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Med J Tabriz Uni Med Sciences. 2022;44(2): 139-151.
doi: 10.34172/mj.2022.023
  Abstract View: 87
  PDF Download: 36

Psychiatry

Original Article

Development and implementation of a community-based suicide prevention program in primary care

Mostafa Farahbakhsh 1 ORCID logo, Ali Fakhari 1 ORCID logo, Hosein Azizi 2* ORCID logo, Elham Davtalab Esmaeili 1 ORCID logo, Jafar Sadegh Tabrizi 3 ORCID logo, Mohammad Mirzapour 4 ORCID logo, Abbasali Dorosti 5 ORCID logo, Aslrahimi Vahab 6 ORCID logo

1 Road Traffic Injury Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
2 Research Center of Psychiatry and Behavioral Sciences, Tabriz University of Medical Sciences, Tabriz, Iran
3 Health Services Management Research Center, Tabriz University of Medical sciences, Tabriz, Iran
4 Malekan Health network, Vice-chancellor of Health, Tabriz University of Medical sciences, Tabriz, Iran
5 Department of Anesthesiology, School of Medical, Tabriz University of Medical sciences, Tabriz, Iran
6 Department for Mental Health, Vice-chancellor of Health, Tabriz University of Medical sciences, Tabriz, Iran
*Corresponding Author: Email: aziziepid@gmail.com

Abstract

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.



How to cite this article: Farahbakhsh M, Fakhari A, Azizi H, Davtalab Esmaeili E, Sadegh Tabrizi J, Mirzapour M, Dorosti A, Asl Rahimi V. Development and implementation of a community-based suicide prevention program in primary care. Med J Tabriz Uni Med Sciences. 2022; 44(2): doi: 10.34172/mj.2022.022. Persian.
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Submitted: 29 Jan 2022
Revision: 26 Mar 2022
Accepted: 26 Mar 2022
ePublished: 07 May 2022
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