Ulrich Hegerl|Margaret Maxwell|Fiona Harris|Nicole Koburger|Roland Mergl|András Székely|Ella Arensman|Chantal Van Audenhove|Celine Larkin|Mónika Ditta Tóth|Sónia Quintão|Airi Värnik|Axel Genz|Marco Sarchiapone|David McDaid|Armin Schmidtke|György Purebl|James C. Coyne|Ricardo Gusmão
Prevention of suicidal behaviour: Results of a controlled community-based intervention study in four European countries
Goethe University Frankfurt|University of Stirling|University of Stirling|Saxon Academy of Sciences in Leipzig|Universität der Bundeswehr München|Semmelweis University|National Suicide Research Foundation|University College Cork|KU Leuven|National Suicide Research Foundation|University College Cork|Semmelweis University|Universidade Nova de Lisboa|Estonian-Swedish Mental Health and Suicidology Institute|Tallinn University|Otto-von-Guericke University Magdeburg|University of Molise|London School of Economics and Political Science|University of Würzburg|Semmelweis University|University of Pennsylvania|Universidade Nova de Lisboa|i3S - Instituto de Investigação e Inovação em Saúde, Universidade do Porto
european alliance depression communitybased intervention approach simultaneously targets depression suicidal behaviour multifaceted community based intervention implemented 115 regions worldwide two main aims european union funded project optimizing suicide prevention programmes implementation europe optimise approach evaluate implementation impact paper reports primary outcome intervention number completed attempted suicides combined suicidal acts results concerning process evaluation analysis interventions implemented four european cities germany hungary portugal ireland matched control sites intervention comprised activities predefined minimal intensity four levels training primary care providers public awareness campaign training community facilitators support patients relatives changes frequency suicidal acts respect oneyear baseline four intervention regions compared four control regions chisquare tests decrease suicidal acts compared baseline intervention regions 58 cases 326 differ significantly 2 013 p 072 decrease control regions 18 cases 140 however intervention effects differed countries 2 859 p 004 significant effects suicidal acts portugal 2 482 p 003 interviews observations explored local circumstances site throughout study hypothesised mechanisms action successful implementation observed drivers addedvalue identified local partnership working inkind contributions approach valued existing partnership strengths synergies operating across intervention levels assumed significant events implementation phase certain impact observed outcomes however impact course proven