<?xml version="1.0" encoding="utf-8"?>
<!DOCTYPE trials [
<!ELEMENT trials (trial+)>

<!ELEMENT trial (main,contacts,countries,criteria,health_condition_code,health_condition_keyword,intervention_code,
          intervention_keyword,primary_outcome,secondary_outcome,secondary_sponsor,secondary_ids,source_support,ethics_reviews)>

<!ELEMENT main (trial_id,utrn?,reg_name,date_registration,primary_sponsor,public_title,acronym?,scientific_title,scientific_acronym?,
          date_enrolment,type_enrolment,target_size,recruitment_status,url?,study_type,study_design,phase,hc_freetext?,i_freetext?,results_actual_enrolment,results_date_completed,results_url_link,results_summary,           results_date_posted,results_date_first_publication,results_baseline_char,results_participant_flow,results_adverse_events,results_outcome_measures,results_url_protocol,results_IPD_plan, results_IPD_description)>
<!ELEMENT trial_id (#PCDATA)>
<!ELEMENT utrn (#PCDATA)>
<!ELEMENT reg_name (#PCDATA)>
<!ELEMENT date_registration (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT primary_sponsor (#PCDATA)>
<!ELEMENT public_title (#PCDATA)>
<!ELEMENT acronym (#PCDATA)>
<!ELEMENT scientific_title (#PCDATA)>
<!ELEMENT scientific_acronym (#PCDATA)>
<!ELEMENT date_enrolment (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT type_enrolment (#PCDATA)>
<!ELEMENT target_size (#PCDATA)>
<!ELEMENT recruitment_status (#PCDATA)><!-- Pending,Recruiting,Suspended,Complete,Other -->
<!ELEMENT url (#PCDATA)>
<!ELEMENT study_type (#PCDATA)><!-- interventional,observational -->
<!ELEMENT study_design (#PCDATA)>
<!ELEMENT phase (#PCDATA)>
<!ELEMENT hc_freetext (#PCDATA)>
<!ELEMENT i_freetext (#PCDATA)>
<!ELEMENT results_actual_enrolment (#PCDATA)>
<!ELEMENT results_date_completed (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_url_link (#PCDATA)>
<!ELEMENT results_summary (#PCDATA)>
<!ELEMENT results_date_posted (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_date_first_publication (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_baseline_char (#PCDATA)>
<!ELEMENT results_participant_flow (#PCDATA)>
<!ELEMENT results_adverse_events (#PCDATA)>
<!ELEMENT results_outcome_measures (#PCDATA)>
<!ELEMENT results_url_protocol (#PCDATA)>
<!ELEMENT results_IPD_plan (#PCDATA)>
<!ELEMENT results_IPD_description (#PCDATA)>


<!ELEMENT contacts (contact+)>
<!ELEMENT contact (type,firstname,middlename,lastname,address,city,country1,zip,telephone,email,affiliation)>
<!ELEMENT type (#PCDATA)><!-- Public,Scientific -->
<!ELEMENT firstname (#PCDATA)>
<!ELEMENT middlename (#PCDATA)>
<!ELEMENT lastname (#PCDATA)>
<!ELEMENT address (#PCDATA)>
<!ELEMENT city (#PCDATA)>
<!ELEMENT country1 (#PCDATA)>
<!ELEMENT zip (#PCDATA)>
<!ELEMENT telephone (#PCDATA)>
<!ELEMENT email (#PCDATA)>
<!ELEMENT affiliation (#PCDATA)>

<!ELEMENT countries (country2+)>
<!ELEMENT country2 (#PCDATA)>

<!ELEMENT criteria (inclusion_criteria,agemin,agemax,gender,exclusion_criteria)>
<!ELEMENT inclusion_criteria (#PCDATA)>
<!ELEMENT agemin (#PCDATA)>
<!ELEMENT agemax (#PCDATA)>
<!ELEMENT gender (#PCDATA)>
<!ELEMENT exclusion_criteria (#PCDATA)>

<!ELEMENT health_condition_code (hc_code+)>
<!ELEMENT hc_code (#PCDATA)>

<!ELEMENT health_condition_keyword (hc_keyword+)>
<!ELEMENT hc_keyword (#PCDATA)>

<!ELEMENT intervention_code (i_code+)>
<!ELEMENT i_code (#PCDATA)>

<!ELEMENT intervention_keyword (i_keyword+)>
<!ELEMENT i_keyword (#PCDATA)>

<!ELEMENT primary_outcome (prim_outcome+)>
<!ELEMENT prim_outcome (#PCDATA)>

<!ELEMENT secondary_outcome (sec_outcome+)>
<!ELEMENT sec_outcome (#PCDATA)>

<!ELEMENT secondary_sponsor (sponsor_name+)>
<!ELEMENT sponsor_name (#PCDATA)>

<!ELEMENT secondary_ids (secondary_id+)>
<!ELEMENT secondary_id (sec_id,issuing_authority)>
<!ELEMENT sec_id (#PCDATA)>
<!ELEMENT issuing_authority (#PCDATA)>

