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Welcome to the nexus of ethics, psychology, morality, technology, health care, and philosophy
Showing posts with label Suicide Prevention. Show all posts
Showing posts with label Suicide Prevention. Show all posts

Tuesday, April 21, 2015

Texas Bill Would Bar Pediatricians From Talking About Guns with Patients

By David Knowles
Bloomberg News
Originally posted March 26, 2015

Here is an excerpt:

“We, as physicians, ask all sorts of questions—about bike helmets and seat belts and swimming pool hazards, dangerous chemicals in the home, sexual behaviors, domestic violence. I could go on and on,” Gary Floyd, a Fort Worth pediatrician and board member of the Texas Medical Association, told the Texas Tribune.

The entire article is here.

Monday, November 24, 2014

More action sought to stop suicide in Canada

Suicide’s death toll exceeds homicide, and car accidents combined: the equivalent of ‘20 jumbo jets just disappearing.’

By Olivia Carville
The Star
Originally published on November 3, 2014

Every year, more Canadians kill themselves than die by car accidents, HIV, homicide, drowning, influenza and war combined.

In Ontario alone, the suicide rate doubles the road toll most years, figures obtained from the Office of the Chief Coroner show.

Despite this, preventive awareness campaigns and funding for suicide pales in comparison to all other public safety issues, experts told the Star.

The entire story is here.

Monday, November 17, 2014

Suicide surpassed war as the military's leading cause of death

By Gregg Zoroya
USA Today
Originally published October 31, 2014

War was the leading cause of death in the military nearly every year between 2004 and 2011 until suicides became the top means of dying for troops in 2012 and 2013, according to a bar chart published this week in a monthly Pentagon medical statistical analysis journal.

The entire article is here.

Tuesday, September 30, 2014

E-Health Interventions for Suicide Prevention

Helen Christensen, Philip J. Batterham, and Bridianne O'Dea
Int. J. Environ. Res. Public Health 2014, 11(8), 8193-8212
doi:10.3390/ijerph110808193

Abstract: 

Many people at risk of suicide do not seek help before an attempt, and do not remain connected to health services following an attempt. E-health interventions are now being considered as a means to identify at-risk individuals, offer self-help through web interventions or to deliver proactive interventions in response to individuals’ posts on social media. In this article, we examine research studies which focus on these three aspects of suicide and the internet: the use of online screening for suicide, the effectiveness of e-health interventions aimed to manage suicidal thoughts, and newer studies which aim to proactively intervene when individuals at risk of suicide are identified by their social media postings. We conclude that online screening may have a role, although there is a need for additional robust controlled research to establish whether suicide screening can effectively reduce suicide-related outcomes, and in what settings online screening might be most effective. The effectiveness of Internet interventions may be increased if these interventions are designed to specifically target suicidal thoughts, rather than associated conditions such as depression. The evidence for the use of intervention practices using social media is possible, although validity, feasibility and implementation remains highly uncertain.

The entire research article is here.

Thursday, August 7, 2014

Social media, big data and the next generation of e-health interventions

By Professor Helen Christensen
MAPS, Executive Director
Black Dog Institute and Professor of Mental Health, University of New South Wales

The Internet is a place where we, as psychologists, can quickly learn about new developments in our area, source research papers, publish research, connect with our colleagues and clients, undertake online training, manage accounts, and keep records. For those who use our services, we can also learn about useful apps or websites that offer online assessments, psychoeducation, self-help and supplementary therapies. However, as ordinary people in everyday life, we use the Internet far more frequently. We make social connections, keep in touch with our families, pay bills, upload our exercise data from our Jawbones and Fitbits, send out invitations, make appointments, read the news, text our family members, look at television programs we missed over the past week and even check the rain radar before we walk to work. Internet enabled activities are ubiquitous in Australia, as they are in almost all countries, and we can’t get enough of them.

The entire article is here.

Wednesday, October 2, 2013

Suicide prevention efforts grow in statehouses

By Maggie Clark
USA Today
Originally published September 13, 2013

Here are some excerpts:

Every day, more than 100 people commit suicide in the U.S. Suicide is the second-leading cause of death for people between the ages of 25 and 34, and the third-leading cause of death among those between 15 and 24. Between 2008 and 2010, there were twice as many suicides as homicides, according to the Suicide Prevention Resource Center. Still, in many areas of the country, suicide-prevention efforts are virtually nonexistent.

