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Suicide is the 10th leading cause of death in the United States and rates have risen steadily in the past 15 years. However, investments in and policy commitments to suicide prevention are minimal. Within the last two decades, knowledge about what is effective to prevent suicide has grown dramatically. Additionally, awareness of successful efforts, especially in healthcare settings, has grown. National legislation creating a new national suicide prevention program for adults, coupled with the developments above, suggest that a renewed approach to suicide prevention is possible. This chapter will review patterns in suicide, review knowledge about prevention and intervention, and suggest policy priorities to reverse recent trends.
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Joiner, T. (2005). Why people die by suicide. Cambridge, MA: Harvard University Press.
Klonsky, E. D., & May, A. M. (2015). The three-step theory (3ST): A new theory rooted in the “ideation to action” framework. International Journal of Cognitive Therapy, 8(2), 114–129. https://doi.org/10.1521/ijct.2015.8.2.114. CrossRef
Curtin, S., Warner, M., & Hedegaard, H. (2017). Increase in suicide in the United States, 1999–2014. NCHS Data Brief No. 241. Atlanta, GA: Centers for Disease Control. https://www.cdc.gov/nchs/products/databriefs/db241.htm. Accessed March 7, 2018.
Substance Abuse and Mental Health Services Administration. (2014). Results from the 2013 National Survey on Drug Use and Health: Mental health findings. NSDUH Series H-49, HHS. Publication No. (SMA) 14-4887. Rockville, MD: Substance Abuse and Mental Health Services Administration. Available at https://www.samhsa.gov/data/sites/default/files/NSDUHmhfr2013/NSDUHmhfr2013.pdf. Accessed March 7, 2018.
Substance Abuse and Mental Health Services Administration. (2013). Results from the 2012 National Survey on Drug Use and Health: Mental health findings. NSDUH Series H-47, HHS. Publication No. (SMA) 13-4805. Rockville, MD: Author. Available at https://www.samhsa.gov/data/sites/default/files/2k12MH_Findings/2k12MH_Findings/NSDUHmhfr2012.htm#sec3-1. Accessed March 7, 2018.
Centers for Disease Control. (2016). Self-harm all injury causes nonfatal injuries and rates per 100,000 for 2015. Available at https://webappa.cdc.gov/cgi-bin/broker.exe. Accessed March 7, 2018.
Centers for Disease Control. (2015). Data brief 241: Increase in suicide in the United States, 1999–2014. https://www.cdc.gov/nchs/data/databriefs/db241_table.pdf#1. Accessed March 11, 2018.
National Institute on Mental Health. (2017). Suicide is a leading cause of death in the United States. Available at https://www.nimh.nih.gov/health/statistics/suicide.shtml#part_154971. Retrieved March 7, 2018.
Shepard, D. S., Gurewich, D., Lwin, A., Reed, G. A., & Silverman, M. M. (2015). Suicide and suicidal attempts in the United States: Costs and policy implications. Suicide and Life-Threatening Behavior. https://doi.org/10.1111/sltb.12225.
Department of Health and Human Services, Center for Mental Health Services, Office of the Surgeon General. (2001). National strategy for suicide prevention: Goals and objectives for action. Rockville, MD: Author. Available at www.ncbi.nlm.nih.gov/books/NBK44281/. Accessed March 8, 2018.
Knox, K. L., Litts, D. A., Talcott, G. W., Feig, J. C., & Caine, E. D. (2003). Risk of suicide and related adverse outcomes after exposure to a suicide prevention programme in the US Air Force. British Medical Journal. https://doi.org/10.1136/bmj.327.7428.1376.
Gould, M. S., Munfakh, J. L., Kleinman, M., Lake, A. M. (2012, February 1). National Suicide Prevention Lifeline: Enhancing mental health care for suicidal individuals and other people in crisis. Suicide and Life Threatening Behavior, 42(1), 22–35. https://doi.org/10.1111/j.1943-278x.2011.00068.x.
Walrath, C., Garraza, L., Reid, H., Goldston, D., & McKeon, R. (2015, March). Impact of the Garrett Lee Smith youth suicide prevention program on suicide mortality. American Journal of Public Health, 105(5), 986–993. https://doi.org/10.2105/ajph.2014.302496.
