Suicide Prevention: State of the Art Review
Open accessAbstract
Suicide is a public health problem affecting people across the lifespan. It is currently the 10th leading cause of death, with rates having remained relatively flat for the past century. This article summarizes the problem of suicide and suicidal behavior along with suicide prevention efforts in the United States. Part 1 provides an overview of the epidemiology of suicide, including groups most at risk of suicide and suicidal behavior. Part 2 provides a review of common risk factors, organized by developmental life stage. A brief discussion of the lesser well-researched area of protective factors follows. Part 3 provides an overview of suicide prevention today, including the major types of prevention strategies, their successes, including means restriction, quality improvement in behavioral services, and comprehensive programs; and limitations to date, such as a lack of evidence for impact on actual deaths or behavior, small sample sizes, and low base rates. Finally, part 4 discusses challenges and future directions with an eye toward the great many opportunities that exist for prevention.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In 2017, emergency department visits for nonfatal self-harm in the US were about ten times the number of suicides.
“In 2017, there were approximately 10 times as many emergency department (ED) visits for nonfatal self-harm as there were suicides in the United States. 1”
From Trends in the Incidence and Lethality of Suicidal Acts in the United States, 2006 to 2015 (2020) · cites this paper as [1]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
BERKMAN, L. F., & SYME, S. L. (1979) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a112674 · Cited by 5,341 · see citing works
The interpersonal theory of suicide.
Van Orden, K. A., Witte, T. K., Cukrowicz, K. C., Braithwaite, S. R., Selby, E. A., & Joiner, T. E. (2010) · Psychological Review · doi:10.1037/a0018697 · Cited by 5,292 · see citing works
Suicide Prevention Strategies: A Systematic Review
Mann, J. J., Apter, A., Bertolote, J., Beautrais, A., Currier, D., Haas, A., Hegerl, U., Lonnqvist, J., Malone, K., Marusic, A., et al. (2005) · JAMA · doi:10.1001/jama.294.16.2064 · Cited by 2,852 · cited 3× · see citing works
“Long-term follow-up and assessment of confounding factors is recommended.(101)”
BackgroundInfluentialSuicide as an outcome for mental disorders: A meta-analysis
Harris, E. C., & Barraclough, B. (1997) · British Journal of Psychiatry · doi:10.1192/bjp.170.3.205 · Cited by 2,589 · see citing works
Dube, S. R., Anda, R. F., Felitti, V. J., Chapman, D. P., Williamson, D. F., & Giles, W. H. (2001) · JAMA · doi:10.1001/jama.286.24.3089 · Cited by 2,296 · cited 1× · see citing works
“We know that a whole host of adverse childhood experiences are associated with suicide attempts.(209) Preventing these events from occurring may ultimately reduce suicide, especially in the context of other improvements.”
BackgroundPsychological autopsy studies of suicide: a systematic review.
CAVANAGH, J. T. O., CARSON, A. J., SHARPE, M., & LAWRIE, S. M. (2003) · Psychological Medicine · doi:10.1017/s0033291702006943 · Cited by 2,207 · see citing works
Linehan, M. M., Comtois, K. A., Murray, A. M., Brown, M. Z., Gallop, R. J., Heard, H. L., Korslund, K. E., Tutek, D. A., Reynolds, S. K., & Lindenboim, N. (2006) · Archives of General Psychiatry · doi:10.1001/archpsyc.63.7.757 · Cited by 2,025 · cited 1× · see citing works
“problem behaviors in both adults and adolescents.(159,160) Among school programs, Project CAST (Coping and Support Training) showed sustained increases in problem-solving coping and personal control compared with a less-intensive program, C-CARE (Counselors CARE).”
BackgroundMen and health help‐seeking behaviour: literature review
Galdas, P. M., Cheater, F., & Marshall, P. (2005) · Journal of Advanced Nursing · doi:10.1111/j.1365-2648.2004.03331.x · Cited by 1,739 · cited 1× · see citing works
“Social norms may also play out most in this age group, with men being less likely than women to seek help for mental health and other stressors, preferring instead to handle problems on their own.(49,50) This may include self-medicating with drugs and alcohol.”
BackgroundCharles, S. T., & Carstensen, L. L. (2010) · Annual Review of Psychology · doi:10.1146/annurev.psych.093008.100448 · Cited by 1,630 · cited 1× · see citing works
“Older adulthood may be characterized as a time of more predictable and stable emotions; however, social roles and networks change, as does physical functioning.(52) Among older adults, physical illness, loss, and mental illness are common risk factors in suicide.”
BackgroundContact With Mental Health and Primary Care Providers Before Suicide: A Review of the Evidence
Luoma, J. B., Martin, C. E., & Pearson, J. L. (2002) · American Journal of Psychiatry · doi:10.1176/appi.ajp.159.6.909 · Cited by 1,576 · cited 1× · see citing works
“This intervention is particularly important given the research that mental illness is underrecognized and undertreated in primary care settings(133) and given previous research findings that more than 75% of those who committed suicide sought contact with a primary care doctor or non–mental health care provider in the…”
BackgroundCost of Lost Productive Work Time Among US Workers With Depression
Stewart, W. F. (2003) · JAMA · doi:10.1001/jama.289.23.3135 · Cited by 1,421 · see citing works
Meltzer, H. Y. (2003) · Archives of General Psychiatry · doi:10.1001/archpsyc.60.1.82 · Cited by 1,393 · cited 1× · see citing works
“Evidence also exists for an antisuicidal effect for clozapine in schizophrenia; however, the drug includes 5 black box warnings and requires intensive monitoring.(151)”
BackgroundYouth Suicide Risk and Preventive Interventions: A Review of the Past 10 Years
Gould, M. S., Greenberg, T., Velting, D. M., & Shaffer, D. (2003) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/01.chi.0000046821.95464.cf · Cited by 1,264 · see citing works
A developmental psychopathology perspective on adolescence.
Cicchetti, D., & Rogosch, F. A. (2002) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.70.1.6 · Cited by 1,243 · cited 1× · see citing works
“One’s level of success navigating adolescence affects the transition into young adulthood when new job and family responsibilities take precedence.(27) Suicide is uncommon in early adolescence.”
BackgroundFatal and non-fatal repetition of self-harm: Systematic review
Owens, D., Horrocks, J., & House, A. (2002) · British Journal of Psychiatry · doi:10.1192/bjp.181.3.193 · Cited by 1,241 · cited 1× · see citing works
“People who make a suicide attempt are at increased risk of repeat attempts, particularly in the period soon after hospitalization.(153,154) To prevent this, follow-up programs seek to help people maintain medication compliance, keep follow-up appointments, and provide support.”
BackgroundThe global distribution of fatal pesticide self-poisoning: Systematic review
Gunnell, D., Eddleston, M., Phillips, M. R., & Konradsen, F. (2007) · BMC Public Health · doi:10.1186/1471-2458-7-357 · Cited by 969 · see citing works
Lithium in the prevention of suicide in mood disorders: updated systematic review and meta-analysis
Cipriani, A., Hawton, K., Stockton, S., & Geddes, J. R. (2013) · BMJ · doi:10.1136/bmj.f3646 · Cited by 920 · cited 2× · see citing works
“A meta-analysis of 48 randomized controlled trials comparing lithium with a placebo or other active comparators among people with unipolar or bipolar disorder found decreased rates of suicide in the lithium group.(150) Lithium is hypothesized to prevent relapse of mood disorders and to reduce aggression and impulsivit…”
BackgroundMethodEvolution of public attitudes about mental illness: a systematic review and meta‐analysis
Schomerus, G., Schwahn, C., Holzinger, A., Corrigan, P. W., Grabe, H. J., Carta, M. G., & Angermeyer, M. C. (2012) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.2012.01826.x · Cited by 906 · cited 1× · see citing works
“Though more work is needed to improve attitudes about people with mental illness, mental health literacy and attitudes toward help seeking for mental illness have improved.(198) Commitment to suicide prevention at the national level has also expanded.”
BackgroundMöller-Leimkühler, A. M. (2002) · Journal of Affective Disorders · doi:10.1016/s0165-0327(01)00379-2 · Cited by 851 · see citing works
(2007) · Archives of General Psychiatry · doi:10.1001/archpsyc.64.10.1132 · Cited by 752 · cited 1× · see citing works
“One study, the Treatment for Adolescent Depression Study, found that fluoxetine alone or in combination with cognitive behavior therapy (CBT) did reduce depression and suicidal behavior.(149) Positive effects have also been found for lithium.”
BackgroundDialectical behavior therapy for borderline personality disorder
Lynch, T. R., Trost, W. T., Salsman, N., & Linehan, M. M. (2007) · Annual Review of Clinical Psychology · doi:10.1146/annurev.clinpsy.2.022305.095229 · Cited by 704 · cited 1× · see citing works
“problem behaviors in both adults and adolescents.(159,160) Among school programs, Project CAST (Coping and Support Training) showed sustained increases in problem-solving coping and personal control compared with a less-intensive program, C-CARE (Counselors CARE).”
BackgroundRisk factors for suicide in later life
Conwell, Y., Duberstein, P. R., & Caine, E. D. (2002) · Biological Psychiatry · doi:10.1016/s0006-3223(02)01347-1 · Cited by 701 · cited 3× · see citing works
“Practically speaking, fewer people in one’s social network may indicate a lower likelihood of intervention or rescue, if an attempt is made.(53) A study dating back to 1971 found that older people dying by suicide were more likely to live alone compared with their peers in the community.”
BackgroundInfluentialLachman, M. E. (2004) · Annual Review of Psychology · doi:10.1146/annurev.psych.55.090902.141521 · Cited by 664 · cited 1× · see citing works
“Middle adulthood challenges may include changes in marriage, job plateaus or shifts, children leaving home, caring for an aging parent, and change in one’s own health status, such as onset of chronic illness.(45,46) Less is known about the unique suiciderelated risk factors among this age group because much of the res…”
BackgroundThe impact of caring and connectedness on adolescent health and well‐being
Resnick, M. D., HARRIS, L. J., & Blum, R. W. (1993) · Journal of Paediatrics and Child Health · doi:10.1111/j.1440-1754.1993.tb02257.x · Cited by 584 · see citing works
Conwell, Y., Van Orden, K., & Caine, E. D. (2011) · Psychiatric Clinics of North America · doi:10.1016/j.psc.2011.02.002 · Cited by 555 · see citing works
Characteristics of Impulsive Suicide Attempts and Attempters
Simon, T. R., Swann, A. C., Powell, K. E., Potter, L. B., Kresnow, M., & O'Carroll, P. W. (2002) · Suicide and Life-Threatening Behavior · doi:10.1521/suli.32.1.5.49.24212 · Cited by 548 · cited 1× · see citing works
“Restricting access to lethal means may be particularly effective in preventing highly lethal and impulsive suicides.(113,114) Long-term follow-up and assessment of confounding factors is recommended.”
