@article{ref1,
title="Repetition of suicide attempts",
journal="Crisis",
year="2010",
author="Bertolote, José Manoel and Fleischmann, Alexandra and De Leo, Diego and Phillips, Michael R. and Botega, Neury Jose and Vijayakumar, Lakshmi and de Silva, Damani and Schlebusch, Lourens and Nguyen, Van Tuong and Sisask, Merike and Bolhari, Jafar and Wasserman, Danuta",
volume="31",
number="4",
pages="194-201",
abstract="Background: 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%, chi(2) = 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.<p /> <p>Language: en</p>",
language="en",
issn="0227-5910",
doi="10.1027/0027-5910/a000052",
url="http://dx.doi.org/10.1027/0027-5910/a000052"
}