Assessment of latent subgroups with suicidal ideation and suicidal behavior among gun owners and non-gun owners in the US

Objective: To examine patterns of associations among suicidal thoughts and behaviors among gun owners and non–gun owners in the US. Design, Setting, and Participants: In this survey study, cross-sectional online survey data were collected from March to April 2020 from US adults recruited via Qualtrics Panels. Quota sampling was used to approximate US census demographics.[…]

Integration of face-to-face screening with real-time machine learning to predict risk of suicide among adults

Importance:  Understanding the differences and potential synergies between traditional clinician assessment and automated machine learning might enable more accurate and useful suicide risk detection. Objective:  To evaluate the respective and combined abilities of a real-time machine learning model and the Columbia Suicide Severity Rating Scale (C-SSRS) to predict suicide attempt (SA) and suicidal ideation (SI).[…]

Association among early life stress, mood features, hopelessness and suicidal risk in bipolar disorder: The potential contribution of insomnia symptoms

Aim
The study aimed to investigate the potential pathways mediating early exposure to stressful events and the clinical manifestations of bipolar disorder (BD), such as severity of mood symptoms, hopelessness and suicidal ideation, focusing on the potential role of insomnia symptoms.
Method
A sample of 162 adult participants with BD I or II were assessed[…]

Mental health provider perspectives of the COVID‑19 pandemic impact on service delivery: A focus on challenges in remote engagement, suicide risk assessment, and treatment of psychosis

Background
The COVID-19 pandemic has been impacting the need, utilization, and delivery of mental health services with greater challenges being faced by clients and providers. With many clients facing reduced access to services and social isolation, a focus on suicide risk assessment and prevention is critical. Concern is particularly increased for clients with schizophrenia[…]

Suicide risk assessments: Why are we still relying on these a decade after the evidence showed they perform poorly?

Suicide deaths have a profound impact on whānau and community and are a tragic loss. However, from a statistical point of view, suicide is a relatively rare event. Predicting rare events is difficult, and the implications for suicide prevention were highlighted in an important editorial in this journal more than a decade ago, yet little[…]

Assessing suicide risk in a pediatric outpatient behavioral health system: A quality improvement report

Introduction: Standardized suicide risk assessment improves the detection of individuals at risk of suicide. We conducted a quality improvement initiative in a system of outpatient behavioral health practices affiliated with a free-standing children’s hospital to implement standardized suicide risk assessment for new patients. Methods: Clinicians received education in suicide risk assessment and were trained to[…]

Optimal PAI-A cutoffs to determine risk for non-suicidal self-injury (NSSI) and suicide-related behavior (SRB) among at-risk adolescents

Objective
This study examines psychopathology and personality correlates of non-suicidal self-injury (NSSI) and suicide-related behavior (SRB) in an understudied sample of adolescents who have exhibited behaviors (e.g., delinquent acts, premature high school termination) that place them at-risk for poor psychosocial outcomes.
Method
Participants included a predominantly White male sample of 182 adolescents[…]

Lethal means assessment in psychiatric emergency services: Frequency and characteristics of assessment

Objective
Lethal means safety is an effective suicide prevention strategy with demonstrated results at the population level, yet individual-level uptake is less well understood.
Methods
Using automated data extraction methods, we conducted an investigation of electronic health records from psychiatric emergency service (PES) patients from January 1, 2012 to December 31, 2017[…]