The Prevalence of Attempted Suicides in Proportion of Referrals to Emergency Departments in Karaj, Iran

Malakouti, Kazem; Bolhari, Jafar; Nojoomi, Marzieh; Poshtmashhadi, Marjan; Shooshtary, Mitra Hakim; Fleischmann, Alexandra; Bertolote, José Manoel

doi:10.2753/imh0020-7411370102

Cited by 8 publications

(12 citation statements)

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“…In Iran, a community-based study revealed that lifetime prevalence of suicidal thoughts, plans and attempts were 12.7, 6.2 and 3.3 percent respectively ( 3 ). The completed suicide rate of 1.4 to 29.6 per 100,000 was obtained from studies carried out in different geographical part of the country using different sources of information: police department, Ministry of Health and Medical Education (MHME) and Legal Medicine Organization (LMO) ( 4 - 6 ).…”

Section: Introductionmentioning

confidence: 99%

Integrating a Suicide Prevention Program into the Primary Health Care Network: A Field Trial Study in Iran

Malakouti

Nojomi

Poshtmashadi

et al. 2015

BioMed Research International

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Objective. To describe and evaluate the feasibility of integrating a suicide prevention program with Primary Health Care services and evaluate if such system can improve screening and identification of depressive disorder, reduce number of suicide attempters, and lower rate of suicide completion. Methodology. This was a quasi-experimental trial in which one community was exposed to the intervention versus the control community with no such exposure. The study sites were two counties in Western Iran. The intervention protocol called for primary care and suicide prevention collaboration at different levels of care. The outcome variables were the number of suicides committed, the number of documented suicide attempts, and the number of identified depressed cases. Results. We identified a higher prevalence of depressive disorders in the intervention site versus the control site (χ 2 = 14.8, P < 0.001). We also found a reduction in the rate of suicide completion in the intervention region compared to the control, but a higher prevalence of suicide attempts in both the intervention and the control sites. Conclusion. Integrating a suicide prevention program with the Primary Health Care network enhanced depression and suicide surveillance capacity and subsequently reduced the number of suicides, especially in rural areas.

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Section: Introductionmentioning

confidence: 99%

Integrating a Suicide Prevention Program into the Primary Health Care Network: A Field Trial Study in Iran

Malakouti

Nojomi

Poshtmashadi

et al. 2015

BioMed Research International

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“…However, we should keep in mind that the real reattempt rate may be hampered by stigma and the sociocultural characteristics of the society. One study in Iran showed that one out of 10 may present to emergency departments due to suicide (Malakouti et al, 2008; Malakouti et al, 2009).…”

Section: Discussionmentioning

confidence: 99%

Aftercare and Suicide Reattempt Prevention in Tehran, Iran

Malakouti

Nojomi

Ghanbari

et al. 2022

Crisis

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Abstract. Background: A previous suicide attempt is one of the strongest risk factors for subsequent suicide. Effective care following a suicide attempt may reduce the risk of suicide reattempts. Aims: We aimed to investigate the effect of a brief educational intervention and contact program on suicide reattempts. Method: This study was performed as a randomized clinical trial (RCT) recruiting 305 individuals who had attempted suicide (brief intervention and contact = 153 individuals, BIC; treatment as usual = 152 individuals, TAU) who were referred to Baharlu Hospital in Tehran. The SUPRE-MISS questionnaire and a discharge follow-up questionnaire were used for data collection. Cox proportional hazard models and log-rank tests were used to assess the association of the variable with the event (reattempt). Kaplan–Meier curves were used to depict the time to the event of reattempt. Results: In the BIC group, 11% of the individuals had attempted suicide once, and 25% of the TAU group had attempted suicide once (12.4%), twice (9.3%), and three times (3.8%), respectively. The results of Kaplan–Meier analysis indicated the mean time of reattempt in the BIC (0.76) and TAU groups (0.25) as the fourth and second months of follow-up, respectively (log rank, χ2 = 12.48, p < .001). The hazard ratio for the TAU group was 2.57 (95% CI [1.4, 5.9]). Limitations: Loss to follow-up due to stigma is one of the serious problems of follow-up services. Conclusion: Implementing a brief educational intervention and contact program on suicide reattempts is feasible and effective in reducing the rate of reattempt; however, it should be accommodated within the mental health services of the county.

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“…The gender differences found in activity participation in this study broadly aligned with established gender divisions in labour within Australia society (Berry and Welsh, 2010; Dinh et al., 2017). Some prior research found that male consumers were more likely to be employed than females (Malakouti et al., 2008; Waghorn et al., 2012), and therefore had greater access to related wellbeing benefits. In contrast, the carer role and experiencing strain or demanding domestic work are recognized risk factors for poorer mental health (Ploeg et al., 2017; Staland-Nyman et al., 2008).…”

Section: Discussionmentioning

confidence: 99%

“…A study of Australian consumers (Waghorn et al., 2012) found those aged 18–24 had the highest rates of employment, and more males were employed than females. However, an Iranian trial (Malakouti et al., 2008) reports that more females than males were employed in their sample. Similarly, cultural and ethnic identity is often inadequately reported in mental health research despite its fundamental role in occupational engagement (Hitch et al., 2014; Møllersen and Holte, 2008).…”

Section: Introductionmentioning

confidence: 99%

Activity participation patterns of community mental health consumers

Jennings

Lhuede

Bradley

et al. 2020

British Journal of Occupational Therapy

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Introduction Previous international research indicates that people with severe mental illness often experience lower levels of activity participation and may therefore be marginalized from occupational opportunities that support recovery. This study aimed to describe activity and participation patterns of consumers of mental health services living in the community and identify significant relationships with demographic characteristics. Method A cross-sectional observational study design was utilized, via data mining of the Activity and Participation Questionnaires completed while receiving services from an area mental health service. Data for 282 consumers, who submitted 333 questionnaires, were included. Results Consumers were mostly engaged in home-based and unpaid work, and their participation in these tasks significantly increased over time. Significant relationships were found between activity participation and age, gender and primary language. Consumers who were older were less likely to participate in employment, education and physical activity, while female and culturally and linguistically diverse consumers were less likely to engage in activities in the community. Conclusion Demographic factors may have a significant impact on the ability of consumers to participate in activities. This may require targeted approaches to activity and participation interventions for specific groups of consumers.

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The Prevalence of Attempted Suicides in Proportion of Referrals to Emergency Departments in Karaj, Iran

Cited by 8 publications

References 0 publications

Integrating a Suicide Prevention Program into the Primary Health Care Network: A Field Trial Study in Iran

Integrating a Suicide Prevention Program into the Primary Health Care Network: A Field Trial Study in Iran

Aftercare and Suicide Reattempt Prevention in Tehran, Iran

Activity participation patterns of community mental health consumers

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