Effectiveness of brief intervention and contact for suicide attempters: a randomized controlled trial in five countries.

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 < 0.001). CONCLUSION This low-cost brief intervention may be an important part of suicide prevention programmes for underresourced low- and middle-income countries.

• Publication year

  2008

• Venue

  Bulletin of the World Health Organization

• Publication date

  2008-09-01

• Fields of study

  Medicine, Psychology

• Identifiers
  DOI 10.2471/BLT.07.046995PMID 18797646PMCID PMC2649494
• External record

  Open on Semantic Scholar

• Source metadata

  Semantic Scholar, PubMed

• No claims are published for this paper.

• No concepts are published for this paper.

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