Effects of training program on recognition and management of depression and suicide risk evaluation for Slovenian primary-care physicians: follow-up study
To implement and evaluate an educational program for primary care physicians on recognition and treatment of depression and suicide prevention. The study was conducted in 3 Slovenian neighboring regions (Celje, Ravne na Koroskem, and Podravska) with similar suicide rates and other health indicators....
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| Veröffentlicht in: | Croatian medical journal 2010-06, Vol.51 (3), p.237-242 |
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| container_title | Croatian medical journal |
| container_volume | 51 |
| creator | Roskar, Saska Podlesek, Anja Zorko, Maja Tavcar, Rok Dernovsek, Mojca Zvezdana Groleger, Urban Mirjanic, Milan Konec, Nusa Janet, Evgen Marusic, Andrej |
| description | To implement and evaluate an educational program for primary care physicians on recognition and treatment of depression and suicide prevention.
The study was conducted in 3 Slovenian neighboring regions (Celje, Ravne na Koroskem, and Podravska) with similar suicide rates and other health indicators. All primary care physicians from Celje (N=155) and Ravne na Koroskem (N=35) were invited to participate in the educational program on depression treatment and suicide risk recognition. From January to March 2003, approximately half of them (82 out of 190; educational group) attended the program, whereas the other half (108 out of 190; control group 1) and physicians from the Podravska region (N=164; control group 2) did not attend the program. The prescription rates of antidepressants and anxiolytics before and after the intervention were compared between the studied regions. Also, suicide rates three-years before and after the intervention were compared.
From 2002 to 2003, there was a 2.33-fold increase in the rate of antidepressant prescriptions in the educational group (P |
| doi_str_mv | 10.3325/cmj.2010.51.237 |
| format | Article |
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The study was conducted in 3 Slovenian neighboring regions (Celje, Ravne na Koroskem, and Podravska) with similar suicide rates and other health indicators. All primary care physicians from Celje (N=155) and Ravne na Koroskem (N=35) were invited to participate in the educational program on depression treatment and suicide risk recognition. From January to March 2003, approximately half of them (82 out of 190; educational group) attended the program, whereas the other half (108 out of 190; control group 1) and physicians from the Podravska region (N=164; control group 2) did not attend the program. The prescription rates of antidepressants and anxiolytics before and after the intervention were compared between the studied regions. Also, suicide rates three-years before and after the intervention were compared.
From 2002 to 2003, there was a 2.33-fold increase in the rate of antidepressant prescriptions in the educational group (P<0.05) and only 1.28-fold (P<0.05) and 1.34-fold (P<0.05) increase in control groups 1 and 2, respectively. However, the 12% decrease in suicide rate in the intervention regions was not significantly greater than the 4% decrease in the non-intervention region (P>0.05).
Our training program was beneficial for primary care physicians' ability to recognize and manage depression. However, there was no significant decrease in local suicide rates.</description><identifier>ISSN: 0353-9504</identifier><identifier>EISSN: 1332-8166</identifier><identifier>DOI: 10.3325/cmj.2010.51.237</identifier><identifier>PMID: 20564767</identifier><language>eng</language><publisher>Croatia: Sveuciliste U Zagrebu</publisher><subject>Care and treatment ; Depression - diagnosis ; Depression - therapy ; Depression, Mental ; Follow-Up Studies ; Humans ; Management ; Medical personnel ; Observations ; Physicians, Family - education ; Prevention ; Primary health care ; Program Evaluation ; Public Health ; Risk Assessment ; Slovenia ; Suicidal behavior ; Suicide ; Suicide - prevention & control ; Training</subject><ispartof>Croatian medical journal, 2010-06, Vol.51 (3), p.237-242</ispartof><rights>COPYRIGHT 2010 Sveuciliste U Zagrebu</rights><rights>Copyright © 2010 by the Croatian Medical Journal. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c588t-7cb0818b62a11b6b91f1e5519c9dbbf0d13497ef1c62a54c80d1f6f03f511bef3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC2897091/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC2897091/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,724,777,781,861,882,27905,27906,53772,53774</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20564767$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Roskar, Saska</creatorcontrib><creatorcontrib>Podlesek, Anja</creatorcontrib><creatorcontrib>Zorko, Maja</creatorcontrib><creatorcontrib>Tavcar, Rok</creatorcontrib><creatorcontrib>Dernovsek, Mojca Zvezdana</creatorcontrib><creatorcontrib>Groleger, Urban</creatorcontrib><creatorcontrib>Mirjanic, Milan</creatorcontrib><creatorcontrib>Konec, Nusa</creatorcontrib><creatorcontrib>Janet, Evgen</creatorcontrib><creatorcontrib>Marusic, Andrej</creatorcontrib><title>Effects of training program on recognition and management of depression and suicide risk evaluation for Slovenian primary-care physicians: follow-up study</title><title>Croatian medical journal</title><addtitle>Croat Med J</addtitle><description>To implement and evaluate an educational program for primary care physicians on recognition and treatment of depression and suicide prevention.
