Predictors of inpatient suicide in an Irish psychiatric service, a longitudinal case–control study

Objective Inpatient suicide remains difficult to predict. This study aimed to identify individual patient predictors to help identify those at greater risk. Methods This case–control study was undertaken in an independent mental health service in Ireland. Cases were drawn from all admissions to the service between March 2004 and February 2019. Controls were matched for […]

Mathematical and computational modeling of suicide as a complex dynamical system

Background: Despite decades of research, the current suicide rate is nearly identical to what it was 100 years ago. This slow progress is due, at least in part, to a lack of formal theories of suicide. Existing suicide theories are  instantiated verbally, omitting details required for precise explanation and prediction, rendering them difficult to effectively […]

Women in acute forensic psychiatric care: Comparison of clinical, sociodemographic, and detention-related characteristics in pretrial detention, sentence execution, and court-ordered treatment

Women in acute forensic psychiatric care: Comparison of clinical, sociodemographic, and detention-related characteristics in pretrial detention, sentence execution, and court-ordered treatment

Compared to men inmates, women display decreased prevalence of severe mental disorder but increased occurrence of substance use disorders (SUD) and higher rates of previous contacts with mental health services. The group of women in detention is highly heterogeneous according to the status of incarceration (pre-trial detention (PTD), sentence execution (SE) and court ordered treatments […]

An analysis of real-time suicidal ideation and its relationship with retrospective reports among young people with borderline personality disorder

Introduction This study aimed to analyze the real-time variability of suicidal ideation intensity and the relationship between real-time and retrospective reports of suicidal ideation made on the Beck Scale for Suicidal Ideation (BSS), among young people with borderline personality disorder (BPD). Methods Young people (15–25-year olds) with BPD (N = 46), recruited from two government-funded mental health […]

Depression and suicidality: The roles of social support and positive mental health

Objective: Despite being preventable, suicide remains a leading cause of death globally, with depression being one of the more prominent risk factors. This study examines the roles of social support and positive mental health in the depression-suicidality pathway. Methods: We utilized data from the Singapore Mental Health Study 2016. Social support and positive mental health were examined […]

On mental pain and suicide risk in modern psychiatry

Facing suicide risk is probably the most difficult task for clinicians when dealing with patients in crisis. It requires professional, intellectual, and emotional efforts. Suicide risk assessment can sometimes be distressing for clinicians, and such a state may favour the avoidance of an in-depth exploration of suicidal thoughts and behaviour. Patients often feel subjected to […]

Practical use of ChatGPT in psychiatry for treatment plan and psychoeducation

Artificial Intelligence (AI) has revolutionized various fields, including medicine and mental health support. One promising application is ChatGPT, an advanced conversational AI model that uses deep learning techniques to  provide human-like responses. This review paper explores the potential impact of Chat-GPT in psychiatry and its various applications, highlighting its role in therapy and counseling techniques, […]

Psychiatrist density and risk of suicide: A multilevel case-control study based on a national sample in Taiwan

Aim No previous studies, to our knowledge, have investigated the association between psychiatrist density and suicide, accounting for individual- and area-level characteristics. Methods We investigated all suicide cases in 2007-2017 identified from the national cause-of-death data files, with each suicide case matched to 10 controls by age and sex and each suicide case/control assigned to […]

The future of community psychiatry and community mental health services

Purpose of review: The aim of this article is to provide a framework and analysis of a series of critical components to inform the future design, development, sustaining, and monitoring of community mental health services. Recent findings: Many mental health services remain too hospital-centric, often without adequate outreach services. On the basis of outcome evidence, we need […]

Apolipoproteins and suicide: A potential psychiatric biomarker

Every year around 800,000 people commit suicide, this represents one death every 40 s. In the search for possible biological biomarkers associated with suicide and/or psychiatric disorders, serum cholesterol levels have been extensively explored. Several studies indicate that cholesterol and associated proteins, especially apolipoproteins (Apos), may play an important role in the diagnosis, prognosis, and susceptibility […]

Increased C-reactive protein concentration and suicidal behavior in people with psychiatric disorders: A systematic review and meta-analysis

Objective: Suicide is a leading cause of death worldwide. Identifying factors associated with suicidality (suicidal ideation [SI]/suicidal behavior) could increase our understanding of the pathophysiological underpinnings of suicide and improve its prevention. Methods: We conducted a systematic review (PubMed/PsycInfo/Cochrane databases, up to September 2020) and random-effect meta-analysis including observational studies comparing peripheral C-reactive protein (CRP) levels in […]

