title: Integrating a suicide prevention program into the primary health care network: a field trial study in Iran.
abstract: OBJECTIVE
  To 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.
  
  
  METHODS
  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.
  
  
  RESULTS
  We 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.
  
  
  CONCLUSIONS
  Integrating 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.
authors: Mental Health Research Center, Tehran Institute of Psychiatry, School of Behavioral Sciences and Mental Health, Iran University of Medical Sciences, Tehran, Iran.
authors: Seyed Kazem
authors: SK
authors: Malakouti
authors: Department of Community Medicine, School of Medicine, Iran University of Medical Sciences, P.O. Box 14155-5988, Iran.
authors: Marzieh
authors: M
authors: Nojomi
authors: Department of Clinical Psychology, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
authors: Marjan
authors: M
authors: Poshtmashadi
authors: Mental Health Research Center, Tehran Institute of Psychiatry, School of Behavioral Sciences and Mental Health, Iran University of Medical Sciences, Tehran, Iran.
authors: Mitra
authors: M
authors: Hakim Shooshtari
authors: Mental Health Bureau, Lorestan University of Medical Sciences, Lorestan, Iran.
authors: Fariba
authors: F
authors: Mansouri Moghadam
authors: Iranian National Center for Addiction Studies (INCAS), Iranian Institute for Reduction of High-Risk Behaviors, Tehran University of Medical Sciences, Tehran, Iran.
authors: Afarin
authors: A
authors: Rahimi-Movaghar
authors: Department of Psychiatry, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
authors: Susan
authors: S
authors: Afghah
authors: Mental Health Research Center, Tehran Institute of Psychiatry, School of Behavioral Sciences and Mental Health, Iran University of Medical Sciences, Tehran, Iran.
authors: Jafar
authors: J
authors: Bolhari
authors: Department 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.
authors: Shahrzad
authors: S
authors: Bazargan-Hejazi
mesh_terms: D000293:Adolescent; D000328:Adult; D057191:Capacity Building; D002947:Cities / Q000453:epidemiology; D003710:Demography; D003866:Depressive Disorder / Q000453:epidemiology; D005260:Female; D006801:Humans; D007492:Iran / Q000453:epidemiology; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D011320:Primary Health Care; D012017:Referral and Consultation; D012307:Risk Factors; D013405:Suicide / Q000706:statistics & numerical data*; D013406:Suicide, Attempted / Q000517:prevention & control / Q000706:statistics & numerical data; D055815:Young Adult; D000092864:Suicide Prevention
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