title: Outcomes of a two-tiered multifaceted elderly suicide prevention program in a Hong Kong Chinese community.
abstract: OBJECTIVE
  1) To compare the 2-year completed suicide and reattempt rates in a preintervention group of Hong Kong Chinese suicide attempters (aged 65 years and older) who received standard care and a postintervention group enrolled in a regional elderly suicide prevention program (ESPP) that adopts a two-tiered multifaceted care management model and 2) to examine the trend of suicide rates in older adults aged 65 years and older in the pre- and postintervention periods.
  
  
  METHODS
  The first part is an observational cohort study with baseline, follow-up, and outcome data being identified from a clinical electronic registry. The second part examines changes in suicide rates from official mortality statistics.
  
  
  METHODS
  A government-funded suicide intervention program serving catchment population (852,796 people aged 65 years and older) in Hong Kong, China.
  
  
  METHODS
  Suicide attempters (aged 65 years and older) presenting to old-age psychiatric service in the pre- and postintervention phases.
  
  
  METHODS
  1) Two-year rates of completed suicide and suicide reattempt and 2) changes in population suicide rates in the pre- and postintervention periods.
  
  
  RESULTS
  The 2-year completed suicide rate was 7.58% in the preintervention group (N = 66) and 1.99$% in the ESPP group (N = 351) Χ = 6.192; p value: 0.028; df = 1). Reattempt rates were not different. At a population level, suicide rate dropped significantly only in women aged 85 years and older, relative to the preintervention period.
  
  
  CONCLUSIONS
  The ESPP was associated with a reduced rate of completed suicide in old-age suicide attempters and might have contributed to a fall of suicide rate in women aged 85 years and older.
authors.affiliation: Department of Psychiatry, The Chinese University of Hong Kong. schan@cuhk.edu.hk
authors.forename: Sandra S
authors.initials: SS
authors.lastname: Chan
authors.forename: Vivian P Y
authors.initials: VP
authors.lastname: Leung
authors.forename: Joshua
authors.initials: J
authors.lastname: Tsoh
authors.forename: S W
authors.initials: SW
authors.lastname: Li
authors.forename: C S
authors.initials: CS
authors.lastname: Yu
authors.forename: Gabriel K K
authors.initials: GK
authors.lastname: Yu
authors.forename: T K
authors.initials: TK
authors.lastname: Poon
authors.forename: P C
authors.initials: PC
authors.lastname: Pan
authors.forename: W F
authors.initials: WF
authors.lastname: Chan
authors.forename: Yeates
authors.initials: Y
authors.lastname: Conwell
authors.forename: Linda C W
authors.initials: LC
authors.lastname: Lam
authors.forename: Helen F K
authors.initials: HF
authors.lastname: Chiu
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D002681:China / Q000208:ethnology; D015331:Cohort Studies; D003156:Community Mental Health Services; D005260:Female; D006723:Hong Kong / Q000453:epidemiology; D006801:Humans; D008297:Male; D016012:Poisson Distribution; D015397:Program Evaluation; D012042:Registries; D012307:Risk Factors; D012959:Socioeconomic Factors; D013405:Suicide / Q000706:statistics & numerical data; D013406:Suicide, Attempted / Q000517:prevention & control / Q000706:statistics & numerical data; D000092864:Suicide Prevention
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