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

Study shows that adolescents with symptoms of depression and suicidality are more at risk of unhealthy romantic relationships in adulthood

shutterstock_115817539 (1)

Clinical depression is unfortunately relatively common in adolescence with a prevalence of about 5%. The rates of suicide per 100,000 are around 12.0 for females and 14.2 for males aged 15-24 years with suicidality (thoughts or uncompleted attempts at suicide) likely to be higher. Research and clinical experience suggests issues relating to suicide and depression [read the full story…]

The latest evidence from NICE on the longer-term management of self-harm

Young woman thinking

The NICE guideline on the longer-term care and treatment of self-harm was published in November 2011 and contains research published up until January 2011. A group of experts including psychiatrists, psychologists and social workers has compiled an evidence update looking at the high quality research that has been published in the last two years (from [read the full story…]

Systematic review finds that suicide risk for prisoners with bipolar disorder may be lower than other mental disorders

Prison wall

In prisons, suicide is the leading cause of mortality (estimated at 3-5 times the general population). Mental health disorders are known to increase the risk. Generally, suffering from a bipolar disorder increases the risk of attempted or completed suicide when compared to the general population. So it would be expected that prisoners with bipolar disorder [read the full story…]

Released prisoners have an increased risk of death compared to the rest of the population, particularly from drugs, suicide and homicide

Open prison door

Nearly 10 million people were in prison in 2008, according to estimates provided by the World Prison Population List (Walmsley, 2009). The United States tops the imprisonment league table with 2.3 million individuals behind bars, that’s 756 per 100,000 of the population. Whatever your view on the US legal system and incarceration, it’s interesting to [read the full story…]

Check out the new BITE-sized mental health summaries from the NIHR CLAHRCs

Screen Shot 2013-01-11 at 09.09.50

Anyone who’s spent any time at all on the Mental Elf website, or any of the other National Elf Service sites, knows that we elves love succinct and focused summaries that are easy to read and quick to digest. It’s always a delight to see other groups publishing similar resources, so I’ve decided today to [read the full story…]

Borderline personality disorder improves with dialectical behaviour therapy and general psychiatric management

shutterstock_102324634

Talking treatments are a key component of the therapy offered to people with borderline personality disorder and there are now a number of studies that point to the importance of these interventions for this complex and hard to manage condition. A new randomised controlled trial conducted by a research team from the Centre for Addiction [read the full story…]

Risk factors for suicide and accidental death. What can we learn from last episodes of self-harm?

shutterstock_94384915

Self-destructive behaviour is often brought on by mental illness, poverty and other life problems. As individuals spiral down they sometimes come into contact with health and social care services. This may be a primary care visit, emergency treatment in hospital or simple cries for help to friends and family. Hindsight would show us that a [read the full story…]

Teaching GPs about depression and suicide can help reduce the risk of suicide in depressed older adults, says new RCT

shutterstock_38631157

A great deal of time and money has been spent on improving the diagnosis and management of depression and self-harm in primary care. The evidence tells us that collaborative care and case management can be effective approaches, which is all well and good, but these complex interventions are not always feasible. This new cluster randomised [read the full story…]

Antidepressants and suicide risk: retrospective cohort study reports cautious findings

shutterstock_111380762

Research has shown that antidepressant use can lead to a non-significant increase in the risk of suicidal thoughts and behaviour in people aged under 25 (Stone et al, BMJ 2009). This subject rightly received a large amount of media coverage a few years ago and it remains an area where new studies can add to [read the full story…]

New Suicide Prevention Strategy published by the Department of Health on World Suicide Prevention Day

shutterstock_71574136

The Government have launched their new strategy for reducing the suicide rate and supporting people who are bereaved by suicide. Care Services Minister Norman Lamb will highlight the existing call for research proposals when he launches the strategy today. The strategy has 6 key areas for action: A better understanding of why people take their [read the full story…]