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Definitions of suicide and related terms
Published in Lorraine Bell, Helping People Overcome Suicidal Thoughts, Urges and Behaviour, 2021
SUICIDE PREVENTION: a strategy or approach that reduces the likelihood of suicide. Effective suicide prevention should combine population strategies aimed at high-risk groups (Lewis et al 1997) and suicide-focused interventions for individuals at risk. This includes restricting the availability of means of suicide and targeted social programmes.
Comparisons with Japan
Published in Takenori Mishiba, Workplace Mental Health Law, 2020
Several basic policies and measures include promoting research on suicide prevention measures, fostering experts, promoting an understanding of mental health at school or work, and offering counseling services. Other intended policies and measures include a system so that individuals at risk of committing suicide who are being seen by a physician can be referred to a psychiatrist. This system allows a psychiatrist to quickly identify at-risk individuals and quickly address them (a “gatekeeper” system).
Final reflection on suicidality after brain injury
Published in Alyson Norman, Life and Suicide Following Brain Injury, 2020
The National Suicide Prevention Strategy (2012) laid down six action points for helping to address the growing problem of suicide across the UK. The document makes for an interesting read in light of the journey our family went on. Action 1 refers to the need to identify high-risk groups in order to reduce the risk of future suicidal behaviour. The document helpfully identifies that ‘men are three times more vulnerable than women’ and that ‘men aged 35–49 are now the group with the highest suicide risk’ (National Suicide Prevention Strategy, 2012). Tom was in this category. The guidance does not comment on brain injury but, even without that specialist knowledge, it would seem that when we expressed our concerns about Tom’s behaviour to various organisations, someone should have taken more action. Furthermore, the guidance goes on to say ‘Factors associated with suicide in men include depression, especially when it is untreated or undiagnosed; alcohol or drug misuse; unemployment … social isolation and low self-esteem’ (National Suicide Prevention Strategy, 2012). This could have been describing Tom specifically. As a vulnerable individual at a high risk of suicide he should have been the recipient of support services.
A Systematic Review of Training Interventions for Emergency Department Providers and Psychosocial Interventions delivered by Emergency Department Providers for Patients who self-harm
Published in Archives of Suicide Research, 2023
Aneta Zarska, Kirsten Barnicot, Mary Lavelle, Tracey Dorey, Rose McCabe
Self-harm training interventions for generalist ED providers are usually brief stand-alone programs, delivered to staff on a voluntary basis (Ferguson et al., 2020). Common objectives are to improve staff knowledge, skills, and attitudes regarding self-harm, ultimately aiming to improve patient care. This is in line with findings that poor knowledge, clinical skills, and negative attitudes, negatively impact staff’s ability to provide good quality care (Ferguson et al., 2020; Rothes et al., 2014). Hence, suicide prevention strategies highlight educational initiatives in addition to patient-level interventions. Continuous education in suicide prevention is particularly important in general healthcare settings such as the ED: generalist providers deliver varying levels of mental health care to patients; yet studies have repeatedly identified a lack of adequate training (Brunero et al., 2012; Ferguson et al., 2020; Ross & Goldner, 2009).
Parent and Adolescent Thoughts About Suicide Risk Screening in Pediatric Outpatient Settings
Published in Archives of Suicide Research, 2022
Andrea Bradley-Ewing, Shayla A. Sullivant, David D. Williams, Elizabeth Lanzillo, Laika Aguinaldo, Elizabeth Wharff, Lisa M. Horowitz, Kathy Goggin
Adolescents and their parents indicated that providers are key to identifying suicide risk, stating that youth may be more willing to disclose suicidal thoughts to a health care provider than their parents. These reports are consistent with a recent study that found 50% of parents were unaware of their adolescents’ thoughts of suicide (Jones et al., 2019). Adolescents and parents alike noted the importance of screening to prevent suicide and many expressed the notion that screening should be a routine part of care. Taken together, these findings highlight the critical role of health care providers in identifying at risk youth and suicide prevention. These results may bolster health care teams and administrators to implement policies to overcome many barriers to screening for suicide risk, such as providing training to physicians and nurses, establishing suicide risk screening as a routine part of the clinic visit, and improving coordination between pediatricians and mental health professionals.
Suicide on college campuses: a public health framework and case illustration
Published in Journal of American College Health, 2022
Robert J. Cramer, Matt R. Judah, Nancy L. Badger, Angela M. Holley, Sarah Judd, Michelle Peterson, Nathan Hager, Tancy Vandecar-Burdin, Jennifer J. Foss
The SESPM approach we articulate in this article can help overcome some of the resource and other deficits faced by college counseling centers. For instance, by involving faculty expertise, on-campus training programs (e.g., in public health and psychology), and other campus offices, resources can be pooled to enhance capacity to respond to campus suicide prevention needs. Examples such as the CCC and campus-wide approaches can positively affect a wide-array of outcomes through addressing more than individual well-being. Public health approaches to suicide prevention may also improve a variety of positive changes such as: (1) connectedness; (2) coping/resilience; (3) infrastructure (expertise, technology, staff competency); (4) social norms, and (5) policies. In doing so, college suicide prevention efforts can not only tackle the ultimate outcome of SRB, but also a variety of multi-level upstream factors that are also significant campus problems in their own right (e.g., alcohol/substance abuse; discrimination; social isolation).