When health services are powerless to prevent suicide: Results from a linkage study of suicide among men with no service contact in the year prior to death

Aims: To investigate cases of suicide in which there was no healthcare contact, by looking at history of help-seeking and evidence of previous mental health vulnerability. To identify any life events associated with suicide for which individuals did not seek help. Background: Previous research has suggested that non-consultation is the main barrier to suicide prevention among men. […]

Association of 7 million+ tweets featuring suicide-related content with daily calls to the Suicide Prevention Lifeline and with suicides, United States, 2016–2018

Objective: The aim of this study was to assess associations of various content areas of Twitter posts with help-seeking from the US National Suicide Prevention Lifeline (Lifeline) and with suicides. Methods: We retrieved 7,150,610 suicide-related tweets geolocated to the United States and posted between 1 January 2016 and 31 December 2018. Using a specially devised […]

Perceptions of public messaging to facilitate help seeking during crisis among U.S. veterans at risk for suicide

Objective The primary objectives of this study were to (1) examine how veterans at risk for suicide understand and interpret suicide prevention messages, and (2) identify message features that support (or hinder) help seeking behaviors. Method Individual virtual interviews (N = 40) were conducted from August 2018 to April 2019 with a nationwide sample of veterans who […]

Suicide risk profiles and barriers to professional help-seeking among college students with elevated risk for suicide

Suicide is the second leading cause of death among college students, yet many students with elevated suicide risk do not seek professional help. This study identified suicide risk profiles among college students and examined these in relation to students’ perceived barriers to professional help-seeking. Data were obtained from college students (n = 1689) identified to be at […]

COVID-19 and MENtal health: Addressing men’s mental health needs in the digital world

The COVID-19 pandemic continues to be a source of stress and have important mental health implications for all persons but may have unique implications for men. In addition to the risk of contracting and dying from COVID-19, the rising COVID-19 death toll, ongoing economic uncertainty, loneliness from social distancing, and other changes to our lifestyles […]

Self-stigma and its relationship with rates of depression diagnosis: A study of suicide notes in Shanghai and Wuhan, China

Background: Self-stigma about suicide might impede people seeking help from mental health professionals. There is little research about self-stigma expressed by suicide decedents. Aims: We aimed to explore (a) self-stigma about suicide through examination of suicide notes; and (b) whether the expression of self-stigma was associated with the formal diagnoses of depression. Method: Data were extracted from notes left by […]

Help-seeker expectations and outcomes of a crisis support service: Comparison of suicide-related and non-suicide- related contacts to lifeline Australia

Lifeline Australia aims to prevent suicide and support community members in personal crisis via the provision of free anonymous telephone, online chat and text message services. This study aimed to identify the expectations and outcomes of Lifeline help-seekers, including whether there are differences between suicide-related and non-suicide-related contacts. Help-seekers (N = 553) who had previously contacted Lifeline […]

Suicide prevention public service announcements: Recall biases associated with increased risk for suicide

Background: Suicide prevention public service announcements (PSAs) help to disseminate information about suicide and help-seeking options. However, little is known about how individuals at risk for suicide recall PSAs. Aims: The current project assessed which features of suicide prevention PSAs are recalled by young adult participants and whether there are differences between those who are at low or […]

An initial investigation of suicide attempt disclosures among US veterans

Background: Patient disclosure of prior suicidal behaviors is critical for effectively managing suicide risk; however, many attempts go undisclosed. Aims: The current study explored how responses following a suicide attempt disclosure may relate to help-seeking outcomes. Method: Participants included 37 veterans with a previous suicide attempt receiving inpatient psychiatric treatment. Veterans reported on their most and least helpful experiences disclosing […]

The gap between perceived mental health needs and actual service utilization in Australian adolescents

Despite being highly prevalent, adolescent mental health problems are undertreated. To better understand the mental health treatment gap, we assessed the prevalence and correlates of help seeking, including perceived need for care and access to that care. Data were drawn from Young Minds  Matter (YMM) survey—the second Australian child and adolescents survey of mental health […]

Evaluating the effectiveness in initiating help-seeking behaviors by exposure to an adult male public service announcement

Numerous studies have demonstrated that PSA campaigns can be effective in increasing awareness/knowledge, attitudes, intentions to change behaviors, and ultimately behaviors; and the majority of suicide prevention PSAs encourage help-seeking behavior by the person at-risk and/or by those worried about a person who might be at risk of suicide. However, to date, only a handful […]

Challenging the myth of “attention seeking” women with suicidality: A grounded theory study about applying counter-pressure to manage system entrapment

