What are we aiming for? Comparing suicide by firearm in Toronto with the five largest metropolitan areas in the United States

Background: US suicide rates correlate with firearm availability. Little is known about variability in rates across countries. Aims: To observe the relationship between firearm/overall suicide rates in Toronto, Canada, and the five most populous US metropolitan areas. Method: Centers for Disease Control suicide rates by age and sex for New York, Los Angeles, Chicago, Dallas-Fort Worth, and Houston metropolitan areas […]

An observational study of suicide death in homeless and precariously housed people in Toronto.

Homelessness has been identified as an important risk factor for suicide death, but there is limited research characterising homeless people who die by suicide. The goal of this study is to identify personal, clinical, and suicide method-related factors that distinguish homeless and precariously housed people who die from suicide from those who are not homeless […]

Effect of a Barrier at Bloor Street Viaduct on Suicide Rates in Toronto: Natural Experiment

This study examined whether rates of suicide changed in Toronto after a barrier was erected at the Bloor Street Viaduct. Yearly rates of suicide by jumping remained unchanged in Toronto between the periods before & after the construction of the barrier. A mean of 9.3 suicides occurred annually before the barrier & none after the […]

5-ht2c Receptor and mao-a Interaction Analysis: no Association With Suicidal Behaviour in Bipolar Patients

The authors studied HTR2C haplotypes in suicide attempters. The sample was composed of 306 families with at least one member affected by bipolar disorder. HTR2C variants were analyzed with respect to attempter status & the severity of suicidal behaviour. The X-linked haplotype analysis in relation to suicide attempt did not reveal any significant association. Furthermore, […]

Suicide Prevention in law Enforcement: the Toronto Police Service Experience (IN: Suicide and Law Enforcement, edited by D C Sheehan & J I Warren)

When community mental health professionals became aware of the fact that the Toronto Police Service had gone over 7 years without one uniformed member dying by suicide, two questions arose: how & why? This chapter examines the past & recent history of suicide within the Toronto Police Service. The author offers observations & suggestions as […]

A Pilot Study in Suicide Intervention Training Using a Group Intervention for Patients With Recurrent Suicide Attempts

This article describes psychiatric trainees’ reflections regarding their participation in a psychosocial/psychoeducational group intervention for individuals with recurrent suicide attempts. 14 psychiatric residents who completed at least one 20-week intervention cycle were given a 15-item questionnaire. 13 residents completed the survey. Following the training experience, nearly all residents endorsed feeling more comfortable managing patients with […]

The Perspectives of Young Adults on Recovery From Repeated Suicide-Related Behavior

This qualitative grounded theory study sought to develop an understanding of how young adults, ages 18-25, who have a history of 2 or more suicide attempts, transition away from high-risk suicide-related behaviors. 16 young adults who had completed at least one cycle of intervention participated. The young adults described a pathway that included 3 major […]

Characteristics of the Chronic Suicide Attempter

This presentation reported on a study in which parasuicidal patients who presented to hospital with a history of multiple suicide attempts were contrasted to patients who had made only one suicide attempt. The sample was made up of 160 patients who were seen at Toronto General Hospital & who were interviewed using a structured questionnaire. […]

Ethnic Variation in Parasuicide

The results of a study examining the variation in parasuicide among patients from different ethnic groups presenting to the Toronto General Hospital between August 1977-August 1978 were reported in this presentation. The social networks of patients born outside of Canada were compared to parasuicidal patients born in Canada & conclusions were drawn about possible differences […]

Evaluation of a Crisis Intervention Service From the Client’s Perspective

This presentation discussed an evaluation of the services offered by the Crisis Intervention Unit of the Toronto East General Hospital from the clients’ perspective. Information was gathered on the profile of respondents, repsondents’ impressions of the initial intervention provided, & respondents’ satisfaction or dissatisfactions regarding their contact with a professional staff member & the overall […]

The Self-Harm Patient in the Emergency Room

This presentation discussed a participant observation study done in the emergency department of the Toronto General Hospital. The purpose of the research was to determine how parasuicidal patients were perceived & treated by staff. Results indicated self-harm patients received prompt medical attention but faced largely unempathic care by many of the emergency room staff. Programs […]

Anxiety Disorders and Their Clinical Correlates in Multiple Sclerosis Patients

Demographic & neurological data were collected on 140 consecutive patients with multiple sclerosis attending a clinic. The lifetime prevalence of any anxiety disorder was 35.7%, with panic disorder, obsessive compulsive disorder, & generalized anxiety disorders being the most common. Of the 50 patients diagnosed with an anxiety disorder, 46% reported suicidal intent & 6.0% reported […]

EM Advances. Experiences of Substance-Using Suicidal Males who Present Frequently to the Emergency Department


Street Youth Suicide

The author interviewed 117 street youth in Vancouver & Toronto about their experiences & what they thought would be helpful to them. In this qualitative research, interviews were tape recorded & then transcribed. Factors the youth identified as contributing to suicidality were social stigma, drug abuse & addiction, trauma due to violence on the streets, […]

Assessment of Police Calls for Suicidal Behavior in a Concentrated Urban Setting

This study assessed 5-year patterns of police calls for suicidal behaviour in Toronto. Police responded to an average of 1,422 calls for suicidal behaviour per year, 15% of which involved completed suicides (24% of male callers & 8% of female callers). Calls for suicidal behaviour increased by 4% among males & 17% among females over […]

Factors Precipitating Suicidality Among Homeless Youth: a Quantitative Follow-Up

208 homeless youths completed surveys on the streets & in agencies in New York City & Toronto. Stuctural equation modelling was used to test a theoretical model developed from exploratory work, & regression analyses were used to examine the influence of home & street contextual variables. The centrality of the trapped experience in a model […]

Gene-Gene Interaction Between MAOA and COMT in Suicidal Behavior


The Experience of Suicidal, Substance-Abusing men With Severe Personality Disorders in the Emergency Department

This qualitative study examines the experience of suicidal, substance-abusing men with severe personality disorders presenting to an emergency department (ED). Semi-structured interviews were conducted with ED patients (n = 25), ED physicians (n = 5), ED nurses (n = 6), other ED staff (n = 6) and family physicians (FPs) (n = 7). Interviews were […]

Crisis Occurrence and Resolution in Patients With Severe and Persistent Mental Illness: the Contribution of Suicidality

Fragmented Pathways to Care: the Experiences of Suicidal men

Impact of Patient Suicide on Psychiatrists and Psychiatric Trainees


Dysfunctional Attitudes and 5-HT2 Receptors During Depression and Self-Harm


“The Walls Were Closing in, and we Were Trapped”: a Qualitative Analysis of Street Youth Suicide