The effect of national suicide prevention programs on suicide rates in 21 OECD nations

Matsubayashi, Tetsuya; Ueda, Michiko

doi:10.1016/j.socscimed.2011.08.022

Cited by 93 publications

(97 citation statements)

References 15 publications

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“…This represents a promising reduction in numbers of 9% (2000)(2001)(2002)(2003)(2004)(2005)(2006)(2007)(2008)(2009)(2010)(2011)(2012), with associated reductions in agestandardised rates for men (23%) and women (32%). The WHO suggests this may relate to improved global health but, in acknowledging emerging evidence for national strategies [2,3], they recommend a range of specific program strategies from which countries may choose. For the first time, they also acknowledge multicomponent strategies as leading to positive outcomes [4][5][6].…”

Section: Introductionmentioning

confidence: 99%

Mates in Construction Suicide Prevention Program: A Five Year Review

Martin¹,

Swannell²

2016

J Community Med Health Educ

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Abstract'Mates in Construction' (MATES) is a large-scale multi-component suicide prevention program for construction workers, initiated in Queensland in February 2008, and now disseminated to three additional Australian states. MATES uses on-site universal psychoeducation to encourage help-seeking and early intervention through 'Connectors' trained in suicide first aid and supported by outreach, case management, a 24-hour telephone response line, and online counseling. This review of the first five years in Queensland demonstrates broad program acceptability by workers, unions and construction companies. However, funding constraints and the size and geography of the State limited the overall reach to 35,761 workers from 476 building sites completing the first step in the program -General Awareness Training. Despite this, we compared suicide rates in Queensland male construction workers for the five years of the program (2008)(2009)(2010)(2011)(2012) with the five years prior (2003)(2004)(2005)(2006)(2007), in the context of general male suicide rates for Queensland and Australia for the two time periods.Against a relatively stable male suicide rate for Australia as a whole, the overall male suicide rate (ages 15-64) for Queensland rose during the five years 2008-2012. In contrast, the age-adjusted male suicide rate in the Queensland Construction Industry decreased 7.9% for the years 2008-2012 compared with 2003-2007. Despite small numbers, we attempted statistical analysis using Negative Binomial Regression. The apparent reduction was not statistically significant (95% CI [-0.4, 15.6]), (p=0.386 NS). The decrease for lesser skilled workers (machine operators/ labourers) was 22.5% (95% CI [-6.9, 43.8]), (p=0.121), relative risk 0.80 [CI 0.60, 1.08], again not statistically significant. For skilled trades, the relative risk was 1.04 [CI 0.81, 1.34, NS], a point increase in chance of suicide of 4.1% 33.7, NS]. The complexity of the program and our results are discussed.

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Section: Introductionmentioning

confidence: 99%

Mates in Construction Suicide Prevention Program: A Five Year Review

Martin¹,

Swannell²

2016

J Community Med Health Educ

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“…Depuis le début des années 1990, les taux de suicide ont diminué dans la plupart des pays membres de l'Organisation de coopération et de développement économiques (OCDE, 2011). Ces diminutions ont été associées à la mise en place de programmes nationaux de prévention du suicide (Matsubayashi et Ueda, 2011). Ces programmes comportent des stratégies multimodales, et la clef de leur succès est leur application constante associée à une surveillance de son application.…”

Section: Resultsunclassified

“…Les politiques nationales emploient des stratégies multimodales (Matsubayashi et Ueda, 2011). Deux expériences planifiées ont été Perspectives de la santé publique pour la prévention du suicide rapportées avec des programmes globaux : l'étude de l'US Air Force (Knox et al, 2003) et celle de Nuremberg (Hegerl et al, 2006), avec des réductions du taux de suicide de 25 % dans ces deux programmes.…”

Section: Efficacité De Politiques Populationnelles Intégrant Des Straunclassified

Perspectives de la santé publique pour la prévention du suicide

Lesage

St-Laurent

Gagné

et al. 2013

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Le suicide et sa prévention sont considérés comme des enjeux de santé publique. Cette perspective jouxte une compréhension multifactorielle des phénomènes de santé dans nos sociétés, et la mobilisation autour des déterminants pour lesquels des actions peuvent être posées. La santé publique a connu des succès face aux maladies infectieuses puis face à des maladies chroniques comme l’hypertension. Le phénomène est ensuite appréhendé en chiffres, à l’aide de données québécoises, canadiennes et internationales. Les politiques populationnelles de prévention du suicide sont généralement multimodales, elles impliquent souvent des stratégies pour l’amélioration des services de santé mentale. Le succès de ces stratégies repose sur leur application constante et la surveillance de cette application.Suicide and suicide prevention represent major public health challenges. The public health perspective juxtaposes a multifactor understanding of society’s health phenomena to a mobilization around determinants on which actions can be taken. Public health has encountered success with infectious diseases as well as chronic diseases such as hypertension. In this article, the phenomenon of suicide is detailed with data drawn from Quebec, Canada and international research. Population-based suicide prevention policies are generally multimodal, and often involve strategies aiming at improving mental health services. The success of these strategies lies in their steady application and in the close surveillance of this application

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“…6 Among 21 member nations of the Organisation for Economic Co-operation and Development (OECD) that had implemented government-led national strategies by 2011, suicide rates decreased overall, with the greatest declines among youth and older persons -the two demographic groups at greatest risk in Canada. 7 ITK's strategy 2 identifies specific risks for Inuit and incorporates the protective factors WHO has identified. The strategy cannot, however, accomplish its goal of lowering suicide rates to the national average or below without an overarching national strategy that will coordinate federal and provincial-territorial activities.…”

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confidence: 99%