چاپ صفحه |  صفحه نخست سامانه |  نویسندگان |  اطلاعات تفضیلی |  دانلود مقاله | علوم پزشکی کرمانشاه |
| نویسنده | نفر چندم مقاله |
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| علیرضا احمدی | اول |
| عنوان | متن |
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| کلمات کلیدی | (1357) Prevention Of Self-Immolation In A Community By Video-Based Intervention Ahmadi, A Kermanshah University of Medical Sciences Iran Co-authors Ytterstad, Børge Khazaie, Habiballah Rezaei, Mansour PROBLEM Suicide by burning oneself is rare in developed countries (0,06%-1,8% of all suicides) but more frequent in developing countries (39,8%-40,3% of all suicides). Self-immolation constitutes from 0,4 to 40% of admissions to burn centres worldwide. 36,4% of Iranians who committed suicide did so by self-immolation. In our burn centre, 64,2% of hospitalised patients over the past five years were there due to self-immolation. OBJECTIVES To describe the long-term effectiveness of a community-based programme targeting prevention of self-immolation and suicide attempts. METHOD Design - Quasiexperimental Setting -The Iranian cities Gilangharb (main intervention) and Sarpolzahab (reference) Participants - The populations of these communities Methods - Data collection on suicide attempt and self-immolation attempt patients (as a part of suicide attempts) started 21 March 1999 to 20 March 2003. The first 12 months of study provided baseline data, while the last three years involved community-based intervention, using a mix of passive and active interventions. Videos showing victim stories were an important component in the prevention programme. RESULTS Compared to baseline, the mean self-immolation attempts rate decreased by 57% after the implementation of the intervention in Gilangharb (P=0,04, Yates corrected P=0,07) (significant). Correspondingly, the reference city rate decreased 27 % (n.s.). Moreover, in Gilangharb an effect on suicide attempts was observed, however not significantly. The mean suicide attempt rate decreased by 19 % post-intervention (n.s.). The corresponding reference city rate increased 24 % (n.s.) CONCLUSION A video-based community prevention programme targeting self-immolation attempts can be effective. Local data on victims and victim stories from self-immolation attempts and suicide attempts provided the stimulus for community action. |
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