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

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

From Critical Incident Stress to Police Suicide: Prevention Through Mandatory Academy and On-the-Job Training Programs (In: Suicide and Law Enforcement, edited by D C Sheehan & J I Warren)

This chapter examines the practical side of dealing proactively with the stress encountered by police officers on a daily basis, stress that when dismissed as part of the job generates disastrous outcomes. The specific emphasis is on understanding critical incident stress & its impact. A practical outline of mandatory training, both at the academy & […]

No Evidence of Suicide Increase Following Terrorist Attacks in the United States: an Interrupted Time-Series Analysis of September 11 and Oklahoma City

There is substantial evidence of detrimental psychological sequelae following disasters, including terrorist attacks. The effect of these events on extreme responses such as suicide, however, is unclear. This study tested competing hypotheses about such effects by employing autoregressive integrated moving average techniques to model the impact of September 11 & the Oklahoma City bombing on […]

Police Suicides in the New York City Police Department: Causal Factors and Remedial Measures (In: Suicide and Law Enforcement, edited by D C Sheehan & J I Warren)

Since 1985, 89 uniformed members of the New York City Police Department have died by suicide. The department has established several employee assistance units, innovative programs, & initiatives to assist police personnel who are experiencing personal & professional problems in an effort to reduce the incidence of police suicides. This chapter will discuss causal factors […]

Psychological Distress Following Suicidality Among gay, Lesbian, and Bisexual Youths: Role of Social Relationships

Longitudinal relations between past suicidality & subsequent changes in psychological distress at follow-up were examined among gay, lesbian, & bisexual youths, as were psychosocial factors that might mediate or moderate this relation. Past suicide attempters were found to have higher levels of depressive & anxious symptoms & conduct problems at a later time than youths […]

Themes of Police Suicide: an Analysis of Forensic Data, Media Coverage, and Case Studies Leading to a Protocol of Assessment and Treatment (In: Suicide and Law Enforcement, edited by D C Sheehan & J I Warren)

Through the analysis of forensic data, media coverage, & clinical case records of officers who died by suicide or attempted suicide or who were evaluated for suicide, this chapter presents an analysis of the importance of family factors in both the cause & treatment of suicide potential in police officers. Family intervention tactics that encourage […]

Suicide in Police Work: Exploring Potential Contributing Influences

This study explored potential influences on suicide ideation among 105 randomly selected urban police officers. Depression, gender, & marital status appeared to be most strongly associated with suicide ideation. Depressive symptoms were higher among women than men. For each standard deviation increase in depressive symptoms, the prevalence ratio of suicide ideation increased 73 percent in […]

Implementing Routine Suicide Risk Screening for Psychiatric Outpatients With Serious Mental Disorders: I. Qualitative Results

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Implementing Routine Suicide Risk Screening for Psychiatric Outpatients With Serious Mental Disorders: II. Quantitative Results

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Clinical Risk Factors Associated With Parasuicide in Prison

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Racial Differences in Suicidality in an Older Urban Population

This study used epidemiological data of older African Americans & Caucasians living in Brooklyn, New York to compare those factors associated with active or passive suicide ideation in each group. Using 1990 census data, a sample of 214 whites & 860 blacks was assembled. Whites reported higher prevalence than blacks for current suicidality & lifetime […]

The Hospital Treatment of Involutional Psychoses (IN: Depression, edited by P H Hoch & J Zubin)

This chapter reports on a study of patients with involutional psychoses who were addmitted to a psychiatric hopsital in New York. The histories of 319 patients were reviewed, divided into a group of 100 women & 100 men admitted between 1920 & 1940 before electroconvulsive therapy was used, & a group of 119 patients (69 […]

Mental Health Care in a High School Based Health Service

This paper describes the mental health services provided at a high school health centre in New York City. 5 years after the inception of the centre in 1988, mental health visits had quadrupled. In 1992, students made 1,002 mental health visits. One-third of these students reported problematic substance use among other family members. Other leading […]

Changes in Psychological Maladaptation Among Inmate Parasuicides

33 males who engaged in parasuicide in prison were assessed for suicidal behaviour & other psychological maladaptation upon prison entry & 1 year later. Depression & suicide ideation scores decreased significantly at 1 year, although continued distress also was evident. State- & trait-anger levels did not change significantly. Congruent with other research, inmates who engaged […]

Are High-Lethality Suicide Attempters With Bipolar Disorder a Distinct Phenotype?

Bipolar patients were classified as high- or low-lethality attempters. High-lethality attempts required inpatient medical treatment. Mixed effects logistic regression models & permutation analyses examined correlations between lethality, number, & order of attempts. High-lethality attempters reported greater suicidal intent & more previous attempts. Multiple attempters showed no pattern of incremental lethality increase with subsequent attempts, but […]

Personality and Attempted Suicide in Depressed Adults 50 Years of age and Older: a Facet Level Analysis

The contribution of personality traits to attempted suicide, the number of suicide attempts, & suicide ideation was examined in a sample of depressed inpatients. Bivariate analyses showed suicide attempters were more self-conscious, self-effacing, impulsive, & vulnerable to stress. Multivariate regression analyses, controlling for age, gender, severity of depresson, & psychiatric morbidity, showed patients with a […]

The Psychological Autopsy as Part of a Suicide Prevention Program

In November 1997, a policy statement by the Department of Mental Hygiene of the State of New York instructed directors of psychiatric centres to review all suicides at their institutions by means of a psychological autopsy. This presentation discussed the initial effects of this directive & examined staff reactions to the process. The implications for […]

Suicide Assessment: Clinical Interview vs. Self-Report

This study examined whether patients disclosed the same information about suicidal behaviours on a self-report instrument that they conveyed to a clinician in a face-to-face interview. The results indicated a generally high level of agreement between these two forms of suicide assessment. The one exception was the question concerning recent suicide ideation, where patients tended […]

Substance use Disorders and Suicide Attempts in Bipolar Subtypes

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The New York State Local Forensic Suicide Prevention/Crisis Intervention Program (In: The Mentally Ill in Jail: Planning for Essential Services by H J Steadman, D W McCarty, & J P Morrissey)

This chapter describes the development of a suicide prevention/crisis intervention program in seven New York county jails by the New York State Office of Mental Health & Ulster County Mental Health Services in collaboration with researchers. The structure of the program is built around identification and referral & intervention.

Suicide Attempts Among Individuals With Opiate Dependence: the Critical Role of Belonging

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Risk and Resiliency Factors Influencing Suicidality Among Urban African American and Latino Youth

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Girls Will be Girls: Gender Differences in Predictors of Success for Diverted Youth With Mental Health and Substance Abuse Disorders

Data on 2,303 youth participating in the New York State Mental Health/Juvenile Justice Diversion Program were used to explore differences between girls & boys on factors commonly associated with recidivism & out-of-community placement. 4% of the sample had attempted suicide at least once (6.8% females, 3.6% males). Suicide attempts were significantly related to out-of-community placement […]