The national strategy for suicide prevention in the Netherlands: on the road to zero suicides

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
G Franx
Keyword(s):  
Mental Health ◽  
The Netherlands ◽  
Suicide Prevention ◽  
Public Awareness ◽  
Vulnerable Groups ◽  
National Strategy ◽  
The Road ◽  
Public Awareness Campaign ◽  
First Results ◽  
On The Road

Abstract Background In the Netherlands, 1829 persons (11.6/100.000) ended their life by suicide in 2018. Two out of three suicides concern men, most of them in the age group of 50-55. Suicide amongst youth is rising, especially amongst youngsters between 10-25. Around 40 persons a day, predominantly young and female, are treated in Dutch hospitals after having attempted suicide. Only 40% of those who die by suicide have been in touch with healthcare professionals. These figures made the Dutch government to put in place a national strategy for suicide prevention. Methods This strategy follows the WHO's guidance and covers a range of measures in public health as well as in the health care sector. Its implementation is coordinated by “113 Suicide prevention”, the national centre of expertise on suicide prevention in the Netherlands. Results A broad package of measures is being implemented simultaneously, targeting the entire population as well as specific vulnerable groups, such as youngsters, persons with LGBT related issues and persons with mental health needs. We initiated several collective preventive measures, such as media guidelines for safe reporting, a public awareness campaign against stigma, reduction of access to deadly means or places; selective prevention initiatives, e.g. training over 3400 of gatekeepers to detect and address suicidal thoughts with desperate persons; and indicated suicide prevention strategies including screening, treatment and follow up of patients with suicidal behaviour in general practice or mental health hospitals. In this presentation the different components of the Dutch strategy for suicide prevention will be described more in detail, and experiences and first results of the different components will be addressed. Conclusions The relevance of the Dutch national strategy is related to the broad package of measures implemented simultaneously in many domains of society, but closely monitoring and evaluating the effect stays challenging.

scholarly journals Cycling Pathways

2021 ◽  
Author(s):  
Henk-Jan Dekker
Keyword(s):  
Climate Change ◽  
The Netherlands ◽  
Political Struggle ◽  
The Road ◽  
Wide Range ◽  
The World ◽  
Road Space ◽  
History Of ◽  
On The Road

In an effort to fight climate change, many cities try to boost their cycling levels. They often look towards the Dutch for guidance. However, historians have only begun to uncover how and why the Netherlands became the premier cycling country of the world. Why were Dutch cyclists so successful in their fight for a place on the road? Cycling Pathways: The Politics and Governance of Dutch Cycling Infrastructure, 1920-2020 explores the long political struggle that culminated in today’s high cycling levels. Delving into the archives, it uncovers the important role of social movements and shows in detail how these interacted with national, provincial, and urban engineers and policymakers to govern the distribution of road space and construction of cycling infrastructure. It discusses a wide range of topics, ranging from activists to engineering committees, from urban commuters to recreational cyclists and from the early 1900s to today in order to uncover the long and all-but-forgotten history of Dutch cycling governance.

On the Road to Convergence Research

2021 ◽  
pp. 29-36
Author(s):  
Niki Wilson
Keyword(s):  
Climate Change ◽  
Mental Health ◽  
Food Systems ◽  
Health Sciences ◽  
Research Approach ◽  
The Road ◽  
Research Institutes ◽  
The Us ◽  
Emerging Issues ◽  
On The Road

Climate change. Lack of food security. Limited access to basic healthcare. These are just some of the big, complex problems facing humanity. Solutions will require out-of-the-box innovation, which is why many governments, institutions, and entrepreneurs around the globe are beginning to embrace the concept of convergence research. The US-based National Science Foundation describes convergence as “a deeper, more intentional approach to accelerating discovery.” Following interdisciplinarity and multidisciplinarity, it is the next stop on a continuum used to describe approaches whereby scientists and experts learn from each other and collaborate across disciplines. It aims to integrate the natural, computational, social, economic, and health sciences in a humanities context, thereby transcending the traditional boundaries of those fields and creating unique opportunities for problem-solving. The concept of convergence research is taking hold, but how effectively is it being implemented? This chapter explores examples from research networks, research institutes, and the private sector to better understand how convergence research is addressing some of society’s most pressing issues. From disruptions in indigenous food systems to emerging issues in mental health, the author explores the benefits and challenges that arise from a convergence research approach.

