Advances in the assessment of suicide risk

Bryan, Craig J.; Rudd, M. David

doi:10.1002/jclp.20222

Cited by 277 publications

(251 citation statements)

References 23 publications

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“…63 As this study did not focus on clinical outcomes, it was excluded in the review. An evaluation of such tools and/or actuarial instruments (which may reveal, more accurately, suicidality because of their self-report nature 47 ) in the ED setting is needed with a focus on impact on clinical assessment and disposition decision-making.…”

Section: Discussionmentioning

confidence: 99%

“…These plans are distinct from 'no-harm contracts,' which are not empirically supported. [47][48][49][50] No studies with this intervention were screened during the initial stages of the review. The primary purpose of these safety planning contracts is to problem-solve with the patient and create a plan they will utilize during times of suicidal crisis.…”

Section: Discussionmentioning

confidence: 99%

“…On a final note, the few multi-site trials in this review limited geographical representation, and importantly, the level of behavioral risk and suicide-related terminology varied in meaning across studies thus reducing consistency with current recommendations. 45,47 …”

Section: Limitationsmentioning

confidence: 99%

See 2 more Smart Citations

Pediatric Suicide-Related Presentations: A Systematic Review of Mental Health Care in the Emergency Department

Newton

Hamm

Bethell

et al. 2010

Annals of Emergency Medicine

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Study Objective-We evaluated the effectiveness of interventions for pediatric patients with suicide-related emergency department (ED) visits.Methods-We searched of MEDLINE, EMBASE, the Cochrane Library, other electronic databases, references, and key journals/conference proceedings. We included experimental or quasi-experimental studies that evaluated psychosocial interventions for pediatric suicide-related ED visits. Inclusion screening, study selection, and methodological quality were assessed by two CIHR Author ManuscriptCIHR Author Manuscript CIHR Author Manuscript independent reviewers. One reviewer extracted the data and a second checked for completeness and accuracy. Consensus was reached by conference; disagreements were adjudicated by a third reviewer. We calculated odds ratios (OR), relative risks (RR), or mean differences (MD) for each study's primary outcome with 95% confidence intervals (CI). Meta-analysis was deferred due to clinical heterogeneity in intervention, patient population, and outcome.Results-We included 7 RCTs and 3 quasi-experimental studies grouping and reviewing them according to intervention delivery: ED-based delivery (n=1), post-discharge delivery (n=6), and ED transition interventions (n=3). An ED-based discharge planning intervention increased the number of attended post-ED treatment sessions (MD=2.6; 95%CI:0.05,5.15). Of the 6 studies of post-discharge delivery interventions, one found increased adherence with service referral in patients who received community nurse home visits compared to simple placement referral at discharge (RR=1.28; 95%CI:1.06,1.56). The 3 ED transition intervention studies reported: (1) reduced risk of subsequent suicide following brief ED intervention and post-discharge contact (RR=0.10; 95%CI:0.03,0.41), (2) reduced suicide-related hospitalizations when ED visits were followed up with interim, psychiatric care (RR=0.41; 95%CI:0.28,0.60), and (3) increased likelihood of treatment completion when psychiatric evaluation in the ED was followed by attendance of outpatient sessions with a parent (OR=2.78; 95%CI:1.20,6.67).Conclusion-Transition interventions appear most promising for reducing suicide-related outcomes and improving post-ED treatment adherence. Use of similar interventions and outcome measures in future studies would enhance the ability to derive strong recommendations from the clinical evidence in this area.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Pediatric Suicide-Related Presentations: A Systematic Review of Mental Health Care in the Emergency Department

Newton

Hamm

Bethell

et al. 2010

Annals of Emergency Medicine

Self Cite

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“…Not surprisingly, depression has been cited as a major problem after losing a loved one to suicide, and the closer the relationship the longer and more severe the effect [22] which is a worrying find considering well documented long historical links with suicide to depression [7]. Further, as many as 28 people can be bereaved by the loss of each single person to suicide.…”

