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BioMed Research International
Volume 2015, Article ID 193729, 9 pages
Research Article

Integrating a Suicide Prevention Program into the Primary Health Care Network: A Field Trial Study in Iran

1Mental Health Research Center, Tehran Institute of Psychiatry, School of Behavioral Sciences and Mental Health, Iran University of Medical Sciences, Tehran, Iran
2Department of Community Medicine, School of Medicine, Iran University of Medical Sciences, P.O. Box 14155-5988, Iran
3Department of Clinical Psychology, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
4Mental Health Bureau, Lorestan University of Medical Sciences, Lorestan, Iran
5Iranian National Center for Addiction Studies (INCAS), Iranian Institute for Reduction of High-Risk Behaviors, Tehran University of Medical Sciences, Tehran, Iran
6Department of Psychiatry, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
7Department of Psychiatry, Charles R. Drew University of Medicine and Science, 1731 East 120th Street, Los Angeles, CA 90059, USA
8David Geffen School of Medicine at UCLA, CA, USA

Received 3 September 2014; Revised 10 December 2014; Accepted 15 December 2014

Academic Editor: Nader Perroud

Copyright © 2015 Seyed Kazem Malakouti et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


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. Methodology. 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 (, ). 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. Conclusion. 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.