scholarly journals A regional systems intervention for suicide prevention in the Netherlands (SUPREMOCOL): study protocol with a stepped wedge trial design

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Emma Hofstra ◽  
Iman Elfeddali ◽  
Margot Metz ◽  
Marjan Bakker ◽  
Jacobus J. de Jong ◽  
...  
Keyword(s):  
Mental Health ◽  
Suicidal Ideation ◽  
The Netherlands ◽  
Suicide Prevention ◽  
Study Protocol ◽  
Collaborative Care ◽  
Trial Design ◽  
Stepped Wedge ◽  
Health Institutions ◽  
Stepped Wedge Trial

Abstract Background In the Netherlands, suicide rates showed a sharp incline and this pertains particularly to the province of Noord-Brabant, one of the southern provinces in the Netherlands. This calls for a regional suicide prevention effort. Methods/design Study protocol. A regional suicide prevention systems intervention is implemented and evaluated by a stepped wedge trial design in five specialist mental health institutions and their adherent chain partners. Our system intervention is called SUPREMOCOL, which stands for Suicide Prevention by Monitoring and Collaborative Care, and focuses on four pillars: 1) recognition of people at risk for suicide by the development and implementation of a monitoring system with decision aid, 2) swift access to specialist care of people at risk, 3) positioning nurse care managers for collaborative care case management, and 4) 12 months telephone follow up. Eligible patients are persons attempting suicide or expressing suicidal ideation. Primary outcome is number of completed suicides, as reported by Statistics Netherlands and regional Public Health Institutes. Secondary outcome is number of attempted suicides, as reported by the regional ambulance transport and police. Suicidal ideation of persons registered in the monitoring system will, be assessed by the PHQ-9 and SIDAS questionnaires at baseline and 3, 6, 9 and 12 months after registration, and used as exploratory process measure. The impact of the intervention will be evaluated by means of the RE-AIM dimensions reach, efficacy, adoption, implementation, and maintenance. Intervention integrity will be assessed and taken into account in the analysis. Discussion The present manuscript presents the design and development of the SUPREMOCOL study. The ultimate goal is to lower the completed suicides rate by 20%, compared to the control period and compared to other provinces in the Netherlands. Moreover, our goal is to provide specialist mental health institutions and chain partners with a sustainable and adoptable intervention for suicide prevention. Trial registration Netherlands Trial Register under registration number NL6935 (5 April 2018). This is the first version of the study protocol (September 2019).

scholarly journals When health services are powerless to prevent suicide: results from a linkage study of suicide among men with no service contact in the year prior to death

2019 ◽  
Vol 20 ◽  
Author(s):  
Sharon Mallon ◽  
Karen Galway ◽  
Janeet Rondon-Sulbaran ◽  
Lynette Hughes ◽  
Gerry Leavey
Keyword(s):  
Mental Health ◽  
Health Services ◽  
Life Events ◽  
Suicide Prevention ◽  
Help Seeking ◽  
Service Use ◽  
Linkage Study ◽  
High Rate ◽  
Vulnerable Groups ◽  
Health Campaigns

AbstractAimsTo investigate cases of suicide in which there was no healthcare contact, by looking at history of help-seeking and evidence of previous mental health vulnerability. To identify any life events associated with suicide for which individuals did not seek help.BackgroundPrevious research has suggested that non-consultation is the main barrier to suicide prevention among men. Estimates suggest approximately 22% of men who die by suicide have not consulted their GP in the year before their death. Little is known about the lifetime pattern of engagement with services among these individuals and whether or not this may influence their help-seeking behaviour before death.MethodsCoroner records of suicide deaths in Northern Ireland over 2 years were linked to general practice (GP) records. This identified 63 individuals who had not attended health services in the 12 months before death. Coroner’s data were used to categorise life events associated with the male deaths. Lifetime mental health help-seeking at the GP was assessed.FindingsThe vast majority of individuals who did not seek help were males (n=60, 15% of all suicide deaths). Lack of consultation in the year before suicide was consistent with behaviour over the lifespan; over two-thirds had no previous consultations for mental health. In Coroner’s records, suicides with no prior consultation were primarily linked to relationship breakdown and job loss. These findings highlight the limitations of primary care in suicide prevention as most had never attended GP for mental health issues and there was a high rate of supported consultation among those who had previously sought help. Public health campaigns that promote service use among vulnerable groups at times of crisis might usefully be targeted at those likely to be experiencing financial and relationship issues.

