Sociodemographic and psychosocial risk factors of railway suicide a mixed-methods study combining data of all suicide decedents in the Netherlands with data from a psychosocial autopsy study

Background: Railway suicide has profound implications for the victims and their family, and affects train drivers, railway personnel, emergency services and witnesses. To inform a multilevel prevention strategy, more knowledge is required about psychosocial and precipitating risk factors of railway suicide. Methods: Data from Statistics Netherlands of all suicides between 2017 and 2021 (n = 9.241) of […]

Uncovering the role of substance use in suicide attempts using a mixed-methods approach

Introduction Substance use is an established risk factor for suicide attempt. Clarifying the role of substance use in suicide attempts may identify modifiable treatment targets. This study used mixed methods to associate substance use with suicide attempt history and identify pathways through which substance use contributes to attempts. Methods Study 1 included 213 adult inpatients […]

Prototyping the implementation of a suicide prevention protocol in primary care settings using PDSA cycles: A mixed method study

Introduction: In Canada, approximately 4,500 individuals die by suicide annually. Approximately 45% of suicide decedents had contact with their primary care provider within the month prior to their death. Current versus never smokers have an 81% increased risk of death by suicide. Those who smoke have additional risks for suicide such as depression, chronic pain, alcohol, […]

Acceptability and feasibility of a smartphone-based real-time assessment of suicide among Black men: Mixed methods pilot study

Background: Suicide rates in the United States have increased recently among Black men. To address this public health crisis, smartphone-based ecological momentary assessment (EMA) platforms are a promising way to collect dynamic, real-time data that can help improve suicide prevention efforts. Despite the promise of this methodology, little is known about its suitability in detecting […]

Covid-19 lockdown and non-suicidal self-injury: A mixed methods analysis of NSSI during Australia’s national lockdown

Objective: The Covid-19 global pandemic has meant large parts of the world’s population have been isolated from others for often months at a time due to lockdown measures to stop the spread. The effects of isolation can be damaging and increase risk of self-injury (NSSI) and suicide. We examined the effects of the first Australian national […]

Vulnerabilities and life stressors of people presented to emergency departments with deliberate self-harm: Consolidating the experiences to develop a continuum of care using a mixed-method framework

Objective: Suicide is a crucial public health concern. However, the interactions between bio psychosocial vulnerabilities and stressors leading to deliberate self-harm behavior remain unexplored, especially in the Indian context. This study examined the experiences leading to self-harm behavior among people who presented to emergency departments with suicidal attempts. Methods: In this mixed-methods study, we enrolled 44 patients […]

Understanding the barriers and pathways to male help-seeking and help-offering: A mixed methods study of the impact of the Mates in Construction program

The Mates in Construction (MATES) program was developed to address the issue of high suicide rates among males in the Australian construction industry. The program delivers early intervention training and support to construction workers. This mixed-methods study aimed to (1) examine the effectiveness of training for MATES connectors and (2) examine the barriers, motivations and […]

Summary report: Experience and expertise of people with lived and living experience on the integration of mental health and substance use health services in Canada

This report is focused on how people in Canada experience formal integrated services when they have questions or concerns about their mental health and substance use health. An equally important theme that emerged during its interviews and focus groups were the expressions of “service” study participants give to friends, families, and strangers, which complement or […]

A mixed-methods evaluation of the acceptability and fidelity of the James’ Place model for men experiencing suicidal crisis

Background Research supports development of informal, community-based suicide prevention interventions that can be tailored to suit men’s unmet needs. The James’ Place model (JPM) is a community-based, clinical suicide prevention intervention for men experiencing suicidal crisis. Evidence supports the efficacy of the JPM and there are plans to expand to additional sites across the UK. […]

Police negotiators and suicide crisis situations: A mixed-methods examination of incident details, characteristics of individuals and precipitating factors

Police negotiators provide leadership and expertise in the de-escalation and resolution of critical incidents, including responding to individuals exhibiting suicidal behaviour. This study describes the frequency and characteristics of suicide-related negotiation incidents in Queensland, Australia as classified in the Queensland Police Service Negotiator Deployment Database, between 2012 and 2014. Incidents were analysed to understand the […]

Influencing factors of suicidal ideation in lung cancer patients in midland China: A mixed-methods study

Introduction The suicide risk of lung cancer patients is higher than that of patients with other cancers. However, as China is a large country for lung cancer, there are no relevant reports on lung cancer suicides. This study aimed to investigate the prevalence of suicidal ideation and explore its influencing factors in lung cancer patients. […]

Safety, acceptability, and initial effectiveness of a novel digital suicide prevention campaign challenging perceived burdensomeness: A mixed methods study

