National suicide prevention strategies: Progress, examples and indicators

National suicide prevention strategies are essential for elevating suicide prevention on the political agenda. A national strategy and associated action plan are necessary to push forward the implementation of suicide prevention. Without these, efforts are likely to abate and suicide prevention will remain negelected. This document aims to serve as a resource and inspire governments […]

Shame and non-suicidal self-injury: Conceptualization and preliminary test of a novel developmental model among emerging adults

Non-suicidal self-injury (NSSI) is particularly prevalent during adolescence and emerging adulthood. The salience of shame during these developmental periods suggests that shame may be inherently linked to NSSI, and at least partially explain the high rates of NSSI observed among youth. In this article, a theoretical developmental model relating shame and NSSI is proposed, and […]

Double trouble: Nonsuicidal self-injury and its relationship to suicidal ideation and number of past suicide attempts in clinical adolescents

BACKGROUND: Death by suicide is one of the leading causes of mortality among adolescents, and nonsuicidal self-injury (NSSI) is one of the strongest predictors of suicide attempts (SAs). The underlying bases for this relationship are unknown. We derived two hypotheses from the Interpersonal Psychological Theory of Suicide (IPTS): unmet interpersonal needs would explain NSSI’s association […]

Acute alcohol consumption, alcohol outlets, and gun suicide

A case-control study of 149 intentionally self-inflicted gun injury cases (including completed gun suicides) and 302 population-based controls was conducted from 2003 to 2006 in a major US city. Two focal independent variables, acute alcohol consumption and alcohol outlet availability, were measured. Conditional logistic regression was adjusted for confounding variables. Gun suicide risk to individuals […]

Toward a cultural-structural theory of suicide: Examining excessive regulation and its discontents

Despite its enduring insights, Durkheim’s theory of suicide fails to account for a significant set of cases because of its overreliance on structural forces to the detriment of other possible factors. In this paper, we develop a new theoretical framework for thinking about the role of culture in vulnerability to suicide. We argue that by […]

Vital signs: Trends in State suicide rates United States, 1999-2016 and circumstances contributing to suicide 27 states, 2015

Introduction: Suicide rates in the United States have risen nearly 30% since 1999, and mental health conditions are one of several factors contributing to suicide. Examining state-level trends in suicide and the multiple circumstances contributing to it can inform comprehensive state suicide prevention planning. Methods: Trends in age-adjusted suicide rates among persons aged ≥10 years, by state […]

Opioid dose and risk of suicide

Chronic pain is associated with increased risk of suicide, and opioids are commonly used to treat moderate to severe pain. However, the association between opioid dose and suicide mortality has not been examined closely. This retrospective data analysis described the risk of suicide associated with differing prescribed opioid doses. Data were from Veterans Affairs health […]

Factors contributing to therapists’ distress after the suicide of a patient

OBJECTIVE: Factors contributing to therapists’ severe distress after the suicide of a patient were investigated. METHOD: Therapists for 34 patients who died by suicide completed a semistructured questionnaire about their reactions, wrote case narratives, and participated in a workshop. RESULTS: Thirteen of the 34 therapists were severely distressed. Four factors were identified as sources of […]

Severity and variability of depression symptoms predicting suicide attempt in high-risk individuals

OBJECTIVES: To examine the trajectories of clinical predictors of suicide attempt (specifically, depression symptoms, hopelessness, impulsivity, aggression, impulsive aggression, and irritability) for their ability to predict suicide attempt and to compute a risk score for suicide attempts. DESIGN, SETTING, AND PARTICIPANTS: This is a longitudinal study of the offspring of parents (or probands) with mood […]

The relationship between negative cognitive styles and lifetime suicide attempts is indirect through lifetime acute suicidal affective disturbance symptoms

Previous evidence suggests an association between negative cognitive styles and suicide-related outcomes. Recently, Acute Suicidal Affective Disturbance (ASAD) was proposed to characterize the phenomenology of acute suicidal crises, with key features being the rapid onset of suicidal intent, social- or self-alienation, perceptions of intractability, and overarousal. ASAD may account for the association between negative cognitive […]