A comparison of multi-component systems approaches to suicide prevention

被引:38
作者
Baker, Simon T. E. [1 ]
Nicholas, Jennifer [1 ]
Shand, Fiona [1 ,2 ]
Green, Rachel [3 ]
Christensen, Helen [1 ]
机构
[1] UNSW Sydney, Black Dog Inst, Randwick, NSW, Australia
[2] UNSW Sydney, LifeSpan, Randwick, NSW, Australia
[3] UNSW Sydney, Black Dog Inst, LifeSpan, Randwick, NSW, Australia
基金
英国医学研究理事会;
关键词
suicide; prevention; multi-component systems approaches; implementation; evaluation; DEPRESSION CARE; ALLIANCE; INTERVENTIONS; PROGRAM;
D O I
10.1177/1039856217743888
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Objective: To describe the new Australian approach to suicide prevention, LifeSpan, and compare it to other multi-component intervention models. Method: The components, implementation strategies and effectiveness of three multi-component intervention models are described and compared in a narrative review. Results: The LifeSpan, European Alliance Against Depression (EAAD), and Zero Suicide models emphasise the provision of evidence-based interventions and continuity of care. Only LifeSpan and EAAD include community-based interventions at the population level, and LifeSpan is the only model to include school-based interventions. Zero Suicide focuses on healthcare settings. Implementation of LifeSpan and EAAD involves the convening of multi-stakeholder teams at the local level. To date, there is some, albeit mixed, evidence in support of EAAD, while LifeSpan and Zero Suicide await further evaluation. Conclusions: Although multi-component approaches to suicide prevention share similar components, there are some important differences. Multiple interventions implemented at the same time and tailored to the local community context are likely to be the most effective way of reducing the rate of suicide. There is growing evidence for the effectiveness of multi-component systems approaches to suicide prevention; however, further evaluation is required.
引用
收藏
页码:128 / 131
页数:4
相关论文
共 28 条
[21]   Risk of suicide and related adverse outcomes after exposure to a suicide prevention programme in the US Air Force: cohort study [J].
Knox, KL ;
Litts, DA ;
Talcott, GW ;
Feig, JC ;
Caine, ED .
BMJ-BRITISH MEDICAL JOURNAL, 2003, 327 (7428) :1376-1378A
[22]   Best strategies for reducing the suicide rate in Australia [J].
Krysinska, Karolina ;
Batterham, Philip J. ;
Tye, Michelle ;
Shand, Fiona ;
Calear, Alison L. ;
Cockayne, Nicole ;
Christensen, Helen .
AUSTRALIAN AND NEW ZEALAND JOURNAL OF PSYCHIATRY, 2016, 50 (02) :115-118
[23]  
Office of the Surgeon General and National Action Alliance for Suicide Prevention, 2012, NAT STRAT SUIC PREV
[24]  
Ridani R., 2016, EVIDENCE BASED SYSTE
[25]  
Saxena S., 2014, PREVENTING SUICIDE G
[26]   How to Decrease Suicide Rates in Both Genders? An Effectiveness Study of a Community-Based Intervention (EAAD) [J].
Szekely, Andras ;
Thege, Barna Konkoly ;
Mergl, Roland ;
Birkas, Emma ;
Rozsa, Sandor ;
Purebl, Gyoergy ;
Hegerl, Ulrich .
PLOS ONE, 2013, 8 (09)
[27]  
The Honourable Greg Hunt Member of Parliament, 2017, PROV 47 MILL SUIC PR
[28]   Implementation of mental health service recommendations in England and Wales and suicide rates, 1997-2006: a cross-sectional and before-and-after observational study [J].
While, David ;
Bickley, Harriet ;
Roscoe, Alison ;
Windfuhr, Kirsten ;
Rahman, Shaiyan ;
Shaw, Jenny ;
Appleby, Louis ;
Kapur, Navneet .
LANCET, 2012, 379 (9820) :1005-1012