Background: Better Off With You is a peer-to-peer, digital suicide prevention campaign pilot designed to challenge the idea of perceived burdensomeness; the schema experienced by many people contemplating suicide that they are a burden on others. Aims: To investigate the safety, acceptability, and initial effectiveness of the campaign. Method: This mixed methods pilot involved a general community sample (N = 157), from […]

Perceived stops to suicidal thoughts, plans, and actions in persons experiencing psychosis

Background: Suicide has been conceived as involving a continuum, whereby suicidal plans and acts emerge from thoughts about suicide. Suicide prevention strategies need to determine whether different responses are needed at these points on the continuum. Aims: This study investigates factors that were perceived to counter suicidal ideation, plans, and acts. Method: The 36 participants, all of whom […]

Evaluation of an online suicide prevention program to improve suicide literacy and to reduce suicide stigma: A mixed methods study

Low-threshold e-health approaches in prevention to reduce suicide stigma are scarce. We developed an online program containing video reports on lived experience of suicide and evidence-based information on suicidality. We evaluated the program by a mixed methods design. We examined pre-post-changes of program completers (n = 268) in suicide literacy, suicide stigma (self and perceived), […]

An examination of factors contributing to the racial disparity and disproportionality of paediatric firearm-related homicide: A mixed-methods analysis using the national violent death reporting system (NVDRS)

Firearms are a leading cause of paediatric mortality in the United States. This study examines the contributing factors of racial disparity and disproportionality among paediatric firearm decedents aged 0–17 years. We used the National Violent Death Reporting System (NVDRS) to assess the individual and incident-level circumstances of paediatric firearm homicides from 2014 to 2018 in […]

Statewide assessment of North Carolina nurse practitioners’ knowledge of and attitudes toward suicide awareness and prevention: Protocol for a statewide mixed methods study

Background: Suicide is a major public health problem, which affects people of all ages and ethnicities. Despite being preventable, the rates of suicide have steadily climbed (more than a third) over the past 2 decades. Objective: Nurse practitioners (NPs) must be responsible for recognizing suicide risk and providing appropriate treatment referrals in addition to having […]

Reasons for suicide in black young adults: A latent class analysis

Background: Suicides have increased among Black youth in the US, though it remains unclear if these trends persist into young adulthood. Further, even less is known about the reasons why individuals begin to consider suicide as a viable option. The current study aims to redress these gaps by identifying specific reasons for suicide among a sample […]

Observed behaviours and suicide assessment language post‑Mental Health First Aid training in Australia and the United States: A mixed methods study using discourse analysis

Background Mental Health First Aid (MHFA) training teaches participants how to respond to mental health crises, including suicide. Little is known about the impact of training on participants’ observed MHFA behaviours. This exploratory study aimed to compare MHFA-trained Australian and US student pharmacists’ performance and suicide assessment language during simulated patient role-play (SPRP) assessments. Methods […]

Media reportage of suicide among police officers in Ghana: A mixed method analysis

Rates of suicide have been recorded among the police in some parts of the world. Despite the attention that this topic has received, it appears that not much is being researched on it in Africa. Besides, research on suicide in Ghana has been skewed towards the public, to the neglect of the police. The sparse […]

Identifying points of prevention in firearm-related suicides: A mixed-methods study based on coronial records

Purpose Firearm-related suicide is a noteworthy and preventable public health issue that has drawn limited attention in Australian research. Firearms are highly lethal and remain in the top three methods of suicide among Australian males. This study examines suicides occurring in Tasmania, the jurisdiction with the highest rate of firearm-related suicide, with the aim of […]

Suicide studies and the need for mixed methods research.

The research method in suicide studies has been primarily quantitative, and suicide remains without an adequate or accepted general theory that incorporates multiple disciplines and perspectives. Dependence on quantitative research limits an understanding of the complexity of suicide. This article argues for the use of mixed methods for suicide research. Three key topics in suicide […]

The impact of working as a peer worker in mental health services: A longitudinal mixed methods study

Background Peer workers are increasingly employed in mental health services to use their own experiences of mental distress in supporting others with similar experiences. While evidence is emerging of the benefits of peer support for people using services, the impact on peer workers is less clear. There is a lack of research that takes a […]

Training for Awareness, Resilience and Action (TARA) for medical students: A single-arm mixed methods feasibility study to evaluate TARA as an indicated intervention to prevent mental disorders and stress-related symptoms

Background Medical students have a higher risk for depression, anxiety, stress-related symptoms, burnout, and suicide, and more rarely seek professional help or treatment than the general population. Appeals are being made to address the mental health and resilience of physicians-to-be. The novel program Training for Awareness, Resilience, and Action (TARA) was originally developed to treat […]