Differential pathways from childhood mistreatments to self-harm and suicidal ideation.

Self-harm and suicidal behavior range among the most prominent public health concerns in children and adolescents. The term “self-harm” commonly includes both direct and indirect self-damage with and without suicidal intent; whereas, the term “self-injury” refers to direct self-damage only but again regardless of its intent. Self-harm has a mean prevalence of 18% worldwide [1], […]

The case for case-control studies in the field of suicide prevention.

Much of our knowledge about the risk factors for suicide comes from case–control studiesthat either use a psychological autopsy approach or are nested within large register-based cohort studies. We would argue that case–control studies are appropriate in the context of a rare outcome like suicide, but there are issues with using this design. Some of […]

Suicide prevention: Putting the person at the center.

In this Editorial, we discuss the key findings and recommendations arising from the relevant evidence but argue that the focus on preventing suicide must extend beyond prevention of suicide mortality to addressing the loss of hope that underlies each attempt to end a person’s life.

New findings on gender: The effects of employment status on suicide.

Our healthy Clarence: A community-driven wellbeing initiative

In 2015-2016, the Clarence Valley in Northern New South Wales, Australia, experienced an unexpectedly high number of deaths by suicide, and the resulting distress was exacerbated by unhelpful press coverage. The local response was to adopt a community-wide positive mental health and wellbeing initiative. This paper describes the process and achievements of the initiative called […]

Suicide and mental health in rural, remote and metropolitan areas in Australia

Objectives: To compare the prevalence of mental health disorders and the use of professional help by area of residence, age and sex; and to determine whether the differences parallel differences in suicide rates. Design: Retrospective cross-sectional analysis of Australian national mortality data (1997–2000) and the National Survey of Mental Health and Wellbeing (1997), using broad area-of-residence classifications […]

Suicide postvention toolkit: A guide for secondary schools

When a suicide occurs, the effect on those touched by it – families, friends, communities – is immediate and traumatic. The impact on a school community is no different; it often happens unexpectedly and leaves a school with many questions about what to do next. Students often struggle to cope, and it can be difficult […]

Etiopathogenesis of suicide: A conceptual analysis of risk and prevention within a comprehensive, deterministic model

Suicide is a rising global health concern receiving disproportionate attention in comparison to other health conditions. In spite of substantial technological and scientific advancements, suicide research has continued to move slowly in terms of clinical translation due to the complexity of neural mechanisms, and subjective experiences that seem to underpin this complex human behavior. This […]

Effective psychological and psychosocial approaches to reduce repetition of self-harm: A systematic review, meta-analysis and meta-regression

Objective To examine the efficacy of psychological and psychosocial interventions for reductions in repeated self-harm. Design We conducted a systematic review, meta-analysis and meta-regression to examine the efficacy of psychological and psychosocial interventions to reduce repeat self-harm in adults. We included a sensitivity analysis of studies with a low risk of bias for the meta-analysis. For the […]

Improving suicide risk screening and detection in the emergency department

INTRODUCTION: The Emergency Department Safety Assessment and Follow-up Evaluation Screening Outcome Evaluation examined whether universal suicide risk screening is feasible and effective at improving suicide risk detection in the emergency department (ED). METHODS: A three-phase interrupted time series design was used: Treatment as Usual (Phase 1), Universal Screening (Phase 2), and Universal Screening + Intervention […]