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Restricting access to guns for suicidal people may well help to reduce suicides, said Dr. Richard McKeon, chief of the suicide prevention branch of the U.S. Substance Abuse and Mental Health Services Administration, but it's not the only thing that can work.

"What's needed is a comprehensive approach to suicide prevention using multiple interventions, not just one," McKeon said. That could include restricting weapons access, training or building general awareness, he said.

Saturday, September 28, 2013

Girl’s Suicide Points to Rise in Apps Used by Cyberbullies

By LIZETTE ALVAREZ
The New York Times
Published: September 13, 2013

Here is an excerpt:

In jumping, Rebecca became one of the youngest members of a growing list of children and teenagers apparently driven to suicide, at least in part, after being maligned, threatened and taunted online, mostly through a new collection of texting and photo-sharing cellphone applications. Her suicide raises new questions about the proliferation and popularity of these applications and Web sites among children and the ability of parents to keep up with their children’s online relationships.

For more than a year, Rebecca, pretty and smart, was cyberbullied by a coterie of 15 middle-school children who urged her to kill herself, her mother said.

The entire story is here.

Sunday, August 11, 2013

Consider a Text for Teen Suicide Prevention and Intervention, Research Suggests

Adolescents Commonly Use Social Media to Reach Out When They are Depressed

Ohio State University
Press Release
June 24, 2013

Teens and young adults are making use of social networking sites and mobile technology to express suicidal thoughts and intentions as well as to reach out for help, two studies suggest.

An analysis of about one month of public posts on MySpace revealed 64 comments in which adolescents expressed a wish to die. Researchers conducted a follow-up survey of young adults and found that text messages were the second-most common way for respondents to seek help when they felt depressed. Talking to a friend or family member ranked first.

These young adults also said they would be least likely to use suicide hotlines or online suicide support groups – the most prevalent strategy among existing suicide-prevention initiatives.

The findings of the two studies suggest that suicide prevention and intervention efforts geared at teens and young adults should employ social networking and other types of technology, researchers say.

“Obviously this is a place where adolescents are expressing their feelings,” said Scottye Cash, associate professor of social work at The Ohio State University and lead author of the studies. “It leads me to believe that we need to think about using social media as an intervention and as a way to connect with people.”

The entire press release is here.

Wednesday, June 12, 2013

A Simple Way to Reduce Suicides

By Ezekiel J. Emanuel
The New York Times - Opinionator
Originally published June 2, 2013

EVERY year about a million Americans attempt suicide. More than 38,000 succeed. In addition, each year there are around 33,000 unintentional deaths by poisonings. Taken together, that’s more than twice the number of people who die annually in car accidents.

The tragedy is that while motor vehicle deaths have been dropping, suicides and poisonings from medications have been steadily rising since 1999. About half of suicides are committed with firearms, and nearly 20 percent by poisoning. A good way to kill yourself is by overdosing on Tylenol or other pills. About 90 percent of the deaths from unintentional poisonings occur because of drugs, and not because of things like household cleaners or bleach.

There is a simple way to make medication less accessible for those who would deliberately or accidentally overdose — and that is packaging.

We need to make it harder to buy pills in bottles of 50 or 100 that can be easily dumped out and swallowed. We should not be selling big bottles of Tylenol and other drugs that are typically implicated in overdoses, like prescription painkillers and Valium-type drugs, called benzodiazepines. Pills should be packaged in blister packs of 16 or 25.

The entire opinion piece is here.

Sunday, March 17, 2013

Suicide, With No Warning

By Elisabeth Rosenthal
The New York Times - Sunday Review
Originally published March 8, 2013

Here are some excerpts:

But more than 60 percent of gun-related deaths in the United States are suicides, like Mr. Lewiecki’s. Reducing that statistic will most likely take different interventions than are currently proposed — like waiting periods and safe storage requirements — and those are not even on the table.