Luoma, J., Martin, C., & Pearson, J. (2002, June). Contact with mental health and primary care providers before suicide: A review of the evidence. American Journal of Psychiatry, 159(6), 909–916. https://doi.org/10.1176/appi.ajp.159.6.909.
Suicide Prevention Resource Center. (2015). Surveillance success stories: Kentucky. Waltham, MA: Education Development Center. Available at http://www.sprc.org/library_resources/items/surveillance-success-stories-kentucky. Accessed March 8, 2018.
Hiance-Steelesmith, D. L., Fontanella, C. A., Sweeney, H. A., Campo, J. V. (2015, April 15–18). Behavioral health service use among suicide decedents in the public behavioral health system. Poster presented at 48th Annual Conference of the American Association of Suicidology. Atlanta, GA.
Suicide Prevention Resource Center. (2015). Surveillance success stories: Vermont. Waltham, MA: Education Development Center. Available at http://www.sprc.org/sites/sprc.org/files/library/SPRC_Vermont_compliant.pdf. Accessed March 9, 2018.
Ahmedani, B., Simon, G., Stewart, C., Beck, A., Waitzfelder, B., Rossom, R., … Solberg, L. I. (2014, June). Health care contacts in the year before suicide death. Journal of General Internal Medicine, 29(6), 870–877.
The Joint Commission. (1998). Sentinel event alert, issue 7: Inpatient suicides: Recommendations for prevention. Oak Brook, IL: Author. Alert retired; Available at https://www.jointcommission.org/daily_update/joint_commission_daily_update.aspx?k=721&b=&t=4&pg=3. Accessed March 5, 2018.
Chung, D. T., Ryan, C. J., Hadzi-Pavlovic, D., Singh, S. P., Stanton, C., & Large, M. (2017, July 1). Suicide rates after discharge from psychiatric facilities: A systematic review and meta-analysis. JAMA Psychiatry, 74(7), 694–702. https://doi.org/10.1001/jamapsychiatry.2017.1044.
Goldacre, M., Seagroatt, V., & Hawton, K. (1993, July 31). Suicide after discharge from psychiatric inpatient care. Lancet, 342(8866), 283–286.
Centers for Disease Control. (2017). Suicide and self-inflicted injury: Fast stats. Available at https://www.cdc.gov/nchs/fastats/suicide.htm. Accessed March 1, 2018.
Insel, T. (2014). The anatomy of NIMH funding. Available at https://www.nimh.nih.gov/funding/funding-strategy-for-research-grants/the-anatomy-of-nimh-funding.shtml. Accessed January 22, 2018.
Grob, G. N. (1991). From asylum to community: Mental health policy in modern America. Princeton, NJ: Princeton University Press. CrossRef
Kessler, R. C., Warner, C. H., Ivany, C., Petukhova, M. V., Rose, S., Bromet, E. J., … Ursano, R. (2015, January 1). Predicting U.S. Army suicides after hospitalizations with psychiatric diagnoses in the Army Study to Assess Risk and Resilience in Servicemembers (Army STARRS). JAMA Psychiatry, 72(1), 49–57. https://doi.org/10.1001/jamapsychiatry.2014.1754.
Department of Veterans Affairs, Department of Defense. (2013). VA/DoD guidelines for the assessment and management of patients at risk for suicide. Washington, DC: Author. Available at https://www.healthquality.va.gov/guidelines/MH/srb/VADODCP_SuicideRisk_Full.pdf. Accessed March 1, 2018.
Office of Mental Health and Suicide Prevention, Department of Veterans Affairs. (2017). Suicide among veterans and other Americans 2001–2014. Washington, DC: Author. Available at https://www.mentalhealth.va.gov/docs/2016suicidedatareport.pdf. Accessed March 7, 2018.
National Action Alliance for Suicide Prevention: Research Prioritization Task Force. (2014). A prioritized research agenda for suicide prevention: An action plan to save lives. Rockville, MD: National Institute of Mental Health and the Research Prioritization Task Force. Available at https://actionallianceforsuicideprevention.org/sites/actionallianceforsuicideprevention.org/files/Agenda.pdf. Accessed March 6, 2018.
