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Cited by 300Suicide and Self-Harm StudiesPublic Health Policies and EducationHomicide, Infanticide, and Child Abuse

If suicide is a public health problem, what are we doing to prevent it?

Open access
Knox, Kerry L., Conwell, Yeates, Caine, Eric D.·2004·American Journal of Public Health
DOI 10.2105/ajph.94.1.37PMC PMC1449822
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Abstract

Although not a disease, suicide is a tragic endpoint of complex etiology and a leading cause of death worldwide. Just as preventing heart disease once meant that specialists treated myocardial infarctions in emergency care settings, in the past decade, suicide prevention has been viewed as the responsibility of mental health professionals within clinical settings. By contrast, over the past 50 years, population-based risk reduction approaches have been used with varying levels of effectiveness to prevent morbidity and mortality associated with heart disease. We examined whether the current urgency to develop effective interventions for suicide prevention can benefit from an understanding of the evolution of population-based strategies to prevent heart disease.

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  • A public health approach proposes that interventions aimed at more distal and intermediate factors and stages of the suicidal process may save more lives than interventions focused only on high-risk individuals.

    “Indeed, it would propose that interventions targeting more distal and intermediate factors and stages of the process may result in more lives saved than those restricting focus to higher risk individuals (53, 54).”

    From Suicide in older adults (2011) · cites this paper as [54]

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Authors
Knox, K. L., Conwell, Y., & Caine, E. D.
Affiliations
University of Rochester Medicine (US)
ORCID
Venue
American Journal of Public Health
Publisher
American Public Health Association
Published
2004-01
Volume
94
Issue
1
Pages
37-45
ISSN
  • 0090-0036 (ISSN-L)
  • 1541-0048
DOI
10.2105/ajph.94.1.37
PMC
PMC1449822
OpenAlex
W1993735737
Cited by
300
References
117
Citations by year
2026: 2 · 2025: 6 · 2024: 5 · 2023: 6 · 2022: 15 · 2021: 12 · 2020: 7 · 2019: 10 · 2018: 5 · 2017: 46 · 2016: 7 · 2015: 15 · 2014: 10 · 2013: 17 · 2012: 25
FWCI
15.98
Type
journal article
Language
en
Open access
Locations
  • American Journal of Public Health (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Funders
National Institute of Mental Health (K24MH01759, R13 MH62073, K24MH001759, R13MH062073)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
  • Health Sciences › Health Professions › General Health Professions › Public Health Policies and Education
  • Social Sciences › Sociology and Political Science › Homicide, Infanticide, and Child Abuse
Keywords
suicide prevention, heart disease prevention, risk mitigation, mental health professionals, clinical settings, public health interventions
MeSH terms
Suicide Prevention, Cardiovascular Diseases, Humans, Military Medicine, Primary Prevention, Public Health, Sociology, Medical, Suicide, United States, Global Health, Models, Organizational, Community Health Planning, Social Marketing

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