Background: Mishara and Martin (2012) reported decreases in suicides 12 years after implementation of a police suicide prevention program. Aims: We aimed to determine whether suicide decreases were sustained 10 years later. Method: We examined coroners' investigations of police deaths from 2009 through 2018. Results: From 2009 to 2018, Montreal suicide rates increased but this was not significantly different from the previous 12 years and the rate for other Quebec police remained significantly higher than Montreal (p < .006). The 22-year Montreal postprogram rate was significantly lower than the preprogram rate (p < .002), and the 22-year rate for other police during the same years was not significantly different from earlier. Limitations: Uncontrolled factors may have influenced the rates, including the 11% increase in women in the Montreal police. The observed mean aging of the Montreal police personnel would have been expected to bias toward finding increases in suicides. However, the maintenance of decreases in suicide rates was observed. Conclusion: The decrease in suicides observed 12 years after the program was sustained for another 10 years, and appears related to the program. Rates for comparable police remained higher. A continuing comprehensive suicide prevention program tailored to the context may reduce suicides for extended time periods.

中文翻译：

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综合警察自杀预防计划的长期影响。

背景：Mishara 和 Martin（2012 年）报告说，在警察自杀预防计划实施 12 年后，自杀率有所下降。目的：我们旨在确定 10 年后自杀率是否持续下降。方法：我们检查了验尸官对 2009 年至 2018 年警察死亡事件的调查。结果：从 2009 年到 2018 年，蒙特利尔的自杀率有所上升，但这与前 12 年没有显着差异，其他魁北克警察的自杀率仍显着高于蒙特利尔（ p < .006)。蒙特利尔 22 年的项目后率显着低于项目前率 (p < .002)，而其他警察在同一年的 22 年率与早期没有显着差异。限制：不受控制的因素可能会影响利率，包括蒙特利尔警察中女性人数增加了 11%。观察到的蒙特利尔警察人员的平均年龄预计会偏向于发现自杀率增加。然而，观察到自杀率持续下降。结论：在该计划持续 12 年后观察到的自杀率下降了 10 年，并且似乎与该计划有关。可比警察的费率仍然较高。根据具体情况制定的持续综合性自杀预防计划可能会在较长时间内减少自杀。在该计划再持续 10 年之后 12 年观察到自杀率的下降，并且似乎与该计划有关。可比警察的费率仍然较高。根据具体情况制定的持续综合性自杀预防计划可能会在较长时间内减少自杀。在该计划再持续 10 年之后 12 年观察到自杀率的下降，并且似乎与该计划有关。可比警察的费率仍然较高。根据具体情况制定的持续综合性自杀预防计划可能会在较长时间内减少自杀。