suicide

Suicide is the act of intentionally ending your life.

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

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

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

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

 

Our suicide Blogs

Domestic violence and suicide in women: insights from a national UK study

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Over a quarter of women who died by suicide while under UK mental health care had experienced domestic abuse. This national study reveals who is most at risk and highlights how services can adapt to help prevent tragedy.

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When love breaks down: relationship breakdowns and suicide risk in men

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Men are around 3 times more likely to die by suicide than women, and new evidence suggests relationship breakdowns could be a key risk factor. A major 2025 meta-analysis explores the complex links between separation, divorce, and suicidality in men.

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Out at work? A systematic review of LGBTQ+ mental health in the workplace

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Depression, anxiety, and suicidality are higher among LGBTQ+ workers, especially in hostile or unsupportive workplaces. But are research and policy keeping up? This new review sets out the case for change.

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Does harsh parenting increase the risk of self-harm and suicide in young people?

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This brand new Lancet Psychiatry paper looks across 38 longitudinal cohort studies to uncover how parenting and family dysfunction predict later self-harm or suicidality. The findings may surprise you.

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Talking about suicide in psychosis: does a targeted therapy make a difference?

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People with psychosis face unique risks around suicide, but most treatments aren’t designed with them in mind. This new RCT tested a targeted therapy that tackles those specific challenges. So what did it find?

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Understanding the role of psychodynamic therapy in NHS services for complex needs

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KCL MSc student Yunyi Chen explores a study on the effectiveness of psychodynamic therapy in an NHS service for service-users with complex mental health needs, with promising findings that span over a decade of work.

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Antidepressants and suicide – it’s complicated…

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Rina Dutta and Alina Cuhraja summarise a network meta-analysis on antidepressants, suicidal ideation and suicidal behaviours, which suggests that SSRIs may reduce suicidal ideation in the short-term, but this is not sustained even to week 8 of treatment.

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Can green space help protect us from self-harm and suicide?

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Trish Darcy on a systematic review which suggests a protective association between green space exposure and all suicide-related outcomes. The protective associations were stronger for women than for men.

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Are ‘night owls’ more at risk of suicidal thoughts and behaviours? New review on social and circadian rhythm dysregulation

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Nick Donnelly explores a recent systematic review, which finds a small association between identifying as a night owl and experiences of suicide.

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Working on the edge: the therapeutic alliance in suicide prevention

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Laura Melzer considers a qualitative review of client and therapist perspectives on the therapeutic alliance in the context of psychotherapy for suicidal feelings.

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