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- Title
Effectiveness of brief intervention and contact for suicide attempters: a randomized controlled trial in five countries.
- Authors
Fleischmann A; Bertolote JM; Wasserman D; de Leo D; Bolhari J; Botega NJ; de Silva D; Phillips M; Vijayakumar L; Värnik A; Schlebusch L; Thanh HTT
- 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; X2 = 13.83, P < 0.001). Conclusion This low-cost brief intervention may be an important part of suicide prevention programmes for underresourced lowand middle-income countries. Copyright © 2008 World Health Organization
- Publication
Bulletin of the World Health Organization, 2008, Vol 86, Issue 9, p703
- ISSN
0042-9686
- Publication type
Journal Article
- DOI
10.2471/blt.07.046995