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35 years of working with suicidal patients: Lessons learned.
An overview of issues encountered with suicidal patients in the career of Donald Meichenbuam. These include:THE WIDESPREAD INCIDENCE OF CLINICAL PRACTICE AND SUICIDE;IMPLICATIONS OF EPIDEMIOLOGICAL DATA AND SUICIDE;IMPLICATIONS OF A CONSTRUCTIVE NARRATIVE PERSPECTIVE OF SUICIDE;ASSESSMENT OF SUICIDAL IDEATION and SUICIDAL BEHAVIOR: NEED FOR COMPREHENSIVE ASSESSMENT STRATEGIES;CLINICAL INTERVENTIONS
Network analysis of distress, suicidality, and resilience in a treatment seeking sample of first responders
Introduction First responders are routinely and regularly exposed to traumatic events that can clinically manifest with a symptom constellation of posttraumatic stress disorder (PTSD), generalized anxiety, depression, and suicidality. Methods We used network analysis to examine baseline data from treatment seeking first responders (n = 308) to examine the interrelatedness of those constructs, including a measure of resilience. We […]
Discrepancies in suicide screenings: Results from an international study
Background When screening for suicidality, clinicians usually ask questions in ascending order of severity. Clinicians often discontinue questioning after negative responses to the first question or questions, presuming that these individuals are unlikely to endorse any further suicidality. In this study, the accuracy of this presumption is evaluated in a large international sample. Methods Participants […]
Suicidal thoughts and behaviors in psychiatrically hospitalized adolescents pre- and post- COVID-19: A historical chart review and examination of contextual correlates
Background: Psychiatrically vulnerable adolescents may be at heightened risk for suicide during the COVID-19 pandemic. This study characterizes suicidal ideation (SI) and suicide attempts (SA) in a sample of adolescents psychiatrically hospitalized during COVID-19. Rates of SI and SA are compared to a historical hospital sample from a matched period in the year prior. Associations between […]
Mental health-related emergency department visits in adolescents before and during the COVID-19 pandemic: A multicentric retrospective study
Purpose The purpose of this study was to compare pre/post-COVID-19 changes in mental health–related emergency department visits among adolescents. Methods We conducted a retrospective analysis of all mental health–related emergency department visits in two large tertiary pediatric hospital centers between January 2018 and December 2020. We described monthly pre/post-COVID-19 changes in frequency and proportion of mental […]
Increasing suicide rates in early adolescent girls in the United States and the equalization of sex disparity in suicide: The need to investigate the role of social media
In the context of increasing rates of suicide in US youth, a recent report by the Centers for Disease Control and Prevention1 revealed that the largest percentage increases in the rates of suicide occurred in girls aged 10 to 14 years. In an unprecedented escalation, rates of suicide in this subgroup tripled between 1999 and […]
Patients with borderline personality disorder in emergency departments
Borderline personality disorder (BPD) patients, when in crisis, are frequent visitors of emergency departments (EDs). When these patients exhibit symptoms such as aggressiveness, impulsivity, intense anxiety, severe depression, self-harm, and suicidal attempts or gestures, diagnosis, and treatment of the BPD becomes challenging for ED doctors. This review will, therefore, outline advice to physicians and health-care […]
Hospital presenting suicidal ideation: A systematic review
Background Research indicates that the emergency department is the primary setting for people to present with suicidal ideation. Attempting to provide interventions for this population depends greatly on understanding their needs and life circumstances at the time of presentation to services, therefore enabling more appropriate treatment pathways and services to be provided. Aim This review […]
Borderline personality disorder in the emergency department: Good psychiatric management
Patients with borderline personality disorder (BPD) are high utilizers of psychiatric emergency services and present unique challenges in that setting. Frequently advised to visit an emergency department (ED) if safety is in question, their experiences once there often do not have beneficial effects. Issues specific to patients with BPD in the ED include volatile interactions […]
Mental health service utilization, school experiences, and religious involvement among a national sample of black adolescents who attempt suicide: Examining within and cross-race group differences
Prior suicide attempt serves as one of the strongest predictors of future suicide attempt and risk for death by suicide among youth. Disparities, however, persist in determining which groups have access to services following an attempt. Thus, we compare the experiences of Black youth with a history of lifetime suicide attempt to youth from other […]
Temporal trends in suicide attempts among adolescents aged 12–15 years from 12 low‑ and middle‑income countries
Purpose Suicide is a major public health problem, especially in low- and middle-income countries (LMICs). However, current data on temporal trends in suicide attempts are limited. Therefore, we explored the temporal trends in suicide attempts among adolescents aged 12–15 years from 12 LMICs. Methods The data for this study were obtained from the Global School-based Student […]
