ArticleInternational journal of environmental research and public health2018
Suicide Prevention Guideline Implementation in Specialist Mental Healthcare Institutions in The Netherlands.
Article in International journal of environmental research and public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.
- Guidelines improve patient outcomes in specialised mental health care: A systematic review and meta-analysis.Acta psychiatrica Scandinavica · 2021Pooled it
- Training approaches for the dissemination of clinical guidelines for NSSI: a quasi-experimental trial.Child and adolescent psychiatry and mental health · 2024Article
- Implementation strategies in suicide prevention: a scoping review.Implementation science : IS · 2024Article
- Racial and Gender Disparities in Suicide and Mental Health Care Utilization in a Pediatric Primary Care Setting.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2024Article
- Reducing suicides in mental healthcare: results from a 4-year follow-up implementation study in the Netherlands (SUPRANET).Frontiers in psychiatry · 2024Article
- A first study on the usability and feasibility of four subtypes of suicidality in emergency mental health care.BMC psychiatry · 2023Article
- A Clinical Model for the Differentiation of Suicidality: Protocol for a Usability Study of the Proposed Model.JMIR research protocols · 2023Article
- Suicide prevention strategies for older persons-An integrative review of empirical and theoretical papers.Nursing open · 2021Review
- Health personnel-targeted education interventions on inpatient suicide prevention in general hospitals: A scoping review.International journal of nursing sciences · 2020Article
- Prioritizing suicide prevention guideline recommendations in specialist mental healthcare: a Delphi study.BMC psychiatry · 2020Article
- Implementation of Guidelines on Prevention of Coercion and Violence (PreVCo) in Psychiatry: Study Protocol of a Randomized Controlled Trial (RCT).Frontiers in psychiatry · 2020Article
- Policy addressing suicidality in children and young people: an international scoping review.BMJ open · 2019Article
- Suicide Risk and Mental Disorders.International journal of environmental research and public health · 2018Article
- Article
- Quantitative measures used in empirical evaluations of mental health policy implementation: A systematic review.Implementation research and practiceReview
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
In The Netherlands, on average 40% of all suicides concern patients treated by mental healthcare institutions (MHIs). Recent evidence indicates that implemented guideline recommendations significantly reduce the odds for patients to die by suicide. Implementation of the multidisciplinary guideline for diagnosis and treatment of suicidal behaviors is a main objective of the Dutch National Suicide Prevention Strategy. To this end, 24 MHIs that collectively reported 73% of patient suicides in 2015 received an educational outreach intervention offered by the national center of expertise.
aimTo investigate changes in levels of implementation of guideline recommendations; and to assess the degree of variation on suicide prevention policies and practices between MHIs.
methodsImplementation study with a prospective cohort design studying change over time on all domains of a Suicide Prevention Monitor, a guideline-based instrument assessing suicide prevention policies and practices within MHIs. Data were collected in six-month intervals between 2015 and 2017.
resultsMHIs improved significantly on four out of ten domains: the development of an organizational suicide prevention policy; monitoring and trend-analysis of suicides numbers; evaluations after suicide; and clinician training. No improvement was measured on the domains pertaining to multi-annual training policies; collaborative care with external partners; recording and evaluation of suicide attempts; routine assessment of suicidality in all patients; safety planning and involving next of kin and carers. Furthermore, marked practice variation between MHIs was found which did not decrease over time.
conclusionThis study shows significant improvement in the implementation of four out of ten guideline-based suicide prevention policies in 24 specialist mental healthcare institutions in The Netherlands. The implementation level of suicide prevention policies and practices still appears to vary significantly between MHIs in The Netherlands.
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