Skip to main content
Log in

Vom Kompetenznetz Depression, Suizidalität zur Stiftung Deutsche Depressionshilfe

Nationale und internationale Suizidprävention und Versorgungsoptimierung unter Nutzung neuer Medien

From the Competence Network on Depression and Suicidality to the German Depression Foundation

National and international prevention of suicidal behaviour and optimizing health care through using of E‑Mental-Health

  • Leitthema
  • Published:
Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz Aims and scope

Zusammenfassung

Depressive Erkrankungen sind aufgrund ihrer Häufigkeit, Schwere, ökonomischen Auswirkungen und als Hauptursache der jährlich ca. 10.000 Suizide in Deutschland von enormer Bedeutung. Große Verbesserungsspielräume ergeben sich aus der Tatsache, dass gute Behandlungen zur Verfügung stehen, diese wegen beträchtlicher diagnostischer und therapeutischer Defizite nur von einer kleinen Minderheit der Betroffenen optimal genutzt werden. Das Kompetenznetz Depression, Suizidalität lieferte mehrere evidenzbasierte Konzepte zur optimierten Versorgung depressiv Erkrankter und zur Prävention suizidaler Handlungen. Insbesondere das 4‑Ebenen-Interventionskonzept der Bündnisse gegen Depression ist bereits von mehr als 100 Regionen in und außerhalb von Europa übernommen worden. Durch die Gründung der Stiftung Deutsche Depressionshilfe und der European Alliance Against Depression konnten die Strukturen des Kompetenznetzes verstetigt werden und Forschung national und international ausgebaut werden – seit 2014 mit einem eigenen Forschungszentrum Depression. Dabei finden Forschungsprojekte im Bereich E‑Mental-Health besondere Beachtung.

Abstract

Depression is a very common, severe, socio-economically highly relevant disorder and the main cause for approximately 10,000 suicides in Germany annually. There is capital room for improvement and optimization of the care for depressed patients, as effective and evidence-based treatment options are available. However, they are only used optimally by a minority of the people affected due to huge diagnostic and therapeutic deficits. The “Compentence Network on Depression and Suicidality” provided several evidence-based concepts to improve care for patients affected by depression and to prevent suicidal behaviour. Especially the four-level intervention approach of the Alliances Against Depression has been successfully adapted and implemented by more than 100 regions within Europe and globally as well. The infrastructure of the Competence Network could be efficiently sustained throughout the establishment of the German Depression Foundation and the European Alliance against Depression. Since 2014, all research activities have been extended nationally and internationally by the establishment of a Depression Research Centre with a special focus on various E‑Mental-Health-projects.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Abb. 1
Abb. 2
Abb. 3

Literatur

  1. Jacobi F et al (2014) Twelve-month prevalence, comorbidity and correlates of mental disorders in Germany: the Mental Health Module of the German Health Interview and Examination Survey for Adults (DEGS1-MH). Int J Method Psychiatr Res 23(3):304–319

    Article  Google Scholar 

  2. Wendy T (2011) Lifting the shroud on depression and premature mortality: A 49-year follow-up study. J Affect Disord 130:60–65

    Article  Google Scholar 

  3. Statistisches Bundesamt (2015) Todesursachenstatistik. http://www.gbe-bund.de/stichworte/Todesursachenstatistik.html. Zugegriffen: 02. September 2015

    Google Scholar 

  4. World Health Organization (2014) Preventing suicide. A global imperative. World Health Organization, Geneva

    Google Scholar 

  5. Arsenault-Lapierre G, Kim C, Turecki G (2004) Psychiatric diagnoses in 3275 suicides: a meta-analysis. BMC Psychiatry 4:37

    Article  Google Scholar 

  6. Cavanagh JTO, Carson AJ, Sharpe M et al (2003) Psychological autopsy studies of suicide: a systematic review. Psychol Med 33:395–405

    Article  CAS  Google Scholar 

  7. Hegerl U, Rummel-Kluge C, Värnik A et al (2013) Alliances against Depression – a community based approach to target depression and to prevent suicidal behaviour. Neurosci Biobehav Rev 37:2404–2409

    Article  Google Scholar 

  8. Hegerl U, Althaus D, Schmidtke A et al (2006) The Alliance against Depression: two year evaluation of a community based intervention to reduce suicidality. Psychol Med 36:1225–1234

