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

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dc.contributor.authorBertolote, José Manoel [UNESP]
dc.contributor.authorFleischmann, Alexandra
dc.contributor.authorDe Leo, Diego
dc.contributor.authorPhillips, Michael R.
dc.contributor.authorBotega, Neury J.
dc.contributor.authorVijayakumar, Lakshmi
dc.contributor.authorDe Silva, Damani
dc.contributor.authorSchlebusch, Lourens
dc.contributor.authorVan Tuong Nguyen,
dc.contributor.authorSisask, Merike
dc.contributor.authorBolhari, Jafar
dc.contributor.authorWasserman, Danuta
dc.contributor.institutionWHO
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.contributor.institutionGriffith Univ
dc.contributor.institutionBeijing Hui Long Guan Hosp
dc.contributor.institutionUniversidade Estadual de Campinas (UNICAMP)
dc.contributor.institutionAdyar Hosp
dc.contributor.institutionSNEHA
dc.contributor.institutionUniv Colombo
dc.contributor.institutionUniv KwaZulu Natal
dc.contributor.institutionHanoi Med Univ
dc.contributor.institutionEstonian Ctr Behav & Hlth Sci
dc.contributor.institutionTehran Psychiat Inst
dc.contributor.institutionKarolinska Inst
dc.date.accessioned2014-05-20T15:32:37Z
dc.date.available2014-05-20T15:32:37Z
dc.date.issued2010-01-01
dc.description.abstractBackground: 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%, chi(2) = 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.en
dc.description.affiliationWHO, Dept Mental Hlth & Subst Abuse, CH-1211 Geneva 27, Switzerland
dc.description.affiliationUNESP, Botucatu Med Sch, Botucatu, SP, Brazil
dc.description.affiliationGriffith Univ, WHO Collaborating Ctr Res & Training Suicide Prev, Australian Inst Suicide Res & Prevent, Nathan, Qld 4111, Australia
dc.description.affiliationBeijing Hui Long Guan Hosp, WHO Collaborating Ctr Res & Training Suicide Prev, Beijing Suicide Res & Prevent Ctr, Beijing, Peoples R China
dc.description.affiliationUniv Estadual Campinas, FCM, Dept Psychiat, Campinas, SP, Brazil
dc.description.affiliationAdyar Hosp, Dept Psychiat, Voluntary Hlth Serv, Madras, Tamil Nadu, India
dc.description.affiliationSNEHA, Madras, Tamil Nadu, India
dc.description.affiliationUniv Colombo, Fac Med, Dept Psychol Med, Colombo, Sri Lanka
dc.description.affiliationUniv KwaZulu Natal, Nelson R Mandela Sch Med, Fac Hlth Sci, Dept Behav Med,Sch Family & Publ Hlth Med, Durban, South Africa
dc.description.affiliationHanoi Med Univ, Hanoi, Vietnam
dc.description.affiliationEstonian Ctr Behav & Hlth Sci, Estonian Swedish Mental Hlth & Suicidol Inst, Tallinn, Estonia
dc.description.affiliationTehran Psychiat Inst, Mental Hlth Res Ctr, Tehran, Iran
dc.description.affiliationKarolinska Inst, Dept Publ Hlth Sci, Swedish Natl Prevent Suicide & Mental Ill Hlth NA, WHO Collaborating Ctr Res & Training Suicide Prev, Stockholm, Sweden
dc.description.affiliationUnespUNESP, Botucatu Med Sch, Botucatu, SP, Brazil
dc.format.extent194-201
dc.identifierhttp://dx.doi.org/10.1027/0227-5910/a000052
dc.identifier.citationCrisis-the Journal of Crisis Intervention and Suicide Prevention. Gottingen: Hogrefe & Huber Publishers, v. 31, n. 4, p. 194-201, 2010.
dc.identifier.doi10.1027/0227-5910/a000052
dc.identifier.issn0227-5910
dc.identifier.urihttp://hdl.handle.net/11449/41473
dc.identifier.wosWOS:000281362600004
dc.language.isoeng
dc.publisherHogrefe & Huber Publishers
dc.relation.ispartofCrisis-the Journal of Crisis Intervention and Suicide Prevention
dc.relation.ispartofjcr1.583
dc.relation.ispartofsjr0,699
dc.rights.accessRightsAcesso aberto
dc.sourceWeb of Science
dc.subjectsuicideen
dc.subjectrepeated suicide attemptsen
dc.subjectbrief interventionen
dc.subjectrandomized controlled trialen
dc.subjectlow- and middle-income countriesen
dc.titleRepetition of Suicide Attempts Data from Emergency Care Settings in Five Culturally Different Low- and Middle-Income Countries Participating in the WHO SUPRE-MISS Studyen
dc.typeTrabalho apresentado em evento
dcterms.licensehttp://www.hogrefe.com/
dcterms.rightsHolderHogrefe & Huber Publishers
unesp.campusUniversidade Estadual Paulista (Unesp), Faculdade de Medicina, Botucatupt

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Artigos - Neurologia, Psicologia e Psiquiatria - FMB