Large epigenome-wide association study identifies multiple novel differentially methylated CpG sites associated with suicidal thoughts and behaviors in veterans

Introduction: The U.S. suicide mortality rate has steadily increased during the past two decades, particularly among military veterans; however, the epigenetic basis of suicidal thoughts and behaviors (STB) remains largely unknown. Methods: To address this issue, we conducted an epigenome-wide association study of DNA methylation (DNAm) of peripheral blood samples obtained from 2,712 U.S. military veterans. Results: Three […]

Depression and suicidality: The roles of social support and positive mental health

Objective: Despite being preventable, suicide remains a leading cause of death globally, with depression being one of the more prominent risk factors. This study examines the roles of social support and positive mental health in the depression-suicidality pathway. Methods: We utilized data from the Singapore Mental Health Study 2016. Social support and positive mental health […]

The knowledge and awareness of suicide and attitudes towards its risks in university students of Asir region of Saudi Arabia

Background: Suicide is defined as the deliberate ending of one’s own life or a deadly self-injurious act with evidence of the intention to die. Suicide among youths is a significant public mental health issue. Young individuals, particularly adolescents, are naturally susceptible to mental health problems. Methods: The present study has the cross-sectional study design based on simple random […]

Psychiatric patient disposition agreement between the emergency physician and the psychiatry consultant

Background: Mental illness is prevalent, disabling, and costly. Emergency department (ED) visits for mental health-related reasons are on the increase. Aims: Determine the level of agreement between emergency physicians and psychiatrists regarding psychiatric patient disposition. Method: We conducted a prospective, observational study at a private university hospital ED from October 2008-April 2009 using a convenience sample of patients […]

Investigation of the relationship between psychiatry visit and suicide after deliberate self-harm: Longitudinal national cohort study

Background: Deliberate self-harm (DSH) along with old age, physical disability, and low socioeconomic status are well-known contributors to suicide-related deaths. In recent years, South Korea has the highest suicide death rate among all Organization for Economic Co-operation and Development countries. Owing to the difficulty of accessing data of individuals with DSH behavior who died by […]

Epigenetic changes in the CYP2D6 gene are related to severity of suicide attempt: A cross-sectional study of suicide attempters

Background The ability to accurately estimate risk of suicide deaths on an individual level remains elusive. Methods This study reports on a case-control study set-up from a well-characterized cohort of 88 predominantly female suicide attempters (SA), stratified into low- (n = 57) and high-risk groups (n = 31) based on reports of later death by suicide, as well as […]

Results of the COVID‑19 mental health international for the health professionals (COMET‑HP) study: depression, suicidal tendencies and conspiracism

Introduction The current study aimed to investigate the rates of anxiety, clinical depression, and suicidality and their changes in health professionals during the COVID-19 outbreak. Materials and methods The data came from the larger COMET-G study. The study sample includes 12,792 health professionals from 40 countries (62.40% women aged 39.76 ± 11.70; 36.81% men aged 35.91 ± 11.00 and […]

Analysis of psychiatric symptoms and suicide risk among younger adults in China by gender identity and sexual orientation

Importance  Younger adults in China who are transgender and gender nonconforming (TGNC) and lesbian, gay, and bisexual (LGB) experience high levels of minority stress (eg, stigma and bullying) and adverse mental health symptoms. However, there is a lack of research documenting mental health disparities compared with their cisgender and heterosexual peers. Studies that disaggregate TGNC and […]

Perspectives on reasons for suicidal behaviour and recommendations for suicide prevention in Kenya: Qualitative study

Background: Little is known about the reasons for suicidal behaviour in Africa, and communities’ perception of suicide prevention. A contextualised understanding of these reasons is important in guiding the implementation of potential suicide prevention interventions in specific settings. Aims: To understand ideas, experiences and opinions on reasons contributing to suicidal behaviour in the Coast region […]

Genetic differences between suicide deaths and deaths of undetermined intent

Introduction Few, if any, prior studies have considered whether undetermined intent (UDI) deaths and suicide deaths differ with respect to genetic liability for suicidal behavior or psychopathology. Methods The authors used Swedish national registry data to identify suicide deaths (N = 31,835) and UDI deaths (N = 10,623); sociodemographic covariates; and registrations for psychopathology. Family genetic risk scores (FGRS) […]

Moral distress experienced by online suicide prevention volunteers: Qualitative research

Background: With the increasing number of internet users, it becomes feasible to identify individuals at high risk of suicide and then carry out online suicide prevention. At the same time, online suicide prevention volunteers may encounter moral distress, which requires more attention. Purpose: This study aimed to explore the experience of moral distress in online […]