Suicide Prevention Guideline Implementation in Specialist Mental Healthcare Institutions in The Netherlands

International Journal of Environmental Research and Public Health
Jan MokkenstormJohannes Hendrikus Smit

Abstract

In The Netherlands, on average 40% of all suicides concern patients treated by mental healthcare institutions (MHIs). Recent evidence indicates that implemented guideline recommendations significantly reduce the odds for patients to die by suicide. Implementation of the multidisciplinary guideline for diagnosis and treatment of suicidal behaviors is a main objective of the Dutch National Suicide Prevention Strategy. To this end, 24 MHIs that collectively reported 73% of patient suicides in 2015 received an educational outreach intervention offered by the national center of expertise. To investigate changes in levels of implementation of guideline recommendations; and to assess the degree of variation on suicide prevention policies and practices between MHIs. Implementation study with a prospective cohort design studying change over time on all domains of a Suicide Prevention Monitor, a guideline-based instrument assessing suicide prevention policies and practices within MHIs. Data were collected in six-month intervals between 2015 and 2017. MHIs improved significantly on four out of ten domains: the development of an organizational suicide prevention policy; monitoring and trend-analysis of suicides numbers; evaluations after s...Continue Reading

References

May 4, 2005·Annals of Internal Medicine·René AmalbertiPaul Barach
Feb 27, 2013·Neuroscience and Biobehavioral Reviews·Ulrich HegerlNicole Koburger
Oct 30, 2016·Lancet· The Lancet
Mar 30, 2017·International Journal of Environmental Research and Public Health·Renske GilissenGerdien Franx
Oct 27, 2017·Suicide & Life-threatening Behavior·Jan K MokkenstormAartjan T F Beekman

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Citations

Sep 20, 2018·International Journal of Environmental Research and Public Health·Louise Brådvik
Mar 25, 2021·Health & Social Care in the Community·Colette RamseyGavin Davidson
May 26, 2021·Acta Psychiatrica Scandinavica·Kim SetkowskiAnton J L M van Balkom

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Software Mentioned

SUPRANET
MHI Monitor
Monitor

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