Restrictions in Availability of Drugs Used for Suicide

Crisis ◽  
2007 ◽  
Vol 28 (S1) ◽  
pp. 44-49 ◽  
Author(s):  
Merete Nordentoft
Keyword(s):  
Suicide Prevention ◽  
Literature Search ◽  
Tricyclic Antidepressants ◽  
Case Fatality ◽  
Prevention Strategies ◽  
Suicide Rates

Abstract. Availability of drugs with high lethality has been hypothesized to increase the risk of self-poisoning suicides. A literature search concerning deliberate self-poisoning and the effect of restricting access to drugs was conducted, and the effect of restrictions in availability of barbiturates, tricyclic antidepressants, dextropropoxyphene, and weak analgesics was reviewed. The correlations between method-specific and overall suicide rates and sales figures for barbiturates, dextropropoxyphene, weak analgesics, and tricyclic antidepressants were reviewed. It is concluded that restriction in availability of drugs with high case fatality should be a part of suicide prevention strategies.

Evidence-based suicide prevention strategies during and after the COVID-19 pandemic

2021 ◽  
pp. 795-800
Author(s):  
Danuta Wasserman ◽  
Vladimir Carli
Keyword(s):  
Public Health ◽  
Health Care ◽  
Protective Factors ◽  
Suicide Prevention ◽  
Ecological Model ◽  
Risk And Protective Factors ◽  
Evidence Based ◽  
Prevention Strategies ◽  
Suicide Rates ◽  
The Impact

Evidence has shown that during times of crises, suicide rates can decrease but tend to increase as the crisis alleviates. The consequences of the global COVID-19 pandemic, whether direct or indirect, will be far reaching. In this chapter the impact of the pandemic on the risk and protective factors of suicide, grouped according to the socio-ecological model at individual, relationship, community, and society levels, is described. To prevent unnecessary suicides, the effects of Covid-19 pandemic, on health care and public health suicide prevention strategies, and recommendations for implementation are presented.

Suicide in Later Life

2019 ◽  
Author(s):  
Kim Van Orden ◽  
Caroline Silva ◽  
Yeates Conwell
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Primary Care ◽  
Psychiatric Disorders ◽  
Suicide Prevention ◽  
Later Life ◽  
Universal Prevention ◽  
Prevention Strategies ◽  
Suicide Rates

Suicide in later life is a significant public health problem around the world—a problem that will increase in magnitude in the coming years with the impact of population aging. Adults age 70 and older have higher suicide rates than younger groups worldwide in both lower-income and higher-income countries. While suicide rates tend to increase with age, suicide in later life is not an expected or normative response to stressors that accompany the aging process. Instead, a constellation of risk factors places an older adult at elevated risk for suicide. These factors can be remembered as the Five D’s: psychiatric illness (primarily depression); functional impairment (also called disability, often associated with dependency on others); physical illness (particularly multiple comorbid diseases); social disconnectedness (including social isolation, loneliness, family conflict, and feeling like a burden); and access to lethal (deadly) means. The greatest risk occurs when multiple domains of risk converge in a given individual. Approaches to prevention can address the Five D’s. Given that older adults are reluctant to seek out mental healthcare and that standard primary care practice cannot easily provide it, models of primary care-based integrated care management for mental disorders, including in older adulthood, have been developed, rigorously tested, and widely disseminated. These models play an important role in suicide prevention by integrating treatment for physical and mental illness. Upstream, selective prevention strategies that target disconnectedness—such as engaging older adults as volunteers—may serve to reduce disconnectedness and thereby reduce suicide risk. Universal prevention strategies that involve growing the geriatric workforce may address disability by increasing older adults’ access to medical and social service providers with expertise in improving physical, cognitive, and social functioning, as well as improving quality of life. Addressing ageism and building age-friendly communities that use strategies to integrate older adults into society and promote social participation hold promise as universal prevention strategies. Ultimately, effective suicide prevention strategies for older adults must focus on improving quality of life as well as preventing suicide: strategies such as psychotherapy and medication for psychiatric disorders must be supplemented by prevention strategies for older adults give at all ages in addition to treating psychiatric disorders and suicidal thoughts is needed to address the problem of suicide in later life.

