“Time to try something new:”: Professionals’ experiences and reflections on suicide prevention in Norway

Background: The suicide rate in Norway has remained relatively stable despite 25 years of government-funded suicide prevention efforts. Aim: We aimed to gather experiences of the professionals responsible for implementing suicide prevention action plans and guidelines and/or involved in relevant research. Method: We conducted semistructured interviews with 22 professionals about their reflections on the priorities and work done so far […]

Suicide rates in Nordic prisons 2000-2016

Objective To compare suicide rates of people in prison and the general population in the Nordic countries. Methods Data on deaths by suicide and person-years for people in prison and the general population were obtained for the Nordic countries during 2000–2016. Age-standardized rate ratios were calculated. Results The suicide rate in the Nordic countries overall […]

Suicidality among children and youth in Nordic child welfare services: A systematic review.

Existing research has established child welfare (CW) clients as a vulnerable group for developing negative life trajectories, including mental health problems, work- and education-related challenges and premature mortality. Knowledge of later life conditions including suicidality of clients within child welfare services (CWS) in the Nordic countries is scarce. The overall aim is therefore to gain […]

A call for change from impersonal risk assessment to a relational approach: Professionals’ reflections on the national guidelines for suicide prevention in mental health care in Norway

Purpose The purpose of the study is to explore how professionals working with suicide prevention experience the influence of the national guidelines on mental healthcare, and to gather recommendations for which steps to take next. Methods This is a qualitative study with an explorative design. We interviewed 22 professionals responsible for implementing suicide prevention action […]

Understanding the promotion of health equity at the local level requires far more than quantitative analyses of yes-no survey data

Health promotion is a complex activity that requires analytic methods that recognize the contested nature of it definition, the barriers and supports for such activities, and its embeddedness within the politics of distribution. In this commentary I critique a recent study of municipalities’ implementation of the Norwegian Public Health Act that employed analysis of “yes” or […]

Changes in mental health services and suicide mortality in Norway: an ecological study.

Background: Mental disorders are strongly associated with excess suicide risk, and successful treatment might prevent suicide. Since 1990, and particularly after 1998, there has been a substantial increase in mental health service resources in Norway. This study aimed to investigate whether these changes have had an impact on suicide mortality. Methods: We used Poisson regression […]

Maternal age at child birth, birth order, and suicide at a young age: a sibling comparison.

~

Parental intoxication and adolescent suicidal behavior.

The objective of this study was to explore whether parental heavy drinking is associated with suicidal behavior in adolescents, and if so, whether this association is stronger among younger adolescents and whether a possible impact of one parent’s intoxication adds to that of the other parent. Two cross-sectional school surveys were conducted in 2002 and […]

Self-Reported Mental Health and its Gender Differences as a Predictor of Suicide in the Middle-Aged

To study the relation between self-reported mental health & risk of suicide, the authors prospectively followed a population-based cohort of middle-aged Norwegians. Females reported higher levels of mental distress than males. In comparison with persons reporting the fewest mental health symptoms, the adjusted hazard ratio for suicide increased from 1.8 in the moderately depressed group […]

Chain of Care for Patients who Have Attempted Suicide: a Follow-Up Study from Baerum, Norway

This study tested the effectiveness of a community-based suicide prevention team in preventing repeated suicide attempts & suicides, as part of a chain-of-care model for all general hospital treated suicide attempters in Baerum, Norway. Data has been collected consecutively since 1984. Between January 1984-December 2007, 1616 subjects were registered as having attempted suicide; 197 made […]

Autobiographical Memory and Suicide Attempts in Schizophrenia

The present study investigated whether deficits in autobiographical memory may be associated with an increased frequency of suicide attempts in patients with schizophrenia. The authors found support for their hypothesis that patients with schizophrenia & previous suicide attempts have an over-generalized autobiographical memory compared to patients with schizophrenia without previous suicide attempts. Adjustment for sociodemographic […]

Suicide in the Norwegian Police in the Period 1972-1996 (In: Suicide and Law Enforcement, edited by D C Sheehan & J I Warren)

This chapter presents the results of a study on the number of suicides among Norwegian police officers in the period 1972-1996. Questionnaires & structured indepth interviews were done. A total of 41 police officers, 38 male & 3 female, died by suicide. For male officers, the suicide rate increased from 10.0 to 34.3 per 100,000 […]

Cannabis use and Deliberate Self-Harm in Adolescence: a Comparative Analysis of Associations in England and Norway

