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Tool Information
Title European Alliance Against Depression (EAAD)
Settings Workplace
MHP Steps
URL www.eaad.net
Publication Information ALTHAUS D, HEGERL U (2003): The evaluation of suicide preventive activities: state of the art. World J Biol Psychiatry 4: 156-165. HEGERL U, ALTHAUS D, SCHMIDTKE A, NIKLEWSKI G (2006). The alliance against depression: 2-year evaluation of a community-based intervention to reduce suicidality. Psychol Med 36(9): 1225-33 HEGERL U, ALTHAUS D, STEFANEK J (2003): Public attitudes towards treatment of depression: effects of an information campaign. Pharmacopsychiat 36: 288-291 HEGERL U, WITTMANN M, ARENSMAN E, VAN ADENHOVE C, BOULEAU J-H, VAN DER FELTZ-CORNELIS, GUSMAO R, KOPP M, LÖHR C, MAXWELL M, MEISE U, MIRJANIC M, OSKARSSON H, PEREZ SOLA V, PULL C, PYCHA R, RICKA R, TUULARI J, VÄRNIK A, PFEIFFER-GERSCHEL T: The ‘European Alliance Against Depression (EAAD)’: A multifaceted, community-based action programme against depression and suicidality. World J Biol Psychiatry, 9(1), 51-59. WITTENBURG L, GOTTLEBE K, ARENSMAN E, VAN AUDENHOVE C, BOULEAU J-H, VAN DER FELTZ-CORNELIS CM, GIUPPONI G, GUSMAO R, KOPP M, MARUSIC A, MAXWELL M, MEISE U, OSKARSSON H, PULL C, SCHMIDTKE A, PÉREZ SOLA V, TUULARI J, VÄRNIK A, HEGERL U (submitted). The European Alliance Against Depression: A multilevel approach to the prevention of suicidal behavior. Psychiatric Services
Country of Origin Germany
Languages English | German
Tool Description The “European Alliance Against Depression (EAAD)” is committed to the care of depressed patients and prevention of suicidality in Europe. This aim is being realised by implementing community-based intervention programmes on four different levels. Co-operation with general practitioners and paediatricians: GPs and paediatricians are invited to educational workshops on how to recognise and treat depression and explore suicidality in the primary care setting. Information material (e.g. video tapes) are distributed that can be handed out to patients. Via a hotline GPs and paediatricians can consult a specialist concerning the treatment of individual cases of depression in their practice. Public Awareness Campaign: The broad public will be addressed by large-scaled public awareness campaigns including posters, cinema spots, information leaflets, brochures, public events and internet homepages. The aim is to improve the knowledge about adequate treatments of depression and to reduce the stigmatisation of the topic “depression” and the affected individuals. A close co-operation with the media takes place to strengthen the public discussion. Special guidelines on media coverage of suicidality are distributed to prevent imitative suicides. Training sessions for multipliers: Educational workshops are provided to various target groups ( e.g. health care professionals, priests, counsellors, police) playing an important role in disseminating knowledge about depressive disorders. Particular emphasis is put on special offers for parents, youth workers and teachers in order to reach children and adolescents suffering from depression, deliberate self harm and suicidal behaviour (e.g. information sessions and prevention programmes in schools). Offers for high risk groups and self-help activities: "Emergency Cards” are handed out to high risk groups, first of all young people in adolescent crisis and persons after suicide attempt) guaranteeing direct access to professional help in a suicidal crisis. Initiatives are started to found regional self-help groups and support them with expert advice. Partnerships with patient associations are being established and intensified.
Application in the Field
Tool mainly used in
Stage of Development
Evaluation and Research
Beneficiary Involvement in Design
Evaluation Yes
Evaluation Description

The community-based intervention programme was implemented in a pilot study in Nuremberg and showed clearly effective in reducing suicidality and in improving the care of depressed patients. Compared to the control region, a significant reduction in frequency of suicidal acts was observed in Nuremberg during the 2-year intervention (2001 vs. 2000: -19.4%; P<0.1; 2002 vs. 2000: -24%, P<0.005). Considering suicide attempts only (secondary outcome criterion), the same effect was found (2001 vs. 2000: -18.3%, P<0.05; 2002 vs. 2000: -26.5%, P<0.001). The reduction was most noticeable for high-risk methods (e.g. hanging, jumping, shooting). Additional analyses of the year after the end of the intervention (2003) revealed a further reduction of the frequency of suicidal acts in Nuremberg (2003 vs. 2000; -32.2%; P<0.001) (Hegerl et al., 2006). Further analyses (changes in media coverage, changes in prescription of antidepressants) supported the efficiency of the intervention programme, whereas no systematic effects on public attitude towards depression were detected (Hegerl et al. 2003).

