Factors prompting and deterring suicides on the roads

Background In addition to the devastating impact on the individual and their families, suicides on the roads can cause distress and harm to other people who might be involved in a collision or witness an attempt. Despite an increased focus on the characteristics and circumstances of road-related suicides, little is known about why people choose […]

The rate of fatality and demographic characteristics associated with various suicide methods: A community-based study in Northern Taiwan

Background: Understanding lethality and risk factors of suicide methods is an initial step in suicide prevention. Aims: To investigate the fatality rate and demographic characteristics of various suicide methods. Method: This study enrolled consecutive individuals with episodes of suicide attempts registered in a surveillance database in a city with a high rate of suicide mortality in Taiwan, from […]

The effect of suicide-related Internet use on users’ mental health: A longitudinal study

Background: Previous studies have shown that suicide-related Internet use can have both negative and positive psychological effects. Aims: This study examined the effect of suicide-related Internet use on users’ suicidal ideation, depression/anxiety tendency, and loneliness. Method: A two-wave panel study of 850 Internet users was conducted via the Internet. Results: Suicide-related Internet use (e.g., browsing websites about suicide methods) […]

Media representation of gender patterns of suicide in Taiwan

Background: Extensive media reporting of suicide events has been indicated as a contributing factor to the upsurge in suicide rates in Taiwan in the past decade. Aims: The study compares gender differences in sociodemographic profiles and method of suicide selectively reported in the newspapers and all suicide cases registered in official death records. It also identifies gender differences […]

Comparative epidemiology of suicide in South Korea and Japan: Effects of age, gender and suicide methods

Background: Suicide is one of the leading causes of mortality in both South Korea and Japan. Aims: The study aims to compare the descriptive epidemiology of suicide over the last two decades (1985-2006) and to explore the conditions associated with the different distribution of suicides in both countries. Methods: Age-standardized suicide rates were obtained from the OECD Health […]

Self-harm in older adults in hospital registry data: A consecutive 2-year study

Background: Self-harm is a high-risk behavior and often escalates to suicide. Among people who deliberately harm themselves, older people are more likely than younger people to die by suicide. Given that older adults are a  particularly high-risk group for suicide and self-harm is a powerful predictor of suicide in later life, understanding self-harm in older […]

A spatial analysis of suicide displacement as at high-risk cliff-based location following installation of a means restriction initiative

Means restriction interventions are recognised as highly effective for the deterrence of suicide attempts by jumping. While such interventions can lead to significant reductions in suicide, it is unclear whether these reductions represent a displacement effect, whereby individuals are instead choosing to attempt suicide at other nearby locations which offer the same means. The potential […]

Temporal trends in suicide methods among adolescents in the US

Deaths due to suicide increased 45.2% in the past 10 years among adolescents in the US,1 with disproportionate increases among youths who are members of minority groups.2,3 Method of suicide is a strong determinant of suicide fatality, and research on temporal trends in suicide methods among decedents is scarce, especially by race. To address concerns regarding increasing […]

Secular trends of suicide in the city of Sao Paulo, 1904-2017

Background: Few reports from developing countries have described long-term trends in suicide. Aims: To investigate the age-, sex-, and method-specific trends in suicide over the period 1904–2017 in São Paulo. Method: Mortality data were obtained from SEADE, DATASUS, and PRO-AIM. Results: Suicide peaked in the mid-1910s and mid-1950s, being higher among men. There was an upward trend from the 1920s for men […]

A comparison of medically serious suicide attempters admitted to intensive care units versus other medically serious suicide attempters

Background Medically serious suicide attempts (MSSA) represent a subgroup of clinically heterogeneous suicidal behaviours very close to deaths by suicide. A simple definition of an MSSA is a suicide attempt with life-threatening consequences, regardless of the severity of the attempter’s mental disorder. Few studies have specifically analysed the heterogeneity of MSSA. Therefore, the aim of […]

Trends in suicide methods in Switzerland from 1969 to 2018: An observational study

BACKGROUND: Suicide is a serious societal and health problem. We examined changes in rates of completed suicides in Switzerland between 1969–2018 with particular regard to different methods of suicide used in different subgroups of the resident population. METHODS: We used data of the Swiss cause of death statistics and Poisson regression models to analyse annual […]

Methods matter: Nonsuicidal self-injury in the form of cutting is uniquely associated with suicide attempt severity in patients with substance use disorders

Objective Despite the robust relation between nonsuicidal self-injury (NSSI) and suicidal behaviors, there is considerable heterogeneity in NSSI characteristics that may have implications for the strength of the NSSI-suicide attempt relation. Past research highlights the relevance of both more severe NSSI methods and NSSI in the form of cutting in particular to suicide attempts. To […]

