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National Suicide Prevention Approaches in the Netherlands. World Psychiatric Association. Berlin 2018

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Jan Mokkenstorm
Jan Mokkenstorm

This presentation covers large scale Suicide Prevention programs in the Netherlands; their ambition, tactics and elements and process. Takeaway: prevention is about the hearts and minds. And bringing persons, systems and society beyond the tipping point that keep them from doing the right thing. Things can change if we work together. What used to be the Berlin Wall now is an art gallery.

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National suicide prevention approaches in the Netherlands Jan Mokkenstorm, MD VU University, GGZinGeest Amsterdam 113 Suicide Prevention, Amsterdam j.mokkenstorm@113.nl
The Netherlands Pop. 17 mln many living below sea-level (blue) Well established health care Suicide rate 11/100.000
1953 Zeeland Flood 1836 people died in the water 2016 the Netherlands 1894 people died by suicide
Deltaworks. The Dutch anwer to living with the water.
Traffic mortality rise reversed; Suicide mortality stable
What are the national approaches in the Netherlands? 2008: www.113.nl 24/7 Online/Telephone helplines & e-health interventions acces to care, overcoming (self) stigma, improving resilience& adaptive coping 2013: National Suicide Prevention Strategy Public Health: gatekeepers, access to care, reduction access to means Healthcare: Active/monitored guideline implementation, acces to/continuity of care Media: Campaigns, Responsible reporting 2015: SUPRANET Program: Suicide Prevention Action Networks Community: EAAD OSPI applied in 6 pilot regions Care: Confidential network of large MHC providers sharing benchmark (big) data
The problem with classic implementation: command and control.
Modern implementation: age-old principles of collaboration. Co-creation, contextualisation, storytelling. AND (big) data feedback to build the narrative.
Key implementation tactics Overcoming cultural barriers and changing the mindset FROM Mourning & reflection TO Learning & Action Every life counts. All suicides are preventable until the last moment. No one should die alone and in despair by suicide. Engaging networks & leaders using change agents and media Prevention is a shared responsibility. Together we can save many more lives than we do now. Evaluation aimed at continual & agile improvement.
Effects: Suicide rate stable Suicide Prevention prominent on political agenda. Media compliant with reporting guidelines. More Papageno stories. Health care adopts suicide prevention as a core responsibility. Suicide prevention in school and university policies Suicidology in healthcare profession curricula. CORDESPRIT Corporate Depression and Suicide Prevention Initiative
13 oktober 2017 Ministerie van Infrastructuur en Milieu 11
National Suicide Prevention Approaches in the Netherlands. World Psychiatric Association. Berlin 2018
What used to be the Berlin Wall is now an art gallery
THANK YOU.

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National Suicide Prevention Approaches in the Netherlands. World Psychiatric Association. Berlin 2018

  • 1. National suicide prevention approaches in the Netherlands Jan Mokkenstorm, MD VU University, GGZinGeest Amsterdam 113 Suicide Prevention, Amsterdam j.mokkenstorm@113.nl
  • 2. The Netherlands Pop. 17 mln many living below sea-level (blue) Well established health care Suicide rate 11/100.000
  • 3. 1953 Zeeland Flood 1836 people died in the water 2016 the Netherlands 1894 people died by suicide
  • 4. Deltaworks. The Dutch anwer to living with the water.
  • 5. Traffic mortality rise reversed; Suicide mortality stable
  • 6. What are the national approaches in the Netherlands? 2008: www.113.nl 24/7 Online/Telephone helplines & e-health interventions acces to care, overcoming (self) stigma, improving resilience& adaptive coping 2013: National Suicide Prevention Strategy Public Health: gatekeepers, access to care, reduction access to means Healthcare: Active/monitored guideline implementation, acces to/continuity of care Media: Campaigns, Responsible reporting 2015: SUPRANET Program: Suicide Prevention Action Networks Community: EAAD OSPI applied in 6 pilot regions Care: Confidential network of large MHC providers sharing benchmark (big) data
  • 7. The problem with classic implementation: command and control.
  • 8. Modern implementation: age-old principles of collaboration. Co-creation, contextualisation, storytelling. AND (big) data feedback to build the narrative.
  • 9. Key implementation tactics Overcoming cultural barriers and changing the mindset FROM Mourning & reflection TO Learning & Action Every life counts. All suicides are preventable until the last moment. No one should die alone and in despair by suicide. Engaging networks & leaders using change agents and media Prevention is a shared responsibility. Together we can save many more lives than we do now. Evaluation aimed at continual & agile improvement.
  • 10. Effects: Suicide rate stable Suicide Prevention prominent on political agenda. Media compliant with reporting guidelines. More Papageno stories. Health care adopts suicide prevention as a core responsibility. Suicide prevention in school and university policies Suicidology in healthcare profession curricula. CORDESPRIT Corporate Depression and Suicide Prevention Initiative
  • 11. 13 oktober 2017 Ministerie van Infrastructuur en Milieu 11
  • 13. What used to be the Berlin Wall is now an art gallery