Bibliographic Details
| Title: |
Reducing suicides in mental healthcare: results from a 4-year follow-up implementation study in the Netherlands (SUPRANET) |
| Authors: |
Kim Setkowski, Anton J. L. M. van Balkom, Adriaan W. Hoogendoorn, Gerdien Franx, Marjolein Veerbeek, Remco F. P. de Winter, Renske Gilissen |
| Source: |
Frontiers in Psychiatry, Vol 15 (2024) |
| Publisher Information: |
Frontiers Media S.A., 2024. |
| Publication Year: |
2024 |
| Collection: |
LCC:Psychiatry |
| Subject Terms: |
suicide prevention, implementation, guideline recommendations, benchmarking, mental healthcare, quality of care, Psychiatry, RC435-571 |
| More Details: |
ObjectiveIn 2016, the SUicide PRevention Action NETwork (SUPRANET) was launched. The SUPRANET intervention aims at better implementing the suicide prevention guideline. An implementation study was developed to evaluate the impact of SUPRANET over time on three outcomes: 1) suicides, 2) registration of suicide attempts, and 3) professionals’ knowledge and adherence to the guideline.MethodsThis study included 13 institutions, and used an uncontrolled longitudinal prospective design, collecting biannual data on a 2-level structure (institutional and team level). Suicides and suicide attempts were extracted from data systems. Professionals’ knowledge and adherence were measured using a self-report questionnaire. A three-step interrupted time series analysis (ITSA) was performed for the first two outcomes. Step 1 assessed whether institutions executed the SUPRANET intervention as intended. Step 2 examined if institutions complied with the four guideline recommendations. Based on steps 1 and 2, institutions were classified as below or above average and after that, included as moderators in step 3 to examine the effect of SUPRANET over time compared to the baseline. The third outcome was analyzed with a longitudinal multilevel regression analysis, and tested for moderation.ResultsAfter institutions were labeled based on their efforts and investments made (below average vs above average), we found no statistically significant difference in suicides (standardized mortality ratio) between the two groups relative to the baseline. Institutions labeled as above average did register significantly more suicide attempts directly after the start of the intervention (78.8 per 100,000 patients, p |
| Document Type: |
article |
| File Description: |
electronic resource |
| Language: |
English |
| ISSN: |
1664-0640 |
| Relation: |
https://www.frontiersin.org/articles/10.3389/fpsyt.2024.1080235/full; https://doaj.org/toc/1664-0640 |
| DOI: |
10.3389/fpsyt.2024.1080235 |
| Access URL: |
https://doaj.org/article/b7704c428b3a466686b47147465d66e6 |
| Accession Number: |
edsdoj.b7704c428b3a466686b47147465d66e6 |
| Database: |
Directory of Open Access Journals |
