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CSU 43/2008: SUICIDE PREVENTION, A FIVE COUNTRY INTERVENTION STUDY

Friday, 31st of October 2008 Print
 CSU 43/2008: SUICIDE PREVENTION, A FIVE COUNTRY INTERVENTION STUDY
 
 
 According to WHO estimates, yearly deaths from suicide exceed 800,000,
 occurring in almost all age groups.
 
 In this research article from the Bulletin of the World Health Organization
 , Alexandra Fleischmann and colleagues report the results of a multicountry
 intervention study to test brief intervention and contact with suicide
 attempters against treatment as usual. Those in the study were randomly
 assigned to treatment as usual or brief intervention and contact. Survival
 at 18 months was significantly higher in the intervention group.
 
 "The brief intervention and contact treatment modality included, in
 addition to treatment as usual, a 1-hour individual information session as
 close to the time of discharge as possible and, after discharge, nine
 follow-up contacts (phone calls or visits, as appropriate) according to a
 specific time-line up to 18 months (at 1, 2, 4, 7 and 11 week(s), and 4,
 6,12 and 18 months), conducted by a person with clinical experience (e.g.
 doctor, nurse, psychologist). The individual information session was
 conducted according to
 a written protocol which all sites adhered to. It included information
 about suicidal behaviour as a sign of psychological and/or social distress,
 risk and protective factors, basic epidemiology, repetition, alternatives
 to suicidal behaviours, and referral options."
 
 Although conducted in developing countries, the study results are of wider
 interest. Any intervention which is affordable in developing countries will
 also be affordable in industrialized ones.
 
 Full text at http://www.who.int/bulletin/volumes/86/9/en/
 
 Good reading.
 
 BD

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