Suicide-preventive compulsory admission is not a proportionate measure: Time for clinicians to recognise the associated risks

Suicide is considered a global public health issue and compulsory admission is a commonly used measure to prevent suicide. However, the practice has been criticised since several studies indicate that the measure lacks empirical support and may even increase suicide risk. This paper investigates whether the practice has enough empirical support to be considered proportionate. […]

Practical ethics in suicide: Research, policy and clinical decision-making

When and how forcefully must we intervene to save a life, and when should we respect the will to die? This book presents alternative ethical paradigms to understand contemporary challenges in suicide research, prevention, practices, and policies, including challenges in the expanding legalization of euthanasia and assisted suicide (‘medical assistance in dying’). Drawing on case […]

A brief overview of the Islamic ethics of suicide and suicide-related contemporary issues from a Sunni perspective: A primer for clinicians and researchers

Suicide is a growing global health concern with complex socioeconomic implications. Understanding psychosocial resiliency factors may facilitate suicide prevention. Religious moral objections to suicide, including those inspired by the Islamic faith, appear to promote resilience to suicide. However, few English-language resources provide an overview of Islam’s moral and ethical position on suicide, potentially hindering treatment […]

Losing a patient to suicide: What we know

Studies have found that 1 in 2 psychiatrists, and 1 in 5 psychologists, clinical social workers, and other mental health professionals, will lose a patient to suicide in the course of their career. This statistic suggests that losing a patient to suicide constitutes a clear occupational hazard. Despite this, most mental health professionals continue to […]

Laws, risk management, and ethical principles when working with suicidal patients

Working with a suicidal patient is a high-risk enterprise for the patient who might die from suicide, the patient’s family who might lose a loved one, and the psychologist who is likely to feel extreme grief or fear of legal liability after the suicide of a patient. To minimize the likelihood of such patient deaths, […]

Ethical challenges in clinical care of suicidal patients

Suicide management is attended with ethical dilemmas. Philosophical positions like respect for life (which generally accords with the theological position), autonomy, duty to others, and utilitarianism; as well as legal requirements provide a context for ethical decision making. Ethical principles involved are duty to others, autonomy (including informed consent and confidentiality), beneficence and non-maleficence. The […]

Monitoring and responding to signals of suicidal ideation in pragmatic clinical trials: Lessons from the GRACE trial for Chronic Sickle Cell Disease Pain

Sickle cell disease (SCD) is a hemoglobin disorder and the most common genetic disorder that affects 100,000 Americans and millions worldwide. Adults living with SCD have pain so severe that it often requires opioids to keep it in control. Depression is a major global public health concern associated with an increased risk in chronic medical disorders, […]

Reporting ethical procedures in suicide prevention research: Current status and recommendations

Objective: Ethical concerns frequently arise in suicide prevention research regarding participant safety and confidentiality. Despite a substantial literature on managing and navigating ethical concerns in suicide research, little attention has been paid to the reporting of ethical procedures. Furthermore, standard procedures for reporting ethical risk management procedures have not been developed. Method: A review of the current […]

Ethical suicide prevention in an artificial intelligence driven society

Objective To explore the drivers, objectives and challenges for ethical artificial intelligence-based suicide prevention in a technologically evolving clinical and societal context. Method Narrative selected literature review. Results There is an ethical need for more effective suicide prevention that is aware of the limitations of prediction. AI research needs to recognise the importance of clinical […]

A stakeholder-informed ethical framework to guide implementation of suicide risk prediction models derived from electronic health records

Objective: Develop a stakeholder-informed ethical framework to provide practical guidance to health systems considering implementation of suicide risk prediction models. Methods: In this multi-method study, patients and family members participating in formative focus groups (n = 4 focus groups, 23 participants), patient advisors, and a bioethics consultant collectively informed the development of a web-based survey; survey results (n = […]

Ethical issues to consider in designing suicide prevention studies: An expert consensus study

Aim: Research is imperative to advance our understanding of suicidal behavior and its prevention. Suicide prevention research involves various ethical issues, many of which are not straightforward to address. Hence, suicide prevention researchers sometimes face particular issues when designing their research studies. This expert consensus study aimed to identify the most important ethical issues to consider […]

