national suicide prevention approaches in the netherlands. world psychiatric association. berlin...
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National suicide prevention approaches in the Netherlands
Jan Mokkenstorm, MD
VU University, GGZinGeest Amsterdam113 Suicide Prevention, Amsterdam [email protected]
The Netherlands
Pop. 17 mlnmany living below sea-level (blue)
Well established health care
Suicide rate 11/100.000
1953 Zeeland Flood 1836 people died in the water2016 the Netherlands 1894 people died by suicide
Deltaworks.The Dutch anwer to living with the water.
Traffic mortality rise reversed; Suicide mortality stable
What are the national approaches in the Netherlands?
2008: www.113.nl 24/7 Online/Telephone helplines & e-health interventionsacces to care, overcoming (self) stigma, improving resilience& adaptive coping
2013: National Suicide Prevention StrategyPublic Health: gatekeepers, access to care, reduction access to meansHealthcare: Active/monitored guideline implementation, acces to/continuity of care Media: Campaigns, Responsible reporting
2015: SUPRANET Program: Suicide Prevention Action NetworksCommunity: EAAD OSPI applied in 6 pilot regionsCare: Confidential network of large MHC providers sharing benchmark (big) data
The problem with classic implementation: command and control.
Modern implementation: age-old principles of collaboration.Co-creation, contextualisation, storytelling.
AND (big) data feedback to build the narrative.
Key implementation tactics
Overcoming cultural barriers and changing the mindsetFROM Mourning & reflection TO Learning & ActionEvery life counts. All suicides are preventable until the last moment.No one should die alone and in despair by suicide.
Engaging networks & leaders using change agents and mediaPrevention is a shared responsibility. Together we can save many more lives than we do now.
Evaluation aimed at continual & agile improvement.
Effects:
Suicide rate stable
Suicide Prevention prominent on political agenda.
Media compliant with reporting guidelines. More Papageno stories.
Health care adopts suicide prevention as a core responsibility.
Suicide prevention in school and university policies
Suicidology in healthcare profession curricula.
CORDESPRIT Corporate Depression and Suicide Prevention Initiative
13 oktober 2017 Ministerie van Infrastructuur en Milieu 11
What used to be the Berlin Wall is now an art gallery
THANK YOU.