scholarly journals Telecommunication and Suicide Prevention: Hopes and Challenges for the New Century

2007 ◽  
Vol 55 (3) ◽  
pp. 237-253 ◽  
Author(s):  
Karolina E. Krysinska ◽  
Diego De Leo
Keyword(s):  
Suicide Prevention ◽  
Crisis Intervention ◽  
Suicide Risk ◽  
Prevention Research ◽  
Suicide Risk Assessment ◽  
Training And Education ◽  
Wide Range ◽  
Prevention Training ◽  
Suicide Prevention Training ◽  
Internet Telephone

Development of information technology has created new opportunities and challenges in suicide prevention, research, and clinical practice. This article presents an overview of the wide range of telecommunication-based suicide prevention approaches. Interventions using the Internet, telephone, and videoconferencing are discussed, including crisis intervention, referral, and support, suicide risk assessment, psychotherapy for individuals at risk, and online-based suicide prevention training and education. Research regarding effectiveness of telecommunication-based suicide prevention in various demographic and clinical populations is reviewed, as well as concerns regarding this type of intervention. Future areas of research and development in the use of telecommunication media in prevention of suicide are discussed.

Ethical Issues and Practical Challenges in Suicide Research

Crisis ◽  
2017 ◽  
Vol 38 (2) ◽  
pp. 107-114 ◽  
Author(s):  
Melanie A. Hom ◽  
Matthew C. Podlogar ◽  
Ian H. Stanley ◽  
Thomas E. Joiner
Keyword(s):  
Risk Assessment ◽  
Suicide Prevention ◽  
Suicide Risk ◽  
Ethical Issues ◽  
Panel Member ◽  
Prevention Research ◽  
Approval Process ◽  
Suicide Risk Assessment ◽  
Study Protocols ◽  
Risk Assessment And Management

Abstract. Background: Research with human subjects represents a critical avenue for suicide prevention efforts; however, such research is not without its ethical and practical challenges. Specifically, given the nature of research with individuals at elevated risk for suicide (e.g., increased concerns regarding participant safety, adverse events, liability, difficulties often arise during the institutional review board (IRB) evaluation and approval process. Aims: This paper aims to discuss IRB-related issues associated with suicide prevention research, including researcher and IRB panel member responsibilities, suicide risk assessment and management ethics and procedures, informed consent considerations, preparation of study protocols, and education and training. Points to consider and components to potentially include in an IRB application for suicide-related research are additionally provided. Method: Literature relevant to ethics in suicide research and suicide risk assessment and management was reviewed and synthesized. Results: Suicide research can be conducted in accordance with ethical principles while also furthering the science of suicide prevention. Conclusion: Despite the challenging nature of suicide prevention research, empirically informed solutions exist to address difficulties that may emerge in interfacing with IRBs. There remain areas for improvement in the IRB approval process that warrant further investigation and work.

Sustaining the Effects of Gatekeeper Suicide Prevention Training

Crisis ◽  
2015 ◽  
Vol 36 (2) ◽  
pp. 102-109 ◽  
Author(s):  
Annette Shtivelband ◽  
Patricia A. Aloise-Young ◽  
Peter Y. Chen
Keyword(s):  
Suicide Prevention ◽  
Community Outreach ◽  
Program Improvement ◽  
Further Education ◽  
Research Approach ◽  
Long Term Effects ◽  
Gatekeeper Training ◽  
Prevention Training ◽  
Continued Learning ◽  
Suicide Prevention Training

Background: Gatekeeper training is a promising suicide prevention strategy that is growing in popularity. Although gatekeeper training programs have been found to improve trainee knowledge, self-efficacy, and perceived skills, researchers have found that the benefit of gatekeeper training may not last over time. Aims: The purpose of this study was to identify strategies for strengthening the long-term effects of suicide prevention gatekeeper training. Method: In-depth interviews and focus groups were conducted with gatekeepers (N = 44) and data were analyzed using a qualitative research approach. Results: The results of this study suggest that posttraining interventions may be more effective if they include the following seven themes: (a) social network – connecting with other gatekeepers; (b) continued learning – further education; (c) community outreach – building awareness; (d) accessibility – convenience; (e) reminders – ongoing communication; (f) program improvement –- enhancing previous training; and (g) certification – accreditation. Conclusion: Posttraining interventions that incorporate the themes from this study offer a promising direction in which to sustain the effects of gatekeeper suicide prevention training.

scholarly journals Deficiencies in healthcare prior to suicide and actions to deal with them: a retrospective study of investigations after suicide in Swedish healthcare

BMJ Open ◽  
2019 ◽  
Vol 9 (12) ◽  
pp. e032290 ◽  
Author(s):  
Elin Roos af Hjelmsäter ◽  
Axel Ros ◽  
Boel Andersson Gäre ◽  
Åsa Westrin
Keyword(s):  
Retrospective Study ◽  
Suicide Prevention ◽  
Suicide Risk ◽  
Healthcare Providers ◽  
Educational Interventions ◽  
Future Research ◽  
Suicide Risk Assessment ◽  
Prevention Strategies ◽  
Supervisory Authority ◽  
Assessment And Treatment

ObjectivesThe overall aim of this study was to aggregate the conclusions of all investigations conducted after suicides reported to the supervisory authority in Sweden in 2015, and to identify deficiencies in healthcare found in these investigations; the actions proposed to deal with the deficiencies; the level of the organisational hierarchy (micro–meso–macro) in which the deficiencies and actions were situated; and outcomes of the supervisory authority’s decisions.Design and settingThis is a retrospective study of all reports from Swedish primary and secondary healthcare after suicide to the regulatory authority in Sweden in 2015.ResultsIn 55% (n=240) of cases, healthcare providers reported healthcare deficiencies that contributed to suicide; these deficiencies were primarily in ‘suicide risk assessment’ and ‘treatment’. Actions aimed at preventing new suicides were proposed in 80% of cases (n=347). By far, the most frequent actions were ‘education and competence’, present in 52% of cases (n=227) and did not much correspond with identified deficiencies. Sixty-five per cent of the deficiencies and actions were at microlevel, while the remainders were at mesolevel. In 65% (n=284) of cases, the supervisory authority approved the investigation without further requirements.ConclusionsThe most common identified deficiencies were related to care in the immediate interface between patient and staff. Actions proposed to prevent new suicides were centred on single educational interventions without distinctive sustainable effects in the organisations and usually did not correspond with the identified deficiencies. Future research should examine if application of a framework based on knowledge of the suicide process, suicide prevention strategies and patient safety would enable more sophisticated investigations that could facilitate progress on suicide prevention.

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