BackgroundMedical illness and the risk of suicide in the elderly
Juurlink, D. N., Herrmann, N., Szalai, J. P., Kopp, A., & Redelmeier, D. A. (2004) · Archives of Internal Medicine · doi:10.1001/archinte.164.11.1179 · Cited by 542 · see citing works
Wyman, P. A., Brown, C. H., LoMurray, M., Schmeelk-Cone, K., Petrova, M., Yu, Q., Walsh, E., Tu, X., & Wang, W. (2010) · American Journal of Public Health · doi:10.2105/ajph.2009.190025 · Cited by 536 · cited 2× · see citing works
“The former, a high school–based program designed to enhance protective factors among peer leaders and students, reported increased adaptive norms regarding suicide, connectedness to adults, school engagement, referral of a suicidal friend to an adult, perceptions of adult support, and acceptability of seeking help.(96…”
BackgroundSuicidality among Gay, Lesbian and Bisexual Youth: The Role of Protective Factors
Eisenberg, M. E., & Resnick, M. D. (2006) · Journal of Adolescent Health · doi:10.1016/j.jadohealth.2006.04.024 · Cited by 536 · see citing works
Wyman, P. A., Brown, C. H., Inman, J., Cross, W. F., Schmeelk‐Cone, K., Guo, J., & Pena, J. B. (2008) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.76.1.104 · Cited by 534 · cited 1× · see citing works
“All found positive effects, though 1 study did not find an effect of training on identification of communication with at-risk students.(132) Although the United Nations(73) and others(22) recommend gatekeeper training as part of a comprehensive suicide prevention program, evidence is limited as to its effectiveness ac…”
BackgroundEvaluating Iatrogenic Risk of Youth Suicide Screening Programs: A Randomized Controlled Trial
Gould, M. S., Marrocco, F. A., Kleinman, M., Thomas, J. G., Mostkoff, K., Cote, J., & Davies, M. (2005) · JAMA · doi:10.1001/jama.293.13.1635 · Cited by 522 · cited 1× · see citing works
“However, existing research does not bear this out.(100,118) Other downsides include the resource intensiveness of screening.”
BackgroundA randomized controlled trial of postcrisis suicide prevention.
Motto, J. A., & Bostrom, A. G. (2001) · Psychiatric Services · doi:10.1176/appi.ps.52.6.828 · Cited by 517 · cited 1× · see citing works
“With regard to suicidal behavior, specifically, research indicates that postcards sent to patients showing concern and inquiring about treatment follow-up did reduce suicidality; however, as the contact was reduced, the protective effect also decreased.(155) Another intervention targeting patients seen in an emergency…”
BackgroundREHKOPF, D. H., & BUKA, S. L. (2006) · Psychological Medicine · doi:10.1017/s003329170500588x · Cited by 471 · see citing works
Fleischmann, A. (2008) · Bulletin of the World Health Organization · doi:10.2471/blt.07.046995 · Cited by 470 · cited 1× · see citing works
“Finally, an international study in several low- and middle-income countries utilized an hour-long informational video at the emergency department coupled with 9 follow-up phone calls and found decreased suicides after 18 months postdischarge compared with treatment as usual.(157) No differences in repeat suicide attem…”
BackgroundPrevention of suicide: aspirations and evidence
Gunnell, D., & Frankel, S. (1994) · BMJ · doi:10.1136/bmj.308.6938.1227 · Cited by 468 · cited 1× · see citing works
“8% chance over 8 years, would require 45 000 participants.(180) Although nobody is wishing for increased rates of suicide, funders want to see impact, and they want to see it in the short term.”
BackgroundKessler, R. C., Merikangas, K. R., & Wang, P. S. (2007) · Annual Review of Clinical Psychology · doi:10.1146/annurev.clinpsy.3.022806.091444 · Cited by 468 · see citing works
Awareness, diagnosis, and treatment of depression
the Council on Scientific Affairs, A. M. A., Goldman, L. S., Nielsen, N. H., & Champion, H. C. (1999) · Journal of General Internal Medicine · doi:10.1046/j.1525-1497.1999.03478.x · Cited by 466 · see citing works
An Outcome Evaluation of the SOS Suicide Prevention Program
Aseltine, R. H., & DeMartino, R. (2004) · American Journal of Public Health · doi:10.2105/ajph.94.3.446 · Cited by 463 · see citing works
National Strategy for Suicide Prevention: Goals and Objectives for Action
Service., U. S. P. H. (2001) · PsycEXTRA Dataset · doi:10.1037/e415652005-001 · Cited by 458 · see citing works
The coal gas story. United Kingdom suicide rates, 1960-71.
Kreitman, N. (1976) · Journal of Epidemiology & Community Health · doi:10.1136/jech.30.2.86 · Cited by 451 · see citing works
Social and Interpersonal Factors Relating to Adolescent Suicidality: A Review of the Literature
King, C. A., & Merchant, C. R. (2008) · Archives of Suicide Research · doi:10.1080/13811110802101203 · Cited by 441 · see citing works
Understanding Excess Mortality in Persons With Mental Illness
Druss, B. G., Zhao, L., von Esenwein, S. A., Morrato, E. H., & Marcus, S. C. (2011) · Medical Care · doi:10.1097/mlr.0b013e31820bf86e · Cited by 438 · cited 1× · see citing works
“Though it is estimated that a majority of people who die by suicide suffer from mental disorders,(142) studies also indicate that the vast majority of individuals diagnosed with mental disorders, including clinical depression, do not die by suicide but from other causes.(143,144) However, treating mood and other psych…”
BackgroundBrent, D. A. (1995) · Suicide and Life-Threatening Behavior · doi:10.1111/j.1943-278x.1995.tb00490.x · Cited by 437 · see citing works
Media contagion and suicide among the young
Gould, M., Jamieson, P., & Romer, D. (2003) · American Behavioral Scientist · doi:10.1177/0002764202250670 · Cited by 429 · cited 2× · see citing works
“the occurrence of a subsequent suicide— and should be avoided by taking care not to normalize or glorify suicide, present suicide as a common reaction to stress, or give detailed information about the means of suicide.(89,90) In an effort to prevent contagion, the WHO and partners in the US formulated guidelines for t…”
BackgroundGatekeeper training as a preventative intervention for suicide: A systematic review
Isaac, M., Elias, B., Katz, L. Y., Belik, S.-L., Deane, F. P., Enns, M. W., Sareen, J., & The Swampy Cree Suicide Prevention Team (12 members)8 (2009) · The Canadian Journal of Psychiatry · doi:10.1177/070674370905400407 · Cited by 418 · cited 4× · see citing works
“Gatekeeper training is modeled on the assumptions that people at risk do show signs, will not otherwise seek help, and that treatment will be sought and is effective.(129) A recent review article found 9 high-quality peer-reviewed studies of gatekeeper training, with 7 studies assessing changes in attitudes, knowledge…”
BackgroundInfluentialRutz, W., von Knorring, L., & Wålinder, J. (1992) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.1992.tb01448.x · Cited by 399 · see citing works
Effects of Restrictive Licensing of Handguns on Homicide and Suicide in the District of Columbia
Loftin, C., McDowall, D., Wiersema, B., & Cottey, T. J. (1991) · New England Journal of Medicine · doi:10.1056/nejm199112053252305 · Cited by 399 · see citing works
Risk Factors Associated With Suicide in Current and Former US Military Personnel
LeardMann, C. A., Powell, T. M., Smith, T. C., Bell, M. R., Smith, B., Boyko, E. J., Hooper, T. I., Gackstetter, G. D., Ghamsary, M., & Hoge, C. W. (2013) · JAMA · doi:10.1001/jama.2013.65164 · Cited by 395 · cited 1× · see citing works
“An unexpected finding was that suicide was not associated with deployment (ie, combat, duration of combat, and number of deployments were not risk factors).(41) Results from Army STARRS suggest that suicide rates increased the most among the currently and previously deployed in the period 2004-2009 but also increased…”
BackgroundKhan, A., Khan, S., Kolts, R. L., & Brown, W. A. (2003) · American Journal of Psychiatry · doi:10.1176/appi.ajp.160.4.790 · Cited by 393 · cited 1× · see citing works
“Antidepressant medications have been shown to alleviate depression and other psychiatric disorders; however, metaanalyses of randomized controlled trials, generally, have not detected benefit for suicide or suicide attempts.(145,146)”
BackgroundKnox, K. L., Litts, D. A., Talcott, G. W., Feig, J. C., & Caine, E. D. (2003) · BMJ · doi:10.1136/bmj.327.7428.1376 · Cited by 391 · cited 2× · see citing works
“The most well-known program that had positive effects on rates of suicide and other violent outcomes is the US Air Force Suicide Prevention Program, which included 11 different components and included all personnel (discussed above).(86) Another example of a comprehensive program is the American Indian Natural Helper…”
BackgroundMethodChanges in public attitudes to depression during the Defeat Depression Campaign
Paykel, E. S., Hart, D., & Priest, R. G. (1998) · British Journal of Psychiatry · doi:10.1192/bjp.173.6.519 · Cited by 389 · see citing works
Gunnell, D., Saperia, J., & Ashby, D. (2005) · BMJ · doi:10.1136/bmj.330.7488.385 · Cited by 386 · cited 1× · see citing works
“Antidepressant medications have been shown to alleviate depression and other psychiatric disorders; however, metaanalyses of randomized controlled trials, generally, have not detected benefit for suicide or suicide attempts.(145,146)”
BackgroundBurton, C. M., Marshal, M. P., Chisolm, D. J., Sucato, G. S., & Friedman, M. (2013) · Journal of Youth and Adolescence · doi:10.1007/s10964-012-9901-5 · Cited by 383 · see citing works
Hawton, K., Townsend, E., Deeks, J., Appleby, L., Gunnell, D., Bennewith, O., & Cooper, J. (2001) · BMJ · doi:10.1136/bmj.322.7296.1203 · Cited by 383 · see citing works
Daine, K., Hawton, K. E., Singaravelu, V., Stewart, A., Simkin, S., & Montgomery, P. (2013) · PLoS ONE · doi:10.1371/journal.pone.0077555 · Cited by 369 · cited 1× · see citing works
“The downside is that technology has also provided a platform for suicide education (ie, “how-to” methods and potential contagion(175)) and cyberbullying.(178)”
BackgroundAlexopoulos, G. S., Reynolds, C. F., Bruce, M. L., Katz, I. R., Raue, P. J., Mulsant, B. H., Oslin, D. W., Ten Have, T., & The PROSPECT Group (2009) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2009.08121779 · Cited by 368 · cited 1× · see citing works
“group compared with care as usual (CAU).(136,137) International studies have”
MethodTracking suicide risk factors through Twitter in the US.
Jashinsky, J., Burton, S. H., Hanson, C., West, J. H., Giraud-Carrier, C., Barnes, M. D., & Argyle, T. (2014) · Crisis · doi:10.1027/0227-5910/a000234 · Cited by 363 · cited 1× · see citing works
“innovation through new technology is recommended.(211) Together, with full knowledge, cooperation, and good science and clinical care, we can reverse the tide of suicide and raise the health and well-being of all.”
BackgroundShneidman, E. S. (1996) · Medical Entomology and Zoology · Cited by 363 · see citing works
The epidemiology and prevention of suicide by hanging: a systematic review
Gunnell, D., Bennewith, O., Hawton, K. E., Simkin, S., & Kapur, N. (2005) · International Journal of Epidemiology · doi:10.1093/ije/dyh398 · Cited by 353 · see citing works
Treatment of suicidal people around the world
Bruffaerts, R., Demyttenaere, K., Hwang, I., Chiu, W.-T., Sampson, N., Kessler, R. C., Alonso, J., Borges, G., de Girolamo, G., de Graaf, R., et al. (2011) · British Journal of Psychiatry · doi:10.1192/bjp.bp.110.084129 · Cited by 338 · see citing works
Conwell, Y., & Thompson, C. (2008) · Psychiatric Clinics of North America · doi:10.1016/j.psc.2008.01.004 · Cited by 333 · cited 1× · see citing works
“Still other studies indicate that it is not the objective physical health condition that matters so much as the subjective sense of one’s health.(55,56) Another important risk factor for elders is a lack of social connectedness to family, friends, and community.”
