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(Reference retrieved automatically from Web of Science through information on FAPESP grant and its corresponding number as mentioned in the publication by the authors.)

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

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Author(s):
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Fleischmann, Alexandra [1] ; Bertolote, Jose M. [1] ; Wasserman, Danuta [2] ; De Leo, Diego [3] ; Bolhari, Jafar [4] ; Botega, Neury J. [5] ; De Silva, Damani [6] ; Phillips, Michael [7] ; Vijayakumar, Lakshmi [8] ; Vaernik, Airi [9] ; Schlebusch, Lourens [10] ; Thanh, Huong Tran Thi [11]
Total Authors: 12
Affiliation:
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[1] WHO, Dept Mental Hlth & Subst Abuse, CH-1211 Geneva 27 - Switzerland
[2] Karolinska Inst, Dept Publ Hlth Sci, Stockholm - Sweden
[3] Griffith Univ, Australian Inst Suicide Res & Prevent, Brisbane, Qld 4111 - Australia
[4] Mental Hlth Res Ctr IUMS, Tehran Psychiat Inst, Tehran - Iran
[5] FCM UNICAMP, Dept Psychiat, Campinas, SP - Brazil
[6] Univ Colombo, Fac Med, Dept Psychol Med, Colombo - Sri Lanka
[7] Beijing Hui Long Guan Hosp, Beijing Suicide Res & Prevent Ctr, Beijing - Peoples R China
[8] Dept Psychiat, Chennai, Tamil Nadu - India
[9] Estonian Ctr Behav & Hlth Sci, Estonian Swedish Mental Hlth & Suicidol Inst, Tallinn - Estonia
[10] Univ KwaZulu Natal, Nelson R Mandela Sch Med, Sch Family & Publ Hlth Med, Dept Behav Med, Durban - South Africa
[11] Hanoi Med Univ, Hanoi - Vietnam
Total Affiliations: 11
Document type: Journal article
Source: BULLETIN OF THE WORLD HEALTH ORGANIZATION; v. 86, n. 9, p. 703-709, SEP 2008.
Web of Science Citations: 189
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; chi(2) = 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. (AU)