Prevention of suicidal behaviour
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Outros Autores: | , , , , , , , , , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://doi.org/10.1371/journal.pone.0224602 |
Resumo: | The ‘European Alliance Against Depression’ community-based intervention approach simultaneously targets depression and suicidal behaviour by a multifaceted community based intervention and has been implemented in more than 115 regions worldwide. The two main aims of the European Union funded project “Optimizing Suicide Prevention Programmes and Their Implementation in Europe” were to optimise this approach and to evaluate its implementation and impact. This paper reports on the primary outcome of the intervention (the number of completed and attempted suicides combined as ‘suicidal acts’) and on results concerning process evaluation analysis. Interventions were implemented in four European cities in Germany, Hungary, Portugal and Ireland, with matched control sites. The intervention comprised activities with predefined minimal intensity at four levels: training of primary care providers, a public awareness campaign, training of community facilitators, support for patients and their relatives. Changes in frequency of suicidal acts with respect to a one-year baseline in the four intervention regions were compared to those in the four control regions (chi-square tests). The decrease in suicidal acts compared to baseline in the intervention regions (-58 cases, -3.26%) did not differ significantly (χ2 = 0.13; p = 0.72) from the decrease in the control regions (-18 cases, -1.40%). However, intervention effects differed between countries (χ2 = 8.59; p = 0.04), with significant effects on suicidal acts in Portugal (χ2 = 4.82; p = 0.03). The interviews and observations explored local circumstances in each site throughout the study. Hypothesised mechanisms of action for successful implementation were observed and drivers for ‘added-value’ were identified: local partnership working and ‘in-kind’ contributions; an approach which valued existing partnership strengths; and synergies operating across intervention levels. It can be assumed that significant events during the implementation phase had a certain impact on the observed outcomes. However, this impact was, of course, not proven. |
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Prevention of suicidal behaviourResults of a controlled community-based intervention study in four European countriesCELEBRITY SUICIDEMENTAL-DISORDERSPUBLIC-ATTITUDESHELP-SEEKINGDEPRESSIONKNOWLEDGEIMPLEMENTATIONIMPACTSTRATEGIESAWARENESSBiochemistry, Genetics and Molecular Biology(all)Agricultural and Biological Sciences(all)GeneralSDG 3 - Good Health and Well-beingThe ‘European Alliance Against Depression’ community-based intervention approach simultaneously targets depression and suicidal behaviour by a multifaceted community based intervention and has been implemented in more than 115 regions worldwide. The two main aims of the European Union funded project “Optimizing Suicide Prevention Programmes and Their Implementation in Europe” were to optimise this approach and to evaluate its implementation and impact. This paper reports on the primary outcome of the intervention (the number of completed and attempted suicides combined as ‘suicidal acts’) and on results concerning process evaluation analysis. Interventions were implemented in four European cities in Germany, Hungary, Portugal and Ireland, with matched control sites. The intervention comprised activities with predefined minimal intensity at four levels: training of primary care providers, a public awareness campaign, training of community facilitators, support for patients and their relatives. Changes in frequency of suicidal acts with respect to a one-year baseline in the four intervention regions were compared to those in the four control regions (chi-square tests). The decrease in suicidal acts compared to baseline in the intervention regions (-58 cases, -3.26%) did not differ significantly (χ2 = 0.13; p = 0.72) from the decrease in the control regions (-18 cases, -1.40%). However, intervention effects differed between countries (χ2 = 8.59; p = 0.04), with significant effects on suicidal acts in Portugal (χ2 = 4.82; p = 0.03). The interviews and observations explored local circumstances in each site throughout the study. Hypothesised mechanisms of action for successful implementation were observed and drivers for ‘added-value’ were identified: local partnership working and ‘in-kind’ contributions; an approach which valued existing partnership strengths; and synergies operating across intervention levels. It can be assumed that significant events during the implementation phase had a certain impact on the observed outcomes. However, this impact was, of course, not proven.NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)Centro de Estudos de Doenças Crónicas (CEDOC)RUNHegerl, UlrichMaxwell, MargaretHarris, FionaKoburger, NicoleMergl, RolandSzékely, AndrásArensman, Ellavan Audenhove, ChantalLarkin, CelineToth, Mónika DittaQuintão, SóniaVärnik, AiriGenz, AxelSarchiapone, MarcoMcDaid, DavidSchmidtke, ArminPurebl, GyörgyCoyne, James C.Gusmão, Ricardo2019-11-25T23:21:11Z20192019-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://doi.org/10.1371/journal.pone.0224602eng1932-6203PURE: 15569969http://www.scopus.com/inward/record.url?scp=85074798765&partnerID=8YFLogxKhttps://doi.org/10.1371/journal.pone.0224602info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-03-11T04:39:20Zoai:run.unl.pt:10362/88418Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:36:51.169690Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Prevention of suicidal behaviour Results of a controlled community-based intervention study in four European countries |
