The health-related quality of life, work productivity, healthcare resource utilization, and economic burden associated with levels of suicidal ideation among patients self-reporting moderately severe or severe major depressive disorder in a national survey

Background: Suicidal ideation (SI) is a cardinal aspect of major depressive disorder (MDD); however, patient-reported outcomes data from large-scale surveys are limited concerning SI in the context of MDD. This study aims to understand the association between varying levels of SI and health-related quality of life (HRQoL), work productivity, healthcare resource utilization (HRU), and associated costs […]

Mental health and substance use during COVID-19: Summary report 3 spotlight on income, employment, access

Key findings include: Substance use and mental health concerns are greatest among people with low income or who are unemployed:Problematic cannabis use was reported by 50% of respondents with low income or who are unemployed who use cannabis, while problematic alcohol use was reported by more than 30% of those who drink alcohol. Similarly, 45% […]

Spreading pride in all who served: A health education program to improve access and mental health outcomes for sexual and gender minority veterans

Access to effective, replicable services is critical to reduce known mental health disparities for sexual and gender minority or LGBTQ+ veterans (lesbian, gay, bisexual, transgender, queer, questioning, and related identities). This paper examines the impact of a manualized 10-week health education group, called PRIDE in All Who Served on veteran patient experience, protective factors (e.g., […]

The role of context in shaping the relationship between physical health and suicide over the life course

U.S. suicide rates are at a thirty-year high while physical health, as measured by life expectancy and pain, has declined, particularly for those without a college degree. We investigate how these patterns may be related by exploring the role of physical health problems in suicide deaths using 2019 data from the National Violent Death Reporting […]

A question of justice: Critically researching suicide with Indigenous studies of affect, biosociality, and land-based relations

This paper considers how Indigenous studies can inform the evolution of critical research on suicide. Aligned with critiques of mainstream suicidology, these methodological approaches provide a roadmap for structural analysis of complex systems and logics in which the phenomenon of suicide emerges. Moving beyond mere naming of social determinants of suicide and consistent with calls […]

Suicide in rural Australia: A retrospective study of mental health problems, health-seeking and service utilisation

Background Suicide rates are higher in rural Australia than in major cities, although the factors contributing to this are not well understood. This study highlights trends in suicide and examines the prevalence of mental health problems and service utilisation of non-Indigenous Australians by geographic remoteness in rural Australia. Methods A retrospective study of National Coronial […]

Who didn’t consult the doctor? Understanding sociodemographic factors in relation to health care uptake before suicide

Objective This study aimed to establish differences between suicide decedents and a reference population across various health care settings. Methods This population-wide registration study combined death statistics, sociodemographic data and health care data from Statistics Netherlands. From 2010 to 2016, 12,015 suicide cases and a random reference group of 132,504 were included and assigned to […]

Variable circumstances of suicide among racial/ethnic groups by sex and age: A National Violent-Death Reporting System analysis

Suicide rates vary by race/ethnicity, but little is known about how the circumstances that contribute to suicide differ across racial/ethnic groups. This study investigated suicide circumstances among non-Hispanic Whites, non-Hispanic Blacks, non-Hispanic Asian/Pacific Islanders, non-Hispanic Native American/Alaskan Natives, and Hispanics by sex and age. Using de-identified National Violent Death Reporting System (NVDRS) Restricted Access Database […]

Associations between mental health shortage areas and county-level suicide rates among adults aged 25 and older in the USA, 2010 to 2018

Objective Suicide is a serious public health concern, but little is known about the relationship between access to mental health care and suicide deaths, and whether suicide rates differ by mental health provider Health Professional Shortage Areas (HPSAs). This study investigated the associations between mental health HPSAs and suicide rates. Method We used generalized linear […]

Exploring health care professionals’ knowledge of, attitudes towards, and confidence in caring for people at risk of suicide: A systematic review

Health care professionals are paramount to the prevention and management of suicidal thoughts and behaviors. Confidence in caring for people at risk of suicidal thoughts and behaviors is influenced by knowledge of and attitudes towards suicide. This systematic review aimed to explore health care professionals’ knowledge of and attitudes towards suicide, as well as, their […]

Healthcare use before and after suicide attempt in refugees and Swedish-born individuals

Purpose There is a lack of research on whether healthcare use before and after a suicide attempt differs between refugees and the host population. We aimed to investigate if the patterns of specialised (inpatient and specialised outpatient) psychiatric and somatic healthcare use, 3 years before and after a suicide attempt, differ between refugees and the Swedish-born […]

Value-based healthcare toolkit January 2020

This toolkit includes an explanation of value-based healthcare (VBHC), assessment tools, and links to additional resources. All of the tools can be used to assess whether you are ready to implement VBHC. They can also be used along the implementation pathway. The tools are designed to facilitate critical conversations as leaders think through and implement […]

Technology for our future? Exploring the duty to report and processes of subjectification relating to digitalized suicide prevention

Digital and networking technologies are increasingly used to predict who is at risk of attempting suicide. Such digitalized suicide prevention within and beyond mental health care raises ethical, social and legal issues for a range of actors involved. Here, I will draw on key literature to explore what issues (might) arise in relation to digitalized […]

Canada’s time to act

Beavers, ice hockey, maple syrup, Mounted Police, peace-keeping. These things conjure Canada in the minds of many. Others will add health to the list, for Canada’s public health-care system is one of the oldest and most celebrated in the world and because Canada has ministered to global humanitarian, migration, and medical crises for decades. While […]

Compliance standards pave the way for reducing suicide in health care systems

Suicide is the tenth leading cause of death in the United States and is increasing in almost every state, despite rates falling globally. Often overlooked, health care systems and providers play an important and necessary role in reducing suicides. The myth has been that health care is not in a position to make a difference because […]

The health equity measurement framework: A comprehensive model to measure social inequities in health

Background Despite the wealth of frameworks on social determinants of health (SDOH), two current limitations include the relative superficial description of factors affecting health and a lack of focus on measuring health equity. The Health Equity Measurement Framework (HEMF) addresses these gaps by providing a more encompassing view of the multitude of SDOH and drivers […]

Health care usage and suicide risk screening within 1 year of suicide death

Background Research indicates patients often seek medical care within 1 year of suicide. Health care encounters are a crucial opportunity for health professionals to identify patients at highest risk and provide preventative services. Objective Study aims were to determine the characteristics of persons seeking health care within 12 months of suicide death and evaluate suicide risk screening […]

Reclaiming Indigenous identities: Culture as strength against suicide among Indigenous youth in Canada

In Canada, Indigenous youth suicide represents one of several health disparities burdening Indigenous populations, and like many other of these disparities, can be understood as an expression of societal, historical, cultural and familial trauma. As the number of Indigenous youth who take their own lives every year in Canada continues to far exceed national averages, […]

Prioritizing research to reduce youth suicide and suicidal behavior

The goal of the National Action Alliance for Suicide Prevention is to reduce suicide and suicide attempts in the U.S. by 40% in the next decade. In this paper, a public health approach is applied to suicide prevention to illustrate how reductions in youth suicide and suicidal behavior might be achieved by prioritizing research in […]