Summary Despite decades of suicide research, our ability to predict suicide has not changed. Why is this the case? We outline the unique challenges facing suicide research. Borrowing successful strategies from other medical fields, we propose specific research directions that aim to translate scientific findings into meaningful clinical impact.
As part of a suite of early intervention training and support services, Mates in Construction (MATES) provide two general awareness programs to promote mental health and suicide awareness and encourage help-offering and help-seeking in construction workers. General awareness training (GAT) is a one-hour session delivered to all construction workers on large to medium worksites, while […]
It is vital to better understand and effectively treat suicide, as it remains a leading cause of death for youth. The present article discusses the epidemiology of suicidal outcomes for youth and provides an overview of existing treatments. The “Collaborative Assessment and Management of Suicidality” (CAMS) – an evidence-based suicide-specific treatment – is presented, followed […]
The majority of non-suicidal self-injury (NSSI) research has used self- or clinician-rated measures of behavior which (a) are subject to reporting biases, or (b) have limited use in experimental designs that could illuminate causal relationships. Laboratory-based behavioral tasks have therefore been developed to assess NSSI-related behaviors more directly. We reviewed the behavioral methods that have […]
Suicide in the United States is continuing to increase. Over 44,000 Americans died by suicide in 2015, and both the rate of suicide and the numbers of Americans who have died by suicide has increased annually over the last decade. Overall, suicide rates increased 28 percent from 2000 to 2015 (CDC, WISQARS). In addition, presentations […]
Development and validation of the gatekeeper behavior scale: A tool to assess gatekeeper training for suicide prevention.
Community-based gatekeeper trainings are effective tools in increasing gatekeeper skills but few validated measures assess impact. Aims: This study aimed at determining the validity of an 11-item Gatekeeper Behavior Scale (GBS) to assess gatekeeper skills that predict behavior. Method: To validate the scale, 8,931 users were administered GBS surveys at pretraining, posttraining, and follow-up periods. […]
Suicide continues to be a leading cause of death and has been recognized as a significant public health issue. Rapid advances in data science can provide us with useful tools for suicide prevention, and help to dynamically assess suicide risk in quantitative data-driven ways. In this article, the authors highlight the most current international research […]
Meta-analysis of longitudinal cohort studies of suicide risk assessment among psychiatric patients: Heterogeneity in results and lack of improvement over time.
Objective: It is widely assumed that the clinical care of psychiatric patients can be guided by estimates of suicide risk and by using patient characteristics to define a group of high-risk patients. However, the statistical strength and reliability of suicide risk categorization is unknown. Our objective was to investigate the odds of suicide in high-risk […]
Daily monitoring of temporal trajectories of suicidal ideation predict self-injury: A novel application of patient progress monitoring.
The interpersonal theory of suicide argues that suicidal ideation predicts self-injury. We hypothesized that distinct patterns of suicidal ideation could be identified and these ratings could allow early identification of self-injury. Method: The sample consisted of 562 psychiatric inpatients who reported suicidal ideation. Results: Latent growth class analysis identified five classes of change in suicidal […]
There is considerable need for accurate suicide risk assessment for clinical, screening, and research purposes. This study applied the tripartite affect-behavior-cognition theory, the suicidal barometer model, classical test theory, and item response theory (IRT), to develop a brief self-report measure of suicide risk that is theoretically-grounded, reliable and valid. An initial survey (n = 359) […]
Highlights Clinical trials of ketamine and suicide will require appropriate measurement. We compared several suicide assessment measures in ketamine clinical trials. Single items and longer measures of suicidal thoughts were correlated. Items from the MADRS, BDI, and SSI may be particularly sensitive to rapid changes.
Despite the strong association between suicidal ideation and suicidal behavior, a relative minority of ideators transition to attempting suicide. Clarifying the latent structure of suicidal ideation has direct implications for theory, as well as suicidal risk assessment and prevention efforts. Taxometric analysis is a statistical technique specifically designed to assess whether a latent construct is […]
Revisiting the concept of knowledge: How much is learned by students participating in suicide prevention gatekeeper training.
Journal held in CSP Library.
Clinical implications of spirituality to mental health: Review of evidence and practical guidelines.
Due to the lack of validated assessment tools for motives of non-suicidal self-injury behaviors in the Chinese contexts, this study aims to evaluate the psychometric properties of the Chinese version of the Functional Assessment of Self-Mutilation (C-FASM). A total of 345 secondary school students (mean age = 11.41 years), who reported non-suicidal self-injury in the […]
Internationally, suicide represents a major health issue. Inpatient suicide is the second most common sentinel event reported to The Joint Commission, which has identified suicide prevention as a National Patient Safety Goal. Suicide prevention is influenced by nursesÕ ability to accurately assess a patientÕs suicide risk. Evidence suggests that lack of knowledge and unfavorable attitudes […]
Directors and coordinators ( n = 75) of graduate programs in school psychology approved by the National Association of School Psychologists (NASP) were surveyed regarding their training practices in suicide risk assessment. Respondents viewed the assessment of suicide risk as an important part of graduate instruction, and most believed that students completing training at their […]
This practical and informative text lays out the product of a number of years of clinical research into suicide behaviour and its prevention. While the focus is on non-affective psychosis and the schizophrenia-spectrum disorders, the mechanisms underlying suicide behaviour in this group may well underlie or at least influence suicide behaviour in other disorders. The […]
A comprehensive evaluation and assessment of the suicidal child is important to target those at risk. This article identifies risk factors for suicide in children and adolescents and provides a step-by-step interview scheme that captures all relevant information that is obtained when assessing these children and adolescents.