Werdin Sophia, Hollenstein Eva, Wyss Kaspar
Swiss Centre for International Health, Swiss Tropical and Public Health Institute, Allschwil, Switzerland.
University of Basel, Basel, Switzerland.
Public Health Rev. 2025 Apr 1;46:1607824. doi: 10.3389/phrs.2025.1607824. eCollection 2025.
Suicide prevention requires evidence-based measures at all prevention levels, embedded in coordinated and sustainable efforts. This policy brief aims to promote the long-term integration of project-based suicide prevention initiatives into the health system. We identify key facilitators and barriers to project sustainability and provide actionable recommendations for advancement.
This policy brief integrates evidence from a narrative review, a qualitative study with 36 suicide prevention experts, and ongoing evaluation research on suicide prevention projects to assess sustainability determinants and associated challenges. Key barriers to sustainability include evaluation gaps, insufficient collaboration, limited stakeholder awareness, organizational challenges, and financial constraints.
To promote the sustainability of suicide prevention projects in Switzerland, we recommend: 1. Establishing a national suicide prevention website with resources and good practices. 2. Creating a guideline for multi-level collaboration and stakeholder engagement. 3. Involving target groups in project design, implementation, and evaluation. 4. Developing a sustainable financing plan early on.
Implementing these recommendations can enhance access to structured information, foster multi-level collaboration, raise awareness, and optimize resource allocation, thereby strengthening suicide prevention in Switzerland.
预防自杀需要在各级预防层面采取基于证据的措施，并融入协调一致且可持续的努力之中。本政策简报旨在推动将基于项目的自杀预防举措长期纳入卫生系统。我们确定了项目可持续性的关键促进因素和障碍，并提供了可采取行动的推进建议。
本政策简报整合了来自叙述性综述、对36位自杀预防专家的定性研究以及对自杀预防项目的持续评估研究的证据，以评估可持续性决定因素及相关挑战。可持续性的关键障碍包括评估差距、协作不足、利益相关者意识有限、组织挑战和资金限制。
为促进瑞士自杀预防项目的可持续性，我们建议：1. 建立一个提供资源和良好实践的国家自杀预防网站。2. 制定一份关于多层次协作和利益相关者参与的指南。3. 让目标群体参与项目设计、实施和评估。4. 尽早制定可持续的融资计划。
实施这些建议可增加获取结构化信息的机会，促进多层次协作，提高认识并优化资源分配，从而加强瑞士的自杀预防工作。