Challenges and opportunities for suicide bereavement research: The experience of ethical board review

Background: While high-quality and ethically sound research is needed to better understand and respond to the needs of those bereaved by suicide, there is a concern that ethical boards internationally raise unreasonable objections to research with those bereaved by suicide. Aims: This pilot study was conducted to examine the issues faced by suicide bereavement and postvention researchers […]

Ethical issues relevant to the assessment of suicide risk in nonclinical research settings

Background: Our laboratory recently confronted this issue while conducting research with undergraduate students at the University of Waterloo (UW). Although our main objective was to examine cognitive and genetic features of individuals with schizotypal personality disorder (SPD), the study protocol also entailed the completion of various self-report measures to identify participants deemed at increased risk for […]

Research participation experiences of informants of suicide and control cases: Taken from a case-control psychological autopsy study of people who died by suicide

Background: Ethical issues have been raised about using the psychological autopsy approach in the study of suicide. The impact on informants of control cases who participated in case-control psychological autopsy studies has not been investigated. Aims: (1) To investigate whether informants of suicide cases recruited by two approaches (coroners’ court and public mortuaries) respond differently to the […]

Doing the right thing: Ethical issues in designing suicide prevention studies

Important ethical challenges arise from features that are central to suicide research, such as the involvement of participants who might have an increased risk of suicide and asking suicide-related questions of participants.

Considerations for developing online bereavement support groups

The loss of a family member or friend can have profound psychological and physical implications, particularly for individuals without bereavement support services. Online support groups can be an effective means of extending services beyond the traditional modes of delivery. This is especially true for populations that include isolated individuals and those with limited support networks, […]

Ethical issues found in healthcare providers in suicide prevention in Indonesia

The suicide rate is increasing and gaining attention in several developed countries, but in most developing countries, it is often ignored. Society should have a valve that can withstand various problems that occur in the community. The valve is a family. There has been a deterioration in family function in recent years. The existence of […]

Caring for family members following suicide: Professionals’ experiences of responsibility

Background When a patient commits suicide while hospitalized in the psychiatric ward, the mental healthcare professionals (MHCPs) who have had the patient in their care encounter the family members immediately following the suicide. Professionals who encounter the bereaved in this first critical phase may have a significant impact on the grieving process. By providing ethically […]

Ethical issues to consider in designing suicide prevention studies: An expert consensus study

Aim: Research is imperative to advance our understanding of suicidal behavior and its prevention. Suicide prevention research involves various ethical issues, many of which are not straightforward to address. Hence, suicide prevention researchers sometimes face particular issues when designing their research studies. This expert consensus study aimed to identify the most important ethical issues to consider […]

Technological advances and the future of suicide prevention: Ethical, legal, and empirical challenges

Technological advancements have brought multiple and diverse benefits to our human existence. In suicide prevention, new technologies have spurred great interest in and reports of the applicability to assessing, monitoring, and intervening in various community and clinical populations. We argue in this article that we need to better understand the complexities of implementation of technological […]

Monitoring, assessing, and responding to suicide risk in clinical research

It is essential that investigators in clinical research settings follow ethical guidelines for monitoring, assessing, and responding to suicide risk. Given the unique considerations associated with suicide risk assessment in a research context, resources informing the development of research-specific suicide risk management procedures are needed. With decades of collective experience across heterogeneous contexts, we discuss […]

Violations of suicide-prevention guidelines in US media coverage of physician’s suicide death during the COVID-19 pandemic

Background: Healthcare workers are at elevated risk for suicide; though it has yet to be studied, this risk may be exacerbated by the COVID-19 pandemic. News media coverage of high-profile suicide is associated with an increased risk of subsequent suicides. No analysis has yet been published of US media practices for reporting on healthcare worker suicides […]

Investigating the relationship between euthanasia and/or assisted suicide and rates of non-assisted suicide: Systematic review

Background: Euthanasia and assisted suicide (EAS) are practices that aim to alleviate the suffering of people with life-limiting illnesses, but are controversial. One area of debate is the relationship between EAS and suicide rates in the population, where there have been claims that availability of EAS will reduce the number of self-initiated deaths (EAS and […]