    Article  Google Scholar 

  9. Hegerl U, Mergl R, Havers I et al (2010) Sustainable effects on suicidality were found for the Nuremberg alliance against depression. Eur Arch Psychiatry Clin Neurosci 260:401–406

    Article  Google Scholar 

  10. Székely A, Konkoly-Thege B et al (2013) How to decrease suicide rates in both genders? An effectiveness study of a community-based intervention (EAAD). PLOS ONE 8(9):e75081

    Article  Google Scholar 

  11. Hegerl U, Wittenburg L, Arensmann E et al (2009) Optimizing suicide prevention programs and their implementation in Europe (OSPI-Europe): An evidence-based multi-level approach. BMC Public Health 9:428

    Article  Google Scholar 

  12. Hegerl U, Niedermeier N (2010) Chancen und Risiken des Internets für psychisch kranke Menschen. In: Burda H, Döpfner M, Hombach B, Rüttgers J (Hrsg) 2020 – Gedanken zur Zukunft des Internets. Klartext, Essen, S 61–66

    Google Scholar 

  13. Blume A, Mergl R, Niedermeier N et al (2009) Evaluation eines Online-Diskussionsforums für an Depression Erkrankte und Angehörige – eine Untersuchung zu Motiven und Auswirkungen der Teilnahme. Neuropsychiatrie 23:42–51

    PubMed  Google Scholar 

  14. Kessler D, Lewis G, Kaur S et al (2009) Therapist-delivered internet psychotherapy for depression in primary care: a randomized controlled trial. Lancet 374:628–634

    Article  Google Scholar 

  15. Ruwaard J, Schrieken B, Schrijver M (2009) Standardized web-based cognitive behavioural therapy of mild to moderate depression: a randomized controlled trial with a long-term follow-up. Cogn Behav Ther 38(4):206–221

    Article  Google Scholar 

  16. National Institute for Health and Clinical Excellence (2009) Depression in adults: the treatment and management of depression in adults. NICE Clinical Guideline 2009. https://www.nice.org.uk/guidance/cg90. Zugegriffen: 06. Oktober 2015

    Google Scholar 

  17. Benedetti F, Colombo C (2011) Sleep deprivation in mood disorders. Neuropsychobiology 64(3):141–151

    Article  Google Scholar 

  18. Hegerl U, Hensch T (2014) The vigilance regulation model of affective disorders and ADHD. Neurosci Biobehav Rev 44:45–57

    Article  Google Scholar 

  19. Giedke H, Schwärzler F (2002) Therapeutic use of sleep deprivation in depression. Sleep Med Rev 6(5):361–377

    Article  Google Scholar 

  20. Bermejo I, Schneider F, Kriston L et al (2009) Improving outpatient care of depression by implementing practice guidelines: a controlled clinical trial. Int J Qual Health Care 21(1):29–36

    Article  Google Scholar 

  21. Hegerl U, Hautzinger M, Mergl R et al (2009) Effects of pharmaco- and psychotherapy in depressed primary care patients. A randomized, controlled trial including a patient choice arm. Int J Neuropsychopharmacol 13:31–44

    Article  Google Scholar 

  22. Lauterbach E, Ahrens B, Felber W et al (2005) Suicide prevention by lithium SUPLI - challenges of a multi-center prospective study. Arch Suicide Res 9(1):27–34

    Article  Google Scholar 

  23. Müller MJ, Dragicevic A, Fric M et al (2003) Therapeutic drug monitoring of tricyclic antidepressants: how does it work under clinical conditions? Pharmacopsychiatry 36(3):98–104

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Ulrich Hegerl.

Ethics declarations

Interessenkonflikt

Innerhalb der letzten drei Jahre war Prof. Dr. Ulrich Hegerl Mitglied in den Advisory Boards von Lundbeck, Takeda Pharmaceuticals, Servier und Otsuka Pharma, ein Berater für Bayer Pharma und Referent für Bristol-Myers Squipp, Medice Arzneimittel, Novartis und Roche Pharma. PD Dr. Christine Rummel-Kluge erhielt Vortragshonorare von Servier und Janssen-Cilag. I. Heinz gibt an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Hegerl, U., Rummel-Kluge, C. & Heinz, I. Vom Kompetenznetz Depression, Suizidalität zur Stiftung Deutsche Depressionshilfe. Bundesgesundheitsbl. 59, 406–411 (2016). https://doi.org/10.1007/s00103-016-2310-2

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00103-016-2310-2

Schlüsselwörter

Keywords

Navigation