Background(1998) · Journal of Affective Disorders · doi:10.1016/s0165-0327(98)00033-0 · Cited by 324 · cited 1× · see citing works
“Much of the information about risk factors for suicide comes from psychological autopsy studies, retrospective analyses of the characteristics, backgrounds, and circumstances of people who die by suicide.(24) These studies have advantages such as being very in depth and disadvantages such as relying on key informants…”
BackgroundA systematic review of elderly suicide prevention programs
Lapierre, S., Erlangsen, A., Waern, M., De Leo, D., Oyama, H., Scocco, P., Gallo, J., Szanto, K., Conwell, Y., Draper, B., et al. (2011) · Crisis · doi:10.1027/0227-5910/a000076 · Cited by 323 · cited 1× · see citing works
“Additionally, more trained gatekeepers in the community where men interact may aid prevention.(51)”
BackgroundSuicide Attempt in Young People: A Signal for Long-term Health Care and Social Needs
Goldman-Mellor, S. J., Caspi, A., Harrington, H., Hogan, S., Nada-Raja, S., Poulton, R., & Moffitt, T. E. (2014) · JAMA Psychiatry · doi:10.1001/jamapsychiatry.2013.2803 · Cited by 310 · cited 1× · see citing works
“employment and education opportunities.(14,210) Finally, doing more to”
BackgroundShneidman, E. S. (1996) · doi:10.1093/oso/9780195103663.001.0001 · Cited by 307 · see citing works
Wilcox, H. C., Kellam, S. G., Brown, C. H., Poduska, J. M., Ialongo, N. S., Wang, W., & Anthony, J. C. (2008) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2008.01.005 · Cited by 289 · see citing works
Robinson, J., Cox, G., Malone, A., Williamson, M. K., Baldwin, G., Fletcher, K., & O’Brien, M. (2012) · Crisis · doi:10.1027/0227-5910/a000168 · Cited by 286 · see citing works
A Review of the Literature on Rural Suicide
Hirsch, J. K. (2006) · Crisis · doi:10.1027/0227-5910.27.4.189 · Cited by 283 · cited 1× · see citing works
“values that may enforce individualism and self-reliance versus help-seeking.(18) A”
BackgroundChristiansen, E., & Frank Jensen, B. (2007) · Australian & New Zealand Journal of Psychiatry · doi:10.1080/00048670601172749 · Cited by 283 · cited 1× · see citing works
“People who make a suicide attempt are at increased risk of repeat attempts, particularly in the period soon after hospitalization.(153,154) To prevent this, follow-up programs seek to help people maintain medication compliance, keep follow-up appointments, and provide support.”
BackgroundSchoenbaum, M., Kessler, R. C., Gilman, S. E., Colpe, L. J., Heeringa, S. G., Stein, M. B., Ursano, R. J., & Cox, K. L. (2014) · JAMA Psychiatry · doi:10.1001/jamapsychiatry.2013.4417 · Cited by 281 · cited 1× · see citing works
“Results from Army STARRS suggest that suicide rates increased the most among the currently and previously deployed in the period 2004-2009 but also increased among the never deployed.(42) The Department of Veterans Affairs (VA) developed data systems to increase understanding of suicide among veterans and inform the V…”
BackgroundVaiva, G., Vaiva, G., Ducrocq, F., Meyer, P., Mathieu, D., Philippe, A., Libersa, C., & Goudemand, M. (2006) · BMJ · doi:10.1136/bmj.332.7552.1241 · Cited by 279 · cited 1× · see citing works
“The group that received 1-month follow-up calls had lower rates of repeat attempts compared with a control group that received no contact, and the group that received 3-month follow-ups only postdischarge did not differ from the control group.(156) Finally, an international study in several low- and middle-income coun…”
ResultSuicidal thoughts and behaviors among adults aged ≥18 years--United States, 2008-2009.
Crosby, A. E., Han, B., Ortega, L., Parks, S. E., & GFROERER, J. (2011) · PubMed · Cited by 278 · see citing works
Self-citationSuicide prevention by limiting access to methods: A review of theory and practice
Florentine, J. B., & Crane, C. (2010) · Social Science & Medicine · doi:10.1016/j.socscimed.2010.01.029 · Cited by 278 · cited 1× · see citing works
“These interventions can typically be implemented quickly and measured relatively easily compared to other more complex approaches—for example, interventions seeking to change social norms.(67) Studies find reduced suicide rates associated with restricted access to firearms among high-risk groups,(102,103) paracetamol…”
BackgroundAn evaluation of crisis hotline outcomes. Part 2: Suicidal callers
Gould, M. S., Kalafat, J., HarrisMunfakh, J. L., & Kleinman, M. (2007) · Suicide and Life-Threatening Behavior · doi:10.1521/suli.2007.37.3.338 · Cited by 278 · see citing works
Subjective state of health and survival in elderly adults
Kaplan, G., Barell, V., & Lusky, A. (1988) · Journal of Gerontology · doi:10.1093/geronj/43.4.s114 · Cited by 272 · cited 1× · see citing works
“Still other studies indicate that it is not the objective physical health condition that matters so much as the subjective sense of one’s health.(55,56) Another important risk factor for elders is a lack of social connectedness to family, friends, and community.”
BackgroundThe Columbia SuicideScreen: Validity and Reliability of a Screen for Youth Suicide and Depression
Shaffer, D., Scott, M., Wilcox, H. C., Maslow, C. B., Hicks, R. C., Lucas, C. P., Garfinkel, R. S., & Greenwald, S. (2004) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-200401000-00016 · Cited by 266 · see citing works
Miller, M., Azrael, D., & Barber, C. (2012) · Annual Review of Public Health · doi:10.1146/annurev-publhealth-031811-124636 · Cited by 265 · cited 1× · see citing works
“Moreover, restricted access often did not lead to total substitution of methods, and in cases of substitution, the case-fatality rate of substituted methods was generally lower than the original method, leading to lower suicide rates overall.(111,112) Restricting access to lethal means may be particularly effective in…”
ResultPublic awareness campaigns about depression and suicide: a review
Dumesnil, H., & Verger, P. (2009) · Psychiatric Services · doi:10.1176/ps.2009.60.9.1203 · Cited by 264 · cited 3× · see citing works
“Assessing the needs of the population and the cultural context prior to implementation is important as is the need to consider specific indicators for evaluation purposes (eg, “How will attitudes be measured, over what period of time, and for how long?”) Other considerations include having a sound theoretical basis fo…”
BackgroundInfluentialImitative suicide on the Viennese subway
Sonneck, G., Etzersdorfer, E., & Nagel-Kuess, S. (1994) · Social Science & Medicine · doi:10.1016/0277-9536(94)90447-2 · Cited by 254 · cited 1× · see citing works
“Moreover, no substitution of suicide methods (eg, use of firearms in suicide versus subways) was found.(92)”
MethodSuicide and violence prevention: Parent education in the emergency department
Kruesi, M. J. P., Grossman, J., Pennington, J. M., Woodward, P. J., Duda, D., & Hirsch, J. G. (1999) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-199903000-00010 · Cited by 251 · see citing works
De Leo, D., Buono, M. D., & Dwyer, J. (2002) · British Journal of Psychiatry · doi:10.1192/bjp.181.3.226 · Cited by 246 · see citing works
Connectedness and Suicide Prevention in Adolescents: Pathways and Implications
Whitlock, J., Wyman, P. A., & Moore, S. R. (2014) · Suicide and Life-Threatening Behavior · doi:10.1111/sltb.12071 · Cited by 238 · see citing works
Reducing Suicide: A National Imperative
Wong, N. (2003) · American Journal of Psychiatry · doi:10.1176/appi.ajp.160.8.1534 · Cited by 229 · see citing works
Reducing Suicide Potential Among High‐Risk Youth: Tests of a School‐Based Prevention Program
Eggert, L. L., Thompson, E. A., Herting, J. R., & Nicholas, L. J. (1995) · Suicide and Life-Threatening Behavior · doi:10.1111/j.1943-278x.1995.tb00926.x · Cited by 226 · see citing works
Leading Causes of Unintentional and Intentional Injury Mortality: United States, 2000–2009
Rockett, I. R. H., Regier, M., Kapusta, N. D., Coben, J. H., Miller, T. R., Hanzlick, R. L., Todd, K. H., Sattin, R. W., Kennedy, L. W., Kleinig, J., et al. (2012) · American Journal of Public Health · doi:10.2105/ajph.2012.300960 · Cited by 225 · cited 1× · see citing works
“In 2009, the number of deaths from suicide reached an unfortunate milestone and surpassed the number of deaths from motor vehicle crashes.(2) According to the most recent data, in 2011, suicide”
BackgroundProtecting Adolescents From Self-Harm: A Critical Review of Intervention Studies
Brent, D. A., McMakin, D. L., Kennard, B. D., Goldstein, T. R., Mayes, T. L., & Douaihy, A. B. (2013) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2013.09.009 · Cited by 223 · see citing works
Controlling Access to Suicide Means
Sarchiapone, M., Mandelli, L., Iosue, M., Andrisano, C., & Roy, A. (2011) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph8124550 · Cited by 222 · cited 1× · see citing works
“Moreover, restricted access often did not lead to total substitution of methods, and in cases of substitution, the case-fatality rate of substituted methods was generally lower than the original method, leading to lower suicide rates overall.(111,112) Restricting access to lethal means may be particularly effective in…”
ResultIncidence of suicidal ideation and behavior in the United States, 1994
Crosby, A. E., Cheltenham, M. P., & Sacks, J. J. (1999) · Suicide and Life-Threatening Behavior · doi:10.1111/j.1943-278x.1999.tb01051.x · Cited by 200 · see citing works
Self-citationO'Connor, E., Gaynes, B. N., Burda, B. U., Soh, C., & Whitlock, E. P. (2013) · Annals of Internal Medicine · doi:10.7326/0003-4819-158-10-201305210-00642 · Cited by 193 · see citing works
Suicide Prevention Programs in the Schools: A Review and Public Health Perspective
Miller, D. N., Eckert, T. L., & Mazza, J. J. (2009) · School Psychology Review · doi:10.1080/02796015.2009.12087830 · Cited by 191 · cited 2× · see citing works
“Related to this, recommendations for school-based programs include assessing long-term knowledge, attitude, and skill-building outcomes; linking help-seeking to suicidal behavior; measuring suicidal behavior preintervention and postintervention; using common measures across programs; examining moderating variables suc…”
BackgroundMethodKleiman, E. M., & Liu, R. T. (2014) · British Journal of Psychiatry · doi:10.1192/bjp.bp.113.128900 · Cited by 188 · see citing works
Clifford, A. C., Doran, C. M., & Tsey, K. (2013) · BMC Public Health · doi:10.1186/1471-2458-13-463 · Cited by 186 · cited 1× · see citing works
“These studies included physician education programs,(130) the US Air Force,(86) and programs for aboriginal youth.(131) All noted positive outcomes.”
BackgroundMay, P. A., Serna, P., Hurt, L., & DeBruyn, L. M. (2005) · American Journal of Public Health · doi:10.2105/ajph.2004.040410 · Cited by 185 · cited 1× · see citing works
“Another example of a comprehensive program is the American Indian Natural Helper program, which found significantly reduced suicide attempts, both medically serious and nonmedically serious, in the community over time.(170) National, state, and local strategies for suicide prevention also”
BackgroundShaffer, D. (1990) · JAMA · doi:10.1001/jama.1990.03450240053039 · Cited by 184 · see citing works
Reducing suicidal ideation in depressed older primary care patients
Unützer, J., Tang, L., Oishi, S., Katon, W., Williams, J. W., Hunkeler, E., Hendrie, H., Lin, E. H. B., Levine, S., Grypma, L., et al. (2006) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.2006.00882.x · Cited by 183 · cited 1× · see citing works
“group compared with care as usual (CAU).(136,137) International studies have”
MethodInternational Handbook of Suicide Prevention
(2011) · Wiley eBooks · doi:10.1002/9781119998556 · Cited by 183 · see citing works
Suicide screening in schools, primary care and emergency departments
Horowitz, L. M., Ballard, E. D., & Pao, M. (2009) · Current Opinion in Pediatrics · doi:10.1097/mop.0b013e3283307a89 · Cited by 181 · cited 1× · see citing works
“This may stretch the capacity of mental health service personnel, who must follow up with each positively screened youth.(119) For example, a 2013 review identified 7 programs with available referral information.”
