Demographic and clinical correlates of suicidal ideation in individuals with at-risk mental state (ARMS): A study from Pakistan

Background: Suicide is a major public health concern and one of the leading causes of mortality worldwide. People with an at-risk-mental-state (ARMS) for psychosis are more vulnerable to psychiatric co-morbidity and suicide, however, there are limited data from low-middle-income countries. The present study aimed to identify the prevalence of depressive symptoms and suicidal ideation along with […]

Level of suicidal ideation among callers to the Danish suicide prevention helpline

Objective: The aim of this study was to: (1) determine the proportion of callers to a national helpline for suicide prevention who were evaluated to be at risk of suicide; (2) identify characteristics associated with being at risk; (3) determine the level of suicidal ideation among callers, as measured by a clinical scale, and compared to […]

Preteen suicide risk clinical pathways for pediatricians: Special recommendations

We are in a youth mental health crisis that includes unprecedented and staggeringly high rates of suicidal ideation and behaviors in preteens. Because the majority of children and preteens attend well-child  primary care visits, equipping pediatricians with brief and effective suicide screening and assessment skills is a priority for youth suicide prevention and management. Current […]

A review of multidisciplinary clinical practice guidelines in suicide prevention: Toward an emerging standard in suicide risk assessment and management, training and practice

Objective: The current paper aims to: (1) examine clinical practice guidelines in suicide prevention across fields, organizations, and clinical specialties and (2) inform emerging standards in clinical practice, research, and training. Methods: The authors conducted a systematic literature review to identify clinical practice guidelines and resource documents in suicide prevention and risk management. The authors used PubMed, […]

Leveraging contextual relatedness to identify suicide documentation in clinical notes through zero shot learning

Epidemiology and clinical-demographic characteristics of suicide attempts in alcohol use

Suicide is a leading cause of morbidity worldwide. Among the known risk factors, alcohol use disorders (AUDs) are particularly relevant, but data on the epidemiology and characteristics of suicide attempts (SA) in this group are lacking. We used electronic health records of national health services to identify individuals who received a diagnosis of AUD in […]

Assessment of suicide attempt and death in bipolar affective disorder: A combined clinical and genetic approach

Bipolar disorder (BP) suicide death rates are 10–30 times greater than the general population, likely arising from environmental and genetic risk factors. Though suicidal behavior in BP has been investigated, studies have not addressed combined clinical and genetic factors specific to suicide death. To address this gap, a large, harmonized BP cohort was assessed to […]

Acute suicide prevention: A systematic review of the evidence and implications for clinical practice

Objective Responding appropriately to people in acute distress, including suicidality, is a critical aspect of suicide prevention. Six clinical interventions are used to respond to acute suicidality—pharmacotherapy, Observations, Contracting for Safety, Crisis Response Planning, Safety Planning, and Care • Collaborate • Connect. This study used a systematic review to identify the efficacy of these acute […]

Suicide risk screening in pediatric hospitals: Clinical pathways to address a global health crisis

Background: Youth suicide is on the rise worldwide. Most suicide decedents received healthcare services in the year before killing themselves. Standardized workflows for suicide risk screening in pediatric hospitals using validated tools can help with timely and appropriate intervention, while attending to The Joint Commission Sentinel Event Alert 56. Objective: Here we describe the first attempt to […]

Clinical characteristics of suicidal youths and adults: A one-year retrospective study

Suicide is a major mental health problem, particularly during youth, when it is the second leading cause of death. Since young people at risk of suicide are often cared for by the adult health system, we sought to identify the specificities and similarities between suicidal youths and adults in order to further inform the potential […]

Clinicians’ mental representations of psychopathology are more positive and complex than the lay public but also stigmatize suicide

Bias toward those with mental disorders is pervasive and consequential. We examined bias at the level of mental representation. Clinicians (comprised of graduate students in training and their supervisors; N = 34) and laypeople (comprised of undergraduate students; N = 64; Mage = 18.58; 75.0% female-identified) completed a reverse correlation procedure to generate images of […]

Clinical and psychosocial characteristics of adolescent pediatric patients hospitalized after different types of suicidal behaviors: A preliminary study

