Zero suicide: An international declaration for better healthcare

This declaration was developed by a diverse group of 50 peer leaders, government policy makers, and healthcare providers from 13 countries convened for Atlanta 2015: An International Declaration and Social Movement to address the aspirational goal of zero suicide in healthcare. It discusses the problem of suicide stemming from a lack of effective care and […]

Mental disorder symptom among public safety personnel in Canada

Background: Canadian public safety personnel (PSP; e.g., correctional workers, dispatchers, firefighters, paramedics, police officers) are exposed to potentially traumatic events as a function of their work. Such exposures contribute to the risk of developing clinically significant symptoms related to mental disorders. The current study was designed to provide estimates of mental disorder symptom frequencies and […]

Minding mental health: Clinicians’ engagement with youth suicide prevention

Suicidal ideation and deaths among children and adolescents have seen an unprecedented rise over the last ten years, recently further exacerbated by the COVID-19 pandemic. This research explores mental health professionals’ approaches to delivering suicide prevention treatment services. Using insights from Giddens’ structuration theory, the study examines licensed mental health professionals’ (1) reflections on suicide […]

Why are women more likely to attempt suicide than men? Analysis of lifetime suicide attempts among US adults in a nationally representative sample

Objective While it is well-known that women are more likely to attempt suicide than men, little is known about risk and protective factors underlying this difference. Methods Using data from the National Epidemiologic Survey on Alcohol and Related Conditions Wave III (NESARC-III), we compared women and men with and without self-reported lifetime suicide attempts to identify sociodemographic, […]

From involuntary incarceration to Medically Assisted Suicide: Mental illness, suicide and autonomous judgement

Background Involuntary commitment of the mentally ill and forced treatment of suicidal persons are practiced worldwide, with underlying premises that contrast with the respect for autonomy upon which Medically Assisted Death (MAD) (euthanasia and assisted suicide) for the mentally ill is based. Methodology We trace the transition from paternalistic mass incarcerations to hospitalization only for […]

Suicide risk in a national VA sample: Roles of psychiatric diagnosis, behavior regulation, substance use, and smoking

Background: Most suicides are first attempts that are difficult to predict, possibly reflecting impaired and unstable behavior regulation. We sought to identify characteristics specifically associated with severe suicidal behavior by comparing risk ratios (RRs) for severe suicidal attempts (ATTP) to RRs for suicidal ideation (SI) only in a transdiagnostic sample of Veterans, focusing on impulsive-aggressive or […]

Effects of the COVID-19 pandemic on primary care-recorded mental illness and self-harm episodes in the UK: A population-based cohort study

Background The COVID-19 pandemic has adversely affected population mental health. We aimed to assess temporal trends in primary care-recorded common mental illness, episodes of self-harm, psychotropic medication prescribing, and general practitioner (GP) referrals to mental health services during the COVID-19 emergency in the UK. Methods We did a population-based cohort study using primary care electronic […]

Quick facts: Mental illness & addiction in Canada [4th ed.]

There is a need in Canada to bring together, a comprehensive, evidence-based document containing important statistics relating to mental illnesses and addictions. The impact on individuals and their families, the healthcare system, the workplace, and the economy, in general, is extremely significant. There is also a need to develop a common understanding of the relationship […]

‘Acknowledge me as a capable person’: How people with mental ill health describe their experiences with general emergency care staff: A qualitative interview study

People with mental ill health attend general emergency care more often than others for physical and psychiatric care needs. Staff in general emergency care report they lack knowledge and strategies to meet with and care for people with mental ill health. This study aimed to describe how people with mental ill health experience encounters with […]

“I feel like I know them”: The positive effect of celebrity self-disclosure of mental illness

The media is often perceived as portraying psychiatric illness in a negative, stigmatizing, and even dangerous fashion [1]. In the case of suicide, it has long been documented that media reporting of celebrity suicides can lead to an augmentation in copycat suicides, a phenomenon historically known as the Werther effect [2]. After the highly publicized […]

You’re not alone: Sharing of anonymous narratives to destigmatize mental illness in medical students and faculty

Medical students have a higher incidence of mental health problems than the general population (1). This trend is similar among physicians and residents (2, 3). Barriers to treatment-seeking include stigma-related concerns, including peer judgment (4). Despite increasing efforts to destigmatize mental illness, negative attitudes towards mental health and help-seeking remain. One study found that students who […]

Mental ill-health at age 17 in the UK: Prevalence of and inequalities in psychological distress, self-harm and attempted suicide

This report focuses on mental ill-health at age 17, using data collected from participants in the Millennium Cohort Study (MCS) in 2018-19. It presents prevalence of psychological distress, self-harm and attempted suicide. It describes important mental health inequalities across the following key socio-demographic characteristics: sex, ethnicity, sexuality and socioeconomic position.