While background checks might turn up people with severe mental illness who have been prone to violence, gun suicides are often committed by people whose history doesn’t suggest a serious problem. In studies, a quarter to a third of those who killed themselves were not in contact with a psychiatrist at the time of death, and the majority were not on psychiatric medicines. “The first time the family may know of the distress is when they kill themselves,” said Dr. David Gunnell, a suicide epidemiologist at the University of Bristol in England. There may be no red flags and little forethought. To carry out a campus killing rampage, perpetrators collect weapons, identify victims and select locations. In contrast, suicides are often solitary, impulsive acts, experts say.

That is why a cornerstone of suicide prevention is simple: “restricting access to common and particularly lethal means for everyone — we know that’s effective,” said Dan Reidenberg, executive director of SAVE (Suicide Awareness and Voices of Education), a national suicide prevention group.

That means different things in different places. In Britain, suicide prevention efforts in the late 1990s involved banning the sales of large bottles of paracetamol (known as Tylenol in the United States), which had been used in tens of thousands of suicide attempts each year. When I was reporting from China a decade ago, rural officials responded to an epidemic of suicide among women by restricting pesticide sales.

In the United States, we build barriers on bridges, but have fewer barriers to the quick access to guns: “In the U.S. one of the most straightforward things to do to prevent suicide is to make firearms less accessible,” Dr. Gunnell said. The Lewiecki family believes that Kerry might well be alive if there had been a waiting period before purchase in Oregon. Studies suggest that far fewer American teenagers would commit suicide if gun owners were required to use trigger locks. Seventy-five percent of the guns used in youth suicides and unintentional injuries were accessible in the home or the home of a friend.

The entire story is here.

Saturday, January 19, 2013

Prevalence, Correlates, and Treatment of Lifetime Suicidal Behavior Among Adolescents

Results From the National Comorbidity Survey

Matthew K. Nock, PhD; Jennifer Greif Green, PhD; Irving Hwang, MA; Katie A. McLaughlin, PhD; Nancy A. Sampson, BA; Alan M. Zaslavsky, PhD; Ronald C. Kessler, PhD

JAMA Psychiatry. 2013;():1-11. doi:10.1001/2013.jamapsychiatry.55.

ABSTRACT

Context
Although suicide is the third leading cause of death among US adolescents, little is known about the prevalence, correlates, or treatment of its immediate precursors, adolescent suicidal behaviors (ie, suicide ideation, plans, and attempts).

Objectives
To estimate the lifetime prevalence of suicidal behaviors among US adolescents and the associations of retrospectively reported, temporally primary DSM-IV disorders with the subsequent onset of suicidal behaviors.

Design  
Dual-frame national sample of adolescents from the National Comorbidity Survey Replication Adolescent Supplement.

Setting
Face-to-face household interviews with adolescents and questionnaires for parents.

Participants
A total of 6483 adolescents 13 to 18 years of age and their parents.

Main Outcome Measures
Lifetime suicide ideation, plans, and attempts.

Results 
The estimated lifetime prevalences of suicide ideation, plans, and attempts among the respondents are 12.1%, 4.0%, and 4.1%, respectively. The vast majority of adolescents with these behaviors meet lifetime criteria for at least one DSM-IV mental disorder assessed in the survey. Most temporally primary (based on retrospective age-of-onset reports) fear/anger, distress, disruptive behavior, and substance disorders significantly predict elevated odds of subsequent suicidal behaviors in bivariate models. The most consistently significant associations of these disorders are with suicide ideation, although a number of disorders are also predictors of plans and both planned and unplanned attempts among ideators. Most suicidal adolescents (>80%) receive some form of mental health treatment. In most cases (>55%), treatment starts prior to onset of suicidal behaviors but fails to prevent these behaviors from occurring.

Conclusions  
Suicidal behaviors are common among US adolescents, with rates that approach those of adults. The vast majority of youth with suicidal behaviors have preexisting mental disorders. The disorders most powerfully predicting ideation, though, are different from those most powerfully predicting conditional transitions from ideation to plans and attempts. These differences suggest that distinct prediction and prevention strategies are needed for ideation, plans among ideators, planned attempts, and unplanned attempts.

The original research is here.

Military suicides hit record in 2012, outpace combat deaths

Reuters
Originally published January 14, 2013

The number of U.S. troops committing suicide set a record in 2012, exceeding the number of combat deaths, the Pentagon said on Monday.

