Geospatial analysis of associations among mental health need, housing need, and involuntary psychiatric hospitalizations of people experiencing homelessness in Los Angeles County

The purpose of this study was to use geospatial indicators of mental health need and homelessness in Los Angeles County Service Planning Areas (SPAs) and a psychiatric sample of adults who were homeless to investigate 1) overlap between SPA level of mental health need and corresponding volume of involuntary psychiatric hospitalizations over time; 2) overlap […]

Suicide deaths among women in California living with handgun owners vs those living with other adults in handgun-free homes, 2004-2016

Importance  Little is known about the extent to which secondhand exposure to household firearms is associated with risk of suicide in adults who do not own guns, most of whom are women. Objective  To evaluate changes in risk of suicide among women living in gun-free households after one of their cohabitants became a handgun owner. Design, Setting, […]

Suicide prevention in California: Three goals for developing a statewide plan.

The Mental Health Services Oversight and Accountability Commission (MHSOAC) is charged with developing a statewide suicide prevention plan. In my testimony today, I would like to highlight three goals that MHSOAC should consider when designing this plan to support local communities and stakeholders in preventing suicide across the state. The first goal is to provide better […]

The mental health status of single-parent community college students in California.

Single-parenting students face unique challenges that may adversely affect their mental health, which have not been explored in community college settings. OBJECTIVE: The authors conducted secondary analysis of Spring 2013 data from the American College Health Association-National College Health Assessment to examine difficulties facing single-parent community college students and the association between single parenting and […]

Do suicides from the Golden Gate Bridge cluster?

Suicides from popular venues (known as “hotspots”) are often publicized and may result in imitation by subsequent suicides that may lead to clustering of the suicides over time. In order to examine whether the suicides from the Golden Gate Bridge showed clustering, data from the 224 suicides during 1999–2009 were analyzed using the Anderson-Darling Test […]

Suicide prevention hotlines in California: Diversity in services, structure, and organization and the potential challenges ahead.

Suicide prevention hotlines in California respond to callers in need and reduce caller distress, but could improve their services and reach more users by expanding digital offerings such as chat services and establishing better programs to monitor and improve the quality of their services, according to new studies from the RAND Corporation. Evaluating nearly a […]

Suicides mounting: Golden Gate looks to add a safety net.

For 60 years, the directors of the Golden Gate Bridge, Highway and Transportation District, reflecting the live-and-let-live ethos that animates this city, never agreed to build a barrier. Now, with the numbers of suicides rising , the country has more annually than traffic fatalities , and the ages of those jumping here declining, they are […]

Analysis of the cost effectiveness of a suicide barrier on the Golden Gate Bridge.

The Golden Gate Bridge (GGB) is a well-known Òsuicide magnetÓ and the site of approximately 30 suicides per year. Recently, a suicide barrier was approved to prevent further suicides. Cost-benefit analysis suggests that a suicide barrier on the GGB would result in a highly cost-effective reduction in suicide mortality in the San Francisco Bay Area.

Giving People Help and Hope: Suicide Prevention Strategic Plan

This report outlines the strategic plan for the prevention of suicide in Santa Clara County, California. It opens with a review of the impact of suicide in Santa Clara County, what the Suicide Prevention Advisory Committee did, & what the Committee learned. The next part of the report summarizes local needs & is followed by […]

Suicide Inquiry in Primary Care: Creating Context, Inquiring, and Following Up

152 primary care physicians were randomly recruited (53-61% of those approached) from 4 sites in northern California & Rochester, New York to participate in a study assessing the effect of a patient’s request for antidepressant medication on a physician’s prescribing behaviour. Standardized patients portraying 2 conditions & 3 antidepressant request types made 298 unannounced visits […]

Let’s not Talk About It: Suicide Inquiry in Primary Care

See #2010-0000 for another article on this study.

Suicidal Behaviour Among Youth in Five Public Sectors of Care

Rates of suicide ideation & behaviours as well as associated risk factors were examined among youth recruited from 5 public sectors of care – child welfare, juvenile justice, special education services, alcohol & drug services, & county mental health. 1057 California youth, ages 11-18, completed a diagnostic interview & questionnaires assessing relevant suicide risk factors […]

Improving the Quality of Suicide Risk Assessments in the Psychiatric Emergency Setting: Physician Documentation of Process Indicators

The quality of suicide risk assessments in the psychiatric emergency setting was evaluated by reviewing physician documentation of process indicators. Medical records of 145 patients involuntarily admitted were reviewed for 19 process indicators. Documentation that a process indicator was not met by a patient was included in the data. Patients were divided into 2 groups: […]

Suicide From the Golden Gate Bridge

The Golden Gate Bridge is the number one suicide site in the world. In this clinical case conference, the authors begin by presenting vignettes to capture the diversity of bridge suicide. They then examine the demographic characteristics of those who die by suicide from the bridge as well as the fatal attraction of the Golden […]

Age of Minority Sexual Orientation Development and Risk of Childhood Maltreatment and Suicide Attempts in Women

This study investigated relationships between self-reported ages of achieving minority sexual orientation development milestones, childhood maltreatment, & suicide attempt experiences in a sample of 2,001 women recruited from multiple community sources. Younger age was positively linked to self-reported recall of childhood maltreatment experiences & to a childhood suicide attempt. After adjusting for differences in maltreatment, […]

Hospitalization for Suicide Attempt and Completed Suicide: Epidemiological Features in a Managed Care Population


Gender, Place, and Method of Suicide

This study investigated whether women use less lethal methods of suicide than men & determined whether place of suicide influences method of suicide. Data on suicides in Riverside County, 1998-2001, were derived from death certificates. Women were over 73% less likely to use firearms than men. There were no gender differentials in hanging but females […]

Suicide in San Francisco: Lessons Learned and Preventions (In: Suicide and Law Enforcement, edited by D C Sheehan & J I Warren)

The authors uses his own experience as a starting point for exploring law enforcement suicide. The goal is to arouse attention, engage in candid discussion, & develop prevention strategies. An argument is made for the need to innoculate officers against the common interpersonal & organizational dysfunction resulting from a law enforcement career. The effort needs […]

Impact on Crisis Negotiators of Suicide by a Suspect (In: Suicide and Law Enforcement, edited by D C Sheehan & J I Warren)

Crisis negotiators in California who had been involved in the past 5 years in incidents in which the suspect died by suicide completed a questionnaire & provided information about: anxiety symptoms during the incident; formal support afterwards; informal support from co-workers, supervisors, administrators, & investigators; long-term effects of the incident in the form of posttrauamtic […]

Suicide Prevention on the Golden Gate Bridge


Suicide in Humboldt County, CA 2003-2007

This report provides epidemiological data on suicide in Humboldt County, California. Suicide prevention using a public health approach is also discussed.

Relationship Between Sense of Belonging as Connectedness and Suicide in American Indians


California Strategic Plan on Suicide Prevention: Every Californian is Part of the Solution. Executive Summary

This document provides an executive summary of the California strategic plan for suicide prevention. Epidemiology, risk factors, the availability of means, & the economic costs of suicide attempts & deaths are all briefly discussed. Strategies for prevention are outlined & the four strategic directions guiding the plan are described, including recommended actions at local & […]