Suicide in Japan

Crisis ◽  
2005 ◽  
Vol 26 (1) ◽  
pp. 12-19 ◽  
Author(s):  
Yamashita Shiho ◽  
Takizawa Tohru ◽  
Sakamoto Shinji ◽  
Taguchi Manabu ◽  
Takenoshita Yuka ◽  
...  
Keyword(s):  
Suicide Prevention ◽  
Suicide Rate ◽  
Prevention Measures ◽  
Prevention Strategies ◽  
Middle Aged ◽  
Elderly Men ◽  
Ministry Of Health ◽  
Suicide Rates

Abstract. This article introduces the reader to present conditions and suicide prevention measures in Japan. The suicide rate has increased gradually since the early 1990s, reaching a postwar peak in 1998. The number of suicides has remained at about 30,000 every year since 1998. Middle-aged (55-59 years) and elderly men have especially high suicide rates. In 2002, The Council of Learned People on Measures Against Suicides (organized by the Japanese Ministry of Health, Labor, and Welfare) released its report on national suicide prevention strategies. Although national suicide prevention strategies have just begun to be established, some prefectures or regions have undertaken unique suicide prevention measures.

scholarly journals Gatekeeper Training and Minimum Standards of Competency

Crisis ◽  
2021 ◽  
Author(s):  
Jacinta Hawgood ◽  
Alan Woodward ◽  
Paul Quinnett ◽  
Diego De Leo
Keyword(s):  
Suicide Prevention ◽  
Empirical Work ◽  
Causal Link ◽  
Vocational Education And Training ◽  
Training Design ◽  
Prevention Strategies ◽  
Gatekeeper Training ◽  
Minimum Standards ◽  
Suicide Rates ◽  
And Training

Abstract. Gatekeeper training (GKT) is one of the most widely used suicide prevention strategies. It involves training people who are not necessarily clinicians to be able to identify people experiencing suicidality and refer them to appropriate services. While there is a dearth of research that supports the causal link between GKT and reduced suicide rates, this is likely the result of a variety of factors including training design, definitions of “gatekeepers,” differing populations in which the gatekeeper (GK) operates, and other variables that may influence suicide rates. Despite this, research suggests that GKT improves people's knowledge, skills, and confidence in helping individuals who experience suicidal ideation and enhances positive beliefs about the efficacy of suicide prevention. However, there is no consensus on GK competencies to allow differences in effectiveness between various training programs to be measured, that is, knowledge, skills and abilities, attitudes, and self-efficacy attributes expected of a person resulting from the training. This paper discusses challenges in developing GK competencies. It uses developments in suicide prevention competencies for clinicians, vocational education, and training sector competencies, as well as empirical work in GKT, to propose minimum GK competencies that may be examined for further research and evaluation of programs.

Suicide-Related Crimes in Contemporary European Criminal Laws

Crisis ◽  
1997 ◽  
Vol 18 (1) ◽  
pp. 35-47 ◽  
Author(s):  
Ilkka Henrik Mäkinen
Keyword(s):  
Suicide Prevention ◽  
Suicide Mortality ◽  
Legal Systems ◽  
Cultural Attitudes ◽  
Public Opinions ◽  
Suicide Rates ◽  
Narrow Scope ◽  
National Affair ◽  
Attitudes Towards Suicide ◽  
Special Circumstances