Coffey, C. E. (2007, April). Building a system of perfect depression care in behavioral health. Joint Commission Journal on Quality and Patient Safety, 33(4), 193–199.
Institute of Medicine. (2001). Crossing the quality chasm: A new health system for the 21st century. Washington, DC: The National Academies Press.
Coffey, M. J., Coffey, C. E., & Ahmedani, B. K. (2015, March). Suicide in a health maintenance organization population. JAMA Psychiatry, 72(3), 294–296. https://doi.org/10.1001/jamapsychiatry.2014.2440.
National Action Alliance for Suicide Prevention: Clinical Care & Intervention Task Force. (2012). Suicide care in systems framework. Washington, DC: Author. Available at http://actionallianceforsuicideprevention.org/sites/actionallianceforsuicideprevention.org/files/taskforces/ClinicalCareInterventionReport.pdf. Accessed March 5, 2018.
US Department of Health & Human Services, Office of the Surgeon General and the National Action Alliance for Suicide Prevention. (2012). National strategy for suicide prevention: Goals and objectives for action: A report of the U.S. Surgeon General and of the National Action Alliance for Suicide Prevention. Washington, DC: Author. Available at https://www.ncbi.nlm.nih.gov/pubmed/23136686. Accessed March 7, 2018.
Simon, G., Rutter, C., Peterson, D., Oliver, M., Whiteside, U., Operskalski, B., & Lundman, E. J. (2013). Does response on the PHQ-9 Depression Questionnaire predict subsequent suicide attempt or suicide death? Psychiatric Services, 64(12), 1195–1202.
Oquendo, M. A., Halberstam, B., & Mann, J. J. (2003). Risk factors for suicidal behavior: Utility and limitations of research instruments. In M. B. First (Ed.), Standardized evaluation in clinical practice (Review of Psychiatry Series (2) 2, Oldham, J. M., Riba, M. B. Series Editors). Washington, DC: American Psychiatric Publishing. pp. 103–130.
Posner, K., Brown, G., Stanley, B., Brent, D., Yershova, K., Oquendo, M., … Mann, J. J. (2011). The Columbia-Suicide Severity Rating Scale: Initial validity and internal consistency findings from three multisite studies with adolescents and adults. American Journal of Psychiatry, 168(12), 1266–1277. https://doi.org/10.1176/appi.ajp.2011.10111704.
Roaten, K., Johnson, C., Genzel, R., Khan, F., & North, C. S. (2018). Development and implementation of a universal suicide risk screening program in a safety-net hospital system. Joint Commission Journal on Quality and Patient Safety, 44, 4–11. CrossRef
Stanley, B., & Brown, G. (2012). Safety planning intervention: A brief intervention to mitigate suicide risk. Cognitive and Behavioral Practice, 19(2), 256–264. https://doi.org/10.1097/CHI.0b013e3181b5dbfe. CrossRef
Bryan, C. J., Mintz, J., Clemans, T. A., Leeson, B., Burch, S. T., Williams, S. R., … Rudd, M. D. (2017). Effect of crisis response planning vs. contracts for safety on suicide risk in U.S. Army soldiers: A randomized clinical trial. Journal of Affective Disorders (212), 64–72. https://doi.org/10.1016/j.jad.2017.01.028.
Mann, J. J., Apter, A., Bertolote, J., Beautrais, A., Currier, D., Haas, A., … Hendin, H. (2005). Suicide prevention strategies: A systematic review. Journal of the American Medical Association, 294(16), 2064–2074. https://doi.org/10.1001/jama.294.16.2064.
Coffey, E. Personal communication. September 16, 2013.
Luxton, D., June, J., & Comtois, K. (2013). Can postdischarge follow-up contacts prevent suicide and suicidal behavior? Crisis, 34(1), 32–41. CrossRef
Denchev, P., Pearson, J. L., Allen, M. H., Claassen, C. A., Currier, G. W., Zatzick, D., & Schoenbaum, M. (2017, January 1). Modeling the cost-effectiveness of interventions to reduce suicide risk among hospital emergency department patients. Psychiatric Services, 1(69), 23–31.
