TY  - JOUR
PY  - 2008//
TI  - Effectiveness of brief intervention and contact for suicide attempters: a randomized controlled trial in five countries
JO  - Bulletin of The World Health Organization
A1  - Fleischmann, Alexandra
A1  - Bertolote, José Manoel
A1  - Wasserman, Danuta
A1  - De Leo, Diego
A1  - Bolhari, Jafar
A1  - Botega, Neury Jose
A1  - de Silva, Damani
A1  - Phillips, Matthew
A1  - Vijayakumar, Lakshmi
A1  - Värnik, Airi
A1  - Schlebusch, Lourens
A1  - Thanh, Huong Tran Thi
SP  - 703
EP  - 709
VL  - 86
IS  - 9
N2  - OBJECTIVE: To determine whether brief intervention and contact is effective in reducing subsequent suicide mortality among suicide attempters in low and middle-income countries. METHODS: Suicide attempters (n = 1867) identified by medical staff in the emergency units of eight collaborating hospitals in five culturally different sites (Campinas, Brazil; Chennai, India; Colombo, Sri Lanka; Karaj, Islamic Republic of Iran; and Yuncheng, China) participated, from January 2002 to October 2005, in a randomized controlled trial to receive either treatment as usual, or treatment as usual plus brief intervention and contact (BIC), which included patient education and follow-up. Overall, 91% completed the study. The primary study outcome measurement was death from suicide at 18-month follow-up. FINDINGS: Significantly fewer deaths from suicide occurred in the BIC than in the treatment-as-usual group (0.2% versus 2.2%, respectively; chi2 = 13.83, P &lt; 0.001). CONCLUSION: This low-cost brief intervention may be an important part of suicide prevention programmes for underresourced low- and middle-income countries.     <p>Language: en</p>
LA  - en
SN  - 0042-9686
UR  - http://dx.doi.org/
ID  - ref1
ER  -