Prediction of suicidal ideation risk in a prospective cohort study of medical interns

The purpose of this study was to identify individual and residency program factors associated with increased suicide risk, as measured by suicidal ideation. We utilized a prospective, longitudinal cohort study design to assess the prevalence and predictors of suicidal ideation in 6,691 (2012–2014 cohorts, training data set) and 4,904 (2015 cohort, test data set) first-year […]

A population-wide analysis of the familial risk of suicide in Utah, USA

BackgroundThe degree to which suicide risk aggregates in US families is unknown. The authors aimed to determine the familial risk of suicide in Utah, and tested whether familial risk varies based on the characteristics of the suicides and their relatives. MethodsA population-based sample of 12 160 suicides from 1904 to 2014 were identified from the […]

Under the surface: The role of covert cues in peer suicide risk referrals

Suicidal thoughts and behaviors are highly prevalent among adolescents, and peers are often the first, and sometimes only, people to know about youth suicidality. Since many adolescents do not directly disclose suicidal thoughts, school-based suicide prevention programs aim to train youth to recognize warning signs of suicide in their peers that serve as “cues” to […]

Accuracy requirements for cost-effective suicide risk prediction among primary care patients in the US

Objective: To identify threshold values of sensitivity, specificity, and positive predictive value that a suicide risk prediction method must attain to cost-effectively target a suicide risk reduction intervention to high-risk individuals. Design, setting, and participants: This economic evaluation incorporated published data on suicide epidemiology, the health care and societal costs of suicide, and the costs and efficacy […]

Suicide risk assessment toolkit: A resource for healthcare workers and organizations

Our Suicide Risk Assessment Toolkit, developed in collaboration with the Canadian Patient Safety Institute, provides a high-level overview of what health-care workers and organization need to consider when using suicide risk assessment tools. It also highlights and describes a range of available tools.

Gender differences in the predictors of suicide-related morbidity among veterans reporting current housing instability

Background: Veterans experiencing housing instability are at increased risk of suicide. Research is needed to identify gender differences in the predictors of both suicidal ideation and suicide attempt, particularly among Veterans who are unstably housed. Objectives: The objective of the present study was to explore whether correlates of suicide-related morbidity among unstably housed Veterans vary by gender […]

Abuse and suicide risk among college students in the United States: Findings from the 2019 Healthy Minds Study

Background: Suicide has increased among American youth, and remains a concern on college campuses where students have reported increasing levels of psychological distress, alcohol use, social isolation, and loneliness. Abuse is known to be a risk factor for suicide, but more research is needed to understand whether current specific types of abuse and their co-occurrence are […]

Comparing suicide risk insights derived from clinical and social media data

Suicide is the 10th leading cause of death in the US and the 2nd leading cause of death among teenagers. Clinical and psychosocial factors contribute to suicide risk (SRFs), although documentation and self-expression of such factors in EHRs and social networks vary. This study investigates the degree of variance across EHRs and social networks. We […]

Are volunteering and caregiving associated with suicide risk? A census-based longitudinal study

Background Opposing risks have been identified between different prosocial activities, with volunteering having been linked to better mental health while caregiving has been associated with higher prevalence and incidence of depression. This study explored suicide risk of people engaged in prosocial activities of caregiving and/or volunteering. Methods A Census-based record linkage study of 1,018,000 people […]

Staff awareness of suicide and self-harm risk in healthcare settings: A mixed-methods systematic review

Background Suicide risk screening in healthcare settings plays a significant role in suicide prevention. Healthcare staff who are poorly informed about self-harm and suicide risk are less likely to identify and subsequently screen at-risk individuals. This mixed-method systematic review aimed to appraise and synthesise evidence from studies that explored and promoted healthcare staff’s knowledge and […]

Old-for-grade status and suicide risk in U.S. high school students

Health-risk behaviors associated with increased risk of suicide are more prevalent in old-for-grade students compared to age-appropriate-for-grade peers; however, the association between old-for-grade status and suicidal behavior is largely unknown. This study investigated sex-specific differences in suicidal ideation, planning, attempts, and other risk behaviors by old-for-grade status. Secondary analyses utilizing bivariate and logistic regression methods […]

Suicides in psychiatric patients: Identifying health care-related factors through clinical practice reviews

The objective of this study was to identify health care-related factors associated with death by suicide in psychiatric patients and to gain insight into clinician views on how to deal with suicidality. The study material derived from a clinician committee in a psychiatric department reviewing every outpatient and inpatient suicide in a standardized way. Reports’ […]