Available Formats Other
Free No
Restrictions on Use Yes
Tool Focus Individual and Organisation
Tool Type Other
Download(s)
  1. Hegerl et al., 2008 - 785 KB
Contact Details
Contact Name EAAD Project Office, University Leipzig, Prof. Dr. Ulrich Hegerl
Organisation Name University Leipzig, Department of Psychiatry
Email info@eaad.net
Telephone +49-341-97-24583
Address Semmelweisstraße 10 , 04103 Leipizg
Country Germany

ICF Core Set

ICF - Core Set

b - Body Functions
Code Element
b110, b114 Consciousness and Orientation
b117, b160, b164 Intellectual, Thought and Higher-Level Cognitive Functions
b122 Global Psychosocial Functioning
b126 Temperament and Personality
b130 Energy, Drive and Sleep Functions
b140, b144 Attention and Memory
b147 Psychomotor Functioning
b152 Emotional Functioning
b156 Perceptual Functioning
b180 Experience of Self and Time
d - Activities and Participation
Code Element
d160, d163, d166,d170,d172 Applying Knowledge -Focusing Attention, Thinking, Reading, Writing, Calculating
d175, d177 Solving Problems and Making Decisions
d230 Carrying out Daily Routine
d240 Handling Stress and Other Psychological Demands
d310, d315, d325, d330, d335, Effective Communicating
d710, d720, Basic and Complex Interpersonal Interactions
d730, d740, d750, d770 Relationships - Strangers, Formal, Informal Social, Intimate
d760 Family Relationships
d825 Vocational Training
d845 Acquiring, keeping and terminating a job
d855 d910 Community Life and Engagement
d870 Economic Self-Sufficiency
d920 Recreation and Leisure
d930 Religion and Spirituality
d940 d950 Human Rights & Political Life and Citizenship
e - Environmental Factors
Code Element
e120, e125, e130 Assistive and Augmentative Technology for Personal Mobility, Communications and Education
e310, e315, e320, e325, e330, e340, e355, e360 Physical and Emotional Support
e410, e415, e420, e425, e430, e440, e450,e455 Attitudes of individuals
e460 Societal Attitudes
e465 Social Norms, Practices and Ideologies
e525, e530, e570, e575 Services, Systems and Policies - Housing, Utilities, General Social Support
e560 Media Services, Systems and Policies
e570 Social Security Systems and Policies
e580 Health Services, Systems and Policies
e585 Education and Training Services, Systems and Policies
e590 Workplace Services, Systems and Policies
ICD10 - ICD10
Code Element
FGP General Population
F00-F09 Organic & Neurological (Dementia in Alzheimers Disease)
F10-F19 Mental Health Conditions due to Substance Misuse
F20-F59 & F80-F99 Mental Health Conditions
F70-F79 Intellectual Impairment

Mental Health and Promotion Categories

Or1 - Policies

Or11 - Health and Safety
Code Element
Or11.1 Stress Prevention
Or11.2 Critical Incident Management
Or11.3 Occupational Health
Or11.4 Anti-Bullying and Anti-Harassment
Or11.5 Anti-Drugs and Anti-Alcohol Abuse
Or11.6 Anti-Smoking
Or11.7 Anti-Violence and Crime (including Sexual)
Or11.8 Prevention of Child Abuse
Or11.9 Discipline
Or12 - Health Promotion Policy
Code Element
Or12.1 Mental
Or12.2 Physical (e.g. Healthy Eating, Physical Activity, Recreation)
Or13 - Quality Systems
Code Element
Or14 - Values & Ethics
Code Element
Or15 - Training and Development
Code Element
Or16 - Human Resource Policies
Code Element
Or16.1 Work-Life Balance Policy
Or16.2 Age Management Policy
Or16.3 Broad Focus Absenteeism Policy
Or16.4 Return to Work/School Policy
Or16.5 Disability Management Policy
Or16.6 Diversity Management Policy
Or16.7 Integration
Or16.8 Corporate Social Responsibility
Or17 - Pharmaceutical Policy
Code Element