The Pentagon said 349 active-duty troops killed themselves in 2012, up more than 15 percent from 2011 despite renewed efforts by the military to stem the suicide rate.

"This is an epidemic that cannot be ignored," said Senator Patty Murray, who championed legislation last year to improve suicide prevention efforts and mental health care for troops and veterans.

"As our newest generation of servicemembers and veterans face unprecedented challenges, today's news shows we must be doing more to ensure they are not slipping through the cracks."

The Army, as the largest service, counted the biggest number of suicides, with 182 soldiers killing themselves in 2012, according to preliminary figures. The Navy had 60 suicides, the Air Force had 59 and the Marines had 48.

The figures were first reported by the Associated Press.

The Pentagon pointed to steps to bolster suicide prevention efforts, including expanding a suicide prevention hotline. Still, Defense Secretary Leon Panetta last year acknowledged that the suicides were the most frustrating issue he had faced since taking over the Pentagon in 2011.

"Despite the increased efforts, the increased attention, the trends continue to move in a troubling and tragic direction," Panetta told at a joint Pentagon-Department of Veterans Affairs suicide prevention conference in June.

The entire story is here.

Thursday, January 10, 2013

The year of the suicide

Suicide rates among Americans are steadily rising and have been for years. Why are we killing ourselves?

BY KERA BOLONIK
Salon.com
Originally published Decemeber 31, 2012


Let’s call 2012 the year of the suicide: On Friday, the Department of the Army released a report revealing that suicides continue to outnumber combat-related deaths among American soldiers —an average of one suicide a day— a number that’s increasing despite the fact that the armed forces have installed new training and awareness programs over the past few years. Stateside, suicide has become the leading cause of death by injury, and is the 10th leading cause of death overall. According to a CDC report released over the summer, suicide attempts by high-school students has risen to from 6.3 percent in 2009 to 7.8 percent in 2011, and accounts for 13 percent of all deaths among people between the ages of 10 and 24 — the third leading cause of death in that age group.

These are sobering statistics. And with the statistics comes more data to explain them: The Washington Post reported that “the stress on the force after more than a decade of lengthy and multiple deployments for many troops in support of the wars in Iraq and Afghanistan,” while Defense Secretary Leon Panetta attributed the high rate to “substance abuse, financial distress and relationship problems … that will endure beyond war.” Among civilians, the number of suicides have been attributed to the recession — historically, there is a spike with every economic downturn. And 20 percent of high-school teenagers say they are being bullied — 16 percent say they’ve been cyber-bullied through texting, IM-ing, email, and Facebook or other social media.

The entire story is here.

Friday, January 4, 2013

War Tragedies Strike Families Twice


By MICHAEL M. PHILLIPS
The Wall Street Journal
Originally published on December 20, 2012

One night in March 2008, William and Christine Koch opened their front door to see two soldiers in green dress uniforms bearing news that their son, Army Cpl. Steven Koch, had been killed by a suicide bomber in Afghanistan.

Two years later, Mr. and Mrs. Koch opened the door to see two police officers in blue. This time, they learned their daughter, Lynne, brokenhearted over her brother's death, had killed herself with an overdose of prescription drugs.

She is a casualty of this war, and I don't care what anybody says," Mrs. Koch said. "If my son was not killed, my daughter would be here."

The military tracks suicides among the troops. The Department of Veterans Affairs studies self-inflicted deaths among people who have left the service. Nobody collects data on suicides among the parents, siblings and spouses of the more than 6,500 Americans killed in Afghanistan and Iraq.

But anecdotal evidence from military families, support groups and suicide survivors suggests that over the past 11 years of war, the U.S. has experienced a little-recognized suicide outbreak among the bereaved. This second round of tragedy often takes place years after a loved one's death, when the finality of the loss becomes inescapable.

"We've all had the idea of suicide at one time or another," said Nadia McCaffrey of Tracy, Calif., whose son Patrick died in an ambush in Iraq in 2004. She said she personally knows a half dozen military parents who have killed themselves.

To learn more about war grief, researchers at the Uniformed Services University of the Health Sciences, a federal institution in Bethesda, Md., are recruiting 3,000 people to participate in a first-ever U.S. study of bereavement among families of those killed on active duty.

