Proposed directions for suicide research: Incorporating successful from other disciplines.

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.

A longitudinal assessment of two suicide prevention training programs in the construction industry.

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 […]

The potential use of CAMS for suicidal youth: Building on epidemiology and clinical interventions

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 […]

Assessing non-suicidal self-injury in the laboratory.

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 […]

National Strategy for Suicide Prevention implementation assessment report.

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. […]

Digital suicide prevention: Can technology become a game-changer?

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 […]

Assessing measures of suicidal ideation in clinical trials with a rapid-acting antidepressant.

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.  

Is adolescent suicidal ideation continuous or categorical? A taxometric analysis.

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.

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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 […]

The ABC’s of suicide risk assessment: Applying a tripartite approach to individual evaluations.

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) […]

Clinical implications of spirituality to mental health: Review of evidence and practical guidelines.

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Measurement of perceived functions of non-suicidal self-injury for Chinese adolescents.

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 […]

Discussion paper: One world connected: An assessment of Australia’s progress in suicide prevention.

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Suicide assessment and prevention for older adults: Life saving tools for health care providers.

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Using surveillance of mental health to increase understanding of youth involvement in high-risk behaviours: a value-added analysis.

This study examined the potential utility of adding items that assessed youthsÕ emotional and behavioral disorders to a commonly used surveillance survey. The goal was to evaluate whether the added items could enhance understanding of youthsÕ involvement in high-risk behaviors. A sample of 3,331 adolescents in Grades 8, 10, and 12 from four California school […]

A pilot study on a knowledge-based case library to support suicide risk assessment.

This article describes the system development processes for an electronic case library, built to facilitate and support the suicide prevention service provided by a social service organization in Hong Kong. It is a knowledge management system in which both Ôrule-based reasoningÕ (RBR) and Ôcase-based reasoningÕ (CBR) are adopted. Initial test results, potentials and limitations of […]

Psychometrics and latent structure of the IDS and QIDS with young adult students.

BACKGROUND: Students and young adults have high rates of suicide and depression, thus are a population of interest. To date, there is no normative psychometric information on the IDS and QIDS in these populations. Furthermore, there is equivocal evidence on the factor structure and subscales of the IDS. METHODS: Two samples of young adult students […]

South Asians in college counseling.

The goal of this article is to provide information on the assessment and treatment of South Asian college students for mental health practitioners. We provide a brief historical review of the cultures from which these students come and the process of migration to the United States and also make recommendations for work with these students […]

Time to hospitalization for suicide attempt by the timing of parental suicide during offspring early development.

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Suicide in hospitalized medical-surgical patients: exploring nurses’ attitudes.

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 […]