Assessment of suicide risk in mental health practice: shifting from prediction to therapeutic assessment, formulation, and risk management
Suicide prevention in psychiatric practice has been dominated by efforts to predict risk of suicide in individual patients. However, traditional risk prediction measures have been shown repeatedly in studies from high income countries to be ineffective. Several factors might contribute to clinicians’ preoccupation with risk prediction, which can have negative effects on patient care and […]
Prevention of suicidal behavior
More than 800 000 people die every year from suicide, and about 20 times more attempt suicide. In most countries, suicide risk is highest in older males, and risk of attempted suicide is highest in younger females. The higher lethal level of suicidal acts in males is explained by the preference for more lethal methods, […]
Clustering of suicides in children and adolescents
Suicide is one of the major causes of death in young people, in whom suicide can occur in clusters. In this Review, we have investigated definitions and epidemiology of such clusters, the factors associated with them, mechanisms by which they occur, and means of intervening and preventing them. Clustering of suicidal behaviour is more common […]
Sociodemographic variables most associated with suicidal behaviour and suicide methods in Europe and America: A systematic review
This Systematic Review is thought to deepen the relation between sociodemographic variables most associated with suicidal behaviour and suicide methods in Europe and America. A research was made from articles and reviews published between 2005-2015 in PsycINFO, Medline, Web of Science Core Collection, Scopus, and SciELO. Thanks to it, we retrieved 5,222 records which were […]
Reducing suicide without affecting underlying mental health: Theoretical underpinnings and a review of the evidence base linking the availability of lethal means and suicide (IN: The International Handbook of Suicide Prevention, 2nd ed., edited by R. C. O’Connor & J. Pirkis)
This chapter provides a synthesis of the empirical literature that assesses the relationship between ready access to highly lethal means of suicide and overall suicide rates. It lays out the theoretical underpinnings of the assertion that reducing access to lethal means of suicide can reduce suicide rates. The most convincing evidence that restricting access to […]
Examining variations in immigrants’ lower risk of suicide-related behaviours
Using data from the Canadian Community Health Survey (CCHS) and the Canadian Census Health and Environment Cohort (CanCHEC), this article provides an understanding of suicide-related behaviours, namely suicide ideation and completed suicides, among immigrants. Overall, immigrants aged 15 years and older were less likely than their Canadian-born counterparts to report having had suicidal thoughts and […]
Examining suicide assessment measures for research use: Using item response theory to optimize psychometric assessment for research on suicidal ideation in major depressive disorder
Introduction Progress reducing suicide death will require randomized clinical trials (RCTs) specifically targeting suicide risk. Even large RCTs may not stipulate suicide death as the primary outcome, as suicide death is relatively uncommon. Therefore, RCTs may need to specify suicidal ideation as a proxy indicator of risk. There is no consensus on the best tool […]
Effect of helping suicidal people using text messaging: An evaluation of effects and best practices of the Canadian suicide prevention Service’s text helpline
Background Empirical research on best practices in suicide prevention text intervention is scarce. We present analyses of exchanges concerning suicide on the Canadian Suicide Prevention Service (CSPS) text helpline. Objective To describe the users of the CSPS text service, explore the perceived impact of the service, and identify intervention characteristics associated with a greater likelihood […]
Syndemic relationship of depressive symptoms, substance use, and suicidality in transgender youth: A cross‑sectional study using the U.S. youth risk behavior surveillance system
Purpose Syndemics are co-occurring epidemics that cluster within populations due to shared socio-structural factors and are often in populations with intersecting forms of vulnerability. Suicide, depression, and substance use all disproportionately affect transgender and gender diverse (TGD) youth. In this study, we test a syndemic model of the relationship between these three mental health conditions […]
A systematic review of school-based suicide prevention interventions for adolescents, and intervention and contextual factors in prevention
Suicide is the fourth leading cause of death among adolescents, globally. Though post-primary, school-based suicide prevention (PSSP) has the potential to be a key strategy for preventing adolescent suicidal thoughts and behaviours (STBs), there are persisting challenges to translating PSSP research to practice. Intervention and contextual factors relevant to PSSP are likely key to both […]
Characterizing suicide ideation by using mental disorder features on microblogs: A machine learning perspective
Despite the success of psychological and clinical methods, psychological studies revealed that the number of individuals exhibiting suicide ideation has highly increased in the recent decades. This study explored the potential of using certain sentimental features as a means for characterizing suicide. A total of 54,385 English-language tweets were collected and processed to extract suicide-related […]
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