biostudies-literatureReif-Leonhard CBundesministerium für Gesundheite119https://www.ebi.ac.uk/biostudies/studies/S-EPMC12438983biostudies-literatureUnknown68(1)<h4>Background</h4>Completed suicide (CS) is among the leading causes of death. Suicide attempts (SAs) are more frequent and are a significant contributor to overall morbidity. However, there is only few data on community-based suicide prevention using systemic approaches. We have implemented a communal suicide prevention program and tested whether it reduced the number of SA and CS.<h4>Methods</h4>"FraPPE" comprised measures proposed by previous studies: low-threshold outpatient services, a SA postvention, a hotline targeting individuals with suicidal intent, qualification of gatekeepers and general practitioners, and a campaign to refer SA cases to psychiatric services and antistigma campaigns. The intervention lasted for 25 months.<h4>Results</h4>For CS, 7.7 cases per month were recordeEuropean psychiatry : the journal of the Association of European PsychiatristsEffectiveness of a communal, multilevel, interdisciplinary suicide prevention program.PMC12438983ZMVI1-2517FSB136Beig IFreitag CMDichter VKolzer SCLemke DVerhoff MAHegerl UZalsman GReif-Leonhard CAhrens KFGebhardt RSteffens MWagner LSchlang CHolz FGerlach FMGotz TGrube MHauschild NReif ASchlitt SFehr CStablein MMuller JPetersen JJfalseEffectiveness of a communal, multilevel, interdisciplinary suicide prevention program.<h4>Background</h4>Completed suicide (CS) is among the leading causes of death. Suicide attempts (SAs) are more frequent and are a significant contributor to overall morbidity. However, there is only few data on community-based suicide prevention using systemic approaches. We have implemented a communal suicide prevention program and tested whether it reduced the number of SA and CS.<h4>Methods</h4>"FraPPE" comprised measures proposed by previous studies: low-threshold outpatient services, a SA postvention, a hotline targeting individuals with suicidal intent, qualification of gatekeepers and general practitioners, and a campaign to refer SA cases to psychiatric services and antistigma campaigns. The intervention lasted for 25 months.<h4>Results</h4>For CS, 7.7 cases per month were recorde2025-01-01T00:00:00Z2025 Jul2026-04-08T19:37:54.43Z2026-04-08T13:52:50.8ZS-EPMC124389834066549910.1192/j.eurpsy.2025.10056