{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,24]],"date-time":"2026-03-24T22:29:36Z","timestamp":1774391376041,"version":"3.50.1"},"reference-count":60,"publisher":"Hogrefe Publishing Group","issue":"6","license":[{"start":{"date-parts":[[2011,11,1]],"date-time":"2011-11-01T00:00:00Z","timestamp":1320105600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/3.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Crisis"],"published-print":{"date-parts":[[2011,11,1]]},"abstract":"<jats:p> Background: Evidence-based best practices for incorporation into an optimal multilevel intervention for suicide prevention should be identifiable in the literature. Aims: To identify effective interventions for the prevention of suicidal behavior. Methods: Review of systematic reviews found in the Pubmed, Cochrane, and DARE databases. Steps include risk-of-bias assessment, data extraction, summarization of best practices, and identification of synergistic potentials of such practices in multilevel approaches. Results: Six relevant systematic reviews were found. Best practices identified as effective were as follows: training general practitioners (GPs) to recognize and treat depression and suicidality, improving accessibility of care for at-risk people, and restricting access to means of suicide. Although no outcomes were reported for multilevel interventions or for synergistic effects of multiple interventions applied together, indirect support was found for possible synergies in particular combinations of interventions within multilevel strategies. Conclusions: A number of evidence-based best practices for the prevention of suicide and suicide attempts were identified. Research is needed on the nature and extent of potential synergistic effects of various preventive activities within multilevel interventions. <\/jats:p>","DOI":"10.1027\/0227-5910\/a000109","type":"journal-article","created":{"date-parts":[[2011,9,27]],"date-time":"2011-09-27T01:01:50Z","timestamp":1317085310000},"page":"319-333","source":"Crossref","is-referenced-by-count":223,"title":["Best Practice Elements of Multilevel Suicide Prevention Strategies"],"prefix":"10.1027","volume":"32","author":[{"given":"Christina M.","family":"van der Feltz-Cornelis","sequence":"first","affiliation":[{"name":"Department of Developmental and Clinical Psychology, University of Tilburg, The Netherlands"},{"name":"Research Program Diagnosis and Treatment, Trimbos Institute, Utrecht, The Netherlands"},{"name":"Topclinical Centre for Body, Mind and Health, GGz Breburg, Tilburg, The Netherlands"}]},{"given":"Marco","family":"Sarchiapone","sequence":"additional","affiliation":[{"name":"Department of Health Sciences, University of Molise, Campobasso, Italy"}]},{"given":"Vita","family":"Postuvan","sequence":"additional","affiliation":[{"name":"Department of Health Sciences, University of Molise, Campobasso, Italy"}]},{"given":"Dani\u00eblle","family":"Volker","sequence":"additional","affiliation":[{"name":"Research Program Diagnosis and Treatment, Trimbos Institute, Utrecht, The Netherlands"}]},{"given":"Saska","family":"Roskar","sequence":"additional","affiliation":[{"name":"Health Research Department, Primorska Institute of Natural Sciences and Technology (PINT), University of Primorska, Koper, Slovenia"}]},{"given":"Alenka Tan\u010di\u010d","family":"Grum","sequence":"additional","affiliation":[{"name":"Institute of Public Health of the Republic of Slovenia, Ljubljana, Slovenia"}]},{"given":"Vladimir","family":"Carli","sequence":"additional","affiliation":[{"name":"NASP, Karolinska Institute, Stockholm, Sweden"}]},{"given":"David","family":"McDaid","sequence":"additional","affiliation":[{"name":"Personal Social Services Research Unit, LSE Health and Social Care, London School of Economics, UK"}]},{"given":"Rory","family":"O\u2019Connor","sequence":"additional","affiliation":[{"name":"University of Stirling, UK"}]},{"given":"Margaret","family":"Maxwell","sequence":"additional","affiliation":[{"name":"University of Stirling, UK"}]},{"given":"Angela","family":"Ibelsh\u00e4user","sequence":"additional","affiliation":[{"name":"Society for Mental Health \u2013 pro mente tirol, Innsbruck, Austria"}]},{"given":"Chantal","family":"Van Audenhove","sequence":"additional","affiliation":[{"name":"LUCAS Centre for Care Research and Consultancy, Catholic University of Leuven, Belgium"}]},{"given":"Gert","family":"Scheerder","sequence":"additional","affiliation":[{"name":"LUCAS Centre for Care Research and Consultancy, Catholic University of Leuven, Belgium"}]},{"given":"Merike","family":"Sisask","sequence":"additional","affiliation":[{"name":"Estonian-Swedish Mental Health and Suicidology Institute (ERSI), Tallinn, Estonia"}]},{"given":"Ricardo","family":"Gusm\u00e3o","sequence":"additional","affiliation":[{"name":"CEDOC, Department of Mental Health, New University of Lisbon, Portugal"}]},{"given":"Ulrich","family":"Hegerl","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, University of Leipzig, Germany"}]}],"member":"101","reference":[{"key":"c1","doi-asserted-by":"publisher","DOI":"10.1016\/j.biopsych.2006.05.010"},{"key":"c2","doi-asserted-by":"publisher","DOI":"10.1080\/15622970310029913"},{"key":"c3","doi-asserted-by":"publisher","DOI":"10.1080\/08039480500227733"},{"key":"c4","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2006.09.018"},{"key":"c5","volume-title":"Reduction of suicidality","author":"Bool M.","year":"2007"},{"key":"c6","doi-asserted-by":"crossref","first-page":"230","DOI":"10.1177\/002076409604200307","volume":"42","author":"Botega N. 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