Explaining suicide: Patterns, motivations and what notes reveal.

The rate of suicides is at its highest level in nearly 30 years. Suicide notes have long been thought to be valuable resources for understanding suicide motivation, but up to now the small sample sizes available have made an in-depth analysis difficult. Explaining Suicide: Patterns, Motivations, and What Notes Reveal represents a large-scale analysis of […]

Elder Suicide Risk: Testing a Comprehensive Model (IN: New Research in Mental Health: 2000-2001 Biennium, Volume 15, edited by D Roth)

This research extended the work of Mireault & deMan (1996) by identifying & bringing together all the risk factors identified in the literature on elder suicide into a comprehensive predictive model grounded in theory. The interrelations of these factors were investigated. Within this model, psychological resilience reflects positive approaches to life & engagement in activities […]

Investigating Elder Suicide Risk (IN: New Research in Mental Health: 2002-2003 Biennium, Volume 16, edited by D Roth & W J Lutz)

This research identified & brought together a broad range of risk factors identified in the literature on elder suicide into a comprehensive predictive model. The interrelations of these factors were investigated. Data were collected on 350 participants recruited from assisted living facilities, community mental health centres, seniors’ centres, & senior social organizations throughout northeastern Ohio. […]

Problem-Solving and Suicide Ideation: a Brief Preventive Intervention (IN: New Research in Mental Health: 2002-2003 Biennium, Volume 16, edited by D Roth & W J Lutz)

The general goals of this intervention were to elucidate further the relationship between suicide ideation, psychopathology, & coping skills. In addition, a short-term, secondary prevention program designed to decrease the intensity of suicide ideation & associated psychopathology while bolstering problem-solving abilities & coping skills was assessed. Participants included college students & people recruited from community […]

Social Workers and Suicide: the Role of Client Firearm Assessment and Safety Counseling (IN: New Research in Mental Health: 2006-2007 Biennium, Volume 18, edited by D Roth & W J Lutz)

The primary objectives of this exploratory study was to document the knowledge, attitudes, & behaviours of social workers regarding client firearm safety counselling. Licensed social workers in Ohio responded to a mail survey. 704 usable surveys were collected. The findings indicate only 34 percent of social workers agreed/strongly agreed they routinely assessed for firearm ownership […]

Serotonergic Measures in Suicide Brain: 5-HT1A Binding Sites in Frontal Cortex of Suicide Victims

The density of 5-HT1A binding using 3H-8-hydroxy-2-(di-n-propyl-amino) tetralin as binding ligand was studied in human frontal cortex of suicide victims & normal controls who died due to medical disease or accidents. There was no difference in the maximum number of binding site (Bmax) or Kd (an inverse measure of affinity) of 5-HT1A receptor binding sites […]

Suicide and Firearm Means Restriction: can Training Make a Difference

A random sample of 697 licensed social workers in Ohio was surveyed regarding client firearm assessment & safety counselling. Analyses sought to determine what independent factors would predict the probability that a social worker would hold positive attitudes regarding firearm risk assessment & counselling. Findings indicated that prior training & reporting from an urban area […]

Drug Ingestions in Children 10-14 Years old: an old Problem Revisited

A retrospective chart review was done of 10-14-year-olds hospitalized for drug ingestion between 1993-1995 & 2000-2004. Odds ratios & chi-square were used for analyses. From 1993-1995, there were 92.8 ingestions per 100,000 children per year; from 2000-2004, there were 63.3 ingestions per 100,000 children per year. More males ingested in 2000-2004 than 1993-1995. More patients […]

A Comparison of Suicide Note Writers With Suicides who did not Leave Notes

Using 10 years of cases from Summit County, Ohio, suicide victims who left notes were compared with those who did not leave notes. The 2 groups were compared on 40 variables including sociodemographic characteristics, reported affect before death, precipitating events, physical & mental health status & care, & method of suicide. The only differences found […]

Mortality and Medical Comorbidity Among Patients With Serious Mental Illness

This study examined mortality & medical comorbidity among patients with serious mental illness in Ohio. Data for 20,018 patients admitted to an Ohio public mental health hospital between 1998-2002 were matched against state death records; 608 deaths were identified. Heart disease & suicides were the leading causes of death. The highest cause-specific mean years-of-potential-life-lost was […]

Brief Report: Preliminary Results of a Suicide Awareness Mass Media Campaign in Cuyahoga County, Ohio

This brief report provides preliminary information about the influence of a suicide awareness & prevention media campaign on the number of suicide-related calls to an emergency mental health service in Cuyahoga County, Ohio. Examination of the pattern of calls before, during, & between phases of the campaign suggest the media campaign significantly increased telephone calls […]

Suicide Prevention Plan for Ashland County

This document outlines the suicide prevention strategy for Ashland County, Ohio. Activities are planned in 3 areas: media; awareness, education, & outreach; & gatekeeper training. In each of these areas, activities are organized by the intended audience: general; youth; men; & the elderly.

No-Suicide Contracts to Prevent Suicidal Behavior in Inpatient Psychiatric Settings

Background: Many individuals who are hospitalized on psychiatric units are at high risk of suicide. Among the strategies commonly recommended for suicide prevention is the negotiation of a no-suicide or no-harm contract. In spite of the conventional acceptance of no-suicide contracts, there is little research about this intervention. Objective: To describe the use of no-suicide […]

Validity of the Suicide Assessment Checklist in an Emergency Crisis Center


Filicide-suicide: Common Factors in Parents who Kill Their Children and Themselves


Do Increasing Adolescent Suicide Rates Result in Increasing Prevention/postvention Programs in Ohio Schools?: a Survey

Emergency Department Visits for Suicidality in Three Hospitals

This study describes suicidal people who came to emergency department & examines the relationship between clinical & health service characteristics & decisions regarding post-emergency department care. During the 1-month study period, 163 visits were for suicidal ideation or behaviour. The mean age of the patients was 36.5 years & 51% were female. Clinical decisions about […]

Firearms Risk Management in Psychiatric Care

This study sought to assess the effectiveness of a firearms risk management program that was developed & implemented among 46 civilly committed psychiatric inpatients at a behavioural health organization. The research sample comprised mainly men who had personality disorders & histories of substance abuse & who had expressed an intent to use a firearm to […]

Pathological Gambling Among Elderly Veterans

The purpose of the present study was to examine elderly patients, aged 60 & older, admitted to a residential gambling treatment program & to compare them to a younger cohort on a variety of mental health factors & measures. It was found that elderly gamblers were just as likely as younger gamblers to have a […]

Developing a Comprehensive Community Wide Plan to Address Youth Suicide

The theme of this Conference was “Injuries, Suicide & Violence: Building Knowledge, Policies & Practices to Promote a Safer World”

Ohio’s Suicide Prevention Plan Progress Report

Please see SIEC #2003-0260 for the prevention plan itself.

Suicide Attempts Among Veterans Seeking Treatment for Pathological Gambling

A retrospective chart review was completed for all consecutive admissions to the Gambling Treatment Program of the Louis Stokes VA medical Center over a 12-month period. All subjects met DSM-IV criteria for pathological gambling. 39.5% of patients reported that they had made a suicide attempt at some time in their lives. 64% of attempters reported […]

Images of God Used by Self-Injurious Burn Patients

Suicide by burning & other forms of self-injurious behaviors which involve burning are sometimes considered to have religious overtones. The present study describes the ways in which persons who inflicted self-injurious behaviors through burning, including attempted suicide, imagine the Divinity & use religious language to give meaning to their experience. (14 refs)