General Guidelines on Suicide Prevention (EUREGENAS project) (original) (raw)

Background document for the Thematic Conference on Prevention of Depression and Suicide under the European Pact for Mental Health and Wellbeing

Background document for the Thematic Conference on Prevention of Depression and Suicide under the European Pact for Mental Health and Wellbeing, 2009

Depressive disorder and suicide are pressing public health challenges. Depressive disorder is a major contributor to the European burden of disease, incurring high social and economic costs and constituting a major threat to Europe’s productivity. Depressive disorder can lead to suicide, but prevention of both depressive disorders and suicide are possible and cost-effective. Evidence-based solutions which the EU, Member States and stakeholders can adopt and implement do exist in the form of policies, practices and initiatives aimed at tackling depression and suicide.

Suicide in Europe: an on-going public health concern

Socijalna psihijatrija, 2017

Every 40 seconds, somewhere in the world someone dies by suicide, with certain groups such as youth and men being most at risk. Research abounds as to the risks and protective factors, but there is still a huge gap in our knowledge as to what leads one person to act on suicidal ideation and another to refrain. Risks factors vary by country, culture, gender and class, and represent a complex and potentially synergistic interplay between biological, psychological, social, environmental and personal factors. These will be discussed in this paper. Many prevention programmes have been established, but no one intervention stands out. At a minimum, country-wide efforts raising awareness of suicide and deliberate self-harm, highlighting risk and protective factors and identifying and treating mental health problems early, particularly in youth, are essential. Targeted methods include public education and media campaigns, providing training for front-line staff in early recognition and, in the case of primary care clinicians, appropriate referrals for treatment of mental illness, generating policies on restricting easy access to lethal means or substances such as alcohol which disinhibit behaviour and reducing the stigma of, and promoting, help-seeking. These efforts should go some way towards slowing what might otherwise become a self-destructive epidemic. We all have a role to play. / Svakih 40 sekundi negdje na svijetu netko počini samoubojstvo pri čemu su određene skupine, poput mladih i muškaraca pod većim rizikom. Istraživanja ukazuju na brojne kako rizične, tako i zaštitne čimbenike, ali i dalje postoji veliki nedostatak u znanju što neku osobu vodi da djeluje prema svojim suicidalnim idejama, a drugu da se suzdrži od počinjenja suicida. Rizični čimbenici variraju ovisno o državi, kulturi, spolu, klasi i predstavljaju kompleksno, potencijalno sinergističko međudjelovanje bioloških, psiholoških, društvenih, okolišnih i osobnih činitelja o čemu raspravlja ovaj članak. Utemeljeni su mnogi preventivni programi, ali ni jedna intervencija se posebno ne ističe svojom većom učinkovitošću. Potreban minimum treba uključivati: napore na nacionalnoj razini u podizanju svjesnosti o suicidu i namjernom samoozljeđivanju, ukazivanje na rizične i zaštitne čimbenike, rano identificiranje i tretman problema duševnog zdravlja, osobito u mladih. Ciljane metode prevencije uključuju: javnu edukaciju i medijske kampanje, provođenje edukacije i treninga stručnjaka prve linije u ranom prepoznavanju, u slučaju primarne zdravstvene skrbi adekvatno upućivanje na liječenje mentalnih poremećaja, stvaranje politike restriktivnog pristupa smrtonosnim sredstvima ili supstancijama poput alkohola koji dezinhibira ponašanje, reduciranje stigme i promoviranje traženja pomoći. Sve bi ove aktivnosti trebalo smanjiti ono što bi u suprotnom moglo postati epidemija autodestruktivnog ponašanja. Svi mi u ovome imamo svoju ulogu.

Suicide Prevention: Policy and Strategy

2018

3.3 English local government 3.4 Oversight and implementation in the devolved nations Scotland Wales Northern Ireland 4. Health services 4.1 Reducing suicide rates 4.2 Local suicide prevention plans 4.3 Support for high-risk groups Primary care Specialist services and support Information sharing Perinatal suicide prevention 4.4 Devolved nations Scotland Wales Northern Ireland 5. Education 5.1 Schools Suicide Prevention in England Third progress report of the Suicide Prevention Strategy Safeguarding in schools Identifying mental health issues Initiatives to improve mental health in schools 3 Commons Library Briefing, 10 September 2018 Mental health education on the curriculum Concerns over mental health provision in schools Bullying and mental health 5.2 Further and Higher Education Guidance for universities on preventing student suicide Guidance on supporting student mental health Mental health charter IPPR report on student mental health in universities Association of Colleges mental health survey Mental Health Green Paper 5.3 Devolved nations Scotland Wales Northern Ireland 6. Employment 6.1 Suicide rates by occupation 6.2 Employment policy and mental illness 7. Social Security 7.1 Benefit claimants and mental health 7.2 Training and guidance for DWP staff 7.3 ESA and PIP assessments ESA and "substantial risk" Assessment procedures Work and Pensions Committee inquiry Reassessing ESA and PIP claimants 7.4 Conditionality and sanctions 7.5 Universal Credit 7.6 Devolved nations Northern Ireland Scotland 8. Railways 8.1 British Transport Police suicide prevention 8.2 Rail suicide prevention partnership 8.3 UK Government support 9. Prisons 9.1 Statistics 9.2 Prison service policy 9.3 Health services in prison, including mental health and substance misuse services 9.4 Commentary The Prisons and Probation Ombudsman 9.5 Prison suicide prevention policy Mental Health in prisons 9.6 Devolved nations 10. Media 10.1 Press 10.2 Broadcasting 10.3 Internet The impact of the internet and social media 10.4 Health Committee report on suicide prevention (March 2017) 10.5 Devolved nations 4 Suicide Prevention: Policy and Strategy 11. Armed forces 11.1 A new strategy 11.2 The numbers 11.3 Suicide among Veterans Post-operational suicide rates 11.4 Defence Committee inquiry 12. Coroners' conclusions 12.1 Statutory requirements 12.2 Conclusions 12.3 Chief Coroner guidance 12.4 Suicide conclusions: statistics ONS coding 12.5 The standard of proof for a conclusion of suicide Form 2 Previous case law New High Court decision 12.6 Previous calls for change Health Committee inquiry into suicide prevention

The European Psychiatric Association (EPA) guidance on suicide treatment and prevention

2011

Suicide is a major public health problem in the WHO European Region accounting for over 150,000 deaths per year. SUICIDAL CRISIS: Acute intervention should start immediately in order to keep the patient alive. DIAGNOSIS: An underlying psychiatric disorder is present in up to 90% of people who completed suicide. Comorbidity with depression, anxiety, substance abuse and personality disorders is high.

A public health approach to suicide prevention

American Journal of Public Health, 1975

target population is followed by three levels of program. The first level is identification and reporting of the target group. The second is maintaining contacts with cases during a period of general surveillance. The third is rendering an accepted mode of treatment. The parallel model for suicide cases was seen as follows: The most suitable target population, based on high risk and feasibility of contact, was suicide attempt cases admitted to a municipal