Fluctuations in and associations between physical and psychological distance to suicide methods, fearlessness about death, and suicidal intent

Previous evidence has highlighted the potential roles of both physical and psychological distance to suicide methods as an important factor in conferring suicide risk; however, less is known about the temporal stability of and associations between these constructs, other facets of capability for suicide, and suicide-related outcomes. The present study examined fluctuations in and associations […]

Prevention of suicidal behavior

More than 800 000 people die every year from suicide, and about 20 times more attempt suicide. In most countries, suicide risk is highest in older males, and risk of attempted suicide is highest in younger females. The higher lethal level of suicidal acts in males is explained by the preference for more lethal methods, […]

Sociodemographic variables most associated with suicidal behaviour and suicide methods in Europe and America: A systematic review

This Systematic Review is thought to deepen the relation between sociodemographic variables most associated with suicidal behaviour and suicide methods in Europe and America. A research was made from articles and reviews published between 2005-2015 in PsycINFO, Medline, Web of Science Core Collection, Scopus, and SciELO. Thanks to it, we retrieved 5,222 records which were […]

Reducing suicide without affecting underlying mental health: Theoretical underpinnings and a review of the evidence base linking the availability of lethal means and suicide (IN: The International Handbook of Suicide Prevention, 2nd ed., edited by R. C. O’Connor & J. Pirkis)

This chapter provides a synthesis of the empirical literature that assesses the relationship between ready access to highly lethal means of suicide and overall suicide rates. It lays out the theoretical underpinnings of the assertion that reducing access to lethal means of suicide can reduce suicide rates. The most convincing evidence that restricting access to […]

Three leading suicide methods in the United States, 2017–2019: Associations with decedents’ demographic and clinical characteristics

Background and aims: The U.S. suicide data show that use of lethal methods, specifically firearms and hanging/suffocation, has been increasing among young and middle-aged adults of both sexes over the past decades. In this study, we examined demographic and clinical correlates of use of firearms, hanging/suffocation, and poisoning as suicide methods among suicide decedents age 18+. […]

Why choose the railway?: An exploratory analysis of suicide notes from a sample of those who died by suicide on the railway

Background: The impact of railway suicide in the United Kingdom is extensive, yet reasons for why people choose this method are not clearly understood and research into the examination of suicide notes in this area is limited. Aims: Our study aimed to utilize the unique access to suicide notes written by those who died by suicide on the […]

Method-specific suicide rates and accessibility of means: A small-area analysis in Taipei City, Taiwan

Background: Few studies have investigated whether means accessibility is related to the spatial distribution of suicide. Aims: To examine the hypothesis that indicators of the accessibility to specific suicide methods were associated with method-specific suicide rates in Taipei City, Taiwan. Method: Smoothed standardized mortality ratios for method-specific suicide rates across 432 neighborhoods and their associations with means accessibility indicators were estimated using […]

Circumstances surrounding fire-related suicides, 2011 to 2020

Fatal fires are tragic events that are devastating to individuals, families, and communities. From 2011 to 2020, there were on average 220 fire-related deaths in Canada each year. While the majority of fire-related deaths were classified as unintentional, 1 in 6 were classified as intentional (i.e., suicide or homicide). Unlike unintentional fire-related deaths, intentional fire-related deaths result from an individual creating fire with intent […]

Sexual orientation differences in lethal methods used in suicide: Findings from the National Violent Death Reporting System

We examined sexual orientation and sex differences in seven methods of suicide among adult suicides reported in the United States National Violent Death Reporting System (2012–2015; N = 59,075). Overall, most sexual minorities (i.e., lesbians, gay men, bisexuals) identified in the dataset used hanging (38%) followed by firearm (30%) and drug or poison ingestion (20%). Sexual minorities were […]

Five-year mortality after hospitalisation for suicide attempt with a violent method

Objective This study aimed to estimate the 5-year mortality among people admitted into a transdisciplinary unit providing combined psychiatric and somatic rehabilitation treatment. Methods In this retrospective study, we analyzed the clinical records of all individuals admitted into the transdisciplinary unit from 01/01/2011 to 12/31/2017 after a suicide attempt using violent means. Vital status was […]

Five-year mortality after hospitalisation for suicide attempt with a violent method

Objective This study aimed to estimate the 5-year mortality among people admitted into a transdisciplinary unit providing combined psychiatric and somatic rehabilitation treatment. Methods In this retrospective study, we analyzed the clinical records of all individuals admitted into the transdisciplinary unit from 01/01/2011 to 12/31/2017 after a suicide attempt using violent means. Vital status was […]