Volume 2, Issue 1 (12-2020)
JSP 2020, 2(1): 3-14 |
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Malakouti K, Nojomi M, Ghanbari B, Karimi H, Rasouli N, Fathi M, et al . Scaling up the Health System at Provincial Level to Conduct Telephone Follow -Up Program for Suicide Reattempters in West Azerbaijan, Iran, 2017-2018. JSP 2020; 2 (1) :3-14
URL: http://isssp.ir/article-1-30-en.html
URL: http://isssp.ir/article-1-30-en.html
Kazem Malakouti 
, Marzieh Nojomi , Behrooz Ghanbari , Hassan Karimi , Nafee Rasouli , Marjan Fathi , Maryam Abbasinejad , Ahmad Hajebi , Ali Asadi , Ida Ghaemmagham Farahani
, Marzieh Nojomi , Behrooz Ghanbari , Hassan Karimi , Nafee Rasouli , Marjan Fathi , Maryam Abbasinejad , Ahmad Hajebi , Ali Asadi , Ida Ghaemmagham Farahani
Abstract: (1290 Views)
Background and Objectives: History of suicide attempt is the most important predictor of subsequent suicides. Therefore, implementation of aftercare prevention programs for those who have previously attempted suicide can help to reduce suicide reattempt. The present study was conducted to scale up the health system along with intersectoral collaboration approach for preventing suicide reattempt by provision of brief consultation and telephone follow-up in services.
Materials and Methods: Health system included the health and treatment departments in collaboration with Welfare Organization were scaled up in order to register the attempters and implement the telephone follow-up interventions at provincial level between May 2017 and April 2018 in 17 districts of West Azerbaijan Province with 3.5 million people. Each referred patient received 3 sessions of brief intervention of Attempted Suicide Short Intervention Program (ASSIP). Follow-ups were made for 12 months after discharge. Paired t-test was used to analyze the mean of suicide and suicide attempt before and after intervention.
Results: Fifteen districts with a population of 3139603 people entered the final analysis. Of those who referred to CHC, 1631 (36.6%) attached to program for 12 months. At the end of the intervention, 68 (1.5%) individuals had reattempted suicide. The number of suicide reduced to 1.8 per 100000 population among 15 districts (p=0.07). The rate of attempted suicide had increased to 1.4 per 100000 population after intervention.
Conclusion: The aftercare services have the capacity to decrease suicide reattempt. Although in our study interventions generally reduced suicide, suicide attempt showed a slight increase at the end of follow-up, this increase could be considered as an improvement in the potency of health system to identify and register the suicidal cases
Materials and Methods: Health system included the health and treatment departments in collaboration with Welfare Organization were scaled up in order to register the attempters and implement the telephone follow-up interventions at provincial level between May 2017 and April 2018 in 17 districts of West Azerbaijan Province with 3.5 million people. Each referred patient received 3 sessions of brief intervention of Attempted Suicide Short Intervention Program (ASSIP). Follow-ups were made for 12 months after discharge. Paired t-test was used to analyze the mean of suicide and suicide attempt before and after intervention.
Results: Fifteen districts with a population of 3139603 people entered the final analysis. Of those who referred to CHC, 1631 (36.6%) attached to program for 12 months. At the end of the intervention, 68 (1.5%) individuals had reattempted suicide. The number of suicide reduced to 1.8 per 100000 population among 15 districts (p=0.07). The rate of attempted suicide had increased to 1.4 per 100000 population after intervention.
Conclusion: The aftercare services have the capacity to decrease suicide reattempt. Although in our study interventions generally reduced suicide, suicide attempt showed a slight increase at the end of follow-up, this increase could be considered as an improvement in the potency of health system to identify and register the suicidal cases
Keywords: Attempted suicide, Telephone follow-up, Brief intervention, Reattempt, Aftercare, Suicide prevention
Type of Study: Research |
Subject:
Special
Received: 2020/05/22 | Accepted: 2021/03/9 | Published: 2020/12/5
Received: 2020/05/22 | Accepted: 2021/03/9 | Published: 2020/12/5
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