The German Alliance Against Depression and suicide rates: A retrospective analysis.

Supported by the German Alliance Against Depression, 82 regions in Germany launched their own community-based multi-level intervention programs targeting both depression and suicidal behavior prior to January 2016. Sixteen of these regions have implemented the full 4-level intervention program compr...

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Autores principales:	Judith Köhler, Ines Heinz, Roland Mergl, Anne Elsner, Ulrich Hegerl
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/eb34c4d5a2bc45df8a3dcbbb2abb5419
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spelling	oai:doaj.org-article:eb34c4d5a2bc45df8a3dcbbb2abb54192021-12-02T20:09:44ZThe German Alliance Against Depression and suicide rates: A retrospective analysis.1932-620310.1371/journal.pone.0254133https://doaj.org/article/eb34c4d5a2bc45df8a3dcbbb2abb54192021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0254133https://doaj.org/toc/1932-6203Supported by the German Alliance Against Depression, 82 regions in Germany launched their own community-based multi-level intervention programs targeting both depression and suicidal behavior prior to January 2016. Sixteen of these regions have implemented the full 4-level intervention program comprising 1) training of General Practitioners, 2) a public awareness campaign, 3) training of community facilitators and 4) support for depressed patients and their relatives for at least three years. The aim of the study was to examine possible suicide prevention effects in these sixteen 4-level intervention regions (comprising a population of 6,976,309) by 1) comparing the annual suicide rates during the 3-year intervention period to a 10-year baseline and 2) comparing these differences to corresponding trends in Germany after excluding all intervention regions (Germany-IR). Primary outcome was the annual rate of suicides. Analyses included negative binomial regression models. When examining differences between suicide rates during the intervention period compared to the baseline period, only a trend towards a significant reduction was found. This reduction of suicides in the sixteen 4-level intervention regions did not differ from that in Germany-IR as control. The interpretation of these findings has to take into account that the training of General Practitioners, police and other community facilitators might have improved the recognition of suicides, thus increasing detection rates. Furthermore, destigmatizing effects of the public awareness campaigns might have increased the number of suicides by lowering suicide threshold ("normalization") for those at risk and by decreasing the rate of suicides deliberately hidden by suicide victims or their relatives.Judith KöhlerInes HeinzRoland MerglAnne ElsnerUlrich HegerlPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 7, p e0254133 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Judith Köhler Ines Heinz Roland Mergl Anne Elsner Ulrich Hegerl The German Alliance Against Depression and suicide rates: A retrospective analysis.
description	Supported by the German Alliance Against Depression, 82 regions in Germany launched their own community-based multi-level intervention programs targeting both depression and suicidal behavior prior to January 2016. Sixteen of these regions have implemented the full 4-level intervention program comprising 1) training of General Practitioners, 2) a public awareness campaign, 3) training of community facilitators and 4) support for depressed patients and their relatives for at least three years. The aim of the study was to examine possible suicide prevention effects in these sixteen 4-level intervention regions (comprising a population of 6,976,309) by 1) comparing the annual suicide rates during the 3-year intervention period to a 10-year baseline and 2) comparing these differences to corresponding trends in Germany after excluding all intervention regions (Germany-IR). Primary outcome was the annual rate of suicides. Analyses included negative binomial regression models. When examining differences between suicide rates during the intervention period compared to the baseline period, only a trend towards a significant reduction was found. This reduction of suicides in the sixteen 4-level intervention regions did not differ from that in Germany-IR as control. The interpretation of these findings has to take into account that the training of General Practitioners, police and other community facilitators might have improved the recognition of suicides, thus increasing detection rates. Furthermore, destigmatizing effects of the public awareness campaigns might have increased the number of suicides by lowering suicide threshold ("normalization") for those at risk and by decreasing the rate of suicides deliberately hidden by suicide victims or their relatives.
format	article
author	Judith Köhler Ines Heinz Roland Mergl Anne Elsner Ulrich Hegerl
author_facet	Judith Köhler Ines Heinz Roland Mergl Anne Elsner Ulrich Hegerl
author_sort	Judith Köhler
title	The German Alliance Against Depression and suicide rates: A retrospective analysis.
title_short	The German Alliance Against Depression and suicide rates: A retrospective analysis.
title_full	The German Alliance Against Depression and suicide rates: A retrospective analysis.
title_fullStr	The German Alliance Against Depression and suicide rates: A retrospective analysis.
title_full_unstemmed	The German Alliance Against Depression and suicide rates: A retrospective analysis.
title_sort	german alliance against depression and suicide rates: a retrospective analysis.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/eb34c4d5a2bc45df8a3dcbbb2abb5419
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The German Alliance Against Depression and suicide rates: A retrospective analysis.

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