The role of “envisioning the future” in the development of resilience among at-risk youth

The objective was to explore the process by which adolescents develop resilience and change their risk behaviors despite multiple stressors in their environment. The design was exploratory using grounded theory to understand the process from the teens’ perspectives. Semistructured interviews were conducted with 32 individuals-28 adolescents (age range 16-21 years) and 4 adults (age range […]

Identifying populations at ultra-high risk of suicide using a novel machine learning method

Background Targeted interventions for suicide prevention rely on adequate identification of groups at elevated risk. Several risk factors for suicide are known, but little is known about the interactions between risk factors. Interactions between risk factors may aid in detecting more specific sub-populations at higher risk. Methods Here, we use a novel machine learning heuristic […]

Suicide prevention: Reaching young people at risk

Background: Suicide is one of the leading causes of death for youth in Canada. Consequently, understanding what leads to suicidality is essential in informing efforts to reduce this problem. We therefore set out to identify interventions designed to reduce suicide in young people identified as being at risk. Methods: We used systematic review methods to […]

Interoceptive deficits differentiate suicide groups and associate with self-injurious thoughts and behaviors in a military sample

Objective Previous research shows that interoceptive deficits are associated with harmful behaviors such as nonsuicidal self-injury (NSSI), eating disorder pathology, and suicide attempts. The present study replicates and extends this area of research by examining the association between interoceptive deficits and suicidality in a military sample. Method In Study 1, respondents to an online survey […]

Public stigma toward persons with suicidal thoughts: Do age, sex, and medical condition of affected persons matter?

Objective Suicidal persons often face public stigmatization which affects help-seeking behavior and may lead to an additional suicide risk. There is not much known about differences in stigmatizing attitudes concerning characteristics of affected persons. The present study investigates public stigma toward suicidal persons in Germany by focussing on differences concerning sex, age, and medical condition […]

Depression, suicide risk, and declining to answer firearm-related survey items among military personnel and veterans

Objectives To describe the characteristics of military personnel and veterans who decline to answer survey items asking about firearm availability at home, and to determine how these characteristics compare to those of military personnel and veterans who answered these items. Methods Self-report surveys were administered to 2025 military personnel and veterans visiting a primary care […]

Community-based participatory research: Suicide prevention for youth at highest risk in Guyana

Abstract Studied mostly in developed countries, the increased prevalence of suicide among youth, worldwide, is a preventable public health concern. Guyana, a developing country in South America, has the highest rate of youth death by suicide. Based on the diathesis–stress model, this community-based study aimed to identify both psychiatric and biological factors associated with repeated […]

A systematic review of behavior-outcome psychological assessments as correlates of suicidality

Aim: Identifying correlates of suicidality is an important goal for suicide researchers because these correlates may predict suicidal behaviors. Psychological tasks that assess sensitivity to the outcomes of actions (i.e., consequence-based learning) have been commonly used by researchers seeking to identify correlates of suicidality. This is likely due to the straightforward integration of the tasks within […]

Correlates for suicidality among at-risk youth receiving community-based mental health services

“At-risk” adolescents are at high risk of unsuccessfully transitioning into adulthood and are also at elevated risk for suicidal behavior. Though much research has been conducted on risk factors for suicidality among the general adolescent population, research on suicidality among “at-risk” adolescents is lacking. This is a notable gap in the literature given that “at-risk” […]

Systematic exploration of countertransference phenomena in the treatment of patients at risk for suicide

Despite its critical role in clinical suicidology, empirical evidence on the nature of countertransference (CT) to patients at risk for suicide (PRS) is lacking. This study aimed to provide a systematic description of CT phenomena to PRS. Psychiatrists, psychologists, and psychotherapists completed the Therapist Response Questionnaire (TRQ) online, with reference to a PRS. Factor analysis […]

Clinician experience and attitudes toward safety planning with adolescents at risk for suicide

This study examined clinician experiences and attitudes toward safety planning in a large urban pediatric psychiatry department serving primarily Latino youth. A total of 46 clinicians completed a survey assessing their experience with and attitudes toward safety planning with adolescents at-risk for suicide. The majority of clinicians were female (78%), non-Latino White (54%), and aged […]

