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A Community-Based Response to a Suicide Cluster.

Carmen C S Lai1, Yik Wa Law1,2, Angie K Y Shum1

  • 1Centre for Suicide Research and Prevention, The University of Hong Kong, Hong Kong SAR.

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|August 17, 2019
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Summary

A community suicide prevention program effectively reduced suicide rates and subsided a suicide cluster in Hong Kong. The public health approach demonstrated positive outcomes during the intervention period.

Keywords:
community-based approachgeographic information systempublic health approachsuicide clustersuicide prevention

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Area of Science:

  • Public Health
  • Epidemiology
  • Community Psychology

Background:

  • A suicide cluster emerged in Hong Kong in 2010, prompting a 45-month community-based intervention.
  • The program aimed to address the public health crisis through a comprehensive strategy.

Purpose of the Study:

  • To evaluate the effectiveness of a community-based suicide prevention program.
  • To document program implementation, outcomes, and contributing factors.
  • To assess the impact on a specific suicide cluster.

Main Methods:

  • The program utilized a public health approach with five key components: consensus building, surveillance, coordinated strategies, multi-level interventions, and evaluation.
  • Interventions were implemented at universal, selective, and indicated levels.
  • Spatial analysis was used to monitor the suicide cluster's subsidence.

Main Results:

  • A significant decreasing trend in suicide rates was observed in the intervention site, contrasting with control sites.
  • Spatial analysis confirmed the subsidence of the suicide cluster following the intervention.
  • Qualitative feedback identified program impacts and challenges from stakeholders.

Conclusions:

  • The community-based suicide prevention program was successfully implemented and effective in addressing the suicide cluster.
  • A notable reduction in the suicide rate was achieved post-intervention.
  • Further research is recommended to assess the long-term sustainability of the program.