Abstract
The European Alliance against Depression (EAAD) program is to be introduced in The Netherlands from 2017 onwards. This program to combat suicide consists of interventions on four levels: (1) increasing the awareness of suicide by local media campaigns; (2) training local gatekeepers, such as teachers or police officers; (3) targeting high-risk persons in the community; and (4) training and support of professionals in primary care settings. The implementation starts in seven Dutch pilot regions. Each region is designated as a Suicide Prevention Action NETwork (SUPRANET). This paper describes the SUPRANET program components and the evaluation of its feasibility and impact. The findings will be used to facilitate the national implementation of EAAD in The Netherlands and to add new findings to the existing literature on EAAD.
Highlights
Suicidal behaviour is a global health problem, with over 800,000 people a year dying by suicide [1].Suicide and suicidal behaviour are the end result of the complex interaction between social, cultural, biological, and environmental factors [2]
The purpose of the evaluation is to investigate the activities of SUPRANET by examining its feasibility and impact on suicidal ideation and behaviour
In addition to evaluating the impact of the SUPRANET intervention in the ways described above, we will conduct an evaluation with the aim to: (1) generate an overview of the actors, situations, sites, and contexts involved in the SUPRANET implementation process and the main implementation activities undertaken within the regions; (2) create an insight into the degree to which suicide prevention is embedded into routines, or “normalized” in daily practice and routines, identify the barriers and facilitators to and in implementing the four-level intervention, and illuminate recommendations for broader dissemination of the European Alliance against Depression (EAAD) approach in The Netherlands; and (3) study the impact of the SUPRANET interventions on professional performance
Summary
Suicidal behaviour is a global health problem, with over 800,000 people a year dying by suicide [1].Suicide and suicidal behaviour are the end result of the complex interaction between social, cultural, biological, and environmental factors [2]. Suicidal behaviour is a global health problem, with over 800,000 people a year dying by suicide [1]. The implementation of a multilevel suicide prevention approach potentially increases the success in reducing suicide and is preferred above single, standalone approaches [3,4]. The World Health Organization (WHO) has deemed suicide prevention a global imperative and recommends the development and implementation of a national strategy, in which health and social sectors collaborate. Local communities play a central role in suicide prevention strategies. They can organize social support, prevention, and continuity of care, especially with regard to high-risk individuals, such as middle-aged unemployed men [5]
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