Effectiveness of a nationwide aftercare program for suicide attempters
Journal
Psychological Medicine
Journal Volume
43
Journal Issue
7
Pages
1447-1454
Date Issued
2013
Author(s)
Abstract
Background The effectiveness of large-scale interventions to prevent suicide among persons who previously attempted suicide remains to be determined. The National Suicide Surveillance System (NSSS), launched in Taiwan in 2006, is a structured nationwide intervention program for people who survived their suicide attempts. This naturalistic study examined its effectiveness using data from the first 3 years of its operation. Method Effectiveness of the NSSS aftercare services was examined using a logistic/proportional odds mixture model, with eventual suicide as the outcome of interest. As well, we examined time until death for those who died and factors associated with eventual suicide. Results Receipt of aftercare services was associated with reduced risk for subsequent suicide; for service recipients who eventually killed themselves, there was a prolonged duration between the index and fatal attempts. Elderly attempters were particularly prone to a shorter duration between the index and fatal attempts. Male gender, the lethality potential of the index attempt, and a history of having had a mental disorder also were associated with higher risk. Conclusions The structured aftercare program of the NSSS appears to decrease suicides and to delay time to death for those who remained susceptible to suicide. ? 2012 Cambridge University Press.
SDGs
Other Subjects
adolescent; adult; aftercare; age; aged; female; human; male; mental disease; middle aged; procedures; risk; risk factor; sex difference; statistical model; suicide; suicide attempt; Taiwan; time; treatment outcome; young adult; aftercare; article; methodology; suicide; Adolescent; Adult; Aftercare; Age Factors; Aged; Female; Humans; Logistic Models; Male; Mental Disorders; Middle Aged; Odds Ratio; Risk Factors; Sex Factors; Suicide; Suicide, Attempted; Taiwan; Time Factors; Treatment Outcome; Young Adult; Adolescent; Adult; Aftercare; Age Factors; Aged; Female; Humans; Logistic Models; Male; Mental Disorders; Middle Aged; Odds Ratio; Risk Factors; Sex Factors; Suicide; Suicide, Attempted; Taiwan; Time Factors; Treatment Outcome; Young Adult
Type
journal article