicine
URI http://hdl.handle.net/10072/16663
Publication Type Journal Articles (Refereed Article)
Publication Type Code c1a

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