scholarly journals Optimalisasi Jalur Sepeda sebagai Penerapan Budaya K3 di UNS

2019 ◽  
Author(s):  
Mirza Kirana Maulidya
Keyword(s):  
Safety Culture ◽  
Road Traffic ◽  
Public Awareness ◽  
Motor Vehicles ◽  
The Road ◽  
On The Road ◽  
Descriptive Qualitative

Based on UU No. 22 of 2009 concerning Road Traffic and Transport and a significant increase in motor vehicles, cyclists are entitled to supporting facilities that guarantee safety when driving on the road. As a form of fulfilling the rights of cyclists and the application of safety culture, UNS has created special way for bicycle user. This facility aims to provide a special lane for bicycle users so that the atmosphere of the road becomes more orderly, smooth, and safe. But in reality, the existence of this pathway does not function optimally due to several things. one of the things that causes the markers not to function optimally is the placement of the path that is not appropriate. This study aims to explain the factors that cause markers have not been used optimally. The method used in this research is descriptive qualitative based on observation. The results of this study are public awareness to make optimal use of bicycle markers

scholarly journals Households’ Willingness to Adopt Technological and Behavioral Energy Savings Measures: An Empirical Study in The Netherlands

Energies ◽  
2019 ◽  
Vol 12 (22) ◽  
pp. 4294 ◽  
Author(s):  
Véronique Vasseur ◽  
Anne-Francoise Marique
Keyword(s):  
The Netherlands ◽  
Energy Saving ◽  
Energy Savings ◽  
The Road ◽  
Empirical Survey ◽  
Small Market ◽  
Willingness To Adopt ◽  
On The Road ◽  
Household Preferences ◽  
At Home

The aim of this paper is to investigate households’ willingness to adopt technological and behavioral energy savings measures, in their dwellings and for daily mobility. Based on the evidence that occupants’ behavior has a major impact on energy uses at home and on the road, this paper aims at investigating which determinants influence household preferences for energy-saving measures, both technical as well as behavioral ones, as well as highlighting the key determinants for adopting energy-savings measures, at the household scale. This paper will attempt to shed more light on the factors that may bridge the intention–behavior gap. The analysis is based on an empirical survey carried out in the Netherlands. Main results show that (1) behavioral energy saving measures are more acceptable than technical ones; (2) the adoption of energy savings measures at home is more likely than on the road; (3) there is a relatively small market for technical energy measures, especially through the initial investment and the low return on investment; (4) environmental aspects seem to be more important for relatively expensive technical energy measures; (5) the reason for taking technological energy measures is rather to be found in differences among socio-demographic background than in environmental concerns; and (6) comfort at home and on the road is an important explanatory variable that many respondents used to justify not implementing energy savings measures and should be investigated in further research.

INOVASI PELAYANAN PUBLIK PARK AND RIDE TERMINAL INTERMODA JOYOBOYO OLEH DINAS PERHUBUNGAN KOTA SURABAYA

Publika ◽  
2021 ◽  
pp. 77-92
Author(s):  
Dyah Eka Pratiwi ◽  
Trenda Aktiva Oktariyanda
Keyword(s):  
Public Service ◽  
Public Transportation ◽  
New Technologies ◽  
Public Awareness ◽  
Service Innovation ◽  
City Government ◽  
The Road ◽  
Park And Ride ◽  
The Government ◽  
On The Road

