suicide

Suicide is the act of intentionally ending your life.

There are three levels of intervention in suicide; 1) universal 2) selective and 3) indicated.

Universal interventions target everyone in a defined population. They aim to increase awareness about suicide, remove barriers to care, promote help-seeking and encourage protective factors. Some examples of universal interventions include school-based interventions and national initiatives such as restricted access to lethal means. Evidence suggests that universal interventions are effective at increasing awareness and helping skills, though there is little evidence to suggest they’re effective at reducing suicide-related thoughts or behaviours.

Selective interventions address specific groups at increased risk for suicidal behaviours, for instance those with mental health problems or harmful use of substances. To date, there have been few studies into selective interventions and results are mixed.

Indicated interventions target high-risk individuals already displaying signs of suicidal behaviour. Examples include brief contact interventions (e.g. crisis cards) and talking therapies. Evidence suggests that brief contact interventions are effective for young people in clinical settings. A network meta-analysis conducted in 2021 found that the most effective talking therapies for suicide and self-harm in young people are dialectical behavioural therapies and mentalisation-based therapies.

 

Our suicide Blogs

Masculinity, depression and suicide risk in men with a history of childhood maltreatment

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In her debut blog, Cara Richardson explores whether masculine values are differentially linked to men’s mental health functioning, depending on exposure to childhood maltreatment.

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Risk factors for self-harm in prison

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In her debut blog, Rebecca Crook summarises a systematic review of individual and environmental risk factors for self-harm in prison.

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Alexithymia and suicide: can we find the right words to help each other?

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Hilary Norman summarises a novel systematic review and meta-analysis, which explores the relationship between alexithymia and suicide ideation and behaviour.

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Media reporting of suicide: do we need more than guidelines?

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Anna Sri summarises a recent systemic review and meta-analysis led by Thomas Niederkrotenthaler, which explores the association between media reporting of suicide and actual suicidal behaviour in the community; a phenomenon known as the Werther effect.

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Home treatment by crisis resolution teams can prevent hospital admission, according to Swiss research

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Emmeline Lagunes Cordoba and Magdalena Skowronska review a recent Swiss RCT, which found that crisis resolution teams led to fewer hospital days per patient, but did not prevent hospital admission entirely.

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Digital interventions for suicidal thinking: a tale of two reviews

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In his debut blog, Wouter van Ballegooijen summarises two recent systematic reviews on digital interventions for suicidal thinking, which include more or less the same research, but come to quite different conclusions.

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Loneliness and suicide: what’s the link and what role does depression play?

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Marlee Bower discusses a recent systematic review and meta-analysis of prospective studies, which suggests that loneliness can predict future suicidal ideation and/or behaviour.

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Suicide prevention gatekeeper training and its long-term efficacy #WSPD2020

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In his debut blog for World Suicide Prevention Day 2020, Steven MacDonald-Hart summarises a systematic review that explores the long-term efficacy of suicide prevention gatekeeper training.

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Suicide risk in young people who self-harm and visit emergency departments

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Katerina Kavalidou reviews a prospective observational cohort study on mortality and suicide risk in young people after they present to hospital emergency departments following episodes of self-harm.

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Universal interventions to prevent mental illness in medical students

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Tayla McCloud summarises a systematic review and meta-analysis on the effectiveness of universal programmes for the prevention of suicidal ideation, behaviour and mental ill health in medical students.

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