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 […]

Patients’ experiences of engagement with healthcare services following a high-risk self-harm presentation to a hospital emergency department: A mixed methods study

Experiences of engaging with healthcare services following a self-harm presentation to hospital of high lethality or high suicidal intent have not been examined previously, despite this subgroup of self-harm patients being at high risk of suicide. Therefore, this study addressed this issue by documenting patients’ experiences of engaging with healthcare services after a high-risk self-harm […]

Effectiveness of a peer-led gatekeeper program: A longitudinal mixed-method analysis

Objective The current study evaluated the long-term effectiveness of a peer delivered suicide prevention gatekeeper training program for college students. Participants: 1,345 undergraduate students (Mage = 20.24, SD = 3.27; 89.6% White) received the peer led training during a single class-period. Method: Participants completed pre- post- and 3-month follow-up surveys assessing knowledge, perceived intervention skills, willingness to intervene, and […]

Age-and sex-specific risk factors for youth suicide: A mixed methods review

Background: Suicide is the second-leading cause of death for individuals ages 10 through 34, and rates are rising. This study seeks to broaden the understanding of suicide in youths ages 10-17. Study Aims: Use a mixed-methods approach to investigate the different characteristics leading to youth suicide by 2 distinct youth age subgroups (pre-high school and […]

Implementation determinants and outcomes of a technology-enabled service targeting suicide risk in high schools: Mixed methods study

Background: Technology-enabled services (TESs), which integrate human service and digital components, are popular strategies to increase the reach and impact of mental health interventions, but large-scale implementation of TESs has lagged behind their potential. Objective: This study applied a mixed qualitative and quantitative approach to gather input from multiple key user groups (students and educators) and […]

A suicide prevention initiative at a jumping site: A mixed-methods evaluation

Background Gap Park in Sydney, Australia has historically been recognised as a suicide jumping site. In 2010–2011 the Gap Park Masterplan initiative implemented a series of suicide prevention measures. This study applied a mixed-methods design to evaluate the effectiveness of the Masterplan in reducing suicides. Methods Data from the Australian National Coronial Information System (NCIS) […]