Linehan, M. M., Comtois, K. A., Murray, A. M., Brown, M. Z., Gallop, R. J., Heard, H., … Lindenboim, N. (2006). Two-year randomized controlled trial and follow-up of dialectical behavior therapy vs therapy by experts for suicidal behaviors and borderline personality disorder. Archives of General Psychiatry, 63(7), 757–766. https://doi.org/10.1001/archpsyc.63.7.757.
Stanley, B., Brown, G., Brent, D., Wells, K., Poling, K., Curry, J., … Hughes, D. S. (2009). Cognitive behavioral therapy-for suicide prevention (CBT-SP): Treatment model, feasibility, and acceptability. Journal of the American Academy of Child and Adolescent Psychiatry, 48(10), 100513.
Comtois, K. A., Jobes, D. A., O’Connor, S. S., Atkins, D. C., Janis, K., Chessen, C. E., … Yuodelis-Flores, C. (2011, September). Collaborative assessment and management of suicidality (CAMS): Feasibility trial for next-day appointment services. Depression and Anxiety, 28(11), 963–972. https://doi.org/10.1002/da.20895.
Birkbak. J., Stuart, E. A., Lind, B. D., Qin, P., Stenager, E., Larsen, K. J., … Erlangsen, A. (2016, September 22). Psychosocial therapy and causes of death after deliberate self-harm: A register-based, nationwide multicentre study using propensity score matching. Psychological Medicine, 46(16), 3419–3427.
Gysin-Maillart, A., Schwab, S., Soravia, L., Megert, M., & Michel, K. (2016). A novel brief therapy for patients who attempt suicide: A 24-months follow-up randomized controlled study of the Attempted Suicide Short Intervention Program (ASSIP). Plos Medicine. Published online March 1, 2016. Available at https://doi.org/10.1371/journal.pmed.1001968. Accessed March 8, 2018.
Schmitz, W. M., Allen, M. H., Feldman, B. N., Gutin, N. J., Jahn, D. R., Kleespies, P. M., … Simpson, S. (2012). Preventing suicide through improved training in suicide risk assessment and care: An American Association of Suicidology Task Force report addressing serious gaps in U.S. mental health training. Suicide and Life Threatening Behavior, 42(3), 292–304. https://doi.org/10.1111/j.1943-278x.2012.00090.x.
While, D., Bickley, H., Roscoe, A., Windfuhr, K., Rahman, S., Shaw, J., … Kapur, N. (2012). Implementation of mental health service recommendations in England and Wales and suicide rates, 1997–2006: A cross-sectional and before-and-after observational study. Lancet, 379(9820): 1005–1012.
Stoll, B. Personal communication. September 26, 2017.
Little, V. Personal communication. September 26, 2017.
The Joint Commission. (2016). Sentinel event alert, issue 56: Detecting and treating suicide ideation in all settings. Oak Brook, IL: Author. Available at http://www.jointcommission.org/assets/1/18/SEA_56_Suicide.pdf. Accessed March 9, 2018.
Barber, C. W., & Miller, M. J. (2014). Reducing a suicidal person’s access to lethal means of suicide: A research agenda. American Journal of Preventive Medicine, 47(3S2), S264–S272.
World Health Organization. (2018). The public health approach. Geneva. Available at http://www.who.int/violenceprevention/approach/public_health/en/. Accessed March 8, 2018.
Suicide Prevention Resource Center. (2018). Suicide prevention: The public health approach. Waltham, MA: Author. Available at: http://www.sprc.org/sites/default/files/migrate/library/phasp.pdf. Accessed March 7, 2018.
Caine, E., & Hindman, J. (2018). The rationale for developing comprehensive approaches to suicide prevention and one state’s experience with this approach. Archived webinar by Injury Control Research Center for Suicide Prevention. Available at http://suicideprevention-icrc-s.org/webinars. Accessed March 9, 2018.
Wyman, P. A., Brown, H., LoMurray, M., Schmeek-Cone, K., Petrova, M., Yu, Q., … Wang, W. (2010, September). An outcome evaluation of the sources of Strength prevention program delivered by adolescent peer leaders in high schools. American Journal of Public Health, 100(9), 1653–1661. https://doi.org/10.2105/ajph.2009.190025.
- Suicide Prevention: Rising Rates and New Evidence Shape Policy Options
Michael F. Hogan
- Chapter 9