"We don't know whether or in what ways military-service deaths—combat-related, accidents or suicides—differ from similarly sudden or violent civilian deaths in their impact on bereaved family members," said Stephen Cozza, a psychiatrist involved in the research.

The violent and faraway nature of combat death—often following months of dread—may make it harder to accept for those left behind, said Bonnie Carroll. She founded the Tragedy Assistance Program for Survivors, or TAPS, after her husband, an Army general, died in a 1992 plane crash.

"To have someone come to the house and deliver this devastating information that you'd never see them again is impossible to absorb," Mrs. Carroll said. In her grief after her husband's death, she found herself taking high-speed, late-night drives along the Alaska coast, as if daring herself to join him.

The entire story is here.

Sunday, December 2, 2012

Hanging Suicides Up in United States


By Steven Reinberg
HealthDay Reporter
Originally published November 20, 2012

A surge in hanging deaths among middle-aged adults appears to be responsible for the notable increase in U.S. suicides between 2000 and 2010, a new study finds.


Hangings accounted for 26 percent of suicides in 2010, up from 19 percent at the start of the decade. Among those aged 45 to 59, suicide by hanging increased 104 percent in that time period, according to the report documenting changing suicide patterns.

Overall, 16 percent more Americans took their own lives in 2010 than in 2000. That's equivalent to 12.1 suicides per 100,000 people compared to 10.4 per 100,000 previously.

"It is important that the huge increase in suicide by hanging be recognized," said lead researcher Susan Baker, founding director of the Johns Hopkins Center for Injury Research and Policy at the Johns Hopkins Bloomberg School of Public Health in Baltimore.

The entire story is here.

Wednesday, November 28, 2012

Physician Suicide Linked to Work Stress

By Crystal Phend, Senior Staff Writer
MedPage Today
Originally published November 14, 2012

Suicide among physicians appears to follow a different profile than in the general population, with a greater role played by job stress and mental health problems, a national analysis showed.

Problems with work were three times more likely to have contributed to a physician's suicide than a nonphysician's, Katherine J. Gold, MD, MSW, of the University of Michigan in Ann Arbor, and colleagues found.

Their analysis of the National Violent Death Reporting System also showed that known mental illness prior to suicide was 34% more common among physicians than nonphysicians.

"The results of this study paint a picture of the typical physician suicide victim that is substantially different from that of the nonphysician suicide victim in several important ways," the group wrote online in General Hospital Psychiatry.

The entire story is here.

The original article is here.

Here is the conclusion from the abstract:
Mental illness is an important comorbidity for physicians who complete a suicide but postmortem toxicology data shows low rates of medication treatment. Inadequate treatment and increased problems related to job stress may be potentially modifiable risk factors to reduce suicidal death among physicians.

Friday, November 23, 2012

Military says it's focusing on suicide prevention

By Mike Urban
The Reading Eagle
Originally published November 12, 2012


Fewer of America's troops are heading into combat with the war in Iraq over and the war in Afghanistan nearing a close.

But the demand for mental health care among active duty personnel is increasing, in part because combat has left many in need of help, and because the military is doing more to treat its mentally ill troops, Department of Defense officials said.

Suicide prevention has become one of the military's most urgent concerns, and treatment of post-traumatic stress disorder within the military has come a long way in recent years, said Defense Department spokeswoman Cynthia O. Smith.

"We are committed to taking care of our people, and that includes doing everything possible to prevent suicides in the military," she said.

To reduce the long-standing military stigma surrounding mental health problems, the defense department urges commanders to support those in need of care, she said.

The entire story is here.

Wednesday, October 31, 2012

Army Releases September Suicide Data

IMMEDIATE RELEASE No. 838-12

October 19, 2012

The Army released suicide data today for the month of September. During September, among active-duty soldiers, there were 15 potential suicides: one has been confirmed as suicide and 14 remain under investigation. For August, the Army reported 16 potential suicides among active-duty soldiers. Since the release of that report, one case was removed for a total of 15 cases: five have been confirmed as suicides and 10 remain under investigation. For 2012, there have been 146 potential active-duty suicides: 91 have been confirmed as suicides and 55 remain under investigation. Active-duty suicide number for 2011: 165 confirmed as suicides and no cases under investigation.