BackgroundU.S.A. Suicide: 2022 Official Final Data
Drapeau, C. W., & McIntosh, J. L. (2024) · ValpoScholar (Valparaiso University) · doi:10.13140/rg.2.2.35043.16167 · Cited by 181 · see citing works
The Effectiveness of Telemental Health Applications: A Review
Hailey, D., Roine, R., & Ohinmaa, A. (2008) · The Canadian Journal of Psychiatry · doi:10.1177/070674370805301109 · Cited by 176 · cited 1× · see citing works
“These programs include virtual gatekeeper training, crisis support through online chat, and telemedicine/ telepsychiatry.(172) Two studies utilizing text messages in place of postcard outreach with postattempt survivors found positive feedback from patients.”
BackgroundKapusta, N. D., Etzersdorfer, E., Krall, C., & Sonneck, G. (2007) · The British Journal of Psychiatry · doi:10.1192/bjp.bp.106.032862 · Cited by 171 · see citing works
Social problem solving in suicidal adolescents.
Sadowski, C. A., & Kelley, M. L. (1993) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.61.1.121 · Cited by 165 · cited 1× · see citing works
“associated with reduced suicidal behavior.(65) Among depressed”
Cognitive style and pleasant activities among female adolescent suicide attempters.
Rotheram‐Borus, M. J., Trautman, P. D., Dopkins, S. C., & Shrout, P. E. (1990) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.58.5.554 · Cited by 163 · see citing works
Sareen, J., Henriksen, C. A., Bolton, S.-L., Afifi, T. O., Stein, M. B., & Asmundson, G. J. G. (2013) · Psychological Medicine · doi:10.1017/s003329171200102x · Cited by 163 · see citing works
Cusimano, M. D., & Sameem, M. (2010) · Injury Prevention · doi:10.1136/ip.2009.025502 · Cited by 158 · see citing works
Impact of Business Cycles on US Suicide Rates, 1928–2007
Luo, F., Florence, C., Quispe‐Agnoli, M., Ouyang, L., & Crosby, A. E. (2011) · American Journal of Public Health · doi:10.2105/ajph.2010.300010 · Cited by 156 · cited 3× · see citing works
“employment and education opportunities.(14,210) Finally, doing more to”
BackgroundSelf-citationSuicide among adults aged 35-64 years--United States, 1999-2010.
Sullivan, E., Annest, J. L., Luo, F., Simon, T. R., & Dahlberg, L. L. (2013) · PubMed Central · Cited by 155 · see citing works
LeFevre, M. L., & on behalf of the U.S. Preventive Services Task Force* (2014) · Annals of Internal Medicine · doi:10.7326/m14-0589 · Cited by 154 · cited 1× · see citing works
“Overall, the USPSTF finds insufficient evidence for the balance of benefits and harms associated with screening for suicide risk in primary care.(127) However, the Task Force does recommend screening adults for depression “when staff-assisted depression care supports are in place to assure accurate diagnosis, effectiv…”
BackgroundThe US Air Force Suicide Prevention Program: Implications for Public Health Policy
Knox, K. L., Pflanz, S. E., Talcott, G. W., Campise, R. L., Lavigne, J. E., Bajorska, A., Tu, X. M., & Caine, E. D. (2010) · American Journal of Public Health · doi:10.2105/ajph.2009.159871 · Cited by 152 · cited 1× · see citing works
“Though the US Air Force has reported success in reducing suicide rates, the effectiveness of military prevention programs has been difficult to measure.(37,38) The Department of Defense funds the Millennium Cohort Study,(39) and National Institutes of Health and the US Army fund the Army Study to Assess Risk and Resil…”
BackgroundMen's help seeking: Examination of differences across community size, education, and income.
Hammer, J. H., Vogel, D. L., & Edwards, S. R. (2012) · Psychology of Men & Masculinity · doi:10.1037/a0026813 · Cited by 147 · see citing works
Prevalence and Risk Factors Associated With Suicides of Army Soldiers 2001–2009
Black, S. A., Gallaway, M. S., Bell, M. R., & Ritchie, E. C. (2011) · Military Psychology · doi:10.1080/08995605.2011.590409 · Cited by 145 · cited 1× · see citing works
“Factors including relationship discord, legal/ disciplinary problems, financial difficulties, and health problems are thought to play a role.(34) Other risk factors include sexual violence(35) and a history of childhood trauma.”
BackgroundU.S. Preventive Services Task Force (2010) · Cited by 144 · see citing works
Czyz, E. K., Liu, Z., & King, C. A. (2012) · Journal of Clinical Child & Adolescent Psychology · doi:10.1080/15374416.2012.651998 · Cited by 144 · see citing works
Crosby, A. E., & Sacks, J. J. (2002) · Suicide and Life-Threatening Behavior · doi:10.1521/suli.32.3.321.22170 · Cited by 143 · see citing works
Self-citationSuicide Announcement on Facebook
Ruder, T. D., Hatch, G. M., Ampanozi, G., Thali, M. J., & Fischer, N. (2011) · Crisis · doi:10.1027/0227-5910/a000086 · Cited by 142 · see citing works
Forging an Agenda for Suicide Prevention in the United States
Caine, E. D. (2013) · American Journal of Public Health · doi:10.2105/ajph.2012.301078 · Cited by 139 · cited 2× · see citing works
“Greater attention to factors more distal to suicide (eg, child maltreatment, parental mental illness) or what is known as the population approach is critical to stemming the tide of new cases of suicide.(183) We know that a whole host of adverse childhood experiences are associated with suicide attempts.”
BackgroundHegerl, U., Wittenburg, L., Arensman, E., Audenhove, C. V., Coyne, J. C., McDaid, D., Feltz-Cornelis, C. M. V. D., Gusmão, R. M., Kopp, M., Maxwell, M., et al. (2009) · BMC Public Health · doi:10.1186/1471-2458-9-428 · Cited by 138 · see citing works
Kaminski, J. W., Puddy, R. W., Hall, D. M., Cashman, S. Y., Crosby, A. E., & Ortega, L. (2009) · Journal of Youth and Adolescence · doi:10.1007/s10964-009-9472-2 · Cited by 132 · see citing works
Self-citationUsing google searches on the internet to monitor suicidal behavior
Gunn, J. F., & Lester, D. (2012) · Journal of Affective Disorders · doi:10.1016/j.jad.2012.11.004 · Cited by 127 · see citing works
Studying Survivors of Nearly Lethal Suicide Attempts: An Important Strategy in Suicide Research
Hawton, K. E. (2002) · Suicide and Life-Threatening Behavior · doi:10.1521/suli.32.1.5.76.24215 · Cited by 119 · cited 1× · see citing works
“Restricting access to lethal means may be particularly effective in preventing highly lethal and impulsive suicides.(113,114) Long-term follow-up and assessment of confounding factors is recommended.”
BackgroundSocial Problem-Solving among Adolescents Treated for Depression
Becker-Weidman, E., Jacobs, R. H., Reinecke, M. A., Silva, S., & March, J. (2009) · Behaviour Research and Therapy · doi:10.1016/j.brat.2009.08.006 · Cited by 118 · see citing works
Repetition of Suicide Attempts
Bertolote, J. M., Fleischmann, A., Leo, D. D., Phillips, M. R., Botega, N. J., Vijayakumar, L., Silva, D. D., Schlebusch, L., Nguyen, V. T., Sisask, M., et al. (2010) · Crisis · doi:10.1027/0027-5910/a000052 · Cited by 118 · see citing works
Suicide prevention programs through community intervention
Fountoulakis, K. Ν., Gonda, X., & Rihmer, Z. (2010) · Journal of Affective Disorders · doi:10.1016/j.jad.2010.06.009 · Cited by 118 · cited 2× · see citing works
“Additionally, resources for staff training, while taking into account staff turnover, raise the issue of costeffectiveness.(75,90,94) Screening programs receive less support from administrators and parents than other prevention activities such as curricula.”
BackgroundChild and Young Adolescent Suicide in New Zealand
Beautrais, A. L. (2001) · Australian & New Zealand Journal of Psychiatry · doi:10.1080/0004867010060514 · Cited by 109 · see citing works
Hinton, L., Zweifach, M., Tang, L., Unützer, J., & Oishi, S. (2006) · American Journal of Geriatric Psychiatry · doi:10.1097/01.jgp.0000219282.32915.a4 · Cited by 108 · cited 1× · see citing works
“Recommendations for reaching older men include de-emphasizing the diagnosis of depression and accentuating the symptoms of depression and stress instead, thereby reducing shame and stigma associated with mental illness.(58) Additionally, more trained gatekeepers in the community where men interact may aid prevention.”
BackgroundUsing the Suicide Risk Screen to Identify Suicidal Adolescents Among Potential High School Dropouts
Thompson, E. A., & Eggert, L. L. (1999) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-199912000-00011 · Cited by 108 · cited 1× · see citing works
“According to the latest US Preventive Services Task Force (USPSTF) recommendations, screening tools have limited ability to detect suicide risk in adolescents, and then only among high-risk adolescents, including psychiatric outpatients(121) and potential high school dropouts.(122,123) For adults, the USPSTF found evi…”
BackgroundInterventions for people bereaved through suicide: systematic review
McDaid, C., Trowman, R., Golder, S., Hawton, K., & Sowden, A. (2008) · British Journal of Psychiatry · doi:10.1192/bjp.bp.107.040824 · Cited by 107 · cited 1× · see citing works
“Among those bereaved by suicide, recommendations include the need for larger and better-controlled studies along with the need to assess bereavement groups for suicide survivors versus other groups.(169)”
BackgroundOYAMA, H., WATANABE, N., ONO, Y., SAKASHITA, T., TAKENOSHITA, Y., TAGUCHI, M., TAKIZAWA, T., MIURA, R., & KUMAGAI, K. (2005) · Psychiatry and Clinical Neurosciences · doi:10.1111/j.1440-1819.2005.01379.x · Cited by 107 · see citing works
Removing bridge barriers stimulates suicides: an unfortunate natural experiment
Beautrais, A. L., Gibb, S. J., Fergusson, D. M., Horwood, L. J., & Larkin, G. L. (2009) · Australian & New Zealand Journal of Psychiatry · doi:10.1080/00048670902873714 · Cited by 105 · cited 1× · see citing works
“Studies find reduced suicide rates associated with restricted access to firearms among high-risk groups,(102,103) paracetamol (ie, Tylenol),(104) other medications,(105) toxic gas,(106) pesticides,(107) ligature points in institutional settings,(108,109) and high places such as bridges.(110) Moreover, restricted acces…”
ResultSuicidal ideation in primary care
Olfson, M., Weissman, M. M., Leon, A. C., Sheehan, D. V., & Farber, L. H. (1996) · Journal of General Internal Medicine · doi:10.1007/bf02599038 · Cited by 104 · cited 1× · see citing works
“For adults, the USPSTF found evidence from 2 studies that screening tools can identify adults and older adults in primary care who are at increased risk of suicide, though many false positives were also identified.(124,125) For a review of instruments for use in primary care, see O’Connor et al.”
BackgroundTHE IMPACT OF MENTAL HEALTH INSURANCE LAWS ON STATE SUICIDE RATES
Lang, M. (2013) · Health Economics · doi:10.1002/hec.1816 · Cited by 102 · cited 1× · see citing works
“Easy access to quality clinical care(70)and insurance benefits for mental health commensurate with physical health coverage may also reduce suicide.(71) Sociocultural factors may include social norms, politics, or the economy.”
