A brief exposure-based treatment vs cognitive processing therapy for posttraumatic stress disorder: A randomized noninferiority clinical trial

OBJECTIVE To determine if WET is noninferior to CPT in patients with PTSD. DESIGN, SETTING, AND PARTICIPANTS In this randomized clinical trial conducted at a Veterans Affairs medical facility between February 28, 2013, and November 6, 2016, 126 veteran and nonveteran adults were randomized to either WET or CPT. Inclusion criteria were a primary diagnosis of PTSD […]

Global incidence of suicide among Indigenous peoples: A systematic review

Background Suicide is the second leading cause of death among adolescents worldwide, and is a major driver of health inequity among Indigenous people in high-income countries. However, little is known about the burden of suicide among Indigenous populations in low- and middle-income nations, and no synthesis of the global data is currently available. Our objective […]

Tracking progress in suicide prevention in Indigenous communities: A challenge for public health surveillance in Canada

Indigenous peoples in Canada experience disproportionate rates of suicide compared to non-Indigenous populations. Indigenous communities and organizations have designed local and regional approaches to prevention, and the federal government has developed a national suicide prevention framework. However, public health systems continue to face challenges in monitoring the population burden of suicide and suicidal behaviour. National […]

Healthcare contact and suicide risk documentation prior to suicide deaths: Results from the Army Study to Assess Risk and Resilience in Servicemembers (Army STARRS)

Objective—Prior research has shown that a substantial portion of suicide decedents access healthcare in the weeks and months before their death. We examined whether this is true amongsoldiers. Method—The sample included the 569 Regular Army soldiers in the U.S. Army who died by suicide on active duty between 2004–2009 compared to 5,690 matched controls. Analyses examined […]

Age, period, and cohort trends in mood disorder indicators and suicide-related outcomes in a nationally representative dataset, 2005-2017

Drawing from the National Survey on Drug Use and Health (NSDUH; N = 611,880), a nationally representative survey of U.S. adolescents and adults, we assess age, period, and cohort trends in mood disorders and suicide-related outcomes since the mid-2000s. Rates of major depressive episode in the last year increased 52% 2005–2017 (from 8.7% to 13.2%) […]

The implementation and first insights of the French-speaking Swiss programme for monitoring self-harm

Self-harm is a major risk factor for suicide but remains poorly documented. No data on self-harm in French-speaking Switzerland exist. To address this deficiency, the Swiss Federal Office of Public Health commissioned a specific self-harm monitoring programme. We present and discuss its implementation and first findings. METHODS Every patient aged 18–65 years presenting for self-harm […]

Changing conceptions of death as a function of depression status, suicidal ideation, and media exposure in early childhood

Objective This study characterized 3- to 6-year-old children’s understanding of death as a function of depression status, suicidal ideation (SI), and media consumption. Method Participants were 79 children with depression (3.0–6.11 years old) who completed a comprehensive psychiatric assessment and experimenter-led death interview and a comparison group of 60 healthy children (4.0–7.12 years old). The […]

Child and youth injury report for Alberta

Hospital Admissions 2004-2013 Emergency Department Visits 2011-2014

Shopping cart boy: Poems of my life

Joshua’s voice matters. He speaks for so many who are not able to express their thoughts, their sorrows, their hopes. Sixteen-year-old Joshua tells his life story in this poignant poetry collection. He reflects on a childhood spent helping his mom search for bottles and cans from the confines of his shopping cart prison. Then, he […]

Parent-adolescent agreement about adolescents’ suicidal thoughts

OBJECTIVES: To examine agreement between parent and adolescent reports of adolescents’ suicidal thoughts and explore demographic and clinical factors associated with agreement in a large community sample. METHODS: Participants included 5137 adolescents 11 to 17 years old (52.1% girls; 43.0% racial minority) and a collateral informant (97.2% parent or stepparent) from the Philadelphia Neurodevelopmental Cohort. Families were […]