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dc.contributor.authorM. Bertole, Joseen_US
dc.contributor.authorFleischmann, Alexandraen_US
dc.contributor.authorDe Leo, Diegoen_US
dc.contributor.authorR. Phillips, Michaelen_US
dc.contributor.authorJ. Botega, Neuryen_US
dc.contributor.authorVijayakumar, Lakshmien_US
dc.contributor.authorSilva, Damanien_US
dc.contributor.authorSchlebusch, Lourensen_US
dc.contributor.authorNquyen, Van Tuongen_US
dc.contributor.authorSisask, Merikeen_US
dc.contributor.authorBolhari, Jafaren_US
dc.contributor.authorWasserman, Danutaen_US
dc.description.abstractBackground: Attempted suicide is a strong risk factor for subsequent suicidal behaviors. Innovative strategies to deal with people who have attempted suicide are needed, particularly in resource-poor settings. Aims: To evaluate a brief educational intervention and periodic follow-up contacts (BIC) for suicide attempters in five culturally different sites (Campinas, Brazil; Chennai, India; Colombo, Sri Lanka; Karaj, Islamic Republic of Iran; and Yuncheng, People's Republic of China) as part of the WHO Multisite Intervention Study on Suicidal Behaviors (SUPRE-MISS). Methods: Among the 1,867 suicide attempters enrolled in the emergency departments of the participating sites, 922 (49.4%) were randomly assigned to a brief intervention and contact (BIC) group and 945 (50.6%) to a treatment as usual (TAU) group. Repeated suicide attempts over the 18 months following the index attempt - the secondary outcome measure presented in this paper - were identified by follow-up calls or visits. Subsequent completed suicide - the primary outcome measure - has been reported in a previous paper. Results: Overall, the proportion of subjects with repeated suicide attempts was similar in the BIC and TAU groups (7.6% vs. 7.5%, ?⠽ 0.013; p = .909), but there were differences in rates across the five sites. Conclusions: This study from five low- and middle-income countries does not confirm the effectiveness of brief educational intervention and follow-up contacts for suicide attempters in reducing subsequent repetition of suicide attempts up to 18 months after discharge from emergency departments.en_US
dc.publisherHogrefe Publishingen_US
dc.publisher.placeUnited Statesen_US
dc.relation.ispartofjournalCrisis: The Journal of Crisis Intervention and Suicide Preventionen_US
dc.subject.fieldofresearchPsychology not elsewhere classifieden_US
dc.titleRepetition of suicide attempts : data from emergency care settings in five culturally different low- and middle-income countries participating in the WHO SUPRE-MISS studyen_US
dc.typeJournal articleen_US
dc.type.descriptionC1 - Peer Reviewed (HERDC)en_US
dc.type.codeC - Journal Articlesen_US
gro.hasfulltextNo Full Text

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