@article{ref1,
title="Outcomes of a Two-Tiered Multifaceted Elderly Suicide Prevention Program in a Hong Kong Chinese Community",
journal="American journal of geriatric psychiatry",
year="2011",
author="Chan, Sandra S. M. and Leung, Vivian P.Y. and Tsoh, Joshua and Li, S.W. and Yu, Chung-San and Yu, G. K. and Poon, T.K. and Pan, P. C. and Chan, WF and Conwell, Yeates and Lam, Linda Chiu-Wa and Chiu, Helen Fung-Kum",
volume="19",
number="2",
pages="185-196",
abstract="OBJECTIVES:: 1) To compare the 2-year completed suicide and reattempt rates in a preintervention group of Hong Kong Chinese suicide attempters (aged 65 years and older) who received standard care and a postintervention group enrolled in a regional elderly suicide prevention program (ESPP) that adopts a two-tiered multifaceted care management model and 2) to examine the trend of suicide rates in older adults aged 65 years and older in the pre- and postintervention periods. DESIGN:: The first part is an observational cohort study with baseline, follow-up, and outcome data being identified from a clinical electronic registry. The second part examines changes in suicide rates from official mortality statistics. SETTING:: A government-funded suicide intervention program serving catchment population (852,796 people aged 65 years and older) in Hong Kong, China. PARTICIPANTS:: Suicide attempters (aged 65 years and older) presenting to old-age psychiatric service in the pre- and postintervention phases. MEASUREMENTS:: 1) Two-year rates of completed suicide and suicide reattempt and 2) changes in population suicide rates in the pre- and postintervention periods. RESULTS:: The 2-year completed suicide rate was 7.58% in the preintervention group (N = 66) and 1.99% in the ESPP group (N = 351) (chi = 6.192; p value: 0.028; df = 1). Reattempt rates were not different. At a population level, suicide rate dropped significantly only in women aged 85 years and older, relative to the preintervention period. CONCLUSIONS:: The ESPP was associated with a reduced rate of completed suicide in old-age suicide attempters and might have contributed to a fall of suicide rate in women aged 85 years and older.<p /> <p>Language: en</p>",
language="en",
issn="1064-7481",
doi="10.1097/JGP.0b013e3181e56d0f",
url="http://dx.doi.org/10.1097/JGP.0b013e3181e56d0f"
}