Patient-related factors associated with an increased risk of being a reported case of preventable harm in first-line health care: A case-control study

Background: Patient safety issues in primary health care and in emergency departments have not been as thoroughly explored as patient safety issues in the hospital setting. Knowledge is particularly sparse regarding which patients have a higher risk of harm in these settings. The objective was to evaluate which patient-related factors were associated with risk of harm […]

Comparisons between suicide in persons with serious mental illness, other mental disorders, or no known mental illness: Results from 37 U.S. states, 2003-2017

Background Suicide is a leading cause of death in persons with schizophrenia and other serious mental illnesses (SMI), however, little is known about the characteristics and circumstances of suicide decedents with SMI in the US compared to those with other or no known mental illness. Methods This study was a retrospective analysis of suicide deaths […]

Recovery from past suicide attempts: Correlates of time since the last attempt in a national sample of US adults

Background This study takes a lifetime perspective on suicide attempts and examines correlates of years since the last attempt as a potential proxy for recovery from suicidality. Methods Data from 36,309 adults in the National Epidemiologic Survey on Alcohol and Related Conditions-III were used to identify 1,924 respondents (5.3%) who reported a lifetime suicide attempt. […]

Non-binary and binary transgender youth: Comparison of mental health, self-harm suicidality, substance use and victimization experiences

Background : Little research has compared the mental health and victimization experiences of non-binary youth depending on their sex assigned at birth (SAAB), or compared these two groups with binary transgender youth. Aims : To compare mental health, self-harm and suicidality, substance use and victimization experiences between non-binary and binary transgender young adults, both male […]

Identifying typologies of persons who died by suicide: Characterizing suicide in Victoria, Australia

The objective of the study was to determine whether people who died by suicide form groups based on demographic, psychosocial, mental and physical health factors and exposure to stressors. A retrospective case series review of 2,839 individuals who died by suicide in Victoria, Australia over the period 2009-2013 was conducted. A two-stage cluster analysis was […]

Pathways to suicide among people with a diagnosed mental illness in Victoria, Australia

Abstract. Background: People who have mental illness are at increased risk of suicide. Therefore, identifying “typical” trajectories to suicide in this population has the potential to improve the effectiveness of suicide prevention strategies. Aim: The aim of this study was to explore the pathways to suicide among a sample of Victorians with a diagnosed mental illness. Method: Victorian Suicide Register (VSR) […]

Predictive validity of the MINI suicidality subscale for suicide attempts in a homeless population with mental illness

Objective Suicide is a leading cause of death, yet the accurate prediction of suicidal behavior is an elusive target for clinicians and researchers. The current paper examines the predictive validity of the Mini Neuropsychiatric Interview (MINI) Suicidality subscale for suicide attempts (SAs) for a homeless population with mental illness. Methods Two thousand two hundred and […]

Air pollution (particulate matter) exposure and associations with depression, anxiety, bipolar, psychosis and suicide risk: A systematic review and meta-analysis

Background: Particulate air pollution’s physical health effects are well known, but associations between particulate matter (PM) exposure and mental illness have not yet been established. However, there is increasing interest in emerging evidence supporting a possible etiological link. Objectives: This systematic review aims to provide a comprehensive overview and synthesis of the epidemiological literature to […]

Suicide risk around the world: A meta-analysis of longitudinal studies

Purpose Suicidal thoughts and behaviors (STBs) have been a persistent problem worldwide. Identifying risk factors for STBs across distinct areas of the world may help predict who or where requires the greatest attention. However, risk factors for STBs are infrequently explored cross-nationally. The present study examined whether psychopathology prospectively predicts STBs across different areas of the world, and whether […]

Psychiatric morbidity and suicidal behaviour in low- and middle-income countries: A systematic review and meta-analysis

Psychiatric disorders are reported to be present in 80% to 90% of suicide deaths in high-income countries (HIC), but this association is less clear in low- and middle-income countries (LMIC). There has been no previous systematic review of this issue in LMIC. The current study aims to estimate the prevalence of psychiatric morbidity in individuals […]

Suicidal ideation and behaviour in patients with persecutory delusions: Prevalence, symptom associations, and psychological correlates

Background To determine the prevalence of suicidal ideation and behaviour – and their correlates – in patients with persecutory delusions. Methods 110 patients with persecutory delusions in the context of non-affective psychosis were assessed for suicidal thoughts and behaviours over the past month. Symptom and psychological assessments were also completed. Results The severity of suicidal […]