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

Suicide risk among LGBTQ+ adolescents in Canada

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Jess Williams examines a nationally representative population-based study on suicidality among sexual minority and transgender adolescents in Canada.

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Trans and gender diverse youth more likely to be admitted to hospital for suicidality and self-harm, according to US study

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Sarah Carr reflects on a recent US study that “perhaps tells us something deeper about the discrimination and stigmatisation in mental health that needs to be tackled.”

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Prevalence of autism and autistic traits in those who died by suicide

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Shania Lorenz examines a recent mixed-methods study, which suggests that, in England, people with autism or autistic traits have a higher risk of suicide compared to the general population.

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Intimate partner violence, suicide and self-harm: uncovering the links

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Piumee Bandara summarises a cross-sectional study which finds that people who had experienced lifetime intimate partner violence (IPV) were almost three times more likely to have made a suicide attempt in the past year, compared to people without experience of IPV.

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Self-harm in autistic people: meta-analysis confirms higher risk compared to non-autistic people

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In her debut blog, Mirabel Pelton summarises a systematic review finding that autistic people are at 3-fold greater risk of self-harm compared to non-autistic people.

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The role of loneliness in self-injury: using the Integrated Motivational Volitional (IMV) model

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In her debut blog, Carolina Guzman Holst reviews a recent cross-sectional study exploring the role of loneliness in relation to self-injurious thoughts and behaviour in the context of the Integrated Motivational Volitional (IMV) model of suicidal behaviour.

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ICU survivors at increased risk of suicide and self-harm after discharge

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Charlotte Huggett reviews a recent Canadian population-based cohort study, which examines rates of suicide and self-harm in adult survivors of critical illness.

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Overcoming the stigma: uncovering the experiences of suicide bereavement among ethnic minorities

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Andie Ashdown summarises a qualitative study exploring ethnic minority groups’ experiences of suicide bereavement.

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New research suggests that youth suicide attempts can result in later-life economic and social disadvantages

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In her debut blog, India Bellairs-Walsh summarises a recent population-based cohort study investigating the long-term economic and social outcomes of youth suicide attempts.

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Low intensity treatments for self-harm or suicidal behaviour: what’s the harm in trying?

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Millie Witcher and Sarah Rowe appraise a randomised controlled trial on the effect of low-intensity treatments for self-harm among people with suicidal ideation, which has some important findings.

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