ArticleInternational journal of mental health systems2021
Outcomes of community-based suicide prevention program in primary health care of Iran.
Article in International journal of mental health systems, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 3 of them syntheses that pooled it.
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Who cites it
17 citing papers in PubMed, 3 syntheses or guidelines pooled it, 29 citations in OpenAlex.
- Risk of suicide, suicide attempt, and suicidal ideation among people with vitamin D deficiency: a systematic review and meta-analysis.BMC psychiatry · 2025Pooled it
- The Pooled Prevalence of Attributed Factors of Suicide in Iran: A Systematic Review and Meta-analysis.Archives of Iranian medicine · 2025Pooled it
- Systematic review of suicide prevention studies with data on youth and young adults living in low-income and middle-income countries.BMJ open · 2022Pooled it
- Evaluation of the community-based suicide surveillance system in Northern Thailand using the RE-AIM framework.BMC public health · 2025Article
- Epidemiology and predictors of suicide and suicide attempt in Northwest Iran: a pilot study for local prevention strategies.Scientific reports · 2025Article
- Validation and cultural adaptation of the Persian version of the suicidal ideation attributes scale (SIDAS).BMC public health · 2025Article
- Integrating community health into primary care: two case studies from Barcelona's Raval neighborhood.Frontiers in public health · 2025Article
- Motivations for suicide attempts and risk factors among youths in Western Iran: A cross-sectional study.Health science reports · 2024Article
- Development, Validation, and Cross Cultural Adoption of Persian Version of Behavioral Risk Factor Tool.Medical journal of the Islamic Republic of Iran · 2024Article
- Clinical and Neuropsychological Features of Suicide Attempters in Tehran, Iran: A Comparative Study.Medical journal of the Islamic Republic of Iran · 2024Article
- The self-care situation analysis of reproductive-aged women in Tehran: a survey study.BMC women's health · 2023Article
- Prescribing pattern of antibiotics by family physicians in primary health care.Journal of pharmaceutical policy and practice · 2023Article
- Suicide attempts by adolescents assisted in an emergency department: a cross-sectional study.Revista brasileira de enfermagem · 2023Observational
- Knowledge, attitudes, and experiences in suicide assessment and management: a qualitative study among primary health care workers in southwestern Uganda.BMC psychiatry · 2022Article
- Suicide in Muslim world and way forward.Health science reports · 2022Article
- Developing a Community-based Suicide Prevention Program in Primary Health Care.Community mental health journal · 2022Article
- Early marriage, stressful life events and risk of suicide and suicide attempt: a case-control study in Iran.BMC psychiatry · 2022Article
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Authors and funding
5 authors at 1 institution in 1 country.
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Abstract
backgroundSuicidal management and prevention in communities, especially in its first stages, is an effective intervention for the health systems. However, in numerous societies most cases go undetected. Primary Health Care (PHC) is an effective place for the management of Suicide Prevention Programs (SPP). In Malekan County, a health community assessment found suicide as the most important health problem. A regional SPP was performed for suicide prevention during 2014-2017.
methodsThis study was carried out in six steps: (1) Establishing a research team, (2) Improving a registry for suicidal behaviors (SBs), (3) Identifying local determinants of SBs, (4) Training healthcare providers, (5) Follow-up and monitoring of SBs, and (6) Public awareness campaigns. Our ultimate goal was to lower the rates of suicide, and suicide attempt (SA) by 15 and 20 %, respectively. Multiple logistic regression was used to estimate the adjusted odds ratios and the 95% confidence intervals.
resultsA total of 821 SAs and 32 suicides were identified. The gender distribution for suicides was 70% males whereas SAs were 64% among females. The majority of suicides occurred in spring 18 (56.25%) while summer was the most common season among SAs 288 (35.8%). Almost 62 and 75% of suicides and SAs have used hanging and poisoning methods, respectively. Hanging increased suicide risk significantly (OR: 8.5, 95% CI 2.9-76.99). During the study, 93 life-skill and parenting education sessions were held. The incidence rates of suicide and SA decreased from 11.22, and 203 per 100,000 in 2013 to 2.63, and 157 in 2017, respectively. Similarly, the re-attempt to SAs ratio decreased from 12% to 2013 to 6.7% in 2017. Moreover, more than 8% of SBs were collected from adjacent Counties.
conclusionsAt the study end, suicide, SA, and re-attempt were lowered by 75%, 22%, and 42%, respectively. The practical framework that achieved in this study could be used as a basis for developing future SPPs and suicide researches in the Iranian context. Furthermore, the various socio-economic and socio-cultural challenges highlight the need to consider a wide range of contextual factors when developing an SPP.
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