Development and implementation of a community-based suicide prevention program in primary care
Background. Suicide is recognized as a public health issue in Malekan County through a health community assessment. A community-based suicide prevention program was conducted during 2014-2017. Methods. This health system research was conducted in seven steps, including conducting systematic reviews,...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | fas |
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Tabriz University of Medical Sciences
2022-06-01
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| Series: | مجله پزشکی دانشگاه علوم پزشکی تبریز |
| Subjects: | |
| Online Access: | https://mj.tbzmed.ac.ir/PDF/mj-44-139.pdf |
| _version_ | 1811321441797275648 |
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| author | Mostafa Farahbakhsh Ali Fakhari Hosein Azizi Elham Davtalab Esmaeili Jafar Sadegh Tabrizi Mohammad Mirzapour Abbasali Dorosti Aslrahimi Vahab |
| author_facet | Mostafa Farahbakhsh Ali Fakhari Hosein Azizi Elham Davtalab Esmaeili Jafar Sadegh Tabrizi Mohammad Mirzapour Abbasali Dorosti Aslrahimi Vahab |
| author_sort | Mostafa Farahbakhsh |
| collection | DOAJ |
| description | Background. Suicide is recognized as a public health issue in Malekan County through a health community assessment. A community-based suicide prevention program was conducted during 2014-2017. Methods. This health system research was conducted in seven steps, including conducting systematic reviews, gathering expert opinions, improving the coverage of suicide attempt records, conducting research to identify regional risk factors, conducting follow ups and managing the individuals attempting suicide, training health gatekeepers, and launching public awareness campaigns. Our goal was to lower the rates of suicide, and suicide attempt by 15% and 20%, respectively. Multiple logistic regression was calculated to estimate the adjusted odds ratios and the 95% confidence intervals. Result. 821 suicide attempts and 32 suicides had been recorded in the county. 70% of the suicides had been committed by men while the majority of attempters were females (64%). Most of the suicides (18cases-56.25%) had occurred in the spring while the majority of suicide attempts (288cases-35.8%) had been recorded in the summer. The common methods (62%) suiciders used were hanging and poisoning, which increased death risk significantly (OR: 8.5, 95% CI: 2.9–76.99). The incidence rates of suicide and suicide attempts reduced from 11.22, and 203 per 100,000 in 2013 to 2.63, and 157 in 2017, respectively. Suicide re-attempts also diminished from 12% in 2013 to 6.7% in 2017. Conclusion. Suicide, SA, and re-attempt were lowered by 75%, 22%, and 42%, respectively. Practical Implications. The practical framework that emerged out of the present study can be used for generating future suicide prevention strategies. Furthermore, our study highlights the need to consider a wide range of contextual factors when developing suicide prevention programs. |
| first_indexed | 2024-04-13T13:16:45Z |
| format | Article |
| id | doaj.art-ddda2e38954a42b5be3c9604ff953ccd |
| institution | Directory Open Access Journal |
| issn | 2783-2031 2783-204X |
| language | fas |
| last_indexed | 2024-04-13T13:16:45Z |
| publishDate | 2022-06-01 |
| publisher | Tabriz University of Medical Sciences |
| record_format | Article |
| series | مجله پزشکی دانشگاه علوم پزشکی تبریز |
| spelling | doaj.art-ddda2e38954a42b5be3c9604ff953ccd2022-12-22T02:45:26ZfasTabriz University of Medical Sciencesمجله پزشکی دانشگاه علوم پزشکی تبریز2783-20312783-204X2022-06-0144213915110.34172/mj.2022.023mj-27779Development and implementation of a community-based suicide prevention program in primary careMostafa Farahbakhsh0Ali Fakhari1Hosein Azizi2Elham Davtalab Esmaeili3Jafar Sadegh Tabrizi4Mohammad Mirzapour5Abbasali Dorosti6Aslrahimi Vahab7Road Traffic Injury Research Center, Tabriz University of Medical Sciences, Tabriz, IranRoad Traffic Injury Research Center, Tabriz University of Medical Sciences, Tabriz, IranResearch Center of Psychiatry and Behavioral Sciences, Tabriz University of Medical Sciences, Tabriz, IranRoad Traffic Injury Research Center, Tabriz University of Medical Sciences, Tabriz, IranHealth Services Management Research Center, Tabriz University of Medical sciences, Tabriz, IranMalekan Health network, Vice-chancellor of Health, Tabriz University of Medical sciences, Tabriz, IranDepartment of Anesthesiology, School of Medical, Tabriz University of Medical sciences, Tabriz, IranDepartment for Mental Health, Vice-chancellor of Health, Tabriz University of Medical sciences, Tabriz, IranBackground. Suicide is recognized as a public health issue in Malekan County through a health community assessment. A community-based suicide prevention program was conducted during 2014-2017. Methods. This health system research was conducted in seven steps, including conducting systematic reviews, gathering expert opinions, improving the coverage of suicide attempt records, conducting research to identify regional risk factors, conducting follow ups and managing the individuals attempting suicide, training health gatekeepers, and launching public awareness campaigns. Our goal was to lower the rates of suicide, and suicide attempt by 15% and 20%, respectively. Multiple logistic regression was calculated to estimate the adjusted odds ratios and the 95% confidence intervals. Result. 821 suicide attempts and 32 suicides had been recorded in the county. 70% of the suicides had been committed by men while the majority of attempters were females (64%). Most of the suicides (18cases-56.25%) had occurred in the spring while the majority of suicide attempts (288cases-35.8%) had been recorded in the summer. The common methods (62%) suiciders used were hanging and poisoning, which increased death risk significantly (OR: 8.5, 95% CI: 2.9–76.99). The incidence rates of suicide and suicide attempts reduced from 11.22, and 203 per 100,000 in 2013 to 2.63, and 157 in 2017, respectively. Suicide re-attempts also diminished from 12% in 2013 to 6.7% in 2017. Conclusion. Suicide, SA, and re-attempt were lowered by 75%, 22%, and 42%, respectively. Practical Implications. The practical framework that emerged out of the present study can be used for generating future suicide prevention strategies. Furthermore, our study highlights the need to consider a wide range of contextual factors when developing suicide prevention programs.https://mj.tbzmed.ac.ir/PDF/mj-44-139.pdfsuicidesuicidal behaviorsprimary health carepreventioniran |
| spellingShingle | Mostafa Farahbakhsh Ali Fakhari Hosein Azizi Elham Davtalab Esmaeili Jafar Sadegh Tabrizi Mohammad Mirzapour Abbasali Dorosti Aslrahimi Vahab Development and implementation of a community-based suicide prevention program in primary care مجله پزشکی دانشگاه علوم پزشکی تبریز suicide suicidal behaviors primary health care prevention iran |
| title | Development and implementation of a community-based suicide prevention program in primary care |
| title_full | Development and implementation of a community-based suicide prevention program in primary care |
| title_fullStr | Development and implementation of a community-based suicide prevention program in primary care |
| title_full_unstemmed | Development and implementation of a community-based suicide prevention program in primary care |
| title_short | Development and implementation of a community-based suicide prevention program in primary care |
| title_sort | development and implementation of a community based suicide prevention program in primary care |
| topic | suicide suicidal behaviors primary health care prevention iran |
| url | https://mj.tbzmed.ac.ir/PDF/mj-44-139.pdf |
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