Hegerl Ulrich, Wittmann Meike, Arensman Ella, Van Audenhove Chantal, Bouleau Jean-Hervé, Van Der Feltz-Cornelis Christina, Gusmao Ricardo, Kopp Maria, Löhr Cordula, Maxwell Margaret, Meise Ulrich, Mirjanic Milan, Oskarsson Högni, Sola Victor Perez, Pull Charles, Pycha Roger, Ricka Regula, Tuulari Jyrki, Värnik Airi, Pfeiffer-Gerschel Tim
Klinik und Poliklinik für Psychiatrie, Universität Leipzig, Leipzig, Germany.
World J Biol Psychiatry. 2008;9(1):51-8. doi: 10.1080/15622970701216681.
Action programmes fostering partnerships and bringing together regional and national authorities to promote the care of depressed patients are urgently needed. In 2001 the 'Nuremberg Alliance Against Depression' was initiated as a community-based model project within the large-scale 'German Research Network on Depression and Suicidality' (Kompetenznetz 'Depression, Suizidalität'). The 'Nuremberg Alliance Against Depression' was an action programme, conducted in the city of Nuremberg (500,000 inhabitants) in 2001/2002, addressing four intervention levels (Hegerl et al. Psychol Med 2006;36:1225). Based on the positive results of the Nuremberg project (a significant reduction of suicidal behaviour by more than 20%) 18 international partners representing 16 different European countries established the 'European Alliance Against Depression' (EAAD) in 2004. Based on the four-level approach of the Nuremberg project, all regional partners initiated respective regional intervention programmes addressing depression and suicidality. Evaluation of the activities takes place on regional and international levels. This paper gives a brief overview of the background for and experiences with the EAAD. It describes the components of the programme, provides the rationale for the intervention and outlines the current status of the project. The aim of the paper is to disseminate information about the programme's potential to reduce suicidal behaviour and to provide examples of how European community-based 'best practice' models for improving the care of depressed patients and suicidal persons can be implemented using a bottom-up approach. EAAD is mentioned by the European commission as a best practice example within the Green Paper 'Improving the mental health of the population: Towards a strategy on mental health for the European Union' (European Commission 2005).
迫切需要制定行动方案，促进建立伙伴关系，汇聚地区和国家当局，以推动对抑郁症患者的护理。2001年，“纽伦堡抗抑郁联盟”作为大规模“德国抑郁症与自杀研究网络”（“抑郁症、自杀倾向”能力网络）内的一个社区示范项目启动。“纽伦堡抗抑郁联盟”是一项于2001年/2002年在纽伦堡市（50万居民）开展的行动方案，涉及四个干预层面（赫格尔等人，《心理医学》2006年；36:1225）。基于纽伦堡项目的积极成果（自杀行为显著减少超过20%），来自16个不同欧洲国家的18个国际伙伴于2004年成立了“欧洲抗抑郁联盟”（EAAD）。基于纽伦堡项目的四级方法，所有地区伙伴都启动了各自针对抑郁症和自杀倾向的地区干预方案。对各项活动的评估在地区和国际层面进行。本文简要概述了欧洲抗抑郁联盟的背景和经验。它描述了该方案的组成部分，提供了干预的基本原理，并概述了项目的现状。本文的目的是传播有关该方案减少自杀行为潜力的信息，并提供示例，说明如何采用自下而上的方法实施基于欧洲社区的“最佳实践”模式，以改善对抑郁症患者和有自杀倾向者的护理。欧洲抗抑郁联盟在欧洲委员会的绿皮书《改善民众心理健康：迈向欧盟心理健康战略》（欧洲委员会，2005年）中被提及为最佳实践范例。