BackgroundThe Science of Public Messages for Suicide Prevention: A Workshop Summary
Chambers, D., Pearson, J. L., Lubell, K. M., Brandon, S. E., O'Brien, K., & Zinn, J. (2005) · Suicide and Life-Threatening Behavior · doi:10.1521/suli.35.2.134.62871 · Cited by 101 · cited 1× · see citing works
“the occurrence of a subsequent suicide— and should be avoided by taking care not to normalize or glorify suicide, present suicide as a common reaction to stress, or give detailed information about the means of suicide.(89,90) In an effort to prevent contagion, the WHO and partners in the US formulated guidelines for t…”
BackgroundSuicide among adults aged 35-64 years--United States, 1999-2010.
(2013) · PubMed · Cited by 94 · see citing works
Goldney, R. D., Fisher, L. J., Wilson, D. H., & Cheok, F. (2002) · Suicide and Life-Threatening Behavior · doi:10.1521/suli.32.4.394.22343 · Cited by 93 · cited 1× · see citing works
“In some cases, treatment seeking actually decreased in those with depression or suicidal ideation, indicating that these groups require more tailored prevention messages.(75,77,80) A total of 7 studies reported reduced suicide rates(81-87); 5 studies took place among Japanese elders with results largely confined to wo…”
BackgroundSuicidal behavior by preschool children
(1984) · American Journal of Psychiatry · doi:10.1176/ajp.141.4.520 · Cited by 91 · cited 2× · see citing works
“age do die by suicide and may know what they are doing.(26) Some research suggests that it is a lack of fear about physical pain and death that enables the behavior.”
BackgroundCommunity-Based Prevention for Suicide in Elderly by Depression Screening and Follow-Up
Oyama, H., Koida, J., Sakashita, T., & Kudo, K. (2004) · Community Mental Health Journal · doi:10.1023/b:comh.0000026998.29212.17 · Cited by 91 · see citing works
Oyama, H., Sakashita, T., Ono, Y., Goto, M., Fujita, M., & Koida, J. (2008) · Community Mental Health Journal · doi:10.1007/s10597-008-9132-0 · Cited by 90 · see citing works
Understanding Recent Changes in Suicide Rates among the Middle-Aged: Period or Cohort Effects?
Phillips, J. A., Robin, A. V., Nugent, C. N., & Idler, E. L. (2010) · Public Health Reports · doi:10.1177/003335491012500510 · Cited by 85 · cited 1× · see citing works
“Middle adulthood challenges may include changes in marriage, job plateaus or shifts, children leaving home, caring for an aging parent, and change in one’s own health status, such as onset of chronic illness.(45,46) Less is known about the unique suiciderelated risk factors among this age group because much of the res…”
BackgroundZenere, F. J., & Lazarus, P. J. (1997) · Suicide and Life-Threatening Behavior · doi:10.1111/j.1943-278x.1997.tb00518.x · Cited by 85 · see citing works
Is There an Epidemic of Suicides among Current and Former U.S. Military Personnel?
Kang, H. K., & Bullman, T. A. (2009) · Annals of Epidemiology · doi:10.1016/j.annepidem.2009.05.004 · Cited by 83 · see citing works
Antidepressants and suicide prevention in Hungary
Rihmer, Z., Belsó, N., & Kalmár, S. (2001) · Acta Psychiatrica Scandinavica · doi:10.1034/j.1600-0447.2001.103003238.x · Cited by 81 · see citing works
DEPRESSION AND EXPOSURE TO SUICIDE PREDICT SUICIDE ATTEMPT
Nanayakkara, S., Misch, D. M., Chang, L., & Henry, D. B. (2013) · Depression and Anxiety · doi:10.1002/da.22143 · Cited by 81 · cited 1× · see citing works
“Based on this figure, there are an estimated 13 million survivors in the United State,(11) and unfortunately, survivorship itself is a risk factor for suicide.(12) This article will discuss the precursors to suicide, populations most affected, the state of suicide prevention, and successes and challenges, followed by…”
BackgroundScreening for Suicide Ideation among Older Primary Care Patients
Heisel, M. J., Duberstein, P. R., Lyness, J. M., & Feldman, M. D. (2010) · The Journal of the American Board of Family Medicine · doi:10.3122/jabfm.2010.02.080163 · Cited by 81 · cited 1× · see citing works
“For adults, the USPSTF found evidence from 2 studies that screening tools can identify adults and older adults in primary care who are at increased risk of suicide, though many false positives were also identified.(124,125) For a review of instruments for use in primary care, see O’Connor et al.”
BackgroundThe US Department of Defense Millennium Cohort Study: Career Span and Beyond Longitudinal Follow-Up
Smith, T. C. (2009) · Journal of Occupational and Environmental Medicine · doi:10.1097/jom.0b013e3181b73146 · Cited by 80 · see citing works
Hawton, K. E., Bergen, H. A., Simkin, S., Wells, C., Kapur, N., & Gunnell, D. (2012) · PLoS Medicine · doi:10.1371/journal.pmed.1001213 · Cited by 78 · see citing works
Van Orden, K. A., Stone, D. M., Rowe, J., McIntosh, W. L., Podgorski, C., & Conwell, Y. (2013) · Contemporary Clinical Trials · doi:10.1016/j.cct.2013.03.003 · Cited by 75 · see citing works
Self-citationPost-suicide Intervention Programs: A Systematic Review
Szumilas, M., & Kutcher, S. (2011) · Canadian Journal of Public Health · doi:10.1007/bf03404872 · Cited by 74 · cited 1× · see citing works
“No program found evidence of a protective effect for prevention of suicide or suicide attempts; however, gatekeeper training increased knowledge of crisis intervention among school personnel; outreach at the scene of suicide encouraged survivors to attend a support group and seek help in dealing with their loss; and c…”
BackgroundLeo, D. D. (2002) · Crisis · doi:10.1027//0227-5910.23.1.23 · Cited by 73 · see citing works
Identification of hospitalizations for intentional self‐harm when E‐codes are incompletely recorded
Patrick, A. R., Miller, M., Barber, C. W., Wang, P. S., Canning, C. F., & Schneeweiß, S. (2010) · Pharmacoepidemiology and Drug Safety · doi:10.1002/pds.2037 · Cited by 70 · see citing works
Hoke, C. H., Hawksworth, A. W., & Snyder, C. E. (2012) · PubMed · Cited by 69 · see citing works
Robinson, J., Pan Yuen, H., Martin, C., Hughes, A., Baksheev, G. N., Dodd, S., Bapat, S., Schwass, W., McGorry, P., & Yung, A. R. (2011) · Crisis · doi:10.1027/0227-5910/a000087 · Cited by 67 · see citing works
Depression care effort brings dramatic drop in large HMO population's suicide rate
Hampton, T. (2010) · JAMA · doi:10.1001/jama.2010.595 · Cited by 66 · see citing works
Ethical Issues in including Suicidal Individuals in Clinical Research
Fisher, C. B., Pearson, J. L., Kim, S. Y. H., & Reynolds, C. F. (2002) · IRB Ethics and Human Research · doi:10.2307/3563804 · Cited by 66 · cited 1× · see citing works
“in clinical trials, and the problem increases.(181) It is no wonder that programs remain short term, unevaluated, and isolated from other related programmatic areas (eg, violence prevention).”
BackgroundSuicide-Prevention Telephone Service
Litman, R. E. (1965) · JAMA · doi:10.1001/jama.1965.03080140027006 · Cited by 66 · cited 5× · see citing works
“Forging an agenda for suicide prevention in the United States.”
BackgroundInfluentialHu, G., Wilcox, H. C., Wissow, L. S., & Baker, S. P. (2008) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2008.07.005 · Cited by 65 · cited 1× · see citing works
“However, some risk factors include relationship problems, financial and/or job problems, alcoholism, depression, lack of connectedness, and legal difficulties.(14,47,48) Suicide rates among working-age adults 25 to 64 years old have tended to increase during recessions and fall during times of economic expansions.”
BackgroundOyama, H., Goto, M., Fujita, M., Shibuya, H., & Sakashita, T. (2006) · Crisis · doi:10.1027/0227-5910.27.2.58 · Cited by 65 · see citing works
O'Connor, E. J., Gaynes, B. N., Bu, B., Williams, C., & Ep, W. (2013) · Cited by 64 · see citing works
Suicide Attempts: Results and Experiences from the German Competency Network on Depression
Lehfeld, H., Althaus, D., Hegerl, U., Ziervogel, A., & Niklewski, G. (2004) · KARGER eBooks · doi:10.1159/000079766 · Cited by 63 · see citing works
The role of randomized trials in testing interventions for the prevention of youth suicide
Brown, C. H., Wyman, P. A., Brinales, J. M., & Gibbons, R. D. (2007) · International Review of Psychiatry · doi:10.1080/09540260701797779 · Cited by 62 · see citing works
Suicide Clusters in Young People
Cox, G., Robinson, J., Williamson, M. K., Lockley, A., Cheung, Y. T. D., & Pirkis, J. (2012) · Crisis · doi:10.1027/0227-5910/a000144 · Cited by 61 · cited 1× · see citing works
“The studies did not evaluate the overall effectiveness of different strategies.(168) Among those bereaved by suicide, recommendations include the need for larger and better-controlled studies along with the need to assess bereavement groups for suicide survivors versus other groups.”
BackgroundReducing the Burden of Suicide in the U.S.
Claassen, C. A., Pearson, J. L., Khodyakov, D., Satow, P. M., Gebbia, R., Berman, A. L., Reidenberg, D. J., Feldman, S. D., Molock, S. D., Carras, M. C., et al. (2014) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2014.01.004 · Cited by 59 · cited 1× · see citing works
“The Action Alliance also created a prioritized national research agenda to substantially reduce the burden of suicide.(200) Finally, other once seemingly intractable problems have found a home in public health prevention, including motor vehicle crashes, HIV/AIDS, and smoking.”
BackgroundField procedures in the Army Study to Assess Risk and Resilience in Servicemembers (Army STARRS)
Heeringa, S. G., Gebler, N., Colpe, L. J., Fullerton, C. S., Hwang, I. H., Kessler, R. C., Naifeh, J. A., Nock, M. K., Sampson, N. A., Schoenbaum, M., et al. (2013) · International Journal of Methods in Psychiatric Research · doi:10.1002/mpr.1400 · Cited by 59 · cited 2× · see citing works
“In 2010, suicide was the second leading cause of death among US service members, exceeded only by war injury.33 Factors including relationship discord, legal/ disciplinary problems, financial difficulties, and health problems are thought to play a role.34 Other risk factors include sexual violence35 and a history of c…”
BackgroundLogan, J. E., Crosby, A. E., & Hamburger, M. E. (2011) · Crisis · doi:10.1027/0227-5910/a000091 · Cited by 58 · see citing works
Self-citationA Pilot Study of Mobile Telephone Message Interventions with Suicide Attempters in China
Chen, H., Mishara, B. L., & Liu, X. X. (2010) · Crisis · doi:10.1027/0227-5910/a000017 · Cited by 55 · see citing works
Outcomes of Community-Based Screening for Depression and Suicide Prevention Among Japanese Elders
Oyama, H., Fujita, M., Goto, M., Shibuya, H., & Sakashita, T. (2006) · The Gerontologist · doi:10.1093/geront/46.6.821 · Cited by 52 · see citing works
Scherff, A. R., Eckert, T. L., & Miller, D. N. (2005) · Suicide and Life-Threatening Behavior · doi:10.1521/suli.35.2.154.62874 · Cited by 52 · see citing works
The Effectiveness of Suicide Prevention Centers: A Review
Lester, D. (1997) · Suicide and Life-Threatening Behavior · doi:10.1111/j.1943-278x.1997.tb00412.x · Cited by 51 · cited 1× · see citing works
“No significant differences in suicide rates in areas with crisis centers were observed in 7 of 14 studies; however, a metaanalysis found some overall preventive effect.(163) Weak effects were noted in a more recent study examining the correlation between crisis center density and suicide rates in Canada.”
