Background.Compulsory admission procedures of patients with mental disorders vary between countries in Europe. The Ethics Committee of the European Psychiatric Association (EPA) launched a survey on involuntary admission procedures of patients with mental disorders in 40 countries to gather information from all National Psychiatric Associations that are members of the EPA to develop recommendations for improving involuntary admission processes and promote voluntary care.Methods.The survey focused on legislation of involuntary admissions and key actors involved in the admission procedure as well as most common reasons for involuntary admissions.Results.We analyzed the survey categorical data in themes, which highlight that both medical and legal actors are involved in involuntary admission procedures.Conclusions.We conclude that legal reasons for compulsory admission should be reworded in order to remove stigmatization of the patient, that raising awareness about involuntary admission procedures and patient rights with both patients and family advocacy groups is paramount, that communication about procedures should be widely available in lay-language for the general population, and that training sessions and guidance should be available for legal and medical practitioners. Finally, people working in the field need to be constantly aware about the ethical challenges surrounding compulsory admissions.
According to the World Health Organization (WHO), suicide is a global public health issue, and countries need to be working toward a comprehensive and holistic response to prevent suicide and suicidal behaviors. Vision Zero for suicide is an aspiring goal that aims to lower suicide occurrence through a combined action of public health and healthcare sectors. Vision Zero for suicide has a multilevel and multidisciplinary approach that intends to provide a systemic change in society to facilitate and put suicide prevention on the agenda. This chapter explores the origins of Vision Zero for suicide by first presenting theoretical models that influenced suicidal behavior preventive programs. Then, Vision Zero for suicide goals, advantages, challenges, and examples of implementation in some countries will be presented. Further, evidence-based suicide prevention programs in existing public health and healthcare settings will be described as they support the Vision Zero aims. Vision Zero is an ambitious goal, but one that is worth aspiring to achieve, as the potential outcomes for suicide prevention implementation and research are very worthwhile.
According to the World Health Organization (WHO), suicide is a global public health issue, and countries need to be working toward a comprehensive and holistic response to prevent suicide and suicidal behaviors. Vision Zero for suicide is an aspiring goal that aims to lower suicide occurrence through a combined action of public health and healthcare sectors. Vision Zero for suicide has a multilevel and multidisciplinary approach that intends to provide a systemic change in society to facilitate and put suicide prevention on the agenda. This chapter explores the origins of Vision Zero for suicide by first presenting theoretical models that influenced suicidal behavior preventive programs. Then, Vision Zero for suicide goals, advantages, challenges, and examples of implementation in some countries will be presented. Further, evidence-based suicide prevention programs in existing public health and healthcare settings will be described as they support the Vision Zero aims. Vision Zero is an ambitious goal, but one that is worth aspiring to achieve, as the potential outcomes for suicide prevention implementation and research are very worthwhile.
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