Reducing suicides through an alliance against depression?
Reducing suicides through an alliance against depression?
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DOI：
10.1016/j.genhosppsych.2010.06.008
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发表时间：
2010-09-01
影响因子：
7
通讯作者：
Spiessl, Hermann
中科院分区：
文献类型：
--
作者：
Huebner-Liebermann, Bettina;Neuner, Tanja;Spiessl, Hermann
背景：自2003年以来，德国抗抑郁联盟的地区合作伙伴雷根斯堡抗抑郁联盟一直在实施一项四级干预计划，以改善抑郁症患者的早期发现和治疗，该计划在德国抑郁和自杀研究网络的框架下成功地进行了试点。方法：经过5年的运动，评估干预前后的自杀率，并与两个对照地区和德国的总体自杀率进行比较。结果：结果显示，在干预期间，只有雷根斯堡的自杀率显著下降。自杀率的下降是由于男性自杀率的显著下降。解释：以社区为基础的密集运动可能会有效地降低自杀率。特别是，针对“男性抑郁症”的全科医生继续医学教育(CMES)和面向普通公众的低门槛运动的结合似乎影响到男性抑郁症患者。(C)2010 Elsevier Inc.保留所有权利。
Background: Since 2003, the Regensburg Alliance Against Depression, the regional partner of the German Alliance Against Depression, has been conducting a four-level intervention program to improve early detection and treatment of patients with depression, which was successfully piloted in the framework of the German Research Network on Depression and Suicidality.Methods: After 5 years of campaign, the suicide rates before and after the intervention were evaluated in comparison with two control regions and with the German overall rate.Findings: The results show that only the suicide rate in Regensburg fell significantly during the intervention period. The drop in the suicide rate was due to a significant decrease in male suicides.Interpretation: An intensive community-based campaign could be effective in lowering suicide rates. Especially, the combination of continuing medical educations (CMEs) for general practitioners focusing on 'male depression' and low-threshold campaigns for the general public seems to reach male depressive patients. (C) 2010 Elsevier Inc. All rights reserved.