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

Autor(es):Mostrar menos -

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]

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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

• Tipo de documento: Artigo Científico
• Fonte: BULLETIN OF THE WORLD HEALTH ORGANIZATION; v. 86, n. 9, p. 703-709, SEP 2008.
• Citações Web of Science: 189

Resumo

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)

• Processo FAPESP: 02/08288-9 - Estudo multicêntrico de intervenção no comportamento suicida (SUPRE-MISS), da Organização Mundial da Saúde
• Beneficiário: Neury José Botega
• Modalidade de apoio: Auxílio à Pesquisa - Regular