Suicide Prevention Strategies

Mann, J. John; Apter, Alan; Bertolote, José Manoel; Beautrais, Annette L.; Currier, Dianne; Haas, Ann Pollinger; Hegerl, Ulrich; Lönnqvist, Jouko; Malone, Kevin; Marušič, Andrej; Mehlum, Lars; Patton, George C.; Phillips, Michael; Rutz, Wolfgang; Rihmer, Zoltán; Schmidtke, Armin; Shaffer, David; Silverman, Morton M.; Takahashi, Yoshitomo; Värnik, Airi; Wasserman, Danuta; Yip, Paul; Hendin, Herbert

doi:10.1001/jama.294.16.2064

Cited by 2,520 publications

(2,089 citation statements)

References 122 publications

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“…Suicidal ideation is a known long-term risk factor for suicide (Brown et al, 2000), and is a common precursor to suicidal behavior that cuts across psychiatric disorders (Conner et al, 2008, Joe et al, 2006, Kessler et al, 1999. Experts contend that suicidal ideation must be a target of prevention (Mann et al, 2005), and suicide risk protocols recommend screening for suicidal ideation and obtaining further information (e.g., the presence of a plan or intent to act) to inform decisions about the severity of risk and appropriate level of care (Anonymous, 2003;Center for Substance Abuse Treatment, 2009). These findings support VHA efforts to increase the assessment and treatment of suicidal ideation and suggest that they may impact immediate as well as long-term risk.…”

Section: Discussionmentioning

confidence: 99%

Warning signs for suicide within a week of healthcare contact in Veteran decedents

Britton

Ilgen

Rudd

et al. 2012

Psychiatry Research

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Objectives-This study examined warning signs for suicide observed in the final day(s) of life in Veteran decedents who received healthcare from Veterans Health Administration (VHA) (N=381), using data obtained from detailed chart reviews.Methods-Veterans who died within a week (7 days) of healthcare contact (18%) were compared to those who died later (82%). Multivariate logistic regression was used to examine differences in suicidal thoughts, psychiatric symptoms, and somatic symptoms as documented at the last visit, after controlling for demographic variables. A second multivariate regression examined whether the identified warning signs were also risk factors for suicide within a month (30 days) of contact.Results-Documented suicidal ideation, OR (95% CI) = 3.46 (1.15-10.38), and psychotic symptoms, OR (95% CI) = 2.67 (1.11-6.42), at the last visit increased the likelihood of suicide within a week of healthcare contact. Both variables also increased the odds of suicide within a month of contact.Conclusions-The assessment of suicidal ideation is critical to identifying Veterans at immediate risk. However, recognition of psychotic symptoms may also improve identification. In addition to indicating immediate risk, some warning signs may also suggest on-going risk.

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Section: Discussionmentioning

confidence: 99%

Warning signs for suicide within a week of healthcare contact in Veteran decedents

Britton

Ilgen

Rudd

et al. 2012

Psychiatry Research

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“…Of course, this individual approach based on the prediction of self-harm repetition adds up to other recognized global interventions, which may also be interesting for individuals who never attempted before, e.g. access restriction to lethal means or improved recognition and treatment of depression (Mann et al, 2005).…”

Section: What Do We Currently Understand Predicts Self-harm and Repetmentioning

confidence: 99%

Are neurocognitive factors associated with repetition of self-harm? A systematic review

Cates

Rees

Jollant

et al. 2017

Neuroscience & Biobehavioral Reviews

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Background:Prediction of self-harm is limited clinically. Early identification of individuals likely to repeat self-harm could improve outcomes and reduce suicide risk. Various neurocognitive deficits have been found in people who self-harm, but the ability of these to predict repetition has yet to be established Aims:Identify neurocognitive factors that may predict repetition of self-harm. Methods:Systematic narrative review of English language publications assessing neurocognitive functioning and self-harm repetition, searching multiple databases from inception to March 2015. Quality of studies was appraised. A narrative synthesis was performed. Results:7026 unique records were identified, and 169 full-texts assessed. 15 unique studies provided data. No imaging studies could be included. Most studies assessed cognitive control or problem solving, but neither factor was consistently associated with repetition. However, specific tasks may show promise. Two studies in adolescents suggest that value-based decision-making impairments could be predictive of repetition. There were too few results for memory to draw specific conclusions. Conclusions:Selected studies suggest promise for particular neurocognitive factors and specific cognitive tasks in terms of repetition of self-harm.

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“…Um Suizide zu verhindern, gilt als wichtige suizidpräventive Maßnahme die Einschränkung der Erreichbarkeit von Suizidmitteln (Medikamente, toxische Substanzen, Schusswaffen) [8,22,23]. Die Verfügbarkeit an sich, wie auch eine soziokulturelle Akzeptanz sind wichtige Determinanten in der Auswahl der Suizidmittel [24].…”

Section: Jahrgang / Heft 5-6 · 2006 12 April 2006unclassified

Suizid im Kindes- und Jugendalter

Friedrich¹

2006

Wien Klin Wochenschr

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Suicide Prevention Strategies

Cited by 2,520 publications

References 122 publications

Warning signs for suicide within a week of healthcare contact in Veteran decedents

Warning signs for suicide within a week of healthcare contact in Veteran decedents

Are neurocognitive factors associated with repetition of self-harm? A systematic review

Suizid im Kindes- und Jugendalter

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