Produção Nacional
Revisado por pares
Repetition of Suicide Attempts
2010; Hogrefe Verlag; Volume: 31; Issue: 4 Linguagem: Inglês
10.1027/0227-5910/a000052
ISSN2151-2396
AutoresJosé M. Bertolote, Alexandra Fleischmann, Diego De Leo, Michael R. Phillips, Neury José Botega, Lakshmi Vijayakumar, Damani De Silva, Lourens Schlebusch, Van Tuong Nguyen, Merike Sisask, Jafar Bolhari, Danuta Wasserman,
Tópico(s)Suicide and Self-Harm Studies
ResumoResearch TrendsRepetition of Suicide AttemptsData from Emergency Care Settings in Five Culturally Different Low- and Middle-Income Countries Participating in the WHO SUPRE-MISS StudyJosé M. Bertolote, Alexandra Fleischmann, Diego De Leo, Michael R. Phillips, Neury J. Botega, Lakshmi Vijayakumar, Damani De Silva, Lourens Schlebusch, Van Tuong Nguyen, Merike Sisask, Jafar Bolhari, and Danuta WassermanJosé M. Bertolote Botucatu Medical School – UNESP, Botucatu, Brazil Search for more papers by this author, Alexandra Fleischmann Department of Mental Health and Substance Abuse, World Health Organization, Geneva, Switzerland Search for more papers by this author, Diego De Leo Australian Institute for Suicide Research and Prevention, WHO Collaborating Centre for Research and Training in Suicide Prevention, Griffith University, Queensland, Australia Search for more papers by this author, Michael R. Phillips Beijing Suicide Research and Prevention Center, WHO Collaborating Centre for Research and Training in Suicide Prevention, Beijing Hui Long Guan Hospital, Beijing, People’s Republic of China Search for more papers by this author, Neury J. Botega Department of Psychiatry, FCM – UNICAMP, Campinas SP, Brazil Search for more papers by this author, Lakshmi Vijayakumar Department of Psychiatry, Voluntary Health Services & SNEHA, Kotturpuram, Chennai, India Search for more papers by this author, Damani De Silva Department of Psychological Medicine, Faculty of Medicine, University of Colombo, Colombo, Sri Lanka Search for more papers by this author, Lourens Schlebusch Department of Behavioral Medicine, School of Family and Public Health Medicine, Faculty of Health Sciences, Nelson R Mandela School of Medicine, University of KwaZulu-Natal, Durban, South Africa Search for more papers by this author, Van Tuong Nguyen Hanoi Medical University, Dong Da, Hanoi, Vietnam Search for more papers by this author, Merike Sisask Estonian-Swedish Mental Health and Suicidology Institute, Estonian Center of Behavioral and Health Sciences, Tallinn, Estonia Search for more papers by this author, Jafar Bolhari Tehran Psychiatric Institute, Mental Health Research Centre, Tehran, Islamic Republic of Iran Search for more papers by this author, and Danuta Wasserman Swedish National Prevention of Suicide and Mental Ill-Health (NASP), WHO Collaborating Centre for Research and Training in Suicide Prevention, Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden Search for more papers by this authorPublished Online:March 03, 2015https://doi.org/10.1027/0027-5910/a000052PDFView Full Text ToolsAdd to favoritesDownload CitationsTrack Citations ShareShare onFacebookTwitterLinkedInReddit SectionsMoreAbstractBackground: 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%, χ² = 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.References Allard, R. , Marshall, M. , Plante, M. C. (1992). Intensive follow-up does not decrease the risk of repeat suicide attempts. Suicide and Life-Threatening Behavior, 22, 303–314. First citation in articleMedline, Google Scholar Babor, T. F. , Higgins-Biddle, J. C. (2000). Alcohol screening and brief intervention: Dissemination strategies for medical practice and public health. 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Some field research sites obtained additional funding from the following agencies: – Campinas: Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP), Grant n° 02/08288-9. – Durban: Medical Research Council (MRC), PO Box 19070, 7505 Tygerberg, Cape Town, South Africa. – Karaj: Tehran Psychiatric Institute, Mental Health Research Centre (IUMS), Niayesh St. Satarkhan Ave., Tehran, Islamic Republic of Iran. – Tallinn: Estonian Health Insurance Fund, Lembitu 10, Tallinn 10114, Estonia; Swedish National Prevention of Suicide and Mental Ill-Health (NASP), Department of Public Health Sciences, Karolinska Institutet, Granits Väg 4, Box 230, S-17177, Stockholm, Sweden. – Brisbane: National Health and Medical Research Council (NH-MRC) and Queensland Health. – Sweden: Swedish Ministry of Social Welfare and Health.PDF download
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