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

Women who experience domestic violence are almost twice as likely to suffer from depression and vice versa

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In June this year The World Health Organisation (WHO) published a report, which highlighted violence against women as a ‘global health problem of epidemic proportions’. The report detailed the impact of violence on the physical and mental health of women and girls. This can range from broken bones to pregnancy-related complications, mental problems and impaired [read the full story…]

Meta-analysis shows some benefit of structural interventions in reducing suicides by jumping

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Around the world, certain places have gained notoriety as suicide hotspots. These places are often heights, such as bridges or cliffs, from which suicide by jumping is common. Although not a major contributor to overall suicide rates, suicides by jumping are of particular concern due to their ability to cause distress or physical harm to [read the full story…]

Patients with anxiety disorders are more likely to have suicidal thoughts and actions, says recent review

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Suicidal thoughts and actions are typically discussed in relation to depression, but a number of studies have suggested suicide may also be linked to anxiety disorders. Anxiety disorders often co-occur with depression, and this may be masking a risk of suicide specifically related to anxiety. Today is World Suicide Prevention Day so it seemed relevant [read the full story…]

Psychiatric comorbidity increases the risk of premature mortality in epilepsy

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There is a back to school feeling in the air in the Woodland this week, and so this comes to you with the help of my shiny new yellow pencil case. Epilepsy affects around 70 million people around the world and premature mortality is substantial with almost half of epilepsy-related deaths occuring in those younger [read the full story…]

It’s not the combat, maybe it’s the drinking in vulnerable young men

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A cohort study published in JAMA tried to answer the question what are the risk factors for suicide in the US military. This is a hot topic as the rate of suicide has increased in US military personnel from about 11/100,000 people in 2005 to about 18/100,000 so that now deaths from suicide outnumber deaths [read the full story…]

We ignore the rise of suicide in people with mental illness

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Despite public campaigns to combat stigma around mental illness, people with mental health problems still face ongoing discrimination. And while some sections of the media focus on mental illness in cases of violence, a rise in the number of people who are more of a risk to themselves goes unnoticed. We still find it difficult [read the full story…]

Summing up suicide data in bipolar disorder

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People with bipolar disorder are found to be at greater risk of suicide compared to the general population. Clinicians should be more vigilant for signs of suicidality in this patient group. Suicide, the taking of one’s own life, sadly is the cause of death for around 5,500 people in the United Kingdom each year. In [read the full story…]

Mortality rates amongst drug users in relation to time after hospital discharge

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People with substance misuse problems often present to services with complex physical and mental health needs.  Studies in the UK have indicated that common mental health problems are the norm in people in treatment for substance misuse. Weaver et al (2003) found 70% of people in treatment for substance misuse in London also had a [read the full story…]

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

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

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

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