Evaluating the follow-up care system after suicide attempt in iran: barriers and insights from a mixed-method study

This study provides a unique contribution by using a comprehensive framework to evaluate Iran's national suicide follow-up system and its role in broader prevention efforts. The results indicate that the implementation of the Follow-up Care System faces substantial structural, organizational, and cultural barriers, including limited human resources, infrastructure gaps, delays in follow-up, and weak coordination between hospitals and health centers. Despite these challenges, some interventions provided emotional support and improved coping mechanisms. Findings emphasize the importance of program fidelity, staff training, and attention to social and cultural factors. Strengthening hospital-based follow-ups and improving data systems can enhance accessibility, participation, and overall effectiveness. This study offers valuable evidence for policymakers to address operational barriers and improve program implementation.