Or2 - Enablers

Or21 - Ethos/ Culture
Code Element
Or21.1 Mission, Vision, Values, Traditions
Or21.2 Participation
Or21.3 Empowerment
Or21.4 Person Centred Approach
Or21.5 Interaction Climate
Or21.6 Social Atmosphere
Or21.7 Bullying and Harassment/Abuse
Or22 - Student Support
Code Element
Or23 - Management Style
Code Element
Or23.1 Participative
Or23.2 Supportive
Or23.3 Partnerships
Or23.4 Feedback Considered
Or23.5 Management Leadership of MHP
Or24 - Staff
Code Element
Or24.1 Roles and Responsibilities
Or24.2 Healthcare
Or24.3 Ratios
Or24.4 Attitudes
Or24.5 Training and Development
Or24.6 Commitment and Resources
Or24.7 Partnerships - Management and Staff
Or24.8 Involvement in Change

Or3 - Processes/ Implementation

Or31 - Organisational Processes
Code Element
Or31.1 Whole Organisation Planning
Or31.2 Job Design
Or31.3 Individualised Plans
Or31.4 Shift Work
Or31.5 Education Processes
Or31.6 Flexible Work Patterns/ Work-Life Balance
Or31.7 Work Organisation
Or31.8 Job Enrichment
Or31.9 Feedback Considered
Or31.10 Parent-Teacher Meetings
Or31.11 Peer Support
Or31.12 Supervision
Or31.13 Parent, Teacher and Student Committee
Or31.14 Communications Practice
Or31.15 Interactive e-Communication (Online)
Or31.16 Health and Safety Hazard Control
Or31.17 Care Processes
Or31.18 Family Involvement
Or31.19 Housekeeping Processes
Or31.20 Nutrition Processes
Or32 - Health Promotion Processes
Code Element
Or32.1 Health Needs Assessment
Or32.2 Health Planning
Or32.3 Evaluation of Health Promotion Actions
Or32.4 Risk Assessment
Or32.9 Marketing of MHP

Or4 - Performance/ Outcomes

Or41 - Health Benefits
Code Element
Or41.1 Physical
Or41.2 Mental
Or42 - Organisational Benefits
Code Element
Or42.1 Organisational Performance
Or42.2 Satisfaction of Beneficiaries
Or42.3 Effects on Educational Success
Or42.4 Effects on Absence
Or43 - Individual Benefits
Code Element
Or43.1 Beneficiary Wellbeing
Or43.2 Individual Performance
Or43.3 Motivation
Or43.4 Quality of Life
Or43.5 Independence and choice
Or43.6 Attendance
Or43.7 Job Satisfaction
Or44 - Social Benefits
Code Element
Or44.1 Staff, Student or Client Morale
Or44.2 Mutual Support
Or44.3 Social Integration

En1 - Infrastructure

En11 - Physical Environment
Code Element
En11.1 Buildings
En11.2 Exposures
En11.3 Quality of Living Space
En11.4 Proximity to the Community
En12 - Facilities
Code Element
En12.1 Sports, Leisure and Recreation Facilities
En12.2 Provision of Health Promotion Facilities
En12.3 Support of Health Promotion Facilities
En12.4 Health and Safety Services & Professionals
En12.5 Committee on MH Protection and Promotion
En12.6 Professional Support
En13 - Information and Assistive Technology
Code Element
En14 - Workstations
Code Element
En14.1 Physical Ergonomics
En14.2 Cognitive Ergonomics

En2 - Social Networks

En21 - Formal and Informal Relations
Code Element
En21.1 Peer Support Programme
En21.2 Peer Mentoring
En21.3 Peers
En21.4 Sports & Recreation Programme
En21.5 Social Activities/Leisure Programme/Team Events
En21.6 ICT Communication (e.g. social networking sites)
En21.7 Management & Colleagues
En21.8 Management Support Programmes
En21.9 Beneficary Panels
En22 - Family
Code Element
En22.1 Discussion Forums and Information Sessions
En22.2 Home School Liaison
En22.3 Support and Empowerment
En22.4 Parents Association
En22.5 Parents and Parent-Teacher Association
En22.6 Family Friendly Organisation
En22.7 Family Health Programmes
En22.8 Family Social Programmes
En22.9 Rooms for Couples
En23 - Community
Code Element
En23.1 Community Links (e.g. Volunteering Programme)
En23.2 Extended Schools Concept
En24 - Teachers or Carers
Code Element
En24.1 Programme to Support Teachers or Carers

