A systematic review of suicidal behaviour in men: A narrative synthesis of risk factors

Richardson, Cara; Robb, Katherine; O’Connor, Rory C.

doi:10.1016/j.socscimed.2021.113831

Cited by 60 publications

(53 citation statements)

References 177 publications

(264 reference statements)

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“…Such markers of social disadvantage and health morbidity represent well-established risk factors for suicidal behaviour. A compelling body of evidence in the general population has demonstrated strong associations between risk of suicide and socioeconomic disenfranchisement, early-life adversity, trauma, physical illness, drug and alcohol abuse, psychiatric morbidity, and personality traits such as impulsivity and aggression ( Carrasco-Barrios et al, 2020 ; Fazel & Runeson, 2020; O’Connor & Nock, 2014 ; Richardson et al, 2021 ; Turecki et al, 2019 ). These vulnerability factors not only contribute to risk of criminal justice involvement but, given their overrepresentation in prisoners, may also account for the disproportionate prevalence of suicidal thoughts and behaviour within custodial settings.…”

Section: Risk Factorsmentioning

confidence: 99%

Epidemiology, Risk Factors, and Prevention of Suicidal Thoughts and Behaviour in Prisons: A Literature Review

Favril

2021

Psychologica Belgica

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Suicide is a global public health concern that affects all echelons of society, albeit not equally so. Compared with adults in the general population, incarcerated offenders are at increased risk to consider, attempt, and die by suicide, which represents a substantial burden of morbidity and mortality in prisons worldwide. This review synthesises recent literature pertaining to the epidemiology, risk factors, and prevention of suicidal thoughts and behaviour among prisoners, and outlines a framework which emphasises the interplay between individuals (importation) and their surroundings (deprivation). The available evidence suggests that prison-specific stressors may exacerbate risk of suicide in an already vulnerable population characterised by complex health and social care needs. Emerging data point to differential mechanisms through which prisoners come to think about suicide and subsequently progress to suicidal behaviour. As risk of suicide is determined by a complex web of synergistically interacting factors, its management and prevention demands a cross-sectoral policy and service response that includes targeted interventions aimed at high-risk prisoners in combination with population strategies that promote the health and wellbeing of all people in prison.

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Section: Risk Factorsmentioning

confidence: 99%

Epidemiology, Risk Factors, and Prevention of Suicidal Thoughts and Behaviour in Prisons: A Literature Review

Favril

2021

Psychologica Belgica

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“…For example, linking men to debt management support or benefits advisors for financial difficulties and job loss. This is particularly important, as these types of issues are known to increase suicide risk in men (Richardson et al , 2021), and previous research has highlighted that this type of additional support is needed (Saini et al , 2021a).…”

Section: Resultsmentioning

confidence: 99%

“…The inclusion of theory-driven models of suicidality and co-production are integral and distinguishing features of the JP model. Risk factors associated with male suicide are complex and diverse and subjected to temporal and context-related fluctuations (O’Connor and Kirtley, 2018; Richardson et al , 2021) highlighting the need for holistic approaches in suicide prevention interventions. The theory-driven nature of the JP model facilitates identification of the mechanisms underpinning the men’s suicidality enabling therapist to work alongside the men to adapt and tailor the JP model, creating a targeted intervention.…”

Section: Discussionmentioning

confidence: 99%

James’ Place model: application of a novel clinical, community-based intervention for the prevention of suicide among men

Hanlon

Chopra

Boland³

et al. 2022

JPMH

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Purpose High suicide rates among men presents a global challenge for commissioners and clinicians. Innovative approaches towards suicide prevention interventions designed for men are needed. The James’ Place (JP) service opened in 2018, and its model of practice is a clinical, community-based intervention for men experiencing suicidal crisis. This paper aims to describe the implementation framework within which the JP model is applied. Design/methodology/approach Fostering a public health case study approach, this paper provides a description of how the JP service operates, including the referral pathways, key components of this innovative model and its impact upon the men who receive the intervention. Illustrative case studies derived from semi-structured interviews from men and therapists are reported. Findings The JP model is dynamic and flexible, allowing the tailoring of a suicidal crisis intervention to suit the needs and priorities of the individual and the wider local community. Clinical and practical implications, such as reduction in suicidality, are discussed. Originality/value Rapidly accessible, effective community-based interventions for men experiencing suicidal crisis are required. Yet, while widely advocated in policy, there remains a dearth of evidence illustrating the real-world application and value of such services within a community-setting. To the best of the authors’ knowledge, the JP model is the first of its kind in the UK and an example of an innovative clinical, community-based suicide prevention intervention offering support for men experiencing suicidal crisis.

