Incidence of female suicide in New York City: How important are socioeconomic factors?

After a steady decline in the incidence of suicide in the last 3 decades of the twentieth century, suicide rates in the US and likewise in New York City (NYC) began to rise. A breakdown of the city‚Äôs rates by gender reveals that since 2000, suicides among men had held steady while the rate among […]

Creating suicide safety in schools: A public health suicide prevention program in New York State.

Suicide is a serious public health problem worldwide. The World Health¬†Organization calls for collaboration among all sectors of society using a multi-tiered approach to address risk factors. Schools have played a central public health role in fighting infectious diseases, malnutrition, community violence, accidental injuries, and heart disease. Similarly, when it comes to youth suicide prevention, […]

Characteristics of inmates who received a diagnosis of serious mental illness upon entry to New York State Prison.

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Intersecting identities and the association between bullying and suicide attempt among New York City youths: results from the 2009 New York City Youth Risk Behavior Survey.

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Training Outcomes From the Samaritans of New York Suicide Awareness and Prevention Programme Among Community- and School-Based Staff

365 community- & school-based staff completed pre- & post-training measures of self-efficacy regarding their knowledge about suicide & suicide prevention, & their ability to intervene with individuals at risk for suicide. Results indicated increased self-efficacy after suicide prevention training than before. Trainees with higher levels of education & previous contact with suicidal individuals were significantly […]

School-Based Screening to Identify At-Risk Students not Already Known to School Professionals: the Columbia Suicide Screen

Students from 7 high schools in the New York metropolitan area completed the Columbia Suicide Screen, 489 of the 1729 students screened had positive results. The clinical status of 641 students (73% of those screening positive & 23% of those screening negative) was assessed. School professionals, unaware of students’ screening & diagnostic status, were asked […]

Mobile Crisis Team Intervention to Enhance Linkage of Discharged Suicidal Emergency Department Patients to Outpatient Psychiatric Services: a Randomized Controlled Trial

In a rater-blinded, randomized controlled trial, 120 participants who were evaluated for suicidal thoughts, plans, or behaviours, & who were subsequently discharged from an urban emergency department, were randomized to follow-up either in the community via a mobile crisis team or at an outpatient mental health clinic. Successful first clinical contact after discharge occurred in […]

Antecedents and Patterns of Suicide Behavior in First-Admission Psychosis

This study described suicide behaviours before & during the 4 years following first psychiatric hospitalization, examined associations of demographic & psychiatric risk factors, & developed a suicide risk index for persons with psychotic illnesses. Data came from a first-admission cohort of 529 patients in the Suffolk County Mental Health Project. Prior to first admission, 28.0% […]

Preventing Suicide by Jumping From Bridges Owned by the City of Ithaca and by Cornell University. Consultation to Cornell University: “Extended Report”

The authors were asked to consult on both immediate & long-term responses to recent suicides of students who jumped from bridges on or adjacent to the Cornell campus. This extended report includes the key issues conveyed at the consultation meetings & the major findings & recommendations of the consultants. It includes detailed summaries of the […]

Educational Preferences and Outcomes From Suicide Prevention Training in the Veterans Health Administration: One-Year Follow-Up With Healthcare Employees in Upstate New York

This study identified training outcomes & educational preferences of employees who work within the Veterans Health Administration. Using a longitudinal pre- postsurvey design, 71 employees from one geographic region participated in an evaluation of a brief standardized gatekeeper program & a needs assessment on training preferences for suicide & suicide prevention. Results indicate significant differences […]

Improving Support of Residents After a Patient Suicide: a Residency Case Study

Each of the authors experienced the suicide of one patient during their residencies at Columbia & discovered several deficiencies in their methods of dealing with them. In this article, they describe the interventions developed at Columbia University, including curricular changes, development of a crisis support team, & a formal review of the event. Other constructive […]

Social Support and Suicidal Ideation in Older Adults Using Home Healthcare Services

