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Aftercare and Suicide Reattempt Prevention in Tehran, Iran.
Crisis ( IF 1.7 ) Pub Date : 2021-02-10 , DOI: 10.1027/0227-5910/a000754
Seyed Kazem Malakouti 1 , Marzieh Nojomi 2 , Behrooz Ghanbari 3 , Nafee Rasouli 1 , Shiva Khaleghparast 4 , Ida Ghaemmagham Farahani 5
Affiliation  

Background: A previous suicide attempt is one of the strongest risk factors for subsequent suicide. Effective care following a suicide attempt may reduce the risk of suicide reattempts. Aims: We aimed to investigate the effect of a brief educational intervention and contact program on suicide reattempts. Method: This study was performed as a randomized clinical trial (RCT) recruiting 305 individuals who had attempted suicide (brief intervention and contact = 153 individuals, BIC; treatment as usual = 152 individuals, TAU) who were referred to Baharlu Hospital in Tehran. The SUPRE-MISS questionnaire and a discharge follow-up questionnaire were used for data collection. Cox proportional hazard models and log-rank tests were used to assess the association of the variable with the event (reattempt). Kaplan-Meier curves were used to depict the time to the event of reattempt. Results: In the BIC group, 11% of the individuals had attempted suicide once, and 25% of the TAU group had attempted suicide once (12.4%), twice (9.3%), and three times (3.8%), respectively. The results of Kaplan-Meier analysis indicated the mean time of reattempt in the BIC (0.76) and TAU groups (0.25) as the fourth and second months of follow-up, respectively (log rank, χ2 = 12.48, p < .001). The hazard ratio for the TAU group was 2.57 (95% CI [1.4, 5.9]). Limitations: Loss to follow-up due to stigma is one of the serious problems of follow-up services. Conclusion: Implementing a brief educational intervention and contact program on suicide reattempts is feasible and effective in reducing the rate of reattempt; however, it should be accommodated within the mental health services of the county.

中文翻译:

伊朗德黑兰的善后和自杀预防再次发生。

背景:先前的自杀未遂是随后自杀的最大危险因素之一。自杀未遂后进行有效护理可能会降低自杀重试的风险。目的:我们旨在调查简短的教育干预和联系计划对自杀重试的影响。方法:本研究是作为一项随机临床试验(RCT)进行的,招募了305名曾尝试自杀的人(简短干预和接触= 153人,BIC;照常治疗= 152人,TAU),这些人被转诊到德黑兰的Baharlu医院。SUPRE-MISS调查表和出院随访调查表用于数据收集。使用Cox比例风险模型和对数秩检验来评估变量与事件的关联(重新尝试)。Kaplan-Meier曲线用于描述重新尝试事件的时间。结果:在BIC组中,有11%的人曾尝试过一次自杀,而在TAU组中,有25%的人曾尝试过一次自杀(12.4%),两次(9.3%)和三次(3.8%)。Kaplan-Meier分析的结果表明,分别在随访的第四个月和第二个月,BIC组(0.76)和TAU组(0.25)的平均重新尝试时间(log rank,χ2= 12.48,p <.001) 。TAU组的危险比为2.57(95%CI [1.4,5.9])。局限性:由于耻辱而导致的后续工作损失是后续服务的严重问题之一。结论:实施简短的自杀再举教育干预和联系计划是切实可行的,有效的降低了自杀再举率。然而,
更新日期:2021-02-10
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