ResultGoldney, R. D., & Fisher, L. J. (2008) · Suicide and Life-Threatening Behavior · doi:10.1521/suli.2008.38.2.129 · Cited by 45 · see citing works
Post-acute crisis text messaging outreach for suicide prevention: A pilot study
Berrouiguet, S., Gravey, M., Galudec, M. L., Alavi, Z., & Walter, M. (2014) · Psychiatry Research · doi:10.1016/j.psychres.2014.02.034 · Cited by 44 · cited 1× · see citing works
“These studies were small and need further investigation but show promise, given the ability to tailor messages, acceptability, and low cost.(173,174) In addition, the Internet has spawned a host of online prevention education, webinars, social networks, and communities of practice.”
BackgroundLee, H., Lin, H., Liu, T., & Lin, S.-Y. (2008) · The Canadian Journal of Psychiatry · doi:10.1177/070674370805300607 · Cited by 40 · cited 1× · see citing works
“This intervention is particularly important given the research that mental illness is underrecognized and undertreated in primary care settings(133) and given previous research findings that more than 75% of those who committed suicide sought contact with a primary care doctor or non–mental health care provider in the…”
BackgroundOno, Y., Awata, S., Hideharu, I., Ishida, Y., Ishizuka, N., Iwasa, H., Kamei, Y., Motohashi, Y., Nakagawa, A., Nakamura, J., et al. (2008) · BMC Public Health · doi:10.1186/1471-2458-8-315 · Cited by 40 · see citing works
Strategies for Quantifying the Relationship between Medications and Suicidal Behaviour
Gibbons, R. D., & Mann, J. J. (2011) · Drug Safety · doi:10.2165/11589350-000000000-00000 · Cited by 39 · see citing works
Belief in the Inevitability of Suicide: Results from a National Survey
Miller, M., Azrael, D. R., & Hemenway, D. (2006) · Suicide and Life-Threatening Behavior · doi:10.1521/suli.2006.36.1.1 · Cited by 39 · cited 1× · see citing works
“Although many prevention efforts currently do this, more can be done to change prevailing attitudes that if someone is suicidal there is nothing to be done.(201) In reality, the urge to die is often impulsive and short lived.”
BackgroundRestriction of access to methods of suicide as a means of suicide prevention
Hawton, K. (2005) · Prevention and Treatment of Suicidal Behaviour: · doi:10.1093/med/9780198529767.003.0016 · Cited by 39 · see citing works
Lester, D., & Abe, K. (1989) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.1989.tb01324.x · Cited by 35 · see citing works
Crepeau‐Hobson, F., & Leech, N. L. (2013) · Suicide and Life-Threatening Behavior · doi:10.1111/sltb.12055 · Cited by 33 · cited 1× · see citing works
“Having a friend or acquaintance attempt suicide is significantly associated with a peer’s suicide ideation and behavior.(166) Postvention is the term used to describe interventions that occur in response to a suicide, typically with the goal of preventing additional suicides or”
BackgroundBet, P. M., Hugtenburg, J. G., Penninx, B. W. J. H., van Balkom, A. J. L. M., Nolen, W. A., & Hoogendijk, W. J. G. (2013) · Psychiatry Research · doi:10.1016/j.psychres.2013.06.023 · Cited by 32 · cited 1× · see citing works
“For example, a cohort study in the Netherlands (n = 1667) found that among primary care patients with moderate to severe major depressive disorder or anxiety, 70% and 60%, respectively, were not treated sufficiently (eg, too low a dose) with pharmacotherapy or psychological treatment.(148) Among youth, more study is n…”
BackgroundHoli, M. M., Pelkonen, M. U. I., Karlsson, L., Tuisku, V., Kiviruusu, O. H., Ruuttu, T., & MARTTUNEN, M. J. (2008) · BMC Psychiatry · doi:10.1186/1471-244x-8-97 · Cited by 28 · see citing works
Characteristics of U.S. Suicide Decedents in 2005–2010 Who Had Received Mental Health Treatment
Niederkrotenthaler, T., Logan, J. E., Karch, D. L., & Crosby, A. (2014) · Psychiatric Services · doi:10.1176/appi.ps.201300124 · Cited by 27 · cited 1× · see citing works
“suicides than ever before, as evidenced by success stories(188) and publications.(189,190) We have seen evidence of suicide reductions in clinical care.”
BackgroundSelf-citationRegional Variations in Suicide Rates—United States, 1990-1994
(1997) · JAMA · doi:10.1001/jama.1997.03550120032013 · Cited by 25 · see citing works
An Update on Perfect Depression Care
Coffey, C. E., Coffey, M. J., & Ahmedani, B. K. (2013) · Psychiatric Services · doi:10.1176/appi.ps.640422 · Cited by 24 · cited 1× · see citing works
“Between baseline and follow-up, a period of 11 years, suicides dropped by 82%.(141) Efforts are underway to expand this approach in other organizations and settings with in an initiative called “Zero Suicide.”
BackgroundGenerational Analyses of Suicide: Baby Boomers and 13ers
McIntosh, J. L. (1994) · Suicide and Life-Threatening Behavior · doi:10.1111/j.1943-278x.1994.tb00813.x · Cited by 23 · see citing works
Suicide Prevention Interventions and Referral/Follow-Up Services: A Systematic Review
O'Neil, M. E., Peterson, K., Low, A., Carson, S., Denneson, L. M., Haney, E. M., Shiroma, P. R., & Kansagara, D. L. (2012) · Cited by 22 · see citing works
Suicides - United States, 2005-2009.
Crosby, A. E., Ortega, L., & Stevens, M. R. (2013) · PubMed · Cited by 21 · see citing works
Self-citationNational and State Standards for Prison Suicide Prevention: A Report Card
Lindsay, M., & Ms, H. (1996) · Journal of Correctional Health Care · doi:10.1177/107834589600300102 · Cited by 21 · see citing works
Suicide Prevention in Adults (Age 30–65)
Maris, R. W. (1995) · Suicide and Life-Threatening Behavior · doi:10.1111/j.1943-278x.1995.tb00401.x · Cited by 21 · cited 2× · see citing works
“Less is known about the unique suiciderelated risk factors among this age group because much of the research on suicidal behavior has focused on youth and older adults.(47) However, some risk factors include relationship problems, financial and/or job problems, alcoholism, depression, lack of connectedness, and legal…”
BackgroundThe Current Evidence Base for the Clinical Care of Suicidal Patients: Strengths and Weaknesses
Sakinofsky, I. (2007) · The Canadian Journal of Psychiatry · doi:10.1177/07067437070526s102 · Cited by 19 · see citing works
The Impact of Suicide Prevention Centers on the Suicide Rate in the Canadian Provinces
Leenaars, A. A., & Lester, D. (2004) · Crisis · doi:10.1027/0227-5910.25.2.65 · Cited by 19 · cited 2× · see citing works
“No significant differences in suicide rates in areas with crisis centers were observed in 7 of 14 studies; however, a metaanalysis found some overall preventive effect.163 Weak effects were noted in a more recent study examining the correlation between crisis center density and suicide rates in Canada.164 A 2007 evalu…”
Sexual Violence and Mental Health Symptoms Among National Guard and Reserve Soldiers
Walsh, K., Koenen, K. C., Cohen, G. H., Ursano, R. J., Gifford, R. K., Fullerton, C. S., & Galea, S. (2013) · Journal of General Internal Medicine · doi:10.1007/s11606-013-2555-5 · Cited by 19 · see citing works
Valuing young lives: evaluation of the National Youth Suicide Prevention Strategy
Mitchell, P. (2014) · Cited by 19 · see citing works
Huguet, N., McFarland, B. H., & Kaplan, M. S. (2014) · Archives of Suicide Research · doi:10.1080/13811118.2014.915275 · Cited by 16 · see citing works
Deaths while on active duty in the U.S. Armed Forces, 1990-2011.
(2012) · PubMed · Cited by 14 · see citing works
Assessment and Management of Suicidal Behavior in Children and Adolescents
Joiner, T. E., & Ribeiro, J. D. (2011) · Pediatric Annals · doi:10.3928/00904481-20110512-08 · Cited by 8 · see citing works
Nonfatal self-inflicted injuries among adults aged > or = 65 years--United States, 2005.
(2007) · PubMed · Cited by 6 · see citing works
Controversial mental health program closes down
Lenzer, J. (2012) · BMJ · doi:10.1136/bmj.e8100 · Cited by 4 · see citing works
Flagged first, then by citations
Research works printed but not linked: 2
- [186]Department of Health and Human Services, Office of the Surgeon General, National Action Alliance for Suicide Prevention. 2012 National Strategy for Suicide Prevention: Goals and Objectives for Action. Washington, DC: DHHS; 2012. 23136686
- [211]Jashinsky J, Burton SH, Hanson CL, Tracking suicide risk factors through twitter in the US. Crisis 2014; 35: 51– 59. 24121153
Cited by
Sorted by citations
Rosenfield, S., & Mouzon, D. M. (2012) · Handbooks of sociology and social research · doi:10.1007/978-94-007-4276-5_14 · Cited by 553 · see citing works
Ivey-Stephenson, A. Z., Crosby, A. E., Jack, S. P. D., Haileyesus, T., & Kresnow-Sedacca, M.-J. (2017) · MMWR. Surveillance Summaries · doi:10.15585/mmwr.ss6618a1 · Cited by 319 · see citing works
Self-citationLink, B. G., & Phelan, J. C. (2012) · Handbooks of sociology and social research · doi:10.1007/978-94-007-4276-5_25 · Cited by 304 · see citing works
Suicide prevention: an emerging priority for health care
Hogan, M. F., & Grumet, J. G. (2016) · Health Affairs · doi:10.1377/hlthaff.2015.1672 · Cited by 159 · see citing works
Abbasi, E. (2025) · IJID One Health · doi:10.1016/j.ijidoh.2025.100058 · Cited by 133 · see citing works
Using Youth Participatory Action Research as a Health Intervention in Community Settings
Lindquist-Grantz, R., & Abraczinskas, M. (2018) · Health Promotion Practice · doi:10.1177/1524839918818831 · Cited by 106 · see citing works
“There is especially a need for strategies that (1) address suicide risk factors and increase protective factors (Stone & Crosby, 2014), (2) develop adolescent problem solving and help-seeking behaviors to promote treatment utilization (Robinson et al., 2013), and (3) employ innovative methods that…”
BackgroundPreston, A. J., & Rew, L. (2021) · Issues in Mental Health Nursing · doi:10.1080/01612840.2021.1948642 · Cited by 96 · see citing works
“None of the studies explored ecological, biological or spiritual factors as potential moderators of family connectedness or the relationship between wellbeing and social isolation, although prior research supports investigation of these concepts for preventing suicide (Stone & Crosby, 2014).”
