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

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Title Effectiveness of brief intervention and contact for suicide attempters: a randomized controlled trial in five countries.
Author Fleischmann, Alexandra; Bertolote, Jose M; Wasserman, Danuta; De Leo, Diego; Bolhari, Jafar; Botega, Neury J; Silva, Demani De; Phillips, Michael; Vijayakumar, Lakshmi; Varnik, Airi; Schlebusch, Lourens; Thanh, Huong Tran thi
Journal Name Bulletin of the World Health Organization
Year Published 2008
Place of publication Geneva
Publisher World Health Organization
Abstract 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; χ2 = 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.
Peer Reviewed Yes
Published Yes
Publisher URI http://www.scielosp.org/scielo.php?pid=S0042-96862008000900014&script=sci_arttext&tlng=en
Copyright Statement Copyright 2008 World Health Organization. The attached file is reproduced here in accordance with the copyright policy of the publisher. Please refer to the journal's website for access to the definitive, published version.
Volume 86
Issue Number 9
Page from 703
Page to 709
ISSN 0042-9686
Date Accessioned 2009-03-12
Language en_AU
Research Centre Australian Institute for Suicide Research and Prevention
Faculty Griffith Health Faculty
Subject PRE2009-Mental Health
URI http://hdl.handle.net/10072/23359
Publication Type Journal Articles (Refereed Article)
Publication Type Code c1

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