This study tested hypotheses on causality & selection regarding associations between cannabis use & deliberate self-harm among adolescents. School surveys were conducted among 9,800 adolescents in England & Norway applying identical measures on deliberate self-harm, suicidal thoughts, cannabis use, & various potential confounders. Cannabis use was more prevalent in England than Norway. It was associated […]

Hope and Resilience: Suicide Prevention in the Arctic. November 7-8, 2009 Conference Report

This seminar was the second gathering of suicide prevention professionals working in Arctic regions. The seminar examined what is working in suicide prevention & what makes it works – as well as generating attention to the importance of mental & physical well-being in the Arctic. This report has 7 sections: background; understanding the problem; best […]

Chain of Care for Patients With Intentional Self-Harm: an Effective Strategy to Reduce Suicide Rates?

Chain of care for patients with intentional self-harm was important in the Norwegian national action plan to prevent suicide. In this study there were 2 aims: to calculate the potential effects of chain of care on reducing suicide rates; & to assess whether suicide rates decreased more in areas where chain of care had been […]

Suicide Among Indigenous Sami in Arctic Norway, 1970-1998

Suicide mortality was examined between 1970-1998 in a cohort of 19,801 indigenous Sami in Arctic Norway. Standardized mortality ratios were calculated using the suicide rates of the rural population of Arctic Norway as reference. There was a significant moderate increased risk for suicide among indigenous Sami. 89 suicides occurred in the cohort (70 men, 19 […]

Young Men’s Experiences of Living With Substance Abuse and Suicidal Behaviour: Between Death as an Escape From Pain and the Hope of a Life

This study illuminated the experiences of suicidal behaviour in young Norwegian men with long-term substance abuse & interpreted their narratives with regard to meaning. Data were collected using open-ended, in-depth interviews. A phenomenological hermeneutic approach was used to analyse the data. 3 themes were identified: the meaning of relating; the meaning of reflecting; & the […]

Suicide Risk and Acute Psychiatric Readmissions: a Prospective Cohort Study

Over one year, 1,245 consecutive psychiatric patients from a Norwegian catchment area were included at index admission & reassessed in cases of readmission. After a mean follow-up period of 562 days, a total of 1,234 readmissions were reassessed. Outcome variables included acute readmissions & readmissions for suicide risk. 54% of the index admissions & 62% […]

Suicidal Intention, Psychosocial Factors and Referral to Further Treatment: a One-Year Cross-Sectional Study of Self-Poisoning

This study explored differences in psychosocial factors & referrals to follow-up among Norwegian self-poisoning patients according to their evaluated intention. A cross-sectional multicentre study of all 908 admissions to hospital in Oslo during 1 year was completed. 37% of all incidents were suicide attempts, 26% were appeals, & 38% were related to substance use. 55% […]

Quality of Psychosocial Care of Suicide Attempters at General Hospitals in Norway – a Longitudinal Nationwide Study

This study identified predictors of a high level of quality of care for suicide attempters at general hospital emergency departments in Norway. Structured interviews with key informants covering the quality of care of patients admitted following attempted suicide were conducted in 1999 & 2006 at 87% of all general hospitals. Hospitals having implemented a chain […]

Relational Hopes: a Study of the Lived Experience of Hope in Some Patients Hospitalized for Intentional Self-Harm

The aim of this study was to interpret the lived experience of hope in some patients hospitalized for intentional self-harm. 12 persons that had engaged in suicidal behaviour by overdosing on medications were interviewed shortly after hospitalization & asked to narrate about their hopes. Transcripts were analyzed using a phenomenological hermeneutic method inspired by Ricouer’s […]

Course and Predictors of Suicidality Over the First two Years of Treatment in First-Episode Schizophrenia Spectrum Psychosis

This study investigated the course of suicidal behaviour over the first 2 years of comprehensive, integrated treatment in 2 groups of patients with DSM-IV first episode schizophrenia spectrum psychosis, where 1 group was recruited through an early detection program. It has been shown previously that the rate of severe suicidal behaviour was lower in the […]

Is Organizational Change Associated With Increased Rates of Readmission to General Hospital in Suicide Attempters? A 10-Year Prospective Catchment Area Study

This study examined predictors for readmission in patients admitted to a general hospital emergency ward for suicide attempts before & after organizational changes potentially affecting the chain of care. Data from periods before & after 2004 – when the hospital changed its catchment area – were compared. A substantial increase in readmission rates in the […]