Some women who express suicidal intent and engage in non-lethal self-harm perceive that nurses and other health care workers label them as attention-seeking and manipulative. An understanding of women’s help-seeking behaviors that challenges suicide myths is presented. The purpose of this study was to examine help-seeking for suicidality in women with histories of intimate partner […]

Service-connected disabilities and suicide attempts in veterans: The moderating role of mental health care utilization

United States veteran suicide rates have increased over the past two decades. Designations of service-connected disabilities (designations tied to injury during military service) are also increasing, especially those associated with mental health disorders. However, recent research around disability and suicide in veterans is mixed, and no research has been completed on the association between disability […]

How best to provide help to bereaved adolescents: A Delphi consensus study

Background: Many adolescents struggle with their grief and mental health issues after the death of a close person, such as a family member or a friend. Given the potentially devastating impact of the loss on the adolescent and their family, professional help can be warranted. However, little is known about how to best help these […]

Gender differences in youth attitudes towards suicide prevention during a community-based theater program

Background: To explore the differences in young adult male and female attitudes towards and motivations for suicide, beliefs about help-seeking behavior, and attitudes towards helping others to prevent suicide. Methods: In-depth  interviews and focus groups with adolescent and young adult males and females (n = 50, ages 14–24) were conducted before and after a community-based […]

Suicide risk profile and the social convoy: Population-level patterns of the young generation’s help-seeking behavior and implications for suicide prevention

Background: Social support network offers a large potential in augmenting suicide prevention efforts tailored for the young generation (YG), but has so far been largely overlooked in population health studies. Key issues that remain scarcely understood include the composition of the YG’s activated support network when they faced psychological distress, along with the prevalence and suicide […]

An integrative systematic review of online resources and interventions for people bereaved by suicide

Suicide bereavement is frequent in the general population and it can have deleterious consequences on the mental health and social functioning of the bereaved individuals. However, those bereaved can face substantial barriers to receive support, and online resources may improve the accessibility of support. This systematic review aimed at examining the use and benefits of online resources […]

An empirical test of a mediation model of the impact of the traditional male gender role on suicidal behavior in men

Background: Men die by suicide three to four times more often than women in Western countries. The adverse impact of the traditional male gender role as well as men’s reluctance to seek help are possible explanations of this gender gap, but these hypotheses have not been well documented empirically. Methods: This study compares two groups of men […]

“A country boy can survive:” Rural culture and male-targeted suicide prevention messaging

The low rate of help-seeking and high rate of suicide completion among men has prompted public health officials to create suicide prevention campaigns that specifically target men. Drawing from data collected as part of a larger study of fire recovery in a rural county in Northern California, this paper utilizes 68 interviews with fire survivors […]

Help-seeking intentions in the U.S. population during the COVID-19 pandemic: Examining the role of COVID-19 financial hardship, suicide risk, and stigma

The primary goal of this study was to increase understanding of help-seeking intentions in the U.S. population during the COVID-19 pandemic and to examine influencing factors such as COVID-19 financial hardship, suicide risk, and stigma in order to contribute to effective theory-based help-seeking and suicide prevention campaigns. In a representative sample of U.S. adults (N = 5,010), […]

Psychosocial impact of the COVID-19 pandemic: A cross-sectional study of online help-seeking Canadian men

Purpose: The COVID-19 pandemic has had a profound impact on the lives of men. The present study investigated psychosocial impacts of the COVID-19 pandemic on a help-seeking sample of Canadian men, focusing on diverse aspects of their psychosocial well-being. Methods: A cross-sectional, open survey study design was used. Canadian adult men who were visiting an […]

The effect of local Suicide Prevention Action Networks (SUPRANET) on stigma, taboo and attitudes towards professional help-seeking: An exposure-response analysis

Purpose In 2017, the European Alliance against Depression (EAAD) programme was introduced in the Netherlands through the creation of six local Suicide Prevention Action Networks (SUPRANET Community). This programme consists of interventions on four levels: (1) a public awareness campaign, (2) training local gatekeepers, (3) targeting high-risk persons in the community and (4) training of […]

Effects of the Mental Health First Aid for the suicidal person course on beliefs about suicide, stigmatising attitudes, confidence to help, and intended and actual helping actions: An evaluation

Background: Suicide is a significant concern in Australia and globally. There is a strong argument for training community gatekeepers in how to recognise and support suicidal people in their social network. One such training course is the Mental Health First Aid for the Suicidal Person course. This course was developed using suicide prevention best practice guidelines […]