Table 2 Multi-level intervention framework
Level 1: TARGETING PRIMARY CARE | Hypothesised synergies |
|---|---|
Training & Train-The-Trainer (TTT) sessions for primary care health professionals | |
Telephone helpline for GPs & online help for GPs and other health professionals | |
Information brochures & educational videos/DVDs for GPs | |
Level 2: PUBLIC HEALTH CAMPAIGN (including launch/events advertising OSPI) | |
Involvement of well-known patron | Raises profile of OSPI & attracts media interest May increase help-seeking by ‘normalising’ mental health issues (impact on Level 4) |
Opening ceremony/public launch | Raises public awareness of OSPI/public health campaign Publicise training & increase uptake (synergy with levels 1&3 training) Increase mental health awareness/literacy Increase media reporting Establish relationships across sectors related to suicide prevention |
Launch for GPs | Raise awareness of suicide prevention Increase uptake of GP training |
Press conference, local newspaper articles about OSPI | Increase uptake of media guidelines for responsible reporting of suicide Increase media reporting of OSPI activities |
Public information events (e.g. depression day, jogging against depression) | Increase mental health literacy Increase help seeking |
Cinema and/or radio spot | Raise awareness of OSPI activities and increase uptake of training (levels 1&3), increase help seeking (level 4) |
Presentations about depression in colleges/schools | Improve mental health literacy Increase help seeking (level 4) Increase uptake of community facilitator training for teachers (level 3) |
Flyers, leaflets, brochures, posters, billboards, information CDs/DVDs & promotional gifts | Improve mental health literacy Increase training uptake, help-seeking |
LEVEL 3: COMMUNITY FACILITATORS’ TRAINING | |
Training & TTT sessions | |
Information seminars | |
Media guidelines & workshops for journalists | Increase reporting of OSPI activity (level 2) |
LEVEL 4: SUPPORT FOR PATIENTS AND FAMILIES | |
Support for self-help groups for depression, bereaved relatives, family members of people who self-harm | |
Information videos/DVDs for high risk groups & patients | |
Information material/signposting (e.g. helpline numbers) | |
Emergency cards for high risk suicide attempters | |
Public lectures for patients and relatives | |
Online patient forum | |
LEVEL 5: INTERVENTIONS RELATED TO METHODS OF SUICIDE OR RESTRICTION OF ACCESS | |
Provision of information at suicide hot spots (e.g. emergency telephone number) | |
During CME courses: warning re TCA and other drugs with toxicity on overdose | |
Disposal of Unused Medication Properly (DUMP) project |