Pelayanan publik merupakan elemen yang sangat penting dalam penyelenggaraan pemerintahan. Inovasi yang dibuat oleh Pemkot Surabaya bersama Dishub Kota Surabaya berkaitan dengan sistem parkir online yang disebut Park and Ride TIJ. Inovasi pelayanan ini diciptakan untuk mengatasi permasalahan peningkatan kepemilikan kendaraan di Kota Surabaya yang membuat kebutuhan parkir meningkat, tetapi tidak diikuti dengan penambahan lahan parkir. Parkir di badan jalan mengakibatkan pergerakan lalu lintas terhambat sehingga terjadi kemacetan terutama di pusat keramaian tengah kota seperti Jalan Wonokromo, Jalan Darmo, dan Jalan Setail. Tujuan penelitian ini ialah untuk mendeskripsikan Inovasi Pelayanan Publik Park and Ride TIJ Oleh Dishub Kota Surabaya. Jenis penelitian yang digunakan adalah deskriptif dengan pendekatan kualitatif. Fokus penelitian dengan teori milik Yogi Suwarno (2008:19) yaitu aspek-aspek penting yang menunjukkan suatu organisasi telah melakukan inovasi meliputi Pengetahuan Baru, Cara Baru, Objek Baru, Teknologi Baru, dan Penemuan Baru. Teknik pengumpulan data melalui wawancara, observasi, dan dokumentasi. Teknik analisis data menggunakan reduksi data, penyajian data dan ditarik kesimpulan berdasarkan data yang menjawab rumusan masalah. Hasil dari penelitian ini adalah semua fasilitas yang ada di Park and Ride TIJ sudah sangat bagus dan memenuhi kebutuhan masyarakat. Hanya saja kurangnya kesadaran masyarakat untuk menggunakan fasilitas yang sudah disediakan oleh pemerintah. Setelah didirikan Park and ride pun masih ditemukan masalah yakni banyak masyarakat masih melakukan parkir liar terutama pengunjung Kebun Binatang Surabaya, serta sopir angkot yang “ngetem” di pinggir jalan sehingga menimbulkan kemacetan. Kemudian terkait dengan penerapan e-payment, karena banyak masyarakat masih menggunakan uang tunai untuk pembayaran parkir di Park nad Ride TIJ. Kata Kunci: Pelayanan Publik, Inovasi Pelayanan, Park and Ride   Public service is a very important element in government administration. The innovation made by the Surabaya City Government and the Surabaya City Transportation Agency is related to an online parking system called the TIJ Park and Ride. This service innovation was created to solve the problem of increasing vehicle ownership in the city of Surabaya which makes parking needs increase, but not followed by additional parking lots. Parking on the road causes traffic movement to be hampered, resulting in congestion, especially in the downtown area such as Jalan Wonokromo, Jalan Darmo, and Jalan Setail. The purpose of this study was to describe the TIJ Park and Ride Public Service Innovation by the Surabaya City Transportation Agency. This type of research is descriptive with a qualitative approach. The focus of research with Yogi Suwarno's (2008: 19) theory is important aspects that show an organization has made innovations including New Knowledge, New Methods, New Objects, New Technologies, and New Inventions. Data collection techniques through interviews, observation and documentation. Data analysis techniques used data reduction, data presentation and conclusions drawn based on data that answered the problem formulation. The result of this research is that all existing facilities at the TIJ Park and Ride are very good and meet the needs of the community. It's just a lack of public awareness to use the facilities provided by the government. After the establishment of Park and Ride, problems were still found, namely that many people were still parking illegal, especially visitors to the Surabaya Zoo, as well as public transportation drivers who "stuck" on the side of the road, causing congestion. Then related to the application of e-payments, because many people still use cash for parking payments at TIJ Park nad Ride. Keywords: Public Service, Service Innovation, Park and Ride

scholarly journals The COVID-19 outbreak increases maternal stress during pregnancy, but not the risk for postpartum depression

2021 ◽  
Author(s):  
Myrthe G. B. M. Boekhorst ◽  
Lotte Muskens ◽  
Lianne P. Hulsbosch ◽  
Katrijn Van Deun ◽  
Veerle Bergink ◽  
...  
Keyword(s):  
Mental Health ◽  
Cohort Study ◽  
Depressive Symptoms ◽  
The Netherlands ◽  
Postpartum Depression ◽  
Prospective Cohort ◽  
Vulnerable Groups ◽  
Symptoms Of Depression ◽  
Postpartum Depressive Symptoms ◽  
Perinatal Women

AbstractThe COVID-19 pandemic affects society and may especially have an impact on mental health of vulnerable groups, such as perinatal women. This prospective cohort study of 669 participating women in the Netherlands compared perinatal symptoms of depression and stress during and before the pandemic. After a pilot in 2018, recruitment started on 7 January 2019. Up until 1 March 2020 (before the pandemic), 401 women completed questionnaires during pregnancy, of whom 250 also completed postpartum assessment. During the pandemic, 268 women filled out at least one questionnaire during pregnancy and 59 postpartum (1 March–14 May 2020). Pregnancy-specific stress increased significantly in women during the pandemic. We found no increase in depressive symptoms during pregnancy nor an increase in incidence of high levels of postpartum depressive symptoms during the pandemic. Clinicians should be aware of the potential for increased stress in pregnant women during the pandemic.

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