Risk assessment in clinical practice: A framework for decision-making in real-world complex systems

Risk assessment in clinical practice is often characterised as a process of analysing information so as to make a judgement about the likelihood of harmful behaviour occurring in the future. However, this characterisation is brought into question when the evidence does not support the current use of risk assessment approaches to predict, or provide probability […]

Emotional and social loneliness as predictors of suicidal ideation in different age groups

Loneliness and suicidal ideation (SI) are relevant issues. This study aimed to examine the prevalence of death ideation (DI) and SI in the general population across four age groups and to determine the extent to which emotional and social loneliness are associated with SI. Data were collected via an online panel in Slovenia in February […]

“What will happen if I say yes?”: Perspectives on a standardized firearm access question among adults with depressive symptoms

Objective: Addressing firearm access is recommended when patients are identified as being at risk of suicide. However, the practice of assessing firearm access is controversial, and no national guidelines exist to inform practice. This study qualitatively explored patient perspectives on a routine question about firearm access to optimize the patient centeredness of this practice in […]

Self-rated risk as a predictor of suicide attempts among high-risk adolescents

Background. Predicting suicide attempts is a challenging task for clinicians and researchers, particularly among high-risk individuals (i.e. adolescents with lifetime suicide attempts). In this study, we examined whether adolescents were able to predict their own risk of attempting suicide in the future and whether borderline personality disorder (BPD) or depressive symptoms impacted the predictive value of […]

Consensus statement on ethical & safety practices for conducting digital monitoring studies with people at risk of suicide and related behaviors

Objective Digital monitoring technologies (e.g., smartphones and wearable devices) provide unprecedented opportunities to study potentially harmful behaviors such as suicide, violence, and alcohol/substance use in real‐time. The use of these new technologies has the potential to significantly advance the understanding, prediction, and prevention of these behaviors. However, such technologies also introduce myriad ethical and safety […]

Suicide attempt after determination of ineligibility for assisted death: A case series

Medical assistance in dying (MAID) and similar right-to-die laws are becoming increasingly common in jurisdictions across North America and elsewhere. To be eligible for MAID in Canada, requesters must have a serious illness, intolerable suffering, and a reasonably foreseeable natural death. They must also undergo two assessments to confirm eligibility. Although a growing body of […]

Suicide clusters among top 10 high-risk occupations: A study from 2001 to 2016 in Australia

A number of studies have demonstrated elevated risk of suicide in certain occupational groups. We seek to understand a possible new risk factor: suicide contagion, as demonstrated through a suicide cluster analysis. National-level coronial data and census population data were used for the study. We calculated suicide rates to identify “risky” occupations. SaTScan v9.4.1 was […]

Meaning-centered men’s groups: Initial findings of an intervention to enhance resiliency and reduce suicide risk in men facing retirement

Objectives: To assess the preliminary effectiveness of Meaning-Centered Men’s Groups (MCMG), a 12-session existentially-oriented, community-based, psychological group intervention designed to enhance psychological resiliency and prevent the onset or exacerbation of suicide ideation among men who are concerned about or struggling with the transition to retirement. Methods: We recruited 30 men (n= 10 per group), 55 […]

A preliminary validation study of two ultra-brief measures of suicide risk: The suicide and perceived burdensomeness visual analog scales

The advent of rapid‐acting suicide‐focused interventions and longitudinal research designs employing high‐frequency, repeated measurement of suicide risk has resulted in a need to quantify suicide risk during very brief windows of time (e.g., minutes, hours, days). This has rapidly outpaced traditional methods for assessing suicide risk, which often focus on measuring indicators of suicide risk […]

Real-time monitoring of non-linear suicidal dynamics: Methodology and a demonstrative case report.

In recent years, a number of different authors have stressed the usefulness of non-linear dynamic systems approach in suicide research and suicide prevention. This approach applies specific methods of time series analysis and, consequently, it requires a continuous and fine-meshed assessment of the processes under consideration. The technical means for this kind of process assessment […]

Perceptions of a peer suicide prevention program by inmates and professionals working in prisons. Underestimation of risk, the modification of the field, and the role of self-consciousness.

Background: Suicide prevention is a major challenge for penal institutions in many countries. The traditional approach relies on the expertise of health professionals and is supplemented by the intervention of other professionals and the inmates themselves. New methods of suicide prevention based on peer support have been developed in recent years. Peer prevention programs rely […]

Dimensions of suicidality: analyzing the domains of the SIS-MAP Suicide Risk Assessment Instrument and the development of a brief screener.

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