Evidence map›Paper›PMID 25648221›Full record

ArticleBioMed research international2015

Integrating a suicide prevention program into the primary health care network: a field trial study in Iran.

Seyed Kazem Malakouti, Marzieh Nojomi, Marjan Poshtmashadi, Mitra Hakim Shooshtari, Fariba Mansouri Moghadam, Afarin Rahimi-Movaghar, Susan Afghah, Jafar Bolhari, Shahrzad Bazargan-Hejazi

Abstract read
In one paragraph

Article in BioMed research international, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Seyed Kazem MalakoutiMental Health Research Center, Tehran Institute of Psychiatry, School of Behavioral Sciences and Mental Health, Iran University of Medical Sciences, Tehran, Iran.
Marzieh NojomiDepartment of Community Medicine, School of Medicine, Iran University of Medical Sciences, P.O. Box 14155-5988, Iran.
Marjan PoshtmashadiDepartment of Clinical Psychology, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Mitra Hakim ShooshtariMental Health Research Center, Tehran Institute of Psychiatry, School of Behavioral Sciences and Mental Health, Iran University of Medical Sciences, Tehran, Iran.
Fariba Mansouri MoghadamMental Health Bureau, Lorestan University of Medical Sciences, Lorestan, Iran.
Afarin Rahimi-MovagharIranian National Center for Addiction Studies (INCAS), Iranian Institute for Reduction of High-Risk Behaviors, Tehran University of Medical Sciences, Tehran, Iran.
Susan AfghahDepartment of Psychiatry, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Jafar BolhariMental Health Research Center, Tehran Institute of Psychiatry, School of Behavioral Sciences and Mental Health, Iran University of Medical Sciences, Tehran, Iran.
Shahrzad Bazargan-HejaziDepartment of Psychiatry, Charles R. Drew University of Medicine and Science, 1731 East 120th Street, Los Angeles, CA 90059, USA ; David Geffen School of Medicine at UCLA, CA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo 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.

resultsWe 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.

conclusionIntegrating 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.

Indexed as

Primary Health CareSuicide PreventionAdolescentAdultCapacity BuildingCitiesDemographyDepressive DisorderFemaleHumansIranLogistic ModelsMaleMiddle AgedPrevalenceReferral and Consultation

Identifiers

PMID25648221
PMCPMC4306260

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.