This article describes suicide-related penal legislation in contemporary Europe, and analyzes and relates the results to cultural attitudes towards suicide and to national suicide rates. Data were obtained from 42 legal entities. Of these, 34 have penal regulations which - according to definition - chiefly and directly deal with suicide. There are three main types of act: aiding suicide, abetting suicide, and driving to suicide. The laws vary considerably with regard to which acts are sanctioned, how severely they are punished, and whether any special circumstances such as the motive, the result, or the object can make the crime more serious. Various ideologies have inspired legislation: religions, the euthanasia movement, and suicide prevention have all left their mark. There are some cases in which neighboring legal systems have clearly influenced laws on the topic. However, the process seems mostly to have been a national affair, resulting in surprisingly large discrepancies between European legal systems. The laws seem to reflect public opinions: countries which punish the crimes harder have significantly less permissive cultural attitudes towards suicide. Likewise, suicide rates were significantly higher in countries with a narrow scope of criminalization and milder punishments for suicide-related crimes. The cultural and normative elements of society are connected with its suicide mortality.

Clinical Epidemiology of Coronavirus Disease 2019:Defined on Current Research

2020 ◽  
pp. 54-72 ◽  
Author(s):  
Fengyu Zhang ◽  
Claude Hughes
Keyword(s):  
Clinical Presentation ◽  
Population Distribution ◽  
Clinical Epidemiology ◽  
Case Fatality ◽  
Immunological Response ◽  
Prevention Strategies ◽  
Clinical Type ◽  
Global Pandemic ◽  
Potential Therapeutics

Coronavirus disease 2019 (COVID-19) is a new infectious respiratory disease that has caused the ongoing global pandemic. The primary purpose of this article is to describe evolving clinical epidemiology of COVID-19, including 1) infection and testing, 2) clinical spectrum including classification of clinical type, asymptomatic cases, severe cases and comorbidity, and clinical and immunological response, 3) regional variation in clinical presentation, 4) population distribution by age, sex, and occupation, and finally, 5) case-fatality. This content may provide important information on detailed clinical type and presentation of the disease, in which appropriate clinical outcomes can be derived for developing prevention strategies and clinical studies or trials that aim to test potential therapeutics or products for different patient populations.

Implementation and outcomes of suicide-prevention strategies by restricting access to lethal suicide methods in Korea

2018 ◽  
Vol 40 (1) ◽  
pp. 91-102 ◽  
Author(s):  
Haesoo Kim ◽  
Se Won Kwon ◽  
Yong Min Ahn ◽  
Hong Jin Jeon ◽  
Subin Park ◽  
...  
Keyword(s):  
Suicide Prevention ◽  
Prevention Strategies ◽  
Suicide Methods

scholarly journals Suicide prevention: A study of patients' views

2003 ◽  
Vol 182 (3) ◽  
pp. 261-265 ◽  
Author(s):  
John M. Eagles ◽  
Dawn P. Carson ◽  
Annabel Begg ◽  
Simon A. Naji
Keyword(s):  
Social Networks ◽  
Mental Illness ◽  
Suicide Prevention ◽  
Psychiatric Illness ◽  
Structured Interview ◽  
Psychiatric Services ◽  
Prevention Strategies ◽  
Psychiatric Illnesses ◽  
Service Models ◽  
The Media

BackgroundSuicide prevention strategies are usually formulated without seeking the views of people with psychiatric illnesses.AimsTo establish what helped patients with severe psychiatric illness when they felt suicidal.MethodA semi-structured interview was constructed following transcribed interviews with 12 patients. This was administered to 59 out-patients with serious and enduring mental illness, focusing on factors they found helpful or unhelpful when at their most despairing.ResultsThree-quarters of patients were in contact with psychiatric services when feeling at their lowest, and this contact was generally deemed to be helpful. Social networks were considered just as helpful as psychiatric services by the half of patients who discussed their feelings with friends or relatives. Religious beliefs and affiliations were helpful. Negative influences included the media and the stigma of psychiatric illness.ConclusionsEfforts at suicide prevention might usefully focus on enhancing patients' social networks, increasing the likelihood of early contact with psychiatric services and decreasing the stigma attached to psychiatric illness. Larger studies of patients exposed to different service models would be informative.

Sign in / Sign up

Export Citation Format

Share Document