<!ELEMENT source_support (source_name+)>
<!ELEMENT source_name (#PCDATA)>

<!ELEMENT ethics_reviews (ethics_review+)>
<!ELEMENT ethics_review (status,approval_date,contact_name,contact_address,contact_phone,contact_email)>
<!ELEMENT status (#PCDATA)><!-- Not approved,Approved,NA -->
<!ELEMENT approval_date (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT contact_name (#PCDATA)>
<!ELEMENT contact_address (#PCDATA)>
<!ELEMENT contact_phone (#PCDATA)>
<!ELEMENT contact_email (#PCDATA)>
]>
<trials>
  <trial>
    <main>
      <trial_id>IRCT138803061959N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2010-05-05</date_registration>
      <primary_sponsor>Bureau of Mental Health, Ministry of Health</primary_sponsor>
      <public_title>A pilot study of suicide prevention in Nahavand and Savojbolagh districts</public_title>
      <acronym></acronym>
      <scientific_title>Integration of a comprehensive suicide prevention program into PHC in Savojbolagh and Nahavand: A pilot study</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2010-05-05</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size></target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/1557</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: N/A, Blinding: Not blinded, Placebo: Not used, Assignment: Other, Purpose: Prevention, Other design features: before - after intervention study, field study.</study_design>
      <phase>N/A</phase>
      <hc_freetext>Condition 1: suicide. Condition 2: Drug dependency. Condition 3: major depression. Condition 4: family problems. Condition 5: suicide. Condition 6: suicide. Condition 7: suicide. Condition 8: suicide. Condition 9: suicide. Condition 10: suicide. Condition 11: suicide. Condition 12: suicide. Condition 13: suicide. Condition 14: suicide. Condition 15: suicide. Condition 16: suicide. Condition 17: suicide. Condition 18: suicide. Condition 19: suicide. Condition 20: suicide. Condition 21: suicide. Condition 22: suicide. Condition 23: suicide. Condition 24: suicide. Condition 25: suicide. Condition 26: suicide. Condition 27: suicide. Condition 28: suicide. Condition 29: major depression. Condition 30: major depression. Condition 31: major depression. Condition 32: family problems. Condition 33: family problems. Condition 34: family problems.</hc_freetext>
      <i_freetext>In the first step, the capacity of primary health network will be improved in terms of staff knowledge and skills, referral system, registration system, screening tools. In the second step, active screening will take place and found suspected cases will be managed by the network.In the third step, the found cases will be treated by drugs and consulted with their families for suicide prevention..</i_freetext>
      <results_actual_enrolment></results_actual_enrolment>
      <results_date_completed></results_date_completed>
      <results_url_link></results_url_link>
      <results_summary></results_summary>
      <results_date_posted></results_date_posted>
      <results_date_first_publication></results_date_first_publication>
      <results_baseline_char></results_baseline_char>
      <results_participant_flow></results_participant_flow>
      <results_adverse_events></results_adverse_events>
      <results_outcome_measures></results_outcome_measures>
      <results_url_protocol></results_url_protocol>
      <results_IPD_plan></results_IPD_plan>
      <results_IPD_description></results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Dr. Seyed Kazem Malakouti</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Shahid Mansuri St., Niayesh St., Sattarkhan Ave., Tehran</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1443813444</zip>
        <telephone>+98 21 6655 0200</telephone>
        <email>kmalakouti@iums.ac.ir</email>
        <affiliation>Iran University of Medical Science -Tehran Psychiatric Institute</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Dr. Seyed Kazem Malakouti</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Shahid Mansuri St., Niayesh St., Sattarkhan Ave., Tehran</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1443813444</zip>
        <telephone>+98 21 6655 0200</telephone>
        <email>kmalakouti@iums.ac.ir</email>
        <affiliation>Tehran Psychiatric Institute</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Not applicable</inclusion_criteria>
      <agemin>no limit</agemin>
      <agemax>no limit</agemax>
      <gender>Both</gender>
      <exclusion_criteria></exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>x60</hc_code>
      <hc_code>F10-F19</hc_code>
      <hc_code>f32.2</hc_code>
      <hc_code>z61.5</hc_code>
      <hc_code>x65</hc_code>
      <hc_code>x64</hc_code>
      <hc_code>x61</hc_code>
      <hc_code>x62</hc_code>
      <hc_code>x63</hc_code>
      <hc_code>x66</hc_code>
      <hc_code>x67</hc_code>
      <hc_code>x68</hc_code>
      <hc_code>x69</hc_code>
      <hc_code>x70</hc_code>
      <hc_code>x71</hc_code>
      <hc_code>x72</hc_code>
      <hc_code>x73</hc_code>
      <hc_code>x74</hc_code>
      <hc_code>x75</hc_code>
      <hc_code>x76</hc_code>
      <hc_code>x77</hc_code>
      <hc_code>x78</hc_code>
      <hc_code>x79</hc_code>
      <hc_code>x80</hc_code>
      <hc_code>x81</hc_code>
      <hc_code>x82</hc_code>
      <hc_code>x83</hc_code>