title |
Prevention of suicidal behaviour |
spellingShingle |
Prevention of suicidal behaviour Hegerl, Ulrich CELEBRITY SUICIDE MENTAL-DISORDERS PUBLIC-ATTITUDES HELP-SEEKING DEPRESSION KNOWLEDGE IMPLEMENTATION IMPACT STRATEGIES AWARENESS Biochemistry, Genetics and Molecular Biology(all) Agricultural and Biological Sciences(all) General SDG 3 - Good Health and Well-being |
title_short |
Prevention of suicidal behaviour |
title_full |
Prevention of suicidal behaviour |
title_fullStr |
Prevention of suicidal behaviour |
title_full_unstemmed |
Prevention of suicidal behaviour |
title_sort |
Prevention of suicidal behaviour |
author |
Hegerl, Ulrich |
author_facet |
Hegerl, Ulrich Maxwell, Margaret Harris, Fiona Koburger, Nicole Mergl, Roland Székely, András Arensman, Ella van Audenhove, Chantal Larkin, Celine Toth, Mónika Ditta Quintão, Sónia Värnik, Airi Genz, Axel Sarchiapone, Marco McDaid, David Schmidtke, Armin Purebl, György Coyne, James C. Gusmão, Ricardo |
author_role |
author |
author2 |
Maxwell, Margaret Harris, Fiona Koburger, Nicole Mergl, Roland Székely, András Arensman, Ella van Audenhove, Chantal Larkin, Celine Toth, Mónika Ditta Quintão, Sónia Värnik, Airi Genz, Axel Sarchiapone, Marco McDaid, David Schmidtke, Armin Purebl, György Coyne, James C. Gusmão, Ricardo |
author2_role |
author author author author author author author author author author author author author author author author author author |
dc.contributor.none.fl_str_mv |
NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM) Centro de Estudos de Doenças Crónicas (CEDOC) RUN |
dc.contributor.author.fl_str_mv |
Hegerl, Ulrich Maxwell, Margaret Harris, Fiona Koburger, Nicole Mergl, Roland Székely, András Arensman, Ella van Audenhove, Chantal Larkin, Celine Toth, Mónika Ditta Quintão, Sónia Värnik, Airi Genz, Axel Sarchiapone, Marco McDaid, David Schmidtke, Armin Purebl, György Coyne, James C. Gusmão, Ricardo |
dc.subject.por.fl_str_mv |
CELEBRITY SUICIDE MENTAL-DISORDERS PUBLIC-ATTITUDES HELP-SEEKING DEPRESSION KNOWLEDGE IMPLEMENTATION IMPACT STRATEGIES AWARENESS Biochemistry, Genetics and Molecular Biology(all) Agricultural and Biological Sciences(all) General SDG 3 - Good Health and Well-being |
topic |
CELEBRITY SUICIDE MENTAL-DISORDERS PUBLIC-ATTITUDES HELP-SEEKING DEPRESSION KNOWLEDGE IMPLEMENTATION IMPACT STRATEGIES AWARENESS Biochemistry, Genetics and Molecular Biology(all) Agricultural and Biological Sciences(all) General SDG 3 - Good Health and Well-being |
description |
The ‘European Alliance Against Depression’ community-based intervention approach simultaneously targets depression and suicidal behaviour by a multifaceted community based intervention and has been implemented in more than 115 regions worldwide. The two main aims of the European Union funded project “Optimizing Suicide Prevention Programmes and Their Implementation in Europe” were to optimise this approach and to evaluate its implementation and impact. This paper reports on the primary outcome of the intervention (the number of completed and attempted suicides combined as ‘suicidal acts’) and on results concerning process evaluation analysis. Interventions were implemented in four European cities in Germany, Hungary, Portugal and Ireland, with matched control sites. The intervention comprised activities with predefined minimal intensity at four levels: training of primary care providers, a public awareness campaign, training of community facilitators, support for patients and their relatives. Changes in frequency of suicidal acts with respect to a one-year baseline in the four intervention regions were compared to those in the four control regions (chi-square tests). The decrease in suicidal acts compared to baseline in the intervention regions (-58 cases, -3.26%) did not differ significantly (χ2 = 0.13; p = 0.72) from the decrease in the control regions (-18 cases, -1.40%). However, intervention effects differed between countries (χ2 = 8.59; p = 0.04), with significant effects on suicidal acts in Portugal (χ2 = 4.82; p = 0.03). The interviews and observations explored local circumstances in each site throughout the study. Hypothesised mechanisms of action for successful implementation were observed and drivers for ‘added-value’ were identified: local partnership working and ‘in-kind’ contributions; an approach which valued existing partnership strengths; and synergies operating across intervention levels. It can be assumed that significant events during the implementation phase had a certain impact on the observed outcomes. However, this impact was, of course, not proven. |
publishDate |
2019 |
dc.date.none.fl_str_mv |
2019-11-25T23:21:11Z 2019 2019-01-01T00:00:00Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.1371/journal.pone.0224602 |
url |
https://doi.org/10.1371/journal.pone.0224602 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
1932-6203 PURE: 15569969 http://www.scopus.com/inward/record.url?scp=85074798765&partnerID=8YFLogxK https://doi.org/10.1371/journal.pone.0224602 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
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application/pdf |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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