TITLE

Optimizing Suicide Prevention Programs and Their Implementation in Europe (OSPI Europe): an evidence-based multi-level approach

AUTHOR(S)
Hegerl, Ulrich; Wittenburg, Lisa; Arensman, Ella; Van Audenhove, Chantal; Coyne, James C.; McDaid, David; van der Feltz-Cornelis, Christina M.; Gusmão, Ricardo; Kopp, Mária; Maxwell, Margaret; Meise, Ullrich; Roskar, Saska; Sarchiapone, Marco; Schmidtke, Armin; Värnik, Airi; Bramesfeld, Anke
PUB. DATE
January 2009
SOURCE
BMC Public Health;2009, Vol. 9, p428
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: Suicide and non-fatal suicidal behaviour are significant public health issues in Europe requiring effective preventive interventions. However, the evidence for effective preventive strategies is scarce. The protocol of a European research project to develop an optimized evidence based program for suicide prevention is presented. Method: The groundwork for this research has been established by a regional community based intervention for suicide prevention that focuses on improving awareness and care for depression performed within the European Alliance Against Depression (EAAD). The EAAD intervention consists of (1) training sessions and practice support for primary care physicians,(2) public relations activities and mass media campaigns, (3) training sessions for community facilitators who serve as gatekeepers for depressed and suicidal persons in the community and treatment and (4) outreach and support for high risk and self-help groups (e.g. helplines). The intervention has been shown to be effective in reducing suicidal behaviour in an earlier study, the Nuremberg Alliance Against Depression. In the context of the current research project described in this paper (OSPI-Europe) the EAAD model is enhanced by other evidence based interventions and implemented simultaneously and in standardised way in four regions in Ireland, Portugal, Hungary and Germany. The enhanced intervention will be evaluated using a prospective controlled design with the primary outcomes being composite suicidal acts (fatal and non-fatal), and with intermediate outcomes being the effect of training programs, changes in public attitudes, guideline-consistent media reporting. In addition an analysis of the economic costs and consequences will be undertaken, while a process evaluation will monitor implementation of the interventions within the different regions with varying organisational and healthcare contexts. Discussion: This multi-centre research seeks to overcome major challenges of field research in suicide prevention. It pools data from four European regions, considerably increasing the study sample, which will be close to one million. In addition, the study will gather important information concerning the potential to transfer this multilevel program to other health care systems. The results of this research will provide a basis for developing an evidence-based, efficient concept for suicide prevention for EU-member states.
ACCESSION #
47324172

 

Related Articles

  • Construction of an Index for Predicting Suicide Attempts in Depressed Adolescents. Kienhorst, C.W.M.; De Wilde, E.J.; Diekstra, R.F.W.; Wolters, W.H.G. // British Journal of Psychiatry;Nov91, Vol. 159, p676 

    A group of 48 adolescents who recently attempted suicide and 66 depressed adolescents were compared on sociodemographic, behavioural, psychological and relational variables. The variables which proved significant were used in different combinations in stepwise logistic regression analyses,...

  • Correlates and antecedents of hospital admission for attempted suicide: a nationwide survey in Italy. Preti, Antonio; Tondo, Leonardo; Sisti, Davide; Rocchi, Marco B.; De Girolamo, Giovanni // European Archives of Psychiatry & Clinical Neuroscience;Apr2010, Vol. 260 Issue 3, p181 

    The present study examined data on symptom patterns in the week prior to admission for suicide attempt, in a nationwide representative sample of patients. Socio-demographic, clinical, and treatment data was gathered for 1,547 patients admitted over a 12-day index period during the year 2004 to...

  • Learning from suicide. Bouras, Gillian // Eureka Street;9/11/2009, Vol. 19 Issue 17, p7 

    The author offers the lessons she learned from her own family experience on suicide. She cites instances which happened in her family members who attempted to commit suicide. She emphasizes the importance of awareness in preventing suicide. She notes some factors which could lead to suicide...

  • The hypothesis of a continuum in suicidality: a discussion on its validity and practical implications. Sveticic, Jerneja; De Leo, Diego // Mental Illness (2036-7457);2012, Vol. 4 Issue 2, p73 

    The idea of a progression in suicide phenomena, from death wishes to suicide attempts and completed suicides, is quite old and widely present in literature. This model of interpreting suicidality has great relevance in preventative approaches, since it gives the opportunity of intercepting...

  • School-Based Suicide Prevention Program Shows Success; First Study to Look at Innovative Program to Prevent Suicide in Young People.  // Ascribe Newswire: Medicine;3/5/2004, p21 

    The article presents information about Signs of Suicide (SOS), a high school suicide prevention program, which showed a 40 percent reduction in suicide behavior of students. The positive results of the SOS program on self-reported suicide attempts are said to be a result of improved...

  • Suicide: the hidden epidemic. Weir, Erica // CMAJ: Canadian Medical Association Journal;9/4/2001, Vol. 165 Issue 5, p634 

    Presents information related to the incidence of suicide in Canada. Epidemiology; Clinical management; Components of a national strategy for suicide prevention in Canada, which include the awareness promotion and strategies to reduce the stigma attached to seeking psychiatric help.

  • Measuring the tail of the dog that doesn't bark in the night: the case of the national evaluation of Choose Life (the national strategy and action plan to prevent suicide in Scotland). Mackenzie, Mhairi; Blamey, Avril; Halliday, Emma; Maxwell, Margaret; McCollam, Allyson; McDaid, David; MacLean, Joanne; Woodhouse, Amy; Platt, Stephen // BMC Public Health;2007, Vol. 7, p146 

    Background: Learning about the impact of public health policy presents significant challenges for evaluators. These include the nebulous and organic nature of interventions ensuing from policy directives, the tension between long-term goals and short-term interventions, the appropriateness of...

  • Mulher e Depressão: Uma Análise Comportamental-Contextual. Lira Correia, Karyne Mariano; Borloti, Elizeu // Acta Comportamentalia;dic2011, Vol. 19 Issue 3, p359 

    Depression is, nowadays, a significant public health problem. Depressed patients often spend more days away from work, become more frequently, clinically ill, are at higher risk of suicide than people in general, among other problems. Among those diagnosed as "depressed", there are twice as many...

  • School-Based Suicide Prevention Program Shows Success; First Study to Look at Innovative Program to Prevent Suicide in Young People.  // Ascribe Newswire: Health;3/3/2004, p3 

    For the first time, a school-based suicide prevention program, called Signs of Suicide (SOS), has been shown to reduce suicidal behavior in high school students. Analysis suggests that many of the positive results of the SOS program on self-reported suicide attempts are a result of improved...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics