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<p>The Global Burden of Disease studies have consistently highlighted the persisting burden of mental disorders worldwide. Public health emergencies such as the COVID-19 pandemic, war and conflict, and climate change have exacerbated many determinants of poor mental health, resulting in an increased prevalence of anxiety and depression worldwide. Despite substantial advancements in intervention and prevention programs, treatment gaps in depression and suicidal behavior persist. Addressing these gaps requires a multi-level approach involving both community and health services. This Perspective addresses the urgent need to strengthen mental health systems globally. The primary purpose of this Perspective is to discuss the four-level community-based approaches of the European Alliance Against Depression program, including evidence in support of its four-level intervention as a sustainable model for community-based mental health care that can be effectively adapted to various contexts, including current and future public health emergencies.</p>

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The European Alliance Against Depression approach: an evidence-based program to reduce depression and suicidal behavior

  • 期刊论文

  • 发表日期：

    2026年1月9日

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  • Ella Arensman,
  • Anvar Sadath,
  • Aileen Callanan,
  • Almas Khan,
  • Mallorie Leduc,
  • Grace Cully,
  • Niall McTernan,
  • Katharina Schnitzspahn,
  • Kahar Abdulla,
  • Simge Celik,
  • Pia Hauck,
  • Carolina Pina,
  • Giancarlo Giupponi,
  • Michela Roberti,
  • Andreas Conca,
  • Vargiu Nuhara,
  • Marco Lazzeri,
  • Serena Trentin,
  • Manuela Tosti,
  • Aurora Belfanti,
  • Camilla Ferrara,
  • Victor Perez Sola,
  • Saiko Allende,
  • Azucena Justicia Diaz,
  • András Székely,
  • Diana Ruzsa,
  • Éva Zsák,
  • András Székely Jr,
  • Piotr Toczyski,
  • Chantal Van Audenhove,
  • Evelien Coppens,
  • Giota Fexi,
  • Panagiota Deredini,
  • Nikoletta Konsta,
  • Thanasis Arabatzis,
  • Beky Pasho,
  • Eleni Tsagaraki,
  • Tsvety Naydenova,
  • Albena Drobachka,
  • Peeter Värnik,
  • Agnes Sirg,
  • Merike Sisask,
  • Lenne Lillepuu,
  • Rainer Mere,
  • Ulrich Hegerl

摘要

The Global Burden of Disease studies have consistently highlighted the persisting burden of mental disorders worldwide. Public health emergencies such as the COVID-19 pandemic, war and conflict, and climate change have exacerbated many determinants of poor mental health, resulting in an increased prevalence of anxiety and depression worldwide. Despite substantial advancements in intervention and prevention programs, treatment gaps in depression and suicidal behavior persist. Addressing these gaps requires a multi-level approach involving both community and health services. This Perspective addresses the urgent need to strengthen mental health systems globally. The primary purpose of this Perspective is to discuss the four-level community-based approaches of the European Alliance Against Depression program, including evidence in support of its four-level intervention as a sustainable model for community-based mental health care that can be effectively adapted to various contexts, including current and future public health emergencies.