Suicide

Schecter, William P.; Klassen, Carolyn; OʼConnor, Patricia; Potts, Matthew B.; Ochitill, Herbert

doi:10.1001/archsurg.140.9.902

Cited by 19 publications

(4 citation statements)

References 6 publications

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“…Figure 5 indicates that 60% of the GGB victims had a known psychiatric disorder, similar to some previous reports (Schecter, Klassen, O’Connor, Potts, & Ochitill, 2005) but lower than others (Beautrais et al, 1996; Fleischmann, Bertolote, Belfer, & Beautrais, 2005). When compared by age groups, psychiatric factors exceed both the nonpsychiatric and unknown factors in nearly every age group.…”

Section: Resultssupporting

confidence: 87%

Analysis of the Cost Effectiveness of a Suicide Barrier on the Golden Gate Bridge

Whitmer

Woods

2013

Crisis

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Background: The Golden Gate Bridge (GGB) is a well-known “suicide magnet” and the site of approximately 30 suicides per year. Recently, a suicide barrier was approved to prevent further suicides. Aims: To estimate the cost-effectiveness of the proposed suicide barrier, we compared the proposed costs of the barrier over a 20-year period ($51.6 million) to estimated reductions in mortality. Method: We reviewed San Francisco and Golden Gate Bridge suicides over a 70-year period (1936–2006). We assumed that all suicides prevented by the barrier would attempt suicide with alternative methods and estimated the mortality reduction based on the difference in lethality between GGB jumps and other suicide methods. Cost/benefit analyses utilized estimates of value of statistical life (VSL) used in highway projects. Results: GGB suicides occur at a rate of approximately 30 per year, with a lethality of 98%. Jumping from other structures has an average lethality of 47%. Assuming that unsuccessful suicides eventually committed suicide at previously reported (12–13%) rates, approximately 286 lives would be saved over a 20-year period at an average cost/life of approximately $180,419 i.e., roughly 6% of US Department of Transportation minimal VSL estimate ($3.2 million). Conclusions: Cost-benefit analysis suggests that a suicide barrier on the GGB would result in a highly cost-effective reduction in suicide mortality in the San Francisco Bay Area.

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Section: Resultssupporting

confidence: 87%

Analysis of the Cost Effectiveness of a Suicide Barrier on the Golden Gate Bridge

Whitmer

Woods

2013

Crisis

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“… 18 19 Poor mental health is also a risk factor for non-accidental injuries. 20 21 The impact of mental health following injury within Burkina Faso among general older adult population has not been studied, with mental health studies limited to vulnerable populations such as sex workers and children exposed to physical violence in Burkina Faso. 22 23 …”

Section: Introductionmentioning

confidence: 99%

Non-fatal injuries in rural Burkina Faso amongst older adults, disease burden and health system responsiveness: a cross-sectional household survey

et al. 2021

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ObjectivesThis study aimed to evaluate the epidemiology of injury as well as patient-reported health system responsiveness following injury and how this compares with non-injured patient experience, in older individuals in rural Burkina Faso.DesignCross-sectional household survey. Secondary analysis of the CRSN Heidelberg Ageing Study dataset.SettingRural Burkina Faso.Participants3028 adults, over 40, from multiple ethnic groups, were randomly sampled from the 2015 Nouna Health and Demographic Surveillance Site census.Primary and secondary outcome measuresPrimary outcome was incidence of injury. Secondary outcomes were incidence of injury related disability and patient-reported health system responsiveness following injury.Results7.7% (232/3028) of the population reported injury in the preceding 12 months. In multivariable analyses, younger age, male sex, highest wealth quintile, an abnormal Generalised Anxiety Disorder score and lower Quality of Life score were all associated with injury. The most common mechanism of injury was being struck or hit by an object, 32.8%. In multivariable analysis, only education was significantly negatively associated with odds of disability (OR 0.407, 95% CI 0.17 to 0.997). Across all survey participants, 3.9% (119/3028) reported their most recent care seeking episode was following injury, rather than for another condition. Positive experience and satisfaction with care were reported following injury, with shorter median wait times (10 vs 20 min, p=0.002) and longer consultation times (20 vs 15 min, p=0.002) than care for another reason. Injured patients were also asked to return to health facilities more often than those seeking care for another reason, 81.4% (95% CI 73.1% to 87.9%) vs 54.8% (95% CI 49.9% to 53.6%).ConclusionsInjury is an important disease burden in this older adult rural low-income and middle-income country population. Further research could inform preventative strategies, including safer rural farming methods, explore the association between adverse mental health and injury, and strengthen health system readiness to provide quality care.