13 Reasons Why: Viewing patterns and perceived impact among youths at risk of suicide

Objective: The streaming series 13 Reasons Why generated controversy because of its depiction of teen suicide and concerns about its impact on vulnerable youths. This study examined exposure to and patterns of engagement with the show and the show’s perceived impact in a sample of youths presenting to a psychiatric emergency department (ED) with suicide-related concerns in […]

Principals’ perceptions of benefits and barriers to school-based suicide prevention programs

Suicidal behavior among children and adolescents is a national problem and schools can be an effective context for suicide prevention and intervention efforts. School-wide screening programs are viewed as most effective from a public health standpoint, although they garner the least support from school administrators. The purpose of this article is to examine administrators’ perceptions of three school-based suicide prevention […]

Protective effects of self-esteem and family support on suicide risk behaviors among at-risk adolescents.

PROBLEM:  If and how family support and self-esteem might interact to protect against adolescent suicide risk is not well understood. METHODS:  Hierarchical multiple regression was used to examine the moderating effect of family support on the relationship between self-esteem and suicide risk behaviors among potential high school dropouts (N= 849), using questionnaires and in-depth assessment […]

Utah mental health professionals’ recommendations for working with youth at risk for suicide.

Suicide has immediate and long-term negative effects on surviving family members and adverse effects in the school and community. Suicide rates for children and adolescents have increased in the United States since 2009. As part of suicide prevention efforts, information about risk factors and warning signs are typically addressed in schools, private organizations, and communities. […]

Identification of at-risk youth by suicide screening in a pediatric emergency department.

The pediatric emergency department (ED) is a critical location for the identification of children and adolescents at risk for suicide. Screening instruments that can be easily incorporated into clinical practice in EDs to identify and intervene with patients at increased suicide risk is a promising suicide prevention strategy and patient safety objective. This study is […]

Indigenous writes: A guide to First Nations, Metis & Inuit issues in Canada.

Indigenous Writes, Chelsea Vowel initiates myriad conversations about the relationship between Indigenous peoples and Canada. An advocate for Indigenous worldviews, the author discusses the fundamental issues—the terminology of relationships; culture and identity; myth-busting; state violence; and land, learning, law and treaties—along with wider social beliefs about these issues. She answers the questions that many people […]

Unmet mental healthcare need and suicidal ideation among U.S. veterans.

Suicide prevention remains a national priority, especially among vulnerable populations. With increasing trends in suicide among Veterans, understanding the underlying factors associated with such an outcome is imperative. Unmet mental healthcare need is a critical aspect of suicidal ideation among Veterans. Improved access to care for such at-risk populations through means of integrated care is […]

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 […]

Suicide: An unnecessary death. 2nd ed.


Helping callers to the National Suicide Prevention Lifeline who are at imminent risk of suicide: The importance of active engagement, active rescue, and collaboration between crisis and emergency services.

In 2012, the SAMHSA-funded National Suicide Prevention Lifeline (Lifeline) completed implementation of the first national Policy for Helping Callers at Imminent Risk of Suicide across its network of crisis centers. The policy sought to: (1) provide a clear definition of imminent risk; (2) reflect the state of evidence, field experience, and promising practices related to […]

Identifying and referring youths at risk for suicide following participation in school-based gatekeeper training.

Gatekeeper training is a core strategy of the Garrett Lee Smith Memorial Suicide Prevention Act of 2004. Using data gathered from school-based gatekeeper trainings implemented by GLS grantees, this analysis examines training and gatekeeper factors associated with (1) identification and referral patterns and (2) services at-risk youths receive. Time spent interacting with youths was positively […]

Poststroke suicide attempts and completed suicides: A socioeconomic and nationwide perspective.

We examined attempted and completed suicides after stroke to determine whether they were associated with socioeconomic status, other patient characteristics, or time after stroke. Both clinical and socioeconomic factors increase the risk of poststroke suicide attempts. This suggests a need for psychosocial support and suicide preventive interventions in high-risk groups of stroke patients. Contact us […]