Physical activity, sedentary, and dietary behaviors associated with indicators of mental health and suicide risk

We used data from the 2017 national Youth Risk Behavior Survey to examine associations between physical activity, sedentary, and healthy dietary behaviors and indicators of mental health, suicidal thoughts, and suicidal attempts among a representative sample of US high school students. Sex-stratified logistic regression was used to separately model each mental health-related outcome on the […]

Predicting death by suicide with administrative health care system data

ABSTRACT Quantifying suicide risk with risk scales is common in clinical practice, but the performance of risk scales has been shown to be limited. Prediction models have been developed to quantify suicide risk and have been shown to outperform risk scales, but these models have not been commonly adopted in clinical practice. The original research […]

Clinician-recalled quoted speech in electronic health records and risk of suicide attempt: A case-crossover study

Objective: Clinician narrative style in electronic health records (EHR) has rarely been investigated. Clinicians sometimes record brief quotations from patients, possibly more frequently when higher risk is perceived. We investigated whether the frequency of quoted phrases in an EHR was higher in time periods closer to a suicide attempt. Design: A case-crossover study was conducted in a […]

Abortion and the risk of suicide: A systematic review and meta-analysis

Abstract Background Abortion had been suggested to be associated with the risk of suicide with inconclusive results. The objective of this study was to assess the association by systematic review and meta-analysis.Methods We searched PubMed, EMbase, PsycINFO, CNKI, WanFang Data and VIP databases for all studies investigating the association between abortion and the risk of […]

Increased risk of suicide due to economic and social impact of social distancing measures to address the Covid-19 pandemic: A forecast

Background. Due to the Covid-19 pandemic there have been unprecedented increases in unemployment and social isolation nationally and globally. Predicting suicide rates as a result of this pandemic can provide information about the potential mental health ramifications and supports that may be needed. This article aims to forecast the potential increased incidence of suicide due […]

Testing out suicide risk prediction algorithms using phone measurements with patients in acute mental health settings: A feasibility study

Background: Digital phenotyping and machine learning are nowadays being used to augment or even replace traditional analytic procedures in many domains, including health care. Given the heavy reliance on smartphones and mobile devices around the world, this readily available source of data is an important and highly underutilized source that has the potential to improve […]

Validation of an electronic health record-based suicide risk prediction modeling approach across multiple health care systems

Importance  Suicide is a leading cause of mortality, with suicide-related deaths increasing in recent years. Automated methods for individualized risk prediction have great potential to address this growing public health threat. To facilitate their adoption, they must first be validated across diverse health care settings. Objective  To evaluate the generalizability and cross-site performance of a risk prediction […]

Prevalence and family-related factors associated with suicidal ideation, suicide attempts, and self-injury in children aged 9 to 10 years

Importance  Although suicide is a leading cause of death for children in the United States, and the rate of suicide in childhood has steadily increased, little is known about suicidal ideation and behaviors in children. Objective  To assess the overall prevalence of suicidal ideation, suicide attempts, and nonsuicidal self-injury, as well as family-related factors associated with suicidality […]

Gender differences in the suicide attempts of adolescents in emergency departments: Focusing on individuals with autism spectrum disorder

Background: Few studies on gender-based diagnostic characteristics of adolescent suicide attempters in emergency departments (EDs) have included individuals with autism spectrum disorder (ASD).   Objective: This study aimed to examine the clinical features of adolescent suicide attempts in EDs, focusing on gender differences and considering individuals with ASD. Methods: Ninety-four adolescent patients, aged less than […]

Self-contempt as a predictor of suicidality: A longitudinal study

People with mental illness can internalize public prejudice and negative emotional reactions to their group, leading to self-contempt. This study examined self-contempt related to having a mental illness as predictor of suicidality among 77 people with mental illness in Southern Germany. Self-contempt, depressive symptoms, hopelessness, and suicidality were assessed at baseline; suicidality was measured again 3 months later. High self-contempt at baseline predicted increased suicidality at follow-up, adjusting for […]

Maladaptive mood repair predicts suicidal behaviors among young adults with depression histories

Highlights • We tested the hypothesis that dysfunctional regulation of sadness (maladaptive mood repair) is one route by which a history of depressive episodes increases the risk of non-fatal suicidal behaviors, ranging from recurrent thoughts of death to attempted suicide. • We also examined whether the predictive power of maladaptive mood repair is altered by […]