Study designs and statistical approaches to suicide and prevention research in real-world data

Objective To provide researchers, clinicians and policy makers with a primer to study designs, statistical approaches and graphical reporting methods for suicide research in real world data (RWD). Methods Study designs, statistical method and graphical reporting standards are detailed with examples from the recently published literature. Results Data sources and codes for identifying suicidal behavior […]

A network perspective on suicidal behavior: Understanding suicidality as a complex system

Background Suicidal behavior is the result of complex interactions between many different factors that change over time. A network perspective may improve our understanding of these complex dynamics. Within the network perspective, psychopathology is considered to be a consequence of symptoms that directly interact with one another in a network structure. To view suicidal behavior […]

A dynamical systems approach to examining the efficacy of suicide-focused interventions

Objective Suicide risk is a nonlinear temporal process, but the ways in which suicide-focused interventions have statistically examined risk effects have ignored these nonlinearities. This paper highlights the potential benefits of using data analytic methods that account for nonlinear change patterns. Method Using a dynamical systems perspective, interventions are framed in terms of attractor dynamics. […]

Using categorical data analyses in suicide research: Considering clinical utility and practicality

Objective Categorical data analysis is relevant to suicide risk and prevention research that focuses on discrete outcomes (e.g., suicide attempt status). Unfortunately, results from these analyses are often misinterpreted and not presented in a clinically tangible manner. We aimed to address these issues and highlight the relevance and utility of categorical methods in suicide research […]

Using ordinal regression for advancing the understanding of distinct suicide outcomes

Objective As recent advances in suicide research have underscored the importance of studying distinct suicide outcomes (i.e., suicidal thinking vs. behavior), there is a need to consider the theoretical meaningfulness of our statistical approach(es). As an alternative to more popular statistical methods, we introduce ordinal regression, detailing specific forms that are well-aligned to examine outcomes […]

Considerations in the assessment of help-seeking and mental health service use in suicide prevention research

Objective The connection of individuals at elevated suicide risk to mental healthcare services represents a critical component of suicide prevention efforts. This article provides recommendations for enhancing the assessment of help-seeking and mental health service use within the context of suicide prevention research. Method We discuss evidence-based and theoretical rationale for improving current approaches to […]

Optimizing the scientific study of suicide with open and transparent research practices

Suicide research is vitally important, yet—like psychology research more broadly—faces methodological challenges. In recent years, researchers have raised concerns about standard practices in psychological research, concerns that apply to suicide research and raise questions about its robustness and validity. In the present paper, we review these concerns and the corresponding solutions put forth by the […]

Contemporary methods in delayed discounting: Applications for suicidology with simulation

Objective To present an approach for integrating recently developed methods in behavioral economics into suicidology research. At present, existing applications of delay discounting in suicidology have focused predominantly on hypothetical choices related to monetary value as a proxy to “risky” choices linked to unsafe or suicidal behavior. In this report, we outline a more targeted […]

Examining suicide assessment measures for research use: Using item response theory to optimize psychometric assessment for research on suicidal ideation in major depressive disorder

Introduction Progress reducing suicide death will require randomized clinical trials (RCTs) specifically targeting suicide risk. Even large RCTs may not stipulate suicide death as the primary outcome, as suicide death is relatively uncommon. Therefore, RCTs may need to specify suicidal ideation as a proxy indicator of risk. There is no consensus on the best tool […]

Prevalence of suicidal behaviours in two Australian general population surveys: Methodological considerations when comparing across studies

Purpose: To investigate whether methodological differences between two Australian general population surveys have the capacity to affect the apparent prevalence rates of suicidal ideation and suicide attempts. Methods: 609 Wave 1 of the Personality and Total Health (PATH) Through Life Project participants, and 83 participants derived from the 1997 National Survey of Mental Health and Wellbeing (NSMHWB) […]

Open science in suicide research is open for business

In this editorial, we use examples from our and others’ work to demonstrate the opportunities for future-proofing research by implementing open science practices, and we discuss some of the challenges and their potential solutions. We cover implementing open science practices in new, ongoing, and concluded studies, and discuss practices in order of being “low” to […]

Implementation science in suicide prevention

The suicidal process is a complex phenomenon involving multiple intertwined factors, which makes its prevention particularly challenging. As evidence-based suicide prevention interventions evolve and consolidate, it becomes increasingly important to ensure that effective interventions are efficiently implemented in practice and translated into the quality programs and care that benefit people at risk of suicidal behavior.

