The alliance against depression: 2-year evaluation of a community-based intervention to reduce suicidality
The alliance against depression: 2-year evaluation of a community-based intervention to reduce suicidality
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DOI：
10.1017/s003329170600780x
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发表时间：
2006-09-01
影响因子：
6.9
通讯作者：
Niklewski, Guenter
中科院分区：
文献类型：
--
作者：
Hegerl, Ulrich;Althaus, David;Niklewski, Guenter
背景。与抑郁症相关的全球负担和巨大的诊断和治疗缺陷需要干预方案。纽伦堡抗抑郁联盟（NAD）的目的是建立并评估一个四级干预计划的有效性，以改善抑郁症患者的护理。在纽伦堡（48万居民）开展了一项为期两年的干预计划，分为四个层次：培训家庭医生并通过不同的方法提供支持；宣传抑郁症的公共关系活动；与社区促进者（教师、牧师、当地媒体等）合作；对自助活动和高危人群的支持。针对1年基线和对照地区（维尔茨堡，27万居民），评估了2年干预对自杀行为数量（自杀未遂和自杀未遂，主要结果标准）的影响。与对照区相比，在为期2年的干预期间，纽伦堡观察到自杀行为频率的降低(2001年vs . 2000年：- 19- 4%；p
Background. The global burden and large diagnostic and therapeutic deficits associated with depressive disorders call for intervention programs. The aim of the Nuremberg Alliance against Depression (NAD) is to establish and to assess the effectiveness of a four-level intervention program for improving the care of patients with depression.Method. A 2-year intervention program was performed in Nuremberg (480 000 inhabitants) at four levels: training of family doctors and support through different methods; a public relations campaign informing about depression; cooperation with community facilitators (teachers, priests, local media, etc.); and support for self-help activities as well as for high-risk groups. The effects of the 2-year intervention on the number of suicidal acts (completed suicides plus suicide attempts, main outcome criterion) were evaluated with respect to a 1-year baseline and a control region (Wuerzburg, 270 000 inhabitants).Results. Compared to the control region, a reduction in frequency of suicidal acts was observed in Nuremberg during the 2-year intervention (2001 v. 2000: - 19-4 %; p