En3 - External Environment

En31 - External Resources
Code Element
En31.1 Physical Health Promotion Services
En31.2 Mental Health Services
En31.3 Counselling
En31.4 Psychological Assessment
En31.5 Primary and Community Health Services
En31.6 Occupational Health Services
En32 - Public Policies
Code Element
En32.1 Health and Safety
En32.2 Public Health
En32.3 Quality Standards
En32.4 Education
En32.5 Mainstreaming and Diversity
En32.6 Welfare (Social Security)
En32.7 Environmental
En32.8 Employment
En32.9 Retirement Policy
En32.10 Independent Living

Pr1 - Generic Programmes

Pr11 - Physical Health Promotion Programmes
Code Element
Pr11.1 Health Screening
Pr11.2 Exercise and Nutrition Programmes
Pr11.3 Sexuality
Pr11.4 Health and Safety Interventions
Pr12 - Occupational Health Programmes
Code Element
Pr12.1 Anti - Bullying, - Harassment - Abuse
Pr12.2 Substance misuse prevention (including smoking)
Pr12.3 Active and Positive Ageing
Pr12.4 Physical Health
Pr13 - Mental Health Promotion Programmes
Code Element
Pr13.1 Mental Health Screening
Pr13.2 Coping Skills Education
Pr13.3 Stress Management & Prevention
Pr13.4 Mental Health Education, Raising Awareness
Pr13.5 Destigmatisation
Pr13.6 Emotional Wellbeing
Pr13.7 Suicide Prevention
Pr13.8 Safe Self-Disclosure Programmes
Pr14 - Participation Programmes
Code Element
Pr14.1 Orientation and Induction
Pr14.2 Social Support
Pr14.3 Social & Leisure Activities
Pr14.4 Volunteering
Pr15 - HR Programmes
Code Element
Pr15.1 Work-Life Balance Programme
Pr15.2 Absenteeism & Return to Work Programmes
Pr15.3 Recruitment & Staff Development Programmes
Pr16 - Diversity Management Programmes
Code Element
Pr17 - Life Long Learning & Training Programmes
Code Element
Pr17.1 Cognitive Training
Pr17.2 Personal Development
Pr17.3 Career Development
Pr17.4 Life Skills Programmes
Pr17.5 Raising Self Awareness
Pr17.6 Goal Setting
Pr17.7 Problem Solving & Decision Making
Pr17.8 Social Competence
Pr17.9 Lifestyle Awareness Programmes

Pr2 - Targeted Programmes

Pr21 - Diversity Groups
Code Element
Pr22 - Lifestyle Groups
Code Element
Pr23 - Situational Groups
Code Element
Pr23.1 Young Offenders
Pr23.2 Pupils at Risk of Early Leaving
Pr23.3 Pupils in Transition
Pr23.4 Poverty/Social Exclusion
Pr23.5 Persons at Risk of Violence or Abuse
Pr23.6 Family Issues
Pr23.7 Parents or Carers
Pr23.8 People with Special Requirements or Disabilities
Pr23.9 People Experiencing Illness

Pr3 - Programmes for at Risk Individuals

Pr31 - Capacity Building
Code Element
Pr31.1 Personal Development Programme
Pr31.2 Coping Skills Training
Pr31.3 Problem Solving, Decision Making & Goal Setting
Pr31.4 Activities of Daily Living
Pr31.5 Social Competence
Pr31.6 Raising Self Esteem
Pr32 - Support Programmes
Code Element
Pr32.1 Peer Support Programme
Pr32.2 Counselling
Pr32.3 Life Skills, Relationship and Social Programmes
Pr32.4 Bereavement Support
Pr32.5 Needs Analysis & Individual Plans
Pr32.6 Adjustments and Accommodations
Pr33 - At Risk Group Screening
Code Element