      <hc_code>x84</hc_code>
      <hc_code>f32.3</hc_code>
      <hc_code>f33.2</hc_code>
      <hc_code>f33.3</hc_code>
      <hc_code>z63</hc_code>
      <hc_code>z63.7</hc_code>
      <hc_code>z63.8</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Intentional self-poisoning by and exposure to nonopioid analgesics, antipyretics and antirheumatics</hc_keyword>
      <hc_keyword>Mental and behavioural disorders due to psychoactive substance use</hc_keyword>
      <hc_keyword>Severe depressive episode without psychotic symptoms</hc_keyword>
      <hc_keyword>Problems related to alleged sexual abuse of child by person outside primary support group</hc_keyword>
      <hc_keyword>Intentional self-poisoning by and exposure to alcohol</hc_keyword>
      <hc_keyword>Intentional self-poisoning by and exposure to other and unspecified drugs, medicaments and biological substances</hc_keyword>
      <hc_keyword>Intentional self-poisoning by and exposure to antiepileptic, sedative-hypnotic, antiparkinsonism and psychotropic drugs, not elsewhere classified</hc_keyword>
      <hc_keyword>Intentional self-poisoning by and exposure to narcotics and psychodysleptics [hallucinogens], not elsewhere classified</hc_keyword>
      <hc_keyword>Intentional self-poisoning by and exposure to other drugs acting on the autonomic nervous system</hc_keyword>
      <hc_keyword>Intentional self-poisoning by and exposure to organic solvents and halogenated hydrocarbons and their vapours</hc_keyword>
      <hc_keyword>Intentional self-poisoning by and exposure to other gases and vapours</hc_keyword>
      <hc_keyword>Intentional self-poisoning by and exposure to pesticides</hc_keyword>
      <hc_keyword>Intentional self-poisoning by and exposure to other and unspecified chemicals and noxious substances</hc_keyword>
      <hc_keyword>Intentional self-harm by hanging, strangulation and suffocation</hc_keyword>
      <hc_keyword>Intentional self-harm by drowning and submersion</hc_keyword>
      <hc_keyword>Intentional self-harm by handgun discharge</hc_keyword>
      <hc_keyword>Intentional self-harm by rifle, shotgun and larger firearm discharge</hc_keyword>
      <hc_keyword>Intentional self-harm by other and unspecified firearm discharge</hc_keyword>
      <hc_keyword>Intentional self-harm by explosive material</hc_keyword>
      <hc_keyword>Intentional self-harm by smoke, fire and flames</hc_keyword>
      <hc_keyword>Intentional self-harm by steam, hot vapours and hot objects</hc_keyword>
      <hc_keyword>Intentional self-harm by sharp object</hc_keyword>
      <hc_keyword>Intentional self-harm by blunt object</hc_keyword>
      <hc_keyword>Intentional self-harm by jumping from a high place</hc_keyword>
      <hc_keyword>Intentional self-harm by jumping or lying before moving object</hc_keyword>
      <hc_keyword>Intentional self-harm by crashing of motor vehicle</hc_keyword>
      <hc_keyword>Intentional self-harm by other specified means</hc_keyword>
      <hc_keyword>Intentional self-harm by unspecified means</hc_keyword>
      <hc_keyword>Severe depressive episode without psychotic symptoms</hc_keyword>
      <hc_keyword>Recurrent depressive disorder, current episode severe without psychotic symptoms</hc_keyword>
      <hc_keyword>Recurrent depressive disorder, current episode severe with psychotic symptoms</hc_keyword>
      <hc_keyword>Other problems related to primary support group, including family circumstances</hc_keyword>
      <hc_keyword>Other stressful life events affecting family and household</hc_keyword>
      <hc_keyword>Other specified problems related to primary support group</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Other</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>In the first step, the capacity of primary health network will be improved in terms of staff knowledge and skills, referral system, registration system, screening tools. In the second step, active screening will take place and found suspected cases will be managed by the network.In the third step, the found cases will be treated by drugs and consulted with their families for suicide prevention.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Rate of suicide attempt and comitt suicide in general population. Timepoint: before and after one year of intervention. Method of measurement: comparing the statistics of Ministry of health, local university of medical sciences data yielded.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Rate of found depressed cases by the network. Timepoint: monthly. Method of measurement: statistics yielded by the network.</sec_outcome>
    </secondary_outcome>
    <secondary_sponsor>
      <sponsor_name></sponsor_name>
    </secondary_sponsor>
    <secondary_ids>
      <secondary_id>
        <sec_id></sec_id>
        <issuing_authority></issuing_authority>
      </secondary_id>
    </secondary_ids>
    <source_support>
      <source_name>Bureau of Mental Health, Ministry of Health</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2010-12-01</approval_date>
        <contact_name>Tehran Psychiatric Institute, Ethics Committee Office</contact_name>
        <contact_address>Tehran Psychiatric Institut, Shadid Mansouri st, Niayesh st. Sattarkhan Ave. Tehran Tehran  Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
