Psychosis and suicide: Suicidal communication and critical life events before suicide in a 1-year psychiatric cohort

Background: The life time risk of suicide among patients with long term psychosis is 5-15%. Suicide prevention in this group is a major clinical challenge. Aims: To capture specific characteristics of suicidal communication and critical events preceding suicide in patients with psychosis. Methods: Medical records were examined and a life event inventory applied to a […]

Special considerations for telling your own story: Best practices for presentations by suicide loss and suicide attempt survivors

This document outlines best practices for suicide loss and suicide attempt survivors who are considering sharing their story with the public. The best practices were created by a group of experts in the suicide prevention community and include information on: assessing readiness to speak; considering family reactions and potential social ramifications; resources for safe messaging; […]

Effectiveness of brief psychological interventions for suicidal presentations: A systematic review

Background Every year, more than 800,000 people worldwide die by suicide. The aim of this study was to conduct a systematic review of the effectiveness of brief psychological interventions in addressing suicidal thoughts and behaviour in healthcare settings. Methods Following PRISMA guidelines, systematic searches were conducted in MEDLINE, CINAHL, EMBASE, the Cochrane Central Register of […]

Uncovering blind spots in the intention to provide adequate help to suicidal individuals: An exploratory web-based experiment

Background: An adequate reaction from families, friends, and colleagues who can provide help to suicidal individuals is a preventive factor. Despite the logical assumption that the mere presence of risk factors in individuals needing help may affect others’ helping intentions, empirical evidence is lacking in this regard. Method: We tested whether the presence of various risk factors influences […]

Determining subgroups that exist among US firearm owners

Objective To identify and verify classes of firearm owners that exist within the United States and determine the sources that classes deemed credible to discuss firearm safety for suicide prevention. Methods The study is composed of two parts. Part 1 (N = 1018) utilizes a nationally representative sample of firearm owners. Part 2 (N = 1064) consists of firearm […]

Gender-specific aspects of suicide-related communication in a high risk sample of psychiatric inpatients

Background: In addition to help-seeking behavior in a professional context, suicide-related communication (SRC) with that discloses suicidal thoughts and plans to relatives and significant others play a major role in suicide prevention. While studies revealed gender differences in help-seeking behavior in case of suicidal thoughts and intent in a professional context, the empirical evidence on […]

How to talk to a child about a suicide attempt in your family

If there has been a recent suicide attempt in your family, this may be one of the toughest experiences you and your children may ever face. It is important to take care of yourself, so that you are better able to care for your child. This guide is intended to provide you with some of […]

Interpersonal precipitants are associated with suicide intent communication among United States Air Force suicide decedents

Background Few studies explore differences between suicide intent communicators and noncommunicators, and to date, none have examined the association between suicide precipitants and intent communication. Methods United States Air Force suicide decedents (N = 236) were categorized as suicide intent communicators or non-communicators within 30 days prior to death. The top two frequently occurring suicide precipitants, categorized […]

Gender differences in suicide-related communication of young suicide victims

Objectives There is limited insight into gender differences in suicide-related communication (SRC) in youths. SRC is defined as “the act of conveying one’s own suicide ideation, intent or behaviours to another person”. Increasing our understanding of SRC in youths will enable us to recognize and specify needs of female versus male youths. The current study explores SRC […]

An examination of preferred messengers on firearm safety for suicide prevention

This study sought to determine differences in preferred messengers on the topic of safe firearm storage and suicide prevention between firearm owners and non-firearm owners, and among firearm owners of different racial groups and sexes. Participants were 6200 United States residents recruited via Qualtrics Panels to complete an online survey. Data were collected during March 2020. […]

Asking about self-harm and suicide in primary care: Moral and practical dimensions

Objective Self-harm and suicide are important topics to discuss with people experiencing mental health conditions. This study explores how such discussions unfold in practice, and how their moral and practical repercussions manifest for patients and doctors. Methods Conversation analysis (CA) was used to examine 20 recorded examples of doctors’ questions about self-harm and suicide and […]

