<?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>IRCT201008271959N4</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2010-09-23</date_registration>
      <primary_sponsor>Bureau of mental health, Ministry of Health</primary_sponsor>
      <public_title>Suicide prevention program at Khorram Abad, the capital of Lorestan province, Iran</public_title>
      <acronym></acronym>
      <scientific_title>Promotion of the Capacities of Primary Health Network of Khoram Abad to prevent suicide behaviors by identifying and managing the depressed patients.</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2007-06-22</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size></target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/1559</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: N/A, Blinding: Not blinded, Placebo: Not used, Assignment: Single, Purpose: Prevention.</study_design>
      <phase>N/A</phase>
      <hc_freetext>Condition 1: suicide. Condition 2: suicide. Condition 3: suicide. Condition 4: suicide. 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: major depression. Condition 28: major depression. Condition 29: major depression. Condition 30: major depression.</hc_freetext>
      <i_freetext>Intervention 1: In the first step the capacity of the PHC network was improved in terms of the knowledge and skills of the staff, referral system in PHC network, registration system for suicide behaviors and depressed cases. In the second step, active screening to identify the depressed cases was carried out, drug treatment by general practioners and treatment followed up by Behvarzes in rural areas and holding 5-consulting session for the depressed and attempted cases in urban areas was carried out. Intervention 2: Control group was Koohdasht, 100 km away from  Khorram Abad with similar socio-cultural features.&#13;
In the control city, only the first step was performed in order to improve the capacity of its PHC network in both urban and rural areas.</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>Mansouri st., Niayesh st., Sattarkhan Ave.</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, Iran University of Medical Sciences</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, Iran University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>no inclusion and exclusion criteria</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>x61</hc_code>
      <hc_code>x63</hc_code>
      <hc_code>x62</hc_code>
      <hc_code>x64</hc_code>
      <hc_code>x65</hc_code>
      <hc_code>x65</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>f32.2</hc_code>
      <hc_code>f32.3</hc_code>
      <hc_code>f33.2</hc_code>
      <hc_code>f33.3</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>ntentional self-poisoning by and exposure to nonopioid analgesics, antipyretics and antirheumatics</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>ntentional self-poisoning by and exposure to other drugs acting on the autonomic nervous system</hc_keyword>
      <hc_keyword>ntentional 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 and unspecified drugs, medicaments and biological substances</hc_keyword>
      <hc_keyword>Intentional self-poisoning by and exposure to alcohol</hc_keyword>
      <hc_keyword>Intentional self-poisoning by and exposure to alcohol</hc_keyword>
      <hc_keyword>ntentional self-poisoning by and exposure to organic solvents and halogenated hydrocarbon</hc_keyword>
      <hc_keyword>ntentional 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>ntentional 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>ntentional self-harm by explosive material</hc_keyword>
      <hc_keyword>ntentional 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>ntentional 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>Severe depressive episode with 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>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Prevention</i_code>
      <i_code>Prevention</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>In the first step the capacity of the PHC network was improved in terms of the knowledge and skills of the staff, referral system in PHC network, registration system for suicide behaviors and depressed cases. In the second step, active screening to identify the depressed cases was carried out, drug treatment by general practioners and treatment followed up by Behvarzes in rural areas and holding 5-consulting session for the depressed and attempted cases in urban areas was carried out.</i_keyword>
      <i_keyword>Control group was Koohdasht, 100 km away from  Khorram Abad with similar socio-cultural features.&#13;
In the control city, only the first step was performed in order to improve the capacity of its PHC network in both urban and rural areas.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Rate of attempted suicide and committed suicide. Timepoint: before and after one year of intervention. Method of measurement: comparing the statistics of Ministry of health and the data yielded in this study.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Rate of identified depressed cases by the network. Timepoint: before and after one-year intervention. 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></approval_date>
        <contact_name>Tehran Psychiatric Institute Ethics Committee</contact_name>
        <contact_address>Shahied Mansuri 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>