Health information, research and planning: An information resource for First Nations health planners

Health Information, Research and Planning defines fundamental concepts in health research and public health, and explains them in a manner that is relevant to First Nations health planners, administrators and leadership. This information is intended to get readers thinking about how health information can be used to support and enhance the development and delivery of […]

Longitudinal studies support the safety and ethics of virtual reality suicide as a research method

Many have expressed concerns about the safety and ethics of conducting suicide research, especially intense suicide research methods that expose participants to graphic depictions of suicidality. We conducted two studies to evaluate the effects of one such method called virtual reality (VR) suicide. Study 1 tested the effects of VR suicide exposure over the course […]

Suicide in the time of COVID-19: Review and recommendations

The coronavirus (COVID-19) pandemic presents us with unusual challenges to the global health system and economics. The pandemic may not have an immediate impact on suicide rates, however, given that it is likely to result in a confluence of risk factors for suicide and economic crisis, it is highly possibly that it will lead to […]

Participant reactions to suicide-focused research: Implications of studying suicide on an inpatient psychiatry unit

Background: Concerns exist regarding the perceived risks of conducting suicide-focused research among an acutely distressed population. Aims: The current study assessed changes in participant distress before and after participation in a suicide-focused research study conducted on a psychiatric inpatient unit. Method: Participants included 37 veterans who were receiving treatment on a psychiatric inpatient unit and completed a survey-based research study […]

Performance, cost-effectiveness, and representativeness of Facebook recruitment to suicide prevention research: Online survey study

Background: Researchers are increasingly using social media advertisements to recruit participants because of their many advantages over traditional methods. Although there is growing evidence for the effectiveness and cost-effectiveness of social media recruitment in the health sciences, no studies have yet examined this in the context of suicide prevention, which remains to be a highly stigmatized […]

Ethical issues and practical barriers in internet-based suicide prevention research: A review and investigator survey

Background People who are at elevated risk of suicide stand to benefit from internet-based interventions; however, research in this area is likely impacted by a range of ethical and practical challenges. The aim of this study was to examine the ethical issues and practical barriers associated with clinical studies of internet-based interventions for suicide prevention. […]

Reflecting on participatory, action-oriented research methods in community psychology: Progress, problems, and paths forward

This paper provides a critical reflection on participatory action research (PAR) methods as they pertain to community psychology. Following a brief review of the fundamental aspects of PAR, key developments in the field are examined. These developments include the redefinition of the research enterprise among groups such as Indigenous and consumer/survivor communities, challenges that attend […]

Spaces of hope? Youth perspectives on health and wellness in indigenous communities

This article addresses an apparent paradox between academic and policy depictions of American Indian reservations as “broken” and “unhealthy” places, and Indigenous youth perceptions of reservations as spaces of “health” and “wellness.” Public health literature often frames reservations as damaged, health-denying places, chronicling the extraordinarily high rates of suicide, substance abuse, as well as vast health disparities. Despite these dire statistics, […]

Re-conceptualizing Anishinaabe mino-bimaadiziwin (the Good Life) as research methodology: A spirit centered way in Anishinaabe research

This article contributes to the discussion of approaches for conducting research primarily informed by Indigenous ways of knowing throughout the research process. Anishinaabe mino-bimaadiziwing (the Good Life) is a unifying and transcendent concept that, when activated, contains the past, present, and future of Good and respectful approaches to life, which includes Indigenous research. Through this […]

Ceremonies of relationship: Engaging urban Indigenous youth in community-based research

Indigenous communities from around the world, and particularly marginalized youth from within these communities, have not always been adequately included and valued as potential collaborators in various research processes. Instead, research has relegated Indigenous youth to subjects where adults, operating primarily from Western knowledge positions and assumptions, remain the experts. Given the role of research […]

Research is ceremony: Indigenous research methods

Indigenous researchers are knowledge seekers who work to progress Indigenous ways of being, knowing and doing in a modern and constantly evolving context. This book describes a research paradigm shared by Indigenous scholars in Canada and Australia, and demonstrates how this paradigm can be put into practice. Relationships don’t just shape Indigenous reality, they are […]