Evidence Based Public Health PERI Approach

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Evidence Based Public Health Paper According to CNN Health, there is a current discussion on suicide hot spots, which are places around the world where many people go to take their own lives, including the Golden Gate Bridge in San Francisco, Clifton Suspension Bridge in Bristol, and the subway system in Hong Kong. For example, the Golden Gate Bridge has seen 1,600 suicides since its construction in the 1937. The article relates to the Evidence-Based Public Health PERI Approach’s Recommendations and Implementations , which are currently in place or in discussion to reduce the rates of suicide at these hot spots. 1. Recommendation Before discussing the implementation plans of reducing the rates of suicide, it is important to discuss how…show more content…
However, hot spot suicide prevention could be classified as the prevention of complication. If a suicide is prevented due to barriers in place or guards on patrol, the mental instability is prevented from escalading to an irreversible complication, which in this case, means death. b. Who In the PERI Implementation approach, it is also important to discuss the population in which the intervention will affect. Since hot spot suicide prevention is a Tertiary Intervention, it must be decided whether the Who group these interventions affect are individuals, high risk groups, or the general population. However, these interventions can affect all three types of target populations. i. High-Risk Group –The high-risk population would be the ones that go to the hot spot sites with the intention of suicide. The interventions in place would directly affect this population by stopping them in action ii. General Population – Some implementation plans would affect the general population of an area. For instance, barriers along a bridge change its appearance, affecting those who regularly use the bridge or appreciate it for its original design. c.…show more content…
Enforcement of guard patrols – This intervention can be classified as high-risk information and obligation. By having law enforcement stand guard on at these hot spots, those attempting suicide will be barred from suicidal activity, classifying it as obligation. However, this could also be classified as information, as guards on patrol could direct those individuals on the brink of suicide to resources of how to get help. As mentioned by Kevin Hines, an individual who survived a suicide attempt from the Golden Gate Bridge, one person asking him if he was okay would have deterred him from the attempt. iii. Installation of barriers and nets – This is classified as both high-risk group and general population obligation. Barriers and nets directly stop individuals attempting suicide from jumping, or if they still jump, preventing them from death. With nets, those that jump must ask for help, which can lead to appropriate care. This also affects the general population by changing the appearance of the structure. Those at risk and not at risk are obligated to deal with the construction of this specific intervention, and those not at risk have no use for the barriers. Some have complained that building these barriers or nets would ruin the aesthetic appeal of the architecture, and is an expensive

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