ResultTrends in the Incidence and Lethality of Suicidal Acts in the United States, 2006 to 2015
Wang, J., Sumner, S. A., Simon, T. R., Crosby, A. E., Annor, F. B., Gaylor, E., Xu, L., & Holland, K. M. (2020) · JAMA Psychiatry · doi:10.1001/jamapsychiatry.2020.0596 · Cited by 78 · see citing works
Self-citationMental Illness and the Criminal Justice System
Hiday, V. A., & Burns, P. J. (2009) · Cambridge University Press eBooks · doi:10.1017/cbo9780511984945.029 · Cited by 77 · see citing works
Zou, Y., Li, H., Shi, C., Lin, Y., Zhou, H., & Zhang, J. (2017) · Psychiatry Research · doi:10.1016/j.psychres.2016.12.046 · Cited by 54 · see citing works
Nasir, B., Hides, L. M., Kisely, S. R., Ranmuthugala, G., Nicholson, G. C., Black, E., Gill, N. S., Kondalsamy‐Chennakesavan, S., & Toombs, M. R. (2016) · BMC Psychiatry · doi:10.1186/s12888-016-1059-3 · Cited by 53 · see citing works
Ali, B., Rockett, I. R. H., Miller, T. R., & Leonardo, J. B. (2021) · Journal of Racial and Ethnic Health Disparities · doi:10.1007/s40615-020-00957-7 · Cited by 42 · see citing works
A Handbook for the Study of Mental Health
(2017) · Cambridge University Press eBooks · doi:10.1017/9781316471289 · Cited by 38 · see citing works
Boggs, J. M., Beck, A. L., Hubley, S. H., Peterson, E. L., Hu, Y., Williams, L. K., Prabhakar, D., Rossom, R. C., Lynch, F. L., Lu, C. Y., et al. (2018) · Psychiatric Services · doi:10.1176/appi.ps.201700237 · Cited by 37 · see citing works
Kingi-Uluave, D., Taufa, N., Tuesday, R., Cargo, T., Stasiak, K., Merry, S., & Hetrick, S. E. (2024) · Archives of Suicide Research · doi:10.1080/13811118.2024.2358411 · Cited by 36 · see citing works
“While some evidence for positive impacts of GKT on knowledge, attitude, and self-efficacy immediately post-training exists, the retention of positive gains over time is less clear (Stone & Crosby, 2014).”
Should compulsory admission to hospital be part of suicide prevention strategies?
Wang, D., & Colucci, E. (2017) · BJPsych Bulletin · doi:10.1192/pb.bp.116.055699 · Cited by 34 · see citing works
Factors associated with suicide in people who use drugs: a scoping review
Devin, J. E., Lyons, S., Murphy, L., O’Sullivan, M., & Lynn, E. C. (2023) · BMC Psychiatry · doi:10.1186/s12888-023-05131-x · Cited by 34 · see citing works
Comportamento suicida e estratégias de prevenção sob a ótica de professores
Brito, M. D. L. D. S., Júnior, F. J. G. D. S., Costa, A. P. C., Sales, J. C. E. S., Gonçalves, A. M. D. S., & Monteiro, C. F. D. S. (2020) · Escola Anna Nery · doi:10.1590/2177-9465-ean-2020-0109 · Cited by 25 · see citing works
Wang, S., Dang, Y., Sun, Z., Ding, Y., Pathak, J., Tao, C., Xiao, Y., & Peng, Y. (2023) · Journal of the American Medical Informatics Association · doi:10.1093/jamia/ocad068 · Cited by 22 · see citing works
Studying Stress in the Twenty-First-Century: An Update of Stress Concepts and Research
Wheaton, B., & Montazer, S. (2017) · Cambridge University Press eBooks · doi:10.1017/9781316471289.013 · Cited by 24 · see citing works
Suicide stigma and suicide literacy among Bangladeshi young adults: a cross-sectional study
Jahan, I., Sharif, A. B., & Hasan, A. (2023) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2023.1160955 · Cited by 22 · see citing works
“Improving suicide literacy may enable people and communities to identify individuals who may be at risk for suicide based on their behavior, emotions, and other risk factors (20).”
BackgroundPsychometric Properties of the Suicidal Ideation Scale in the Indonesian Language
Fitriana, E., Purba, F. D., Salsabila, S. P., Danasasmita, F. S., Afriandi, I., Tarigan, R., Ichsan, A., & Pandia, V. (2022) · Journal of Primary Care & Community Health · doi:10.1177/21501319221143716 · Cited by 21 · see citing works
Ali, B., Rockett, I. R. H., & Miller, T. R. (2019) · Archives of Suicide Research · doi:10.1080/13811118.2019.1661894 · Cited by 21 · see citing works
“Our study builds on previous research indicating that suicide risk varies as a function of sex and age for diverse racial/ethnic groups (Leavitt et al., 2018; Stone & Crosby, 2014; Y. Wong et al., 2017).”
BackgroundResultInfluentialThe Dual Continua Model: The Foundation of the Sociology of Mental Health and Mental Illness
Keyes, C. L. M. (2017) · Cambridge University Press eBooks · doi:10.1017/9781316471289.007 · Cited by 21 · see citing works
Socioeconomic Stratification and Mental Disorder
Eaton, W. W., & Muntaner, C. (2017) · Cambridge University Press eBooks · doi:10.1017/9781316471289.016 · Cited by 18 · see citing works
Patel, R., Mehta, R. Y., Dave, K. R., & Chaudhary, P. (2021) · Industrial Psychiatry Journal · doi:10.4103/ipj.ipj_31_21 · Cited by 21 · see citing works
Understanding the Connection between Social Support and Mental Health
Brown, R. L., & Ciciurkaite, G. (2017) · Cambridge University Press eBooks · doi:10.1017/9781316471289.014 · Cited by 15 · see citing works
Barriers for the research, prevention, and treatment of suicidal behavior
Oquendo, M. A., & Porras-Segovia, A. (2020) · Current topics in behavioral neurosciences · doi:10.1007/7854_2020_159 · Cited by 13 · see citing works
Senapati, R. E., Parida, J., Badamali, J., Jena, S., Patsani, P., Panda, A., Behera, S. S., Pradhan, A., Singh, P. K., Mishra, B. K., et al. (2022) · PLoS ONE · doi:10.1371/journal.pone.0277422 · Cited by 10 · see citing works
Link, B. G., & Phelan, J. C. (2017) · Cambridge University Press eBooks · doi:10.1017/9781316471289.024 · Cited by 9 · see citing works
Rosenfield, S., Kato, K., & Smith, D. T. (2017) · Cambridge University Press eBooks · doi:10.1017/9781316471289.017 · Cited by 9 · see citing works
Horwitz, A. V. (2017) · Cambridge University Press eBooks · doi:10.1017/9781316471289.004 · Cited by 8 · see citing works
Keith, V. M., & Brown, D. R. (2017) · Cambridge University Press eBooks · doi:10.1017/9781316471289.019 · Cited by 8 · see citing works
Well-Being across the Life Course
Mirowsky, J., & Ross, C. E. (2017) · Cambridge University Press eBooks · doi:10.1017/9781316471289.021 · Cited by 8 · see citing works
Suicide Prevention Programming: Comparing Four Prominent Frameworks
DeBeer, B. B., Mignogna, J., Talbot, M., VILLARREAL, E. J., Mohatt, N. V., Borah, E. V., Russell, P. D., Bryan, C. J., Monteith, L. L., Bongiovanni, K., et al. (2024) · Psychiatric Services · doi:10.1176/appi.ps.20230173 · Cited by 7 · see citing works
“Indicated prevention targets individuals with a significantly elevated risk for engaging in high-risk behavior because they have exhibited particular warning signs (14, 20) (Table 1).”
BackgroundDefining Mental Disorders: Sociological Investigations into the Classification of Mental Disorders
Whooley, O. (2017) · Cambridge University Press eBooks · doi:10.1017/9781316471289.006 · Cited by 7 · see citing works
Promoting Protective Factors for Suicidal Behavior in Adolescents at Risk
Knappe, S., Aresin, M., Stephan, Y., Grosselli, L., Lewitzka, U., Bürger, A., e.V., W., & Hoyer, J. (2024) · Kindheit und Entwicklung · doi:10.1026/0942-5403/a000447 · Cited by 7 · see citing works
Suicide Literacy and Attitudes Toward Seeking Psychological Help among Medical Residents
Jahanbakhsh, F., Raaii, F., Mohammadi, A., Aminaie, M., & Shamspour, M. (2024) · Archives of Iranian Medicine · doi:10.34172/aim.28839 · Cited by 6 · see citing works
Geith, S., Didden, C., Rabe, C., Zellner, T., Ott, A., & Eyer, F. (2022) · International Journal of Mental Health Systems · doi:10.1186/s13033-021-00513-8 · Cited by 7 · see citing works
“This could involve various strategies such as psychological intervention [11], assistance to maintain abstinence to reduce impulsivity, provision of improved follow-up [30, 33, 34] and safe prescribing practices.”
BackgroundThe Measurement of Mental Disorder
Wakefield, J. C., & Schmitz, M. F. (2017) · Cambridge University Press eBooks · doi:10.1017/9781316471289.005 · Cited by 7 · see citing works
Automated detection and prediction of suicidal behavior from clinical notes using deep learning
Bunnell, B. E., Tsalatsanis, A., Chaphalkar, C., Robinson, S., Klein, S., Cool, S., Szwast, E. A., Heider, P. M., Wolf, B. J., & Obeid, J. S. (2025) · PLoS ONE · doi:10.1371/journal.pone.0331459 · Cited by 5 · see citing works
“Identifying individuals at risk for suicide is critical to suicide prevention [6].”
Collaborative strategies for adolescent suicide prevention: insights from Slovakia and Kyrgyzstan
Salimova, L., & Rusnáková, M. (2024) · Discover Mental Health · doi:10.1007/s44192-024-00102-4 · Cited by 5 · see citing works
Attempted suicide: does lethality matter?
Doherty, A., Moore, S. M., Corcoran, N., & Malone, K. M. (2021) · Irish Journal of Psychological Medicine · doi:10.1017/ipm.2021.50 · Cited by 5 · see citing works
“This is consistent with the well-documented suicide paradox: suicide attempt rates are higher among females, whereas lethality is higher among males (Stone & Crosby, 2014).”
ResultVikhristyuk, O. V., Gayazova, L. A., & Bannikov, G. S. (2019) · Psychology and Law · doi:10.17759/psylaw.2019090302 · Cited by 5 · see citing works
Suicidal ideation among people with Parkinson's disease and comparison with a control group
Santos‐García, D., Fonticoba, T. D. D., Bartolomé, C. C., Painceiras, M. J. F., Díaz, I. G., Alvarado, M. C. Í., Jesús, S., Buongiorno, M., Planellás, L., Cosgaya, M., et al. (2023) · International Journal of Geriatric Psychiatry · doi:10.1002/gps.5919 · Cited by 4 · see citing works
“Some factors have been associated with an increased risk of suicide in PD, such as deep brain stimulation or dopamine agonists withdrawal,(16,17) whereas mechanisms such as alterations in immune function and serotonin neurotransmission have been implicated in suicide in the general population.(18,19) According to the…”
BackgroundWilliams, D. R., Costa, M., & Leavell, J. P. (2017) · Cambridge University Press eBooks · doi:10.1017/9781316471289.018 · Cited by 4 · see citing works
Work and Unemployment as Stressors
Limonic, L., & Lennon, M. C. (2017) · Cambridge University Press eBooks · doi:10.1017/9781316471289.015 · Cited by 4 · see citing works
Johnson, R. J., Hobfoll, S. E., & Beulaygue, I. C. (2017) · Cambridge University Press eBooks · doi:10.1017/9781316471289.022 · Cited by 4 · see citing works
Cultural Diversity and Mental Health Treatment
Woo, B., Walton, E. C., & Takeuchi, D. T. (2017) · Cambridge University Press eBooks · doi:10.1017/9781316471289.029 · Cited by 4 · see citing works
Sociological Approaches to Mental Illness
Thoits, P. A. (2017) · Cambridge University Press eBooks · doi:10.1017/9781316471289.010 · Cited by 3 · see citing works
What Outcomes Should the Study of Mental Health Try to Explain?