This study examined associations between objective & subjective social support & suicide ideation in older adults receiving home healthcare services. 522 older adults, 65 years & older, were assessed. In bivariate analysis, neither objectively determined size of social network nor instrumental support was associated with suicide ideation. Lower social interaction patterns & lower perceived social […]

Future Orientation and Suicide Ideation and Attempts in Depressed Adults Ages 50 and Over

The hypothesis that future orientation is associated with lower levels of suicide ideation & lower likelihood of suicide attempt was tested in a sample of 202 patients in treatment for major depression. Hypotheses were tested using multivariate logistic regression & linear regression analyses that accounted for age, gender, hopelessness, & depression. As hypothesized, higher future […]

Do Cerebrovascular Risk Factors Confer Risk for Suicide in Later Life? A Case-Control Study

This study examined the role of cerebrovascular risk factors in late-life suicide. The authors calculated a cerebrovascular risk factor score for each case & comparison subject from a psychological autopsy study of suicide among community-dwelling adults over age 50 years. Scores were significantly higher in suicide cases than community-dwelling comparison subjects after accounting for age, […]

Suicide Tourism in Manhattan, New York City, 1990-2004

Data was collected on all suicides in New York City between 1990-2004. Trends & correlates of out-of-town residents who died by suicide in New York City were examined. Manhattan accounted for 274 of the 407 nonresident suicides, which represented over 10% of all suicides in Manhattan. The most common locations included hotels & commercial buildings. […]

Reasons for Living, Hopelessness, and Suicide Ideation Among Depressed Adults 50 Years or Older

The authors tested the hypothesis that reasons for living are inversely related to suicide ideation. This report is a secondary analysis of cross-sectional data from a sample of 125 adults 50 years & older receiving treatment for a mood disorder. Patients who reported higher levels of fear of suicide were less likely to report suicide […]

Emotional Triggers and Psychopathology Associated With Suicidal Ideation in Urban Children With Elevated Aggressive-Disruptive Behavior

8.6% suicide ideation was found among 349 urban 6-9 year olds in the top tercile of aggressive-disruptive behaviour. Suicide ideation was associated with more self-reported depression, opposition defiance disorder, conduct problems, & attention deficit hyperactivity disorder symptoms & 3.5-5 times more clinically significant symptoms. Parents rated more symptoms in older children associated with suicide ideation […]

Postmortem mu-opioid Receptor Binding in Suicide Victims and Controls

This study compared opioid receptor binding kinetics in postmortem brains of 9 young suicide victims & 10 matched controls in 2 brain areas, the prefrontal cortex & the pre-post central gyri. Binding indices did not differ between suicide victims & controls in either brain area & did not correlate with age. Prefrontal cortex Bmax was […]

The Influence of a Major Disaster on Suicide Risk in the Population

The authors investigated the relationship between the September 11, 2001 terrorist attacks & suicide risk in New York City from 1990-2006. The average monthly rate over the study period was 0.56 per 100,000 people. The monthly rate after September 2001 was 0.11 per 100,000 people lower as compared to the rate in the period before. […]

Coping With Thoughts of Suicide: Techniques Used by Consumers of Mental Health Services

This study examines how individuals with serious mental illness & a history of suicidal behaviour cope with suicidal thoughts. 198 participants from 14 regional consumer-run Hope Dialogues in New York State wrote up to 5 strategies they use to deal with suicide ideation. Strategies were classified according to grounded theory. First responses included spirituality, talking […]

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 […]

An Evidence-Based Educational Intervention to Improve Evaluation and Preventive Services for Officers at Risk for Suicidal Behaviors (In: Suicide and Law Enforcement, edited by D C Sheehan & J I Warren)

This chapter describes the development, implementation, & evaluation of an educational program for New York City police psychologists, counsellors, & other employee assistance personnel. The goal of the program was to prevent suicides by improving the counselling skills & psychological knowledge of those who evaluate officers at risk for suicidal behaviour. The program consisted of […]

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

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