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“…Attempted suicide remains as an unmet challenge of the trauma system because of the lack of documentation, countless potential mechanisms of injury, and difficulties in capturing suicidal behavior. [ 6 ] The main risk factors for suicide attempts are young age; socioeconomic status; unemployment; mental disorders such as bipolar disorders, depression, and schizophrenia; drug use and alcohol; history of prior attempts, family history of suicide, assault, and head injuries. [ 6 7 8 ] In addition, not living at home is another risk factor for repeat attempts.…”

Section: Introductionmentioning

confidence: 99%

“…[ 6 ] The main risk factors for suicide attempts are young age; socioeconomic status; unemployment; mental disorders such as bipolar disorders, depression, and schizophrenia; drug use and alcohol; history of prior attempts, family history of suicide, assault, and head injuries. [ 6 7 8 ] In addition, not living at home is another risk factor for repeat attempts. [ 7 ] The World Health Organization (WHO) reported that the number of suicide attempts exceed the completed suicide by up to 20 times.…”

Section: Introductionmentioning

confidence: 99%

Traumatic injuries associated with suicide attempts: A retrospective study from single national level 1 trauma center

Al-Thani

Mekkodathil

Consunji

et al. 2020

Int J Crit Illn Inj Sci

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Background: Suicide is a complex phenomenon involving several risk factors. We aimed to describe the frequency, pattern, and outcomes of patients with traumatic injuries following suicide attempts admitted to a level 1 trauma center. Methods: We conducted a retrospective analysis of data obtained from Qatar National Trauma Registry and mortuary database. The study included all patients with traumatic injuries following suicide attempts, admitted to the Hamad Trauma Center (HTC) from April 2008 to March 2018. Results: During this 10–year period, 206 patients were admitted to the HTC for injuries associated with suicide attempts. The majority were males (76%), young age (mean age 31 years), and expatriates specifically from South Asia (55%). The most common injury was due to self-inflicted cutting and piercing (51%) followed by jumping from height (30%). Females chose jumping from high place more often as a method of suicide attempt (59% vs. 20%), while males chose self-stabbing or cutting their throat (59% vs. 25%) ( P = 0.001). Most of the patients had head injuries (30%) that was severe in terms of abbreviated injury scale score (3.6 ± 0.9). More than half (54%) of the patients required psychiatric consultations. The in-hospital mortality was 8% which was comparable in both genders. Conclusions: The present study revealed that 1.8% of trauma admissions at HTC were related to suicidal attempts. Better understanding of risk factors is important in devising preventive strategies.

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Suicide

Abstract: Hypothesis:We hypothesized that a significant number of injuries and deaths due to suicide occurred in patients undergoing psychiatric treatment. Design:We performed a retrospective cohort study of patients who committed suicide and patients with intentional self-inflicted injury.

Cited by 19 publications

References 6 publications

Analysis of the Cost Effectiveness of a Suicide Barrier on the Golden Gate Bridge

Analysis of the Cost Effectiveness of a Suicide Barrier on the Golden Gate Bridge

Non-fatal injuries in rural Burkina Faso amongst older adults, disease burden and health system responsiveness: a cross-sectional household survey

Traumatic injuries associated with suicide attempts: A retrospective study from single national level 1 trauma center

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