The Effect of Post Suicidal Intervention Guideline in Primary Health Care on Severity of Suicidal ideation in Rural Area

Suicide is an important problem of communities. This indecent behavior can cause organic, psychological, and social morbidities such as organ defects, family derangement, and rejection from family and community. Suicide repetition rate is high with only limited research been put to its prevention. With considering the situation of health care system of Iran, are uses of resource and guideline in this system useful for this care?

This research was a randomized controlled trial. Attempted hospitalized suicide persons were entered into the study. Persons from villages or marginal area of Isfahan city in the supervision of health centers were divided to two groups randomly. WHO guideline was translated and revised according to situation of Iran. Then simple follow chart was designed. We integrated this protocol as a mental health pilot program to the health network of Isfahan province. The Behvarz (Primary health personnel) were educated several sessions about support and follow up of the patient. Intervention was done with telephone and verbally. Researcher visited the health house randomly. Intervention lasting 3 months; a control group was established prospectively without intervention. The outcome was measured by severity of suicidal ideation and repetition of suicide attempt.

Mean score of suicidal ideation in intervention group before and after was19.8 and 10.5, that difference was statistically significant (P <0.001). In control group also this score was significant, let down 19.6 to 14. In run of this period no suicide was occurred.

According to Beck score, integration of the model can decrease suicidal ideation so health system of Iran is appropriate site for care to these persons. In control group people also improved their mental status in many ways. Attraction of supportive resources such as family, friend, and spirituals do a significant role to improve mental health status and is an opportunity for managers.