Responsibly communicating delays after suicides on railways: the impact of delay announcements on suicide-related associations and emotions, and announcement appreciation

Background: By communicating collision with a person as a reason for post-suicide railway delays, railway companies may involuntarily communicate to the public that colliding with a train is a suicide method. Aims: To compare the impact of the collision with a person delay announcement with an announcement about emergency services and one about collision with […]

Systematic comparison of recommendations for safe messaging about suicide in public communications

Background The diversity of guidelines for safe public messaging about suicide and the heterogeneous scientific research on the topic warrants comparisons of guidelines and analysis of the relevance of research findings to determine best practices. Methods We searched databases and websites for organizations’ guidelines concerning safe public messaging on suicide, and relevant research articles. Results […]

The communication of suicidal intentions: A meta-analysis

BACKGROUND: Among the myths that are often cited about suicide is that ‘people who talk about killing themselves rarely die by suicide’, but the evidence seems to contradict this statement. The aim of this study was to conduct a meta-analysis of studies reporting a prevalence of suicide communication (SC), and to examine the diagnostic accuracy […]

Comparing indicators of suicidality among users in different types of nonprofessional suicide message boards: A linguistic analysis

Background: Little is known about linguistic differences between nonprofessional suicide message boards that differ in regard to their predominant attitude to suicide. Aims: To compare linguistic indicators potentially related to suicidality between anti-suicide, neutral, and pro-suicide message boards, and between the types of posters (primary posters, who initiate the thread, and the respective respondents). Method: […]

Language and framing as determinants of the predominance of behavioural health promotion: An Australian view

The language used in health promotion warrants attention as it shapes how health promotion is understood, constraining or opening up possibilities for action. The 2016 Shanghai Declaration and the 1986 Ottawa Charter for Health Promotion call for comprehensive approaches which include policy and environmental changes. Yet many health promotion programmes in Australia continue to focus […]

Conversation as a medium for change in education

Educational change has, for the past century, been driven by a focus on solving recurring problems within the existing framework of educational institutions. This focus has manifested  itself through never-ending discussions of educational problems in which very little of substance is said and even less is heard. In this paper, we distinguish among various sorts of conversations that are possible to have in schools […]

Team communication within integrated primary care in the context of suicide prevention: A mixed methods preliminary examination

Direct and indirect communication through the electronic medical record play a vital role in helping medical home primary care teams implement suicide prevention efforts. The purpose of this study is to examine how communication related to suicide prevention occurs among primary care team members working within a group of clinics in the Veterans Health Administration […]

Hearing the suicidal patient’s emotional pain: A typological model to improve communication

Background: Escaping from emotional pain is a recognized driver in suicidal patients’ desire to die. Formal scales of emotional pain are rarely used during routine contact between patients and their care team. No study has explored facilitators and inhibitors of emotional pain communication between staff and suicidal patients during regular care. Aims: To identify factors impeding or […]

Awareness of suicide risk and communication between health care professionals and next-of-kin of suicides in the month before suicide

Based on psychological autopsy data, the study compared awareness of suicide risk in the deceased among next‐of‐kin (NOK) and health care professionals (HCPs), and communication between these two groups in the month before death. The NOKs had significantly more knowledge about the decedent’s suicide warning signs than the HCPs (90.5% vs. 44.6%). Contact between NOK […]

Caring for the suicidal person: A Delphi study of what characterizes a recovery-oriented caring approach

More research is needed for supporting mental health nurses in their caring for suicidal individuals. This study aimed to describe what characterizes a recovery-oriented caring approach, and how this can be expressed through caring acts involving suicidal patients and their relatives. Delphi methodology was used, and research participants were recruited as experts by experience to […]

Best practices for suicide prevention messaging and evaluating California’s “Know the Signs” media campaign.

Background: Although communication is a key component of US strategies to prevent suicide and there are a number of marketing campaigns promoting messages that suicide is a preventable public health problem, there has been little evaluation of these campaigns. Aims: The study describes the development of a checklist of best practices for suicide prevention communication […]

The village effect: How face-to-face contact can make us healthier and happier.