Suicide among the elderly: the long-term impact of a telephone support and assessment intervention in northern Italy

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Title Suicide among the elderly: the long-term impact of a telephone support and assessment intervention in northern Italy
Author De Leo, Diego; Buono, Marirosa Dello; Dwyer, Jonathan
Journal Name British Journal of Psychiatry
Year Published 2002
Place of publication United Kingdom
Publisher Royal College of Psychiatrists
Abstract Background Previous short-term work reported fewer suicides among elderly users of a telephone helpline and emergency response service (the TeleHelp-TeleCheck Service). Aims To examine long-term effects of the service on suicide in an elderly population of northern Italy. Method The service provided twice-weekly support and needs assessment telephone calls and a 24h emergency alarm service. Data from 1988 to 1998 allowed comparison of 18 641 service users with a comparable general population group of the Veneto region in Italy. Results Significantly fewer suicide deaths (nOBSERVED=6) occurred among elderly service users (standardised mortality ratio (SMR) 28.8%) than expected (nEXPECTED=20.86; 2=10.58, d.f.=1, P<0.001) despite an assumed overrepresentation of persons at increased risk. The service performed well for elderly females (nOBSERVED=2, SMR=16.6%, nEXPECTED=12.03; 2=8.36, d.f.=1, P<0.001). Conclusions The study confirms the initial promise of the TeleHelp—TeleCheck service over a much longer time period. Further research will clarify the apparent lack of benefit for elderly males.
Peer Reviewed Yes
Published Yes
Alternative URI http://bjp.rcpsych.org/cgi/content/abstract/181/3/226
Volume 181
Issue Number 3
Page from 226
Page to 229
ISSN 0007-1250
Date Accessioned 2003-04-10
Date Available 2010-09-22T06:54:27Z
Language en_AU
Research Centre Australian Institute for Suicide Research and Prevention
Faculty Australian Institute for Suicide Research & Prevention
Subject PRE2009-Public Health and Health Services
URI http://hdl.handle.net/10072/6568
Publication Type Journal Articles (Refereed Article)
Publication Type Code c1

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