General principles of prevention

Broadly there are two approaches to suicide prevention.(23) As described by Rose(24) in the context of prevention of health problems in general, one can distinguish between population preventive strategies, which aim to decrease risk in the population as a whole, and high-risk preventive strategies, in which specific groups that are at increased risk are targeted. High-risk strategies often appear more attractive and realistic (e.g. identification of psychiatric patients at high risk). However, risk factors for many disorders are widely spread in the population and so the high-risk strategy tends to exclude a large number of people at moderate risk and is often ineffective in reducing the burden of a disease at the population level. On the other hand, population strategies may appear more difficult to achieve (e.g. generally improving the mental health of the population) but are more likely to be effective in reducing population levels of disease (see also Chapter,Z:.,4). The main population and high-risk strategies in the prevention of suicide and attempted suicide which are considered here are shown in Ta.bIe.J6..

PofHJULKHt hirX-Eirf h

Hcri-j-:□ AjUijroJ nx j-\ uih fir»"! ^ pnn»t ("I


-K-J-r^ if v.*-. l*(l it!K,-LV+ MfWi M^k riiL blrjicf+i ftL-rti —Iti 6rtt4n 1

H^-pUr EKEifnlfcraJf-D-^b fancm-i.

Table 6 Strategies for prevention of suicide and attempted suicide

Break Free From Passive Aggression

Break Free From Passive Aggression

This guide is meant to be of use for anyone who is keen on developing a better understanding of PAB, to help/support concerned people to discover various methods for helping others, also, to serve passive aggressive people as a tool for self-help.

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