The objective of this study was to examine the clinical characteristics of adolescents hospitalized after a suicide attempt or instrumental suicide-related behavior. Participants included thirty-six adolescents from the pediatric unit of a Polish hospital who made a nonfatal suicide attempt (SAA) or engaged in instrumental suicide-related behavior (IBA), as well as a general population sample […]

Clinician-recalled quoted speech in electronic health records and risk of suicide attempt: A case-crossover study

Objective: Clinician narrative style in electronic health records (EHR) has rarely been investigated. Clinicians sometimes record brief quotations from patients, possibly more frequently when higher risk is perceived. We investigated whether the frequency of quoted phrases in an EHR was higher in time periods closer to a suicide attempt. Design: A case-crossover study was conducted in a […]

Suicide prevention and depression apps’ suicide risk assessment and management: A systematic assessment of adherence to clinical guidelines

Background There are an estimated 800,000 suicides per year globally, and approximately 16,000,000 suicide attempts. Mobile apps may help address the unmet needs of people at risk. We assessed adherence of suicide prevention advice in depression management and suicide prevention apps to six evidence-based clinical guideline recommendations: mood and suicidal thought tracking, safety plan development, recommendation […]

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 […]

The role of clinician fear in interviewing suicidal patients

Researchers are increasingly interested in how clinicians should screen for suicide ideation in care settings and the merits of doing so. A common finding is that screening does no harm, and may do good, insofar as once the subject of suicide is broached clinicians can conduct a suicide risk assessment to determine the course of […]

One size does not fit all: A comprehensive clinical approach to reducing suicidal ideation, attempts, and deaths

While the existence of mental illness has been documented for centuries, the understanding and treatment of such illnesses has evolved considerably over time. Ritual exorcisms and locking mentally ill patients in asylums have been fundamentally replaced by the use of psychotropic medications and evidence-based psychological practices. Yet the historic roots of mental health management and […]

Predicting suicide attempts for racial and ethnic groups of patients during routine clinical care

The aim of this study was to examine variation in suicide ideation and its relationship to risk of suicide attempt in the subsequent 90 days by race and ethnicity. Participants were adults who completed the Patient Health Questionnaire depression module (PHQ9) during an outpatient encounter between January 10, 2010, and December 12, 2012 (N = 509,945 patients; N = 1,228,308 completed […]

Systematic review and quality appraisal of practice guidelines for self-harm in children and adolescents

This study aimed to systematically identify and appraise clinical practice guidelines (CPGs) relating to the assessment and management of suicide risk and self‐harm in children and adolescents. Our research question is as follows: For young people (under 18 years old) presenting to clinical care with suicide ideation or a history of self‐harm, what is the quality […]

Determinants and predictive value of clinician assessment of short-term suicide risk

We examine the interrelations among clinicians’ judgment of patients’ suicide risk, clinicians’ emotional responses, and standard risk factors in the short‐term prediction of suicidal thoughts and behaviors. Psychiatric outpatients (n = 153) with a lifetime history of suicide ideation/attempt and their treating clinicians (n = 67) were evaluated at intake. Clinicians completed a standard suicide risk instrument (modified SAD […]

Helping the suicidal person: Tips and techniques for professionals.

Helping the Suicidal Person provides a highly practical toolbox for mental health professionals. The book first covers the need for professionals to examine their own personal experiences and fears around suicide, moves into essential areas of risk assessment, safety planning, and treatment planning, and then provides a rich assortment of tips for reducing the person’s […]

Preventing suicide through improved training in suicide risk assessment and care: An American Association of Suicidology Task Force Unabridged Report addressing serious gaps in U.S. mental health training.

There are twice as many suicides as homicides in the United States, and the suicide rate is rising. Suicides increased 12% between 1999 and 2009. Mental health professionals often treat suicidal patients, and suicide occurs even among patients who are seeking treatment or are currently in treatment. Despite these facts, training of mental health professionals in […]

Suicide warning signs in clinical practice.

This review discusses suicide warning signs in clinical practice and has three simple goals: 1) to help practitioners differentiate in a clinically meaningful fashion between warning signs and risk factors for suicide; 2) to articulate the link among warning signs for suicide, hopelessness, and intent to die; and 3) to assist practitioners in applying warning […]