The study was conducted in 3 Slovenian neighboring regions (Celje, Ravne na Koroskem, and Podravska) with similar suicide rates and other health indicators. All primary care physicians from Celje (N=155) and Ravne na Koroskem (N=35) were invited to participate in the educational program on depression treatment and suicide risk recognition. From January to March 2003, approximately half of them (82 out of 190; educational group) attended the program, whereas the other half (108 out of 190; control group 1) and physicians from the Podravska region (N=164; control group 2) did not attend the program. The prescription rates of antidepressants and anxiolytics before and after the intervention were compared between the studied regions. Also, suicide rates three-years before and after the intervention were compared.
From 2002 to 2003, there was a 2.33-fold increase in the rate of antidepressant prescriptions in the educational group (P<0.05) and only 1.28-fold (P<0.05) and 1.34-fold (P<0.05) increase in control groups 1 and 2, respectively. However, the 12% decrease in suicide rate in the intervention regions was not significantly greater than the 4% decrease in the non-intervention region (P>0.05).
Our training program was beneficial for primary care physicians' ability to recognize and manage depression. However, there was no significant decrease in local suicide rates.</description><subject>Care and treatment</subject><subject>Depression - diagnosis</subject><subject>Depression - therapy</subject><subject>Depression, Mental</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Management</subject><subject>Medical personnel</subject><subject>Observations</subject><subject>Physicians, Family - education</subject><subject>Prevention</subject><subject>Primary health care</subject><subject>Program Evaluation</subject><subject>Public Health</subject><subject>Risk Assessment</subject><subject>Slovenia</subject><subject>Suicidal behavior</subject><subject>Suicide</subject><subject>Suicide - prevention & control</subject><subject>Training</subject><issn>0353-9504</issn><issn>1332-8166</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkktv1DAURiMEokNhzQ5ZQoJVpnYc58GiUlWVh1SJBbC2HOc64-LYg50Mmr_Cr-VOZ_qSkEqySHJ9vuMk92bZa0aXnBfiRI9Xy4Lik2DLgtdPsgXDet6wqnqaLSgXPG8FLY-yFyldUVrQsqyeZ0cFFVVZV_Ui-3NhDOgpkWDIFJX11g9kHcMQ1UiCJxF0GLydLN4r35NReTXACH7aJXpYR0jpZjHNVtseSLTpJ4GNcrO6DpoQyTcXNuCt8mi3o4rbXKsIZL3aJgwpnz4g5lz4nc9rkqa5377MnhnlErw6XI-zHx8vvp9_zi-_fvpyfnaZa9E0U17rjjas6apCMdZVXcsMAyFYq9u-6wztGS_bGgzTSIhSN1gxlaHcCOTB8OPsdO9dz90IvcZvi8rJw2vKoKx8uOLtSg5hI4umrWnLUPD-IIjh1wxpkqNNGpxTHsKcZM3xKMU1-XZPDsqBtN4EFOodLc-wfYyLqhWPULxAUd0itfwHhWcPo9XBg7FYf6D9z8DdDu_uBVag3LRKwc27nqaH5kfAO-PJHtQxpBTB3P5lRuVuoCUOtNwNtBRM4gaYeHO_Obf8zQTzv4ZI8kM</recordid><startdate>20100601</startdate><enddate>20100601</enddate><creator>Roskar, Saska</creator><creator>Podlesek, Anja</creator><creator>Zorko, Maja</creator><creator>Tavcar, Rok</creator><creator>Dernovsek, Mojca Zvezdana</creator><creator>Groleger, Urban</creator><creator>Mirjanic, Milan</creator><creator>Konec, Nusa</creator><creator>Janet, Evgen</creator><creator>Marusic, Andrej</creator><general>Sveuciliste U Zagrebu</general><general>Croatian Medical Schools</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20100601</creationdate><title>Effects of training program on recognition and management of depression and suicide risk evaluation for Slovenian primary-care physicians: follow-up study</title><author>Roskar, Saska ; Podlesek, Anja ; Zorko, Maja ; Tavcar, Rok ; Dernovsek, Mojca Zvezdana ; Groleger, Urban ; Mirjanic, Milan ; Konec, Nusa ; Janet, Evgen ; Marusic, Andrej</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c588t-7cb0818b62a11b6b91f1e5519c9dbbf0d13497ef1c62a54c80d1f6f03f511bef3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Care and treatment</topic><topic>Depression - diagnosis</topic><topic>Depression - therapy</topic><topic>Depression, Mental</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Management</topic><topic>Medical personnel</topic><topic>Observations</topic><topic>Physicians, Family - education</topic><topic>Prevention</topic><topic>Primary health care</topic><topic>Program Evaluation</topic><topic>Public Health</topic><topic>Risk Assessment</topic><topic>Slovenia</topic><topic>Suicidal behavior</topic><topic>Suicide</topic><topic>Suicide - prevention & control</topic><topic>Training</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Roskar, Saska</creatorcontrib><creatorcontrib>Podlesek, Anja</creatorcontrib><creatorcontrib>Zorko, Maja</creatorcontrib><creatorcontrib>Tavcar, Rok</creatorcontrib><creatorcontrib>Dernovsek, Mojca Zvezdana</creatorcontrib><creatorcontrib>Groleger, Urban</creatorcontrib><creatorcontrib>Mirjanic, Milan</creatorcontrib><creatorcontrib>Konec, Nusa</creatorcontrib><creatorcontrib>Janet, Evgen</creatorcontrib><creatorcontrib>Marusic, Andrej</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Croatian medical journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Roskar, Saska</au><au>Podlesek, Anja</au><au>Zorko, Maja</au><au>Tavcar, Rok</au><au>Dernovsek, Mojca Zvezdana</au><au>Groleger, Urban</au><au>Mirjanic, Milan</au><au>Konec, Nusa</au><au>Janet, Evgen</au><au>Marusic, Andrej</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effects of training program on recognition and management of depression and suicide risk evaluation for Slovenian primary-care physicians: follow-up study</atitle><jtitle>Croatian medical journal</jtitle><addtitle>Croat Med J</addtitle><date>2010-06-01</date><risdate>2010</risdate><volume>51</volume><issue>3</issue><spage>237</spage><epage>242</epage><pages>237-242</pages><issn>0353-9504</issn><eissn>1332-8166</eissn><abstract>To implement and evaluate an educational program for primary care physicians on recognition and treatment of depression and suicide prevention.
The study was conducted in 3 Slovenian neighboring regions (Celje, Ravne na Koroskem, and Podravska) with similar suicide rates and other health indicators. All primary care physicians from Celje (N=155) and Ravne na Koroskem (N=35) were invited to participate in the educational program on depression treatment and suicide risk recognition. From January to March 2003, approximately half of them (82 out of 190; educational group) attended the program, whereas the other half (108 out of 190; control group 1) and physicians from the Podravska region (N=164; control group 2) did not attend the program. The prescription rates of antidepressants and anxiolytics before and after the intervention were compared between the studied regions. Also, suicide rates three-years before and after the intervention were compared.
From 2002 to 2003, there was a 2.33-fold increase in the rate of antidepressant prescriptions in the educational group (P<0.05) and only 1.28-fold (P<0.05) and 1.34-fold (P<0.05) increase in control groups 1 and 2, respectively. However, the 12% decrease in suicide rate in the intervention regions was not significantly greater than the 4% decrease in the non-intervention region (P>0.05).
Our training program was beneficial for primary care physicians' ability to recognize and manage depression. However, there was no significant decrease in local suicide rates.</abstract><cop>Croatia</cop><pub>Sveuciliste U Zagrebu</pub><pmid>20564767</pmid><doi>10.3325/cmj.2010.51.237</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 0353-9504 |
| ispartof | Croatian medical journal, 2010-06, Vol.51 (3), p.237-242 |
| issn | 0353-9504 1332-8166 |
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| source | MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central |
| subjects | Care and treatment Depression - diagnosis Depression - therapy Depression, Mental Follow-Up Studies Humans Management Medical personnel Observations Physicians, Family - education Prevention Primary health care Program Evaluation Public Health Risk Assessment Slovenia Suicidal behavior Suicide Suicide - prevention & control Training |
| title | Effects of training program on recognition and management of depression and suicide risk evaluation for Slovenian primary-care physicians: follow-up study |
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