During September, among reserve component soldiers who were not on active duty, there were 16 potential suicides (13 Army National Guard and three Army Reserve): one has been confirmed as suicide and 15 remain under investigation. For August, among that same group, the Army reported nine potential suicides. Since the release of that report two cases were added for a total of 11 cases (seven Army National Guard and four Army Reserve): five have been confirmed as suicides and six remain under investigation.

For 2012, there have been 101 potential not on active-duty suicides (67 Army National Guard and 34 Army Reserve): 67 have been confirmed as suicides and 34 remain under investigation. Not on active-duty suicide numbers for 2011: 118 (82 Army National Guard and 36 Army Reserve) confirmed as suicides and no cases under investigation.

"Every suicide in our ranks is a tragic loss for the Army family, adversely affecting the readiness of our Army," said Lt. Gen. Howard B. Bromberg, deputy chief of staff for manpower and personnel. "I am asking soldiers, family members, department of the Army civilians, neighbors, and friends to look out for each other and reach out and embrace those who may be struggling. Recognize the warning signs such as substance abuse, relationship problems, and withdrawal from friends and activities and use available resources to help yourself or others. Our actions can save lives."

Soldiers and families in need of crisis assistance can contact the National Suicide Prevention Lifeline. Trained consultants are available 24 hours a day, seven days a week, 365 days a year and can be contacted by dialing 1-800-273-TALK (8255) or by visiting their website at http://www.suicidepreventionlifeline.org

Sunday, October 28, 2012

Preventing Childhood And Adolescent Suicide

Medical News Today
Originally published October 12, 2012

Here are some exerpts:

At the beginning of the 21st century, suicide and suicide attempts by children and adolescents continue to be a major public health problem, and topical research and surveys have clearly highlighted suicide as one of the commonest causes of death among young people.

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Suicide is one of the major causes of death worldwide and suicide rates vary according to region, sex, age, time, ethnic origin, and, probably, practices of death registration. Most people who die by suicide have psychiatric disorders, notably mood, substance-related, anxiety, psychotic, and personality disorders, with high rates of comorbidity.

Suicidal cognitions and behaviours can occur both independently and together. Risk of onset of suicidal ideation increases rapidly during adolescence and young adulthood, and then stabilizes in early midlife. The prevalence rates in adolescents cross-nationally are reported to be 19.8.0% for suicide ideation, and 3.1%.8% for suicide attempts (Nock et al, 2008a).

The entire story is here.

Tuesday, October 16, 2012

The Jumper Squad


By WENDY RUDERMAN
The New York Times
Originally published October 5, 2012

ON a concrete ledge off the upper deck of the George Washington Bridge, more than 200 feet above the swift and leaden Hudson River that November night, the two detectives gingerly approached the despondent man as he contemplated jumping.


The plunge, at a speed of more than 60 miles per hour, would surely kill him.

Detectives Marc Nell and Everald Taylor, tethered to the bridge and to their rescue truck with nylon harnesses and heavy rope, knew to resist the urge to pull the man to safety. It was not time yet.

“Tell me your name,” Detective Nell said, tapping into the emotional and psychological arsenal that he had acquired in training. “Talk to me.” “Think of your family.”

Sometimes the detectives do most or all of the talking. It does not always matter. What the detectives are probing for is not necessarily conveyed in words. They are looking for an opening. A moment of doubt.

“Once you see that light, you see their facial expression change, their body posture change, and you think: ‘Oh, I got them. O.K., they are not going anywhere,’ ” Detective Nell said. “It’s like when a boxer gets that shot and he knows that the opponent is wobbly and he just keeps going at that same spot.”

In this case, Detectives Nell and Eddie Torres, a third officer who had joined the rescue, did what they refer to as the Grab. They seized the man, pulling him off the ledge and over a guardrail.

Each year, the Police Department receives hundreds of 911 calls for so-called jumper jobs, or reports of people on bridges and rooftops threatening to jump. So far this year, that number is on track to surpass last year’s total, 519.

The entire story is here.

Thanks to Ed Lundeen for this story.