The 4-Level Approach: Prevention of Suicidal Behaviour Through Community-Based Intervention
Due to the many different factors contributing to diagnostic and therapeutic deficits concerning depression and the risk of suicidal behaviour, community-based interventions combining different measures are considered the most efficient way to address these important areas of public health. The netw...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2021-12-01
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| Series: | Frontiers in Psychiatry |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyt.2021.760491/full |
| _version_ | 1818851991543087104 |
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| author | Ulrich Hegerl Ulrich Hegerl Ulrich Hegerl Ulrich Hegerl Ines Heinz Ines Heinz Ainslie O'Connor Hanna Reich Hanna Reich |
| author_facet | Ulrich Hegerl Ulrich Hegerl Ulrich Hegerl Ulrich Hegerl Ines Heinz Ines Heinz Ainslie O'Connor Hanna Reich Hanna Reich |
| author_sort | Ulrich Hegerl |
| collection | DOAJ |
| description | Due to the many different factors contributing to diagnostic and therapeutic deficits concerning depression and the risk of suicidal behaviour, community-based interventions combining different measures are considered the most efficient way to address these important areas of public health. The network of the European Alliance Against Depression has implemented in more than 120 regions within and outside of Europe community-based 4-level-interventions that combine activities at four levels: (i) primary care, (ii) general public, (iii) community facilitators and gatekeepers (e.g., police, journalists, caregivers, pharmacists, and teachers), and (iv) patients, individuals at high risk and their relatives. This review will discuss lessons learned from these broad implementation activities. These include targeting depression and suicidal behaviour within one approach; being simultaneously active on the four different levels; promoting bottom-up initiatives; and avoiding any cooperation with the pharmaceutical industry for reasons of credibility. |
| first_indexed | 2024-12-19T07:13:49Z |
| format | Article |
| id | doaj.art-a12007fe768e48edb3144aad3fdbc4c9 |
| institution | Directory Open Access Journal |
| issn | 1664-0640 |
| language | English |
| last_indexed | 2024-12-19T07:13:49Z |
| publishDate | 2021-12-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychiatry |
| spelling | doaj.art-a12007fe768e48edb3144aad3fdbc4c92022-12-21T20:31:08ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402021-12-011210.3389/fpsyt.2021.760491760491The 4-Level Approach: Prevention of Suicidal Behaviour Through Community-Based InterventionUlrich Hegerl0Ulrich Hegerl1Ulrich Hegerl2Ulrich Hegerl3Ines Heinz4Ines Heinz5Ainslie O'Connor6Hanna Reich7Hanna Reich8Johann Christian Senckenberg Distinguished Professorship, Department for Psychiatry, Psychosomatics and Psychotherapy, Goethe University, Frankfurt, GermanyGerman Depression Foundation, Leipzig, GermanyGerman Alliance Against Depression, Leipzig, GermanyEuropean Alliance Against Depression e.V., Frankfurt, GermanyGerman Depression Foundation, Leipzig, GermanyGerman Alliance Against Depression, Leipzig, GermanyEuropean Alliance Against Depression e.V., Frankfurt, GermanyGerman Depression Foundation, Leipzig, GermanyDepression Research Centre of the German Depression Foundation, Department for Psychiatry, Psychosomatics and Psychotherapy, Goethe University, Frankfurt, GermanyDue to the many different factors contributing to diagnostic and therapeutic deficits concerning depression and the risk of suicidal behaviour, community-based interventions combining different measures are considered the most efficient way to address these important areas of public health. The network of the European Alliance Against Depression has implemented in more than 120 regions within and outside of Europe community-based 4-level-interventions that combine activities at four levels: (i) primary care, (ii) general public, (iii) community facilitators and gatekeepers (e.g., police, journalists, caregivers, pharmacists, and teachers), and (iv) patients, individuals at high risk and their relatives. This review will discuss lessons learned from these broad implementation activities. These include targeting depression and suicidal behaviour within one approach; being simultaneously active on the four different levels; promoting bottom-up initiatives; and avoiding any cooperation with the pharmaceutical industry for reasons of credibility.https://www.frontiersin.org/articles/10.3389/fpsyt.2021.760491/fullsuicide preventiondepression4-level approachmultilevel interventioncommunity-based intervention |
| spellingShingle | Ulrich Hegerl Ulrich Hegerl Ulrich Hegerl Ulrich Hegerl Ines Heinz Ines Heinz Ainslie O'Connor Hanna Reich Hanna Reich The 4-Level Approach: Prevention of Suicidal Behaviour Through Community-Based Intervention Frontiers in Psychiatry suicide prevention depression 4-level approach multilevel intervention community-based intervention |
| title | The 4-Level Approach: Prevention of Suicidal Behaviour Through Community-Based Intervention |
| title_full | The 4-Level Approach: Prevention of Suicidal Behaviour Through Community-Based Intervention |
| title_fullStr | The 4-Level Approach: Prevention of Suicidal Behaviour Through Community-Based Intervention |
| title_full_unstemmed | The 4-Level Approach: Prevention of Suicidal Behaviour Through Community-Based Intervention |
| title_short | The 4-Level Approach: Prevention of Suicidal Behaviour Through Community-Based Intervention |
| title_sort | 4 level approach prevention of suicidal behaviour through community based intervention |
| topic | suicide prevention depression 4-level approach multilevel intervention community-based intervention |
| url | https://www.frontiersin.org/articles/10.3389/fpsyt.2021.760491/full |
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