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  • Suicide among the elderly: the long-term impact of a telephone support and assessment intervention in northern Italy

    Author(s)
    De Leo, D
    Dello Buono, M
    Dwyer, J
    Griffith University Author(s)
    De Leo, Diego
    Year published
    2002
    Metadata
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    Abstract
    Background Previous short-term work reported fewer suicides among elderly users of a telephone helpline and emergency response service (the TeleHelp-TeleCheck Service). Aims To examine long-term effects of the service on suicide in an elderly population of northern Italy. Method The service provided twice-weekly support and needs assessment telephone calls and a 24h emergency alarm service. Data from 1988 to 1998 allowed comparison of 18 641 service users with a comparable general population group of the Veneto region in Italy. Results Significantly fewer suicide deaths (nOBSERVED=6) occurred among elderly service ...
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    Background Previous short-term work reported fewer suicides among elderly users of a telephone helpline and emergency response service (the TeleHelp-TeleCheck Service). Aims To examine long-term effects of the service on suicide in an elderly population of northern Italy. Method The service provided twice-weekly support and needs assessment telephone calls and a 24h emergency alarm service. Data from 1988 to 1998 allowed comparison of 18 641 service users with a comparable general population group of the Veneto region in Italy. Results Significantly fewer suicide deaths (nOBSERVED=6) occurred among elderly service users (standardised mortality ratio (SMR) 28.8%) than expected (nEXPECTED=20.86; 2=10.58, d.f.=1, P<0.001) despite an assumed overrepresentation of persons at increased risk. The service performed well for elderly females (nOBSERVED=2, SMR=16.6%, nEXPECTED=12.03; 2=8.36, d.f.=1, P<0.001). Conclusions The study confirms the initial promise of the TeleHelp-TeleCheck service over a much longer time period. Further research will clarify the apparent lack of benefit for elderly males.
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    Journal Title
    British Journal of Psychiatry
    Volume
    181
    Issue
    3
    Publisher URI
    http://bjp.rcpsych.org/cgi/content/abstract/181/3/226
    Subject
    Biomedical and clinical sciences
    Psychology
    Publication URI
    http://hdl.handle.net/10072/6568
    Collection
    • Journal articles

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