Labour Inclusion for Recovery Among Individuals With Suicide Attempts in Colombia

Abstract

To analyze the outcomes of a Community-Based Mental Health Rehabilitation intervention on loneliness, resilience, depressive symptoms, continuity of care, and psychosocial disability, and to compare the outcomes of municipalities that implemented labour inclusion strategies with those that employed alternative approaches. An analytical, longitudinal, quasi-experimental study with pre- and post-intervention design was conducted. 130 individuals participated in support groups and labour inclusion processes, framed within a community-based recovery strategy (community strengthening, QualityRights). The disability model explained 40.1% of the variance in psychosocial disability (adjusted R² = 0.401), while the labour disability model was refined through four iterations, with the final model explaining 12.6% of the total variance (adjusted R² = 0.120). At the intervention level, large to moderate effect sizes were observed across all proposed scales. Furthermore, municipalities that incorporated labour inclusion were associated with better outcomes. Psychosocial variables improved through community strengthening, system reinforcement, and recognition of human rights.