
@article{ref1,
title="Effectiveness of a nationwide aftercare program for suicide attempters",
journal="Psychological medicine",
year="2013",
author="Pan, Y-j and Chang, W-h and Lee, M-b and Chen, C-h and Liao, S-c and Caine, E. D.",
volume="43",
number="7",
pages="1447-1454",
abstract="BACKGROUND: The effectiveness of large-scale interventions to prevent suicide among persons who previously attempted suicide remains to be determined. The National Suicide Surveillance System (NSSS), launched in Taiwan in 2006, is a structured nationwide intervention program for people who survived their suicide attempts. This naturalistic study examined its effectiveness using data from the first 3 years of its operation. Method Effectiveness of the NSSS aftercare services was examined using a logistic/proportional odds mixture model, with eventual suicide as the outcome of interest. As well, we examined time until death for those who died and factors associated with eventual suicide. RESULTS: Receipt of aftercare services was associated with reduced risk for subsequent suicide; for service recipients who eventually killed themselves, there was a prolonged duration between the index and fatal attempts. Elderly attempters were particularly prone to a shorter duration between the index and fatal attempts. Male gender, the lethality potential of the index attempt, and a history of having had a mental disorder also were associated with higher risk. CONCLUSIONS: The structured aftercare program of the NSSS appears to decrease suicides and to delay time to death for those who remained susceptible to suicide.<p /> <p>Language: en</p>",
language="en",
issn="0033-2917",
doi="10.1017/S0033291712002425",
url="http://dx.doi.org/10.1017/S0033291712002425"
}