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“…Rasmussen and colleagues (2018) noted that "Suicide in men was connected to feelings of inadequacy and shame generated by not meeting the culturally dominating gender role ideals" (p. 328). Similarly, in a systematic review of the literature, Richardson et al (2021) found 119 commonly identified risk factors, many of which can apply to incels, including lower education levels, being single, living alone, being of short stature or of a specific ethnic group, negative life events or trauma, and depression. The incels.co (2020) survey reflects many of these risk factors.…”

Section: Suicidementioning

confidence: 99%

"Goodbye, My Friendcels": An Analysis of Incel Suicide Posts

Daly

Laskovtsov²

2021

Preprint

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While an increasing number of researchers, non-profit organizations, and law enforcement agencies have expressed growing concern about the relationship between involuntary celibates (i.e. incels) and violence, no research to date has examined the potential for suicide and self-harm among men who call themselves incels. This study examines suicide posts shared to incel sub-Reddits that were collected by u/IncelGraveyard (N=80). The posts reveal that the notes discuss six subordinate themes, including the method of their planned attempt, the ways they used the internet, the online incel community, failed alternatives and coping, the effects of their suicide on others, and the afterlife. These broad themes offer a new and unique perspective about incels experiences, perceptions, and coping strategies and add to the growing body of literature by highlighting the complexity of incel grievances. This study can inform future research and policy by encouraging gender-based and incelspecific treatment, reframing the incel discourse among researchers and mental health professionals, and arguing for a suicide prevention model to also prevent mass violence. Acknowledgments:The authors are grateful to those colleagues and friends who reviewed this paper and offered suggestions.Involuntarily celibate men, or "incels," have been the target of recent concern among media sources, law enforcement agencies, mental health practitioners, and non-profit organizations. In online spaces and specific forums, incels-or men who cannot achieve romantic or sexual success-often air their grievances, discussing their physical appearance, struggles with mental health, social critiques, and frustration with their situations (Ging, 2019; Glace et al., 2021; Menzie, 2020). Due to the often overtly violent, racist, or misogynistic nature of many of the posts, incels have often been associated with notions of mass violence, particularly as a result of violent attacks by alleged incels across the United States and Canada. This connection between violence and the entire incel community has led to sweeping generalizations about the group, and the Texas Department of Public Safety (2020) recently dubbed incels "an emerging domestic terrorism threat" (p. 3).As incels become a growing area of study within a variety of disciplines including criminology and criminal justice, sociology, and more, academics have taken a variety of theoretical and methodological approaches to studying incel behavior and CrimRxiv Goodbye, My Friendcels": An Analysis of Incel Suicide Posts 3 ideologies. However, none to date have examined how the incel identity and the subsequent experiences can lead to self-harm and suicide. This study provides a brief overview of the incel literature followed by a synthesis of the existing research about tangentially related issues, including coping strategies, mental health treatment, suicide, and online communities. It then outlines the qualitative analysis of 80 suicide posts from incels, identifying emergent themes and subthemes, and offer...

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A systematic review of suicidal behaviour in men: A narrative synthesis of risk factors

Cited by 60 publications

References 177 publications

Epidemiology, Risk Factors, and Prevention of Suicidal Thoughts and Behaviour in Prisons: A Literature Review

Epidemiology, Risk Factors, and Prevention of Suicidal Thoughts and Behaviour in Prisons: A Literature Review

James’ Place model: application of a novel clinical, community-based intervention for the prevention of suicide among men

"Goodbye, My Friendcels": An Analysis of Incel Suicide Posts

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