Schnittker, J. (2017) · Cambridge University Press eBooks · doi:10.1017/9781316471289.008 · Cited by 3 · see citing works
Профилактика суицидального поведения несовершеннолетних
Сергеевич, П. Б., Bannikov, G. S., Любов, Е. Б., Zotov, P. B., & Яхъяева, П. К. (2021) · Суицидология · doi:10.32878/suiciderus.21-12-03(44)-67-87 · Cited by 3 · see citing works
Crișan, R.-M., Bacila, C. I., Toboltoc, P. C., & Morar, S. (2022) · Healthcare · doi:10.3390/healthcare10122377 · Cited by 4 · see citing works
Marital Status and Mental Health
Williams, K., Frech, A., & Carlson, D. L. (2017) · Cambridge University Press eBooks · doi:10.1017/9781316471289.020 · Cited by 3 · see citing works
Mental Illness and the Criminal Justice System
Hiday, V. A., & Ray, B. R. (2017) · Cambridge University Press eBooks · doi:10.1017/9781316471289.028 · Cited by 3 · see citing works
Mental Health in Cross-Cultural Context
Lefley, H. P. (2017) · Cambridge University Press eBooks · doi:10.1017/9781316471289.011 · Cited by 3 · see citing works
Epilogue: The Three Solitudes of the Sociology of Mental Health
Avison, W. R. (2017) · Cambridge University Press eBooks · doi:10.1017/9781316471289.034 · Cited by 2 · see citing works
Tanji, F., Miyamoto, S., Iwasawa, A., Ohta, H., & Ono, K. (2023) · Journal of Primary Care & Community Health · doi:10.1177/21501319231212317 · Cited by 2 · see citing works
“24-26 In the present study, among suicide attempters who chose hanging, the proportion of those without psychiatric disorders who were currently undergoing psychiatric treatment was half (31.3”
BackgroundInfluentialKingi-Uluave, D., Framptom, C., Cargo, T., Stasiak, K., & Hetrick, S. E. (2024) · Crisis · doi:10.1027/0227-5910/a000977 · Cited by 2 · see citing works
Dawes, N., Topp, S. M., Fullagar, B. J., Selman, J., Pak, A., & Devine, S. (2025) · Health Promotion Journal of Australia · doi:10.1002/hpja.70030 · Cited by 2 · see citing works
The HIV-Mental Health Challenge
Walkup, J. T., & Crystal, S. (2017) · Cambridge University Press eBooks · doi:10.1017/9781316471289.032 · Cited by 2 · see citing works
«Суицидальная болезнь» как психиатрический диагноз: научно-практическое обоснование
Любов, Е. Б., & Zotov, P. B. (2022) · Суицидология · doi:10.32878/suiciderus.22-13-04(49)-91-112 · Cited by 2 · see citing works
The other side of the hill: counsellor trainees’ suicide literacy and stigmatising attitudes
Atay, B., & Serim-Yıldız, B. (2023) · British Journal of Guidance and Counselling · doi:10.1080/03069885.2023.2179597 · Cited by 2 · see citing works
“A formidable body of literature (e.g. Carpiniello & Pinna, 2017; Cleary, 2017; Michelmore & Hindley, 2012; Oexle et al., 2019; Stone & Crosby, 2014) documented that stigmatisation might be a barrier to seeking professional help for suicide.”
BackgroundKingi-Uluave, D., Framptom, C., Cargo, T., Stasiak, K., & Hetrick, S. E. (2025) · Crisis · doi:10.1027/0227-5910/a001001 · Cited by 1 · see citing works
Community-based Suicide Interventions in Rural United States: A Scoping Review
Weatherly, C., Abdelghani, M., Cook, G. R., Irfan, M., Meirose, J., Gaveras, E., Johnson, N., & Roth, K. B. (2025) · Community Mental Health Journal · doi:10.1007/s10597-025-01480-x · Cited by 2 · see citing works
“…on community settings instead of individual-led approaches, these strategies can offer additional reach for populations across the suicide risk spectrum and can complement other clinical interventions in multiple healthcare, education, or other social service environments (Stone & Crosby, 2014).”
Ιωάννου, Π., Laskaridis, E., Ntotsika, G., Panagiotakis, S. H., & Kofteridis, D. P. (2026) · Medico-Legal Journal · doi:10.1177/00258172261419306 · Cited by 1 · see citing works
Pescosolido, B. A., & Boyer, C. A. (2017) · Cambridge University Press eBooks · doi:10.1017/9781316471289.025 · Cited by 1 · see citing works
Effectiveness of early and intensive intervention on suicide prevention: CARS programme
de Santiago-Díaz, A. I., Barrio‐Martínez, S., Gómez-Ruíz, E., Meseguer, T. C., Sastre-Yañez, J., de la Foz, V. O., & Ayesa‐Arriola, R. (2024) · Psychiatry Research · doi:10.1016/j.psychres.2024.115964 · Cited by 1 · see citing works
Risk factors for completed suicide among people who use drugs: A scoping review protocol
Murphy, L., Lyons, S., O’Sullivan, M., & Lynn, E. C. (2020) · HRB Open Research · doi:10.12688/hrbopenres.13098.3 · Cited by 2 · see citing works
Community Mental Health Care Organizations
Dobransky, K. M. (2017) · Cambridge University Press eBooks · doi:10.1017/9781316471289.026 · Cited by 1 · see citing works
The Mental Health Consumers/Survivors Movement in the US
McLean, A. (2017) · Cambridge University Press eBooks · doi:10.1017/9781316471289.031 · Cited by 1 · see citing works
Integrating Service Delivery Systems for Persons with Severe Mental Illness
Cuddeback, G. S., & MORRISSEY, J. P. (2017) · Cambridge University Press eBooks · doi:10.1017/9781316471289.027 · Cited by 1 · see citing works
Suicide Prevention: A Primer for Healthcare Professionals
Hogan, M. F. (2018) · Springer eBooks · doi:10.1007/978-3-319-74391-2_11
Theoretical Perspectives on Mental Health and Illness: Introduction to Part I
Scheid, T. L., & Wright, E. R. (2017) · Cambridge University Press eBooks · doi:10.1017/9781316471289.003
Preventing Adolescent Suicidal Behavior: Integrating Sociology and Public Health
Crosby, A. E., & Willis, L. A. (2017) · Cambridge University Press eBooks · doi:10.1017/9781316471289.030
Self-citationWatson, D. P., Adams, E. L., & Jackson, J. R. (2017) · Cambridge University Press eBooks · doi:10.1017/9781316471289.033
The Social Context of Mental Health and Illness: Introduction to Part II
Scheid, T. L., & Wright, E. R. (2017) · Cambridge University Press eBooks · doi:10.1017/9781316471289.012
Mental Health Systems and Policy: Introduction to Part III
Scheid, T. L., & Wright, E. R. (2017) · Cambridge University Press eBooks · doi:10.1017/9781316471289.023
Biological Approaches to Psychiatric Disorders: A Sociological Approach
Schwartz, S., & Corcoran, C. M. (2017) · Cambridge University Press eBooks · doi:10.1017/9781316471289.009
(2017) · Cambridge University Press eBooks · doi:10.1017/9781316471289.001
Mechanic, D. (2017) · Cambridge University Press eBooks · doi:10.1017/9781316471289.002
(2017) · Cambridge University Press eBooks · doi:10.1017/9781316471289.035
Suizidalität aus toxikologischer Sicht
Geith, S., & Eyer, F. (2022) · Nervenheilkunde · doi:10.1055/a-1758-8133
Risk factors for completed suicide among people who use drugs: A scoping review protocol
Murphy, L., Lyons, S., O’Sullivan, M., & Lynn, E. C. (2020) · HRB Open Research · doi:10.12688/hrbopenres.13098.1
Review of Australia’s funding commitments for suicide prevention from 2021–22 to 2026–27
Hu, D., Comben, C., Diminic, S., & Pagliaro, C. (2023) · Australian Health Review · doi:10.1071/ah23176
Epidemiological data of suicidal behaviour – how to inform and not to disinform?
Waszak, P. M., & Olszańska, N. (2023) · Psychiatria i Psychologia Kliniczna · doi:10.15557/pipk.2023.0026
Collaborative Strategies for Adolescent Suicide Prevention: Insights from Slovakia and KyrgyzstanPreprint
Salimova, L., & Rusnáková, M. (2024) · Research Square · doi:10.21203/rs.3.rs-4101710/v1
Collaborative Strategies for Adolescent Suicide Prevention: Insights from Slovakia and KyrgyzstanPreprint
Salimova, L., & Rusnáková, M. (2024) · Research Square · doi:10.21203/rs.3.rs-4056895/v1
Additional file 4 of Factors associated with suicide in people who use drugs: a scoping review
Devin, J. E., Lyons, S., Murphy, L., O’Sullivan, M., & Lynn, E. C. (2023) · Figshare · doi:10.6084/m9.figshare.24091834
Suicidal thoughts and self-destructive tendencies among adolescents
Brzeziński, M., Fedorovich, V., Ziarek, K., & Ziarek, R. (2024) · Kwartalnik Naukowy Fides et Ratio · doi:10.34766/fetr.v58i2.1279
Kantipudi, S. J., J.Hussain, J. B., Padmavathi, R., Jayaram, M., & Menon, J. (2025) · Research Square · doi:10.21203/rs.3.rs-6186713/v1
Ecological Perspectives of Suicide Prevention
Shoib, S., Handu, K., & Saeed, F. (2025) · Springer eBooks · doi:10.1007/978-981-96-4028-7_20
Protective Factors in Youth Suicide: A Systematic Review of Evidence from Cross-Sectional Studies
Demir, B. (2025) · Psikiyatride Guncel Yaklasimlar - Current Approaches in Psychiatry · doi:10.18863/pgy.1676575
Additional file 1 of Factors associated with suicide in people who use drugs: a scoping review
Devin, J. E., Lyons, S., Murphy, L., O’Sullivan, M., & Lynn, E. (2023) · Figshare · doi:10.6084/m9.figshare.24091813
Geith, S., Didden, C., Rabe, C., Zellner, T., Ott, A., & Eyer, F. (2022) · Figshare · doi:10.6084/m9.figshare.19029447
Geith, S., Didden, C., Rabe, C., Zellner, T., Ott, A., & Eyer, F. (2022) · Figshare · doi:10.6084/m9.figshare.19029441
Additional file 2 of Factors associated with suicide in people who use drugs: a scoping review
Devin, J. E., Lyons, S., Murphy, L., O’Sullivan, M., & Lynn, E. (2023) · Figshare · doi:10.6084/m9.figshare.24091828
Additional file 3 of Factors associated with suicide in people who use drugs: a scoping review
Devin, J. E., Lyons, S., Murphy, L., O’Sullivan, M., & Lynn, E. (2023) · Figshare · doi:10.6084/m9.figshare.24091831
Geith, S., Didden, C., Rabe, C., Zellner, T., Ott, A., & Eyer, F. (2022) · Figshare · doi:10.6084/m9.figshare.19029444
Kolluru, S., Beidas, M., Foley, O. A., Tampi, R. R., & Tauseef, A. (2026) · International Journal of Bipolar Disorders · doi:10.1186/s40345-025-00408-4
- Authors
- Stone, D. M., & Crosby, A. E.
- Affiliations
- Centers for Disease Control and Prevention (US)
- ORCID
- Crosby, Alex E.
- Venue
- American Journal of Lifestyle Medicine
- Publisher
- SAGE Publications
- Published
- 2014-10-16
- Volume
- 8
- Issue
- 6
- Pages
- 404-420
- ISSN
- 1559-8276 (ISSN-L)
- 1559-8284
- PMC
- PMC6112615
- OpenAlex
- W2084578693
- Cited by
- 103
- References
- 194
- Citations by year
- 2026: 3 · 2025: 8 · 2024: 10 · 2023: 11 · 2022: 10 · 2021: 7 · 2020: 5 · 2019: 2 · 2018: 3 · 2017: 39 · 2016: 2 · 2012: 2
- FWCI
- 16.17
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- American Journal of Lifestyle Medicine (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Lincoln (University of Nebraska) (submittedVersion)
- Funders
- National Institutes of Health (CC999999)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Sociology and Political Science › Homicide, Infanticide, and Child Abuse
- Social Sciences › Health › Gun Ownership and Violence Research
- Keywords
- suicide prevention, suicide epidemiology, suicidal behavior, suicide risk factors, protective factors, means restriction, behavioral health services, suicide prevention strategies
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review