Section: Suicide From the Perspective Of Those Who Lost A Relative Ormentioning

confidence: 99%

“…This renowned researcher purports that high levels of emotional, psychological and social well-being are the constituents of a flourishing individual [6]. Whereas low levels of the constituents described by Keyes relate to suicide ideation when considering connections with suicide to depression [7] and feelings of failure and despair as reported in a recent college students study [8]. Positive psychology defined as the science of what makes life worth living [9] offers a relevant contrast for suicide which is concerned with proactively ending life.…”

Section: Introductionmentioning

confidence: 99%

Personal and Collective Resilience Building- A Suicide Prevention Program for Schools Using Positive Psychology. Consultancy Project for an Irish Secondary School

Ward-Goldsmith¹,

Lomas²

2016

JNSK

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Ireland has the second highest rate of child suicide in Europe. This dissertation using qualitative methods explores the risks, causes and aftermath of suicide in relation to how positive psychology (PP) can assist in addressing those insights in order to build resilience and reduce suicide ideation for school aged children in Ireland. The client is Principal of a secondary school in Southern Ireland, who suffered the tragic loss of three senior pupils to suicide over a period of five years. The schools' mission statement settled upon; "How can positive psychology help us to understand the risks and causes of suicide in school aged children and how can we apply those insights to instill resilience and prevent further tragedies in our school" Positive psychology defined as the science of what makes life worth living offers a relevant contrast for suicide which is concerned with proactively ending life.Point one explores suicide from three perspectives; those who have survived a serious attempt to end their own lives-parasuicide, those who have lost a relative or close one to suicide and lastly the organisations set up to address suicide ideation and effects.Point two takes the lead from these insights to give a good grounding in the areas of positive psychology research and theory that relate to the risks and causes of suicide and how they apply to school aged children.Point three is a plan of recommendations to address the problem through positive psychology interventions (PPI's) which could be put in place to build resilience and prevent suicide in the clients' and other schools. This dissertation concludes in a five slide presentation with a ten-minute voice over.

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What Do We Know About Suicidality in Autism Spectrum Disorders? A Systematic Review

2014

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Suicidality is a common and concerning issue across development, and there is a plethora of research on this topic among typically developing children and youth. Very little is known, however, about the nature of suicidality among individuals with autism spectrum disorders (ASDs). The purpose of the current study was to undertake a systematic literature review to assess the current state of the research literature to examine the prevalence of suicidality among individuals with ASD, related demographic and clinical profiles, and associated risk and protective factors. A literature search using key terms related to suicidality and ASD yielded 10 topical studies that were evaluated for the study objectives. Suicidality was present in 10.9-50% of the ASD samples identified in the systematic review. Further, several large-scale studies found that individuals with ASD comprised 7.3-15% of suicidal populations, a substantial subgroup. Risk factors were identified and included peer victimization, behavioral problems, being Black or Hispanic, being male, lower socioeconomic status, and lower level of education. Only one study reported on protective factors, and this is identified as a significant gap in the literature. Several methodological weaknesses were present in the current literature, such as lack of appropriate comparison groups and little to no use of empirically validated measures for ASD diagnosis and suicide assessment. Additional research is necessary to understand better how this unique population experiences and expresses suicidal tendencies. Recommendations for future research are discussed.

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Advances in the assessment of suicide risk

Cited by 277 publications

References 23 publications

Pediatric Suicide-Related Presentations: A Systematic Review of Mental Health Care in the Emergency Department

Pediatric Suicide-Related Presentations: A Systematic Review of Mental Health Care in the Emergency Department

Personal and Collective Resilience Building- A Suicide Prevention Program for Schools Using Positive Psychology. Consultancy Project for an Irish Secondary School

What Do We Know About Suicidality in Autism Spectrum Disorders? A Systematic Review

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