Förslag till nationellt program för suicidprevention, 969 kB - Statens ...

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Proposed measures Policies that reduce social inequalities are recommended as suicide prevention measures. In the investigation “Ungdomar, stress och psykisk ohälsa” (Young people, stress and mental illness) (SOU 2006:77) two measures to improve quality assurance in pre-schools and schools are presented. The first measure would be to initiate an activity commissioned to supply systematic reviews of the effects of different pedagogic interventions. The second measure would be to develop the SIRIS and SALSA databases run by the Swedish National Agency for Education to extend them and include information about students’ academic performance, mental health and perceptions of their working environment. The investigation in which these suggestions are presented is currently being drafted in the Ministry of Education and Culture. Follow-up indicators Social differences can be followed-up with the Gini-coefficient for disposable income, which is already in use in the follow-up of national public health policies. The suggested system for pre-school-based and school-based indicators constitutes a system for the national follow-up of the skills of children and adolescents. Reducing alcohol consumption in the population förslag till nationellt program för suicidprevention 13 There is a strong relationship between average alcohol consumption in the population and incidence of suicide. This relationship is particularly evident among young men. In addition, there is strong evidence of the effectiveness of several alcohol prevention interventions in terms of their ability to bring about reduced consumption. In 2006 the Swedish National Institute of Public Health evaluated the National action plan against alcohol-related injuries that was implemented between 2001 and 2005. One of the conclusions from the evaluation is that insufficient priorities have been made to limit access to alcohol locally, regionally and nationally. Multiple public institutions share the responsibility of accomplishing this. Proposed measure Policies that reduce alcohol consumption at a national level are an important suicide prevention measure. The national action plan against alcohol-related injuries in Sweden should be followed through. Sweden should also continue to work for restrictive alcohol policies at the EU level. Follow-up indicators Self-reported total consumption among adults can be used as a measure of populationbased alcohol consumption. Other alcohol-related indicators that are relevant to suicide prevention are alcohol accessibility, risk consumption and alcohol-related deaths, primarily those due to liver cirrhosis.
14 förslag till nationellt program för suicidprevention Limiting access to the means of suicide A possible strategy for suicide prevention is to limit access to the means of suicide, such as certain drugs, household gases, gases from motor vehicles and weapons. Moreover, limited access to methods of suicide can be accomplished through safety measures in physical environments such as unprotected locations at high elevations and unsecured traffic environments in road, railway and subway systems. Limitations to the means of suicide can furthermore be implemented in certain arenas in society, such as prisons, health care institutions and special housing for those in need of care. Those in charge of such practices themselves initiate such measures as part of their ordinary work. A national goal of reduced suicide rates can further support the work that is already being done. Treating suicide prevention as the handling of psychological mistakes Within psychological research, studies have been made in order to explore why people make mistakes that can have fatal consequences, such as human error accidents in industry and traffic. The results of this research are used when measures aimed at minimising the consequences of human error are set up. Suicide can be viewed as a psychological mistake since most people surviving an attempted suicide a few years later have a desire to live. Research in human error points to two types of preventive measures – measures directed at the individual and measures directed at the environment in which the individual lives. Both types of measures are covered in this investigation. Individually based measures include development of problem solving skills and the ability to handle negative thoughts, including thoughts of suicide, without being overwhelmed by them. Environmentally based measures include several areas of action. Some concern physical aspects such as drug packaging and safety barriers on exposed bridges. Others concern the way in which people in the surroundings deal with individuals that are depressed and express suicidal thoughts. There are several players that can affect the physical and psychosocial environments in which people live. When it comes to young people, several important players are to be found in municipal organisations, such as schools, organised leisure activities and traffic administration. In a large number of municipalities there are local groups working with injury prevention. A basis for this work is local injury data, collected and presented by the health care administration. Extensive experience has shown that locally based injury prevention is effective, and that this practise could also be extended to include self-inflicted injuries. If local injury prevention groups were given information on suicide data, they could take action on suicide prevention, particularly when it comes to measures directed at young people. Since all suicides are investigated at forensic departments, such information is available.
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Från mitten av 1980-talet har det
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Förslag till nationellt program för suicidprevention, 969 kB - Statens ...

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