suicidal behavior
Conditions
Interventions
The suicide prevention system consists of at organisational level, implementing
a regional chain of care based on four pillars: (1) implementing a monitoring
system with decision aid to support heal
chain of care
decision aid
monitoring
Suicideprevention
Sponsors
GGZ Breburg Groep (Rijen)
Eligibility
Age
18 Years to 64 Years
Inclusion criteria
Inclusion criteria: - Moderate to High suicide risk. Assessing the suicide risk occurs in two steps. First, we look into question 9 'How often have you been bothered by thoughts that you would be better off dead or of hurting yourself in some way in the last two weeks* of the Patient Health Questionnaire (PHQ-9)? When one scores 2 or higher - which means that the person in question has these thoughts in more than half of the days in a week - a number of additional questions will be asked. It concerns the following six questions. Over the past month: 1. Did you think you'd be better off when you were dead or did you wish you were dead? 2. Did you want to hurt yourself? 3. Did you think of suicide? 4. Did you made suicide plans? 5. Did you undertake a suicide attempt? Throughout life: 6. Did you think you'd be better off when you were dead or did you wish you were dead? Based on these questions the suicide risk is assessed. The suicide risk is "high" when a person answers (1) "yes" to question 4 OR; (2) 'yes' to question 5 OR; (3) *yes* to both question 3 and question 6 OR; if (4) the responsible professional has the impression that the suicide risk is high. The suicide risk is "moderate" when a person answers: (1) 'yes' to question 3 and 'no' to question 6 OR; (2) 'yes' to both question 2 and question 6. If the suicide risk is 'moderate' or 'high', the person is assigned into the monitoring system. - 18 years and older - Ability to read and write Dutch
Exclusion criteria
Exclusion criteria: - Low suicide risk - younger than 18 years - Not able to read and write Dutch
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary outcome measure is the number of completed suicides, measured in the 12 months preceding implementation of the regional prevention system, and in the twelve months after implementation of this regional suicide prevention system in the whole province of Noord-Brabant as for the individual districts. | — |
Secondary
| Measure | Time frame |
|---|---|
| Non-fatal suicide attempts: estimated by means of the number of ambulance, presentation at emergency rooms (not by ambulance), admissions to SMHIs and police reports, all in the context of suicidal behaviour. moreover, individual suicidal ideation will be assessed by the Suicidal Ideation Attributes Scale (SIDAS) and the Patient Health Questionnaire (PHQ-9) at baseline, and 3, 6, 9 and 12 months after entering the prevention program. Questions will also be asked on demographics and first experiences with the monitoring system (online and by phone). Finally, implementation outcomes * reach, effectiveness, adoption, implementation and maintenance - and stakeholders* experiences will be assessed. | — |
Countries
The Netherlands
Outcome results
None listed