CDC Grand Rounds: Preventing Suicide Through a Comprehensive Public Health Approach

David-Ferdon, Corinne; Crosby, Alexander E.; Caine, Eric D.; Hindman, Jarrod; Reed, Jerry; Iskander, John K.

doi:10.15585/mmwr.mm6534a2

Cited by 38 publications

(31 citation statements)

References 9 publications

(10 reference statements)

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“…Swedish children are at greater risk of suicide if they live with an emigrant parent in an area where they are a minority; on the contrary, in areas where most of the population is foreign, they are protected from the risk of suicide. Similar interactions are observed between individual demographic characteristics and the environment in minority groups: Hispanic teens in the United States and South Asian teens in the United Kingdom [39,40,41].…”

supporting

confidence: 53%

“…Шведские дети подвержены бòльшему риску самоубийства, если с родителями-эмигрантами обитают в районе, где оказались меньшинством; напротив, в районах, где большая часть населения иностранцы, они защищены от риска самоубийства. Аналогичные взаимодействия между индивидуальными демографическими характеристиками и окружающей средой в группах меньшинств: испаноязычные подростки в США и южноазиатские -Соединенного Королевства [39,40,41].…”

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Самоповреждающее Поведение Подростков: Дефиниции, Эпидемиология, Факторы Риска И Защитные Факторы. Сообщение I

Борисович¹,

Зотов²,

Сергеевич³

2019

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supporting

confidence: 53%

unclassified

Самоповреждающее Поведение Подростков: Дефиниции, Эпидемиология, Факторы Риска И Защитные Факторы. Сообщение I

Борисович¹,

Зотов²,

Сергеевич³

2019

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“…The focus of this study was examining the risk of suicide for persons with SUD. However, persons who are identified by health systems as at risk for suicide are also more likely at risk for SUD [31], therefore health systems may want to screen persons identified as at risk for suicide for SUD and to offer evidence-based treatment for SUD where warranted. Health systems may want to pay particular attention to how current services address suicide risk for women with SUD.…”

Section: Discussionmentioning

confidence: 99%

Substance use disorders and risk of suicide in a general US population: a case control study

Lynch

Peterson

et al. 2020

Addict Sci Clin Pract

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Background: Prior research suggests that substance use disorders (SUDs) are associated with risk of suicide mortality, but most previous work has been conducted among Veterans Health Administration patients. Few studies have examined the relationship between SUDs and suicide mortality in general populations. Our study estimates the association of SUDs with suicide mortality in a general US population of men and women who receive care across eight integrated health systems. Methods:We conducted a case-control study using electronic health records and claims data from eight integrated health systems of the Mental Health Research Network. Participants were 2674 men and women who died by suicide between 2000-2013 and 267,400 matched controls. The main outcome was suicide mortality, assessed using data from the health systems and confirmed by state death data systems. Demographic and diagnostic data on substance use disorders and other health conditions were obtained from each health system. First, we compared descriptive statistics for cases and controls, including age, gender, income, and education. Next, we compared the rate of each substance use disorder category for cases and controls. Finally, we used conditional logistic regression models to estimate unadjusted and adjusted odds of suicide associated with each substance use disorder category.Results: All categories of substance use disorders were associated with increased risk of suicide mortality. Adjusted odds ratios ranged from 2.0 (CI 1.7, 2.3) for patients with tobacco use disorder only to 11.2 (CI 8.0, 15.6) for patients with multiple alcohol, drug, and tobacco use disorders. Substance use disorders were associated with increased relative risk of suicide for both women and men across all categories, but the relative risk was more pronounced in women. Conclusions:Substance use disorders are associated with significant risk of suicide mortality, especially for women, even after controlling for other important risk factors. Experiencing multiple substance use disorders is particularly risky. These findings suggest increased suicide risk screening and prevention efforts for individuals with substance use disorders are needed.

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“…The VA adopted a public health approach to preventing veteran suicide, The National Strategy for Preventing Veteran Suicide 2018-2028 (U.S. Department of Veterans Affairs, 2018), that includes four key components outlined by the CDC (Centers for Disease Control and Prevention, n.d.): a population-level focus, primary prevention, scientific rigor, and multidisciplinary collaboration. Public health approaches to reducing suicide complement clinical treatment approaches by adding a broad prevention focus, identifying patterns of suicide, addressing multiple risk factors, and intervening at levels beyond the individual to alter conditions give rise to suicide ideation and attempts (David-Ferdon et al, 2016;Institute of Medicine, 2002;Satcher, 1998). Like other prevention efforts, this public health approach encompasses three types of suicide prevention that vary in scope and should be matched with individual or group level of risk: universal, selective, and indicated.…”

Section: Introductionmentioning

confidence: 99%

Veteran peer suicide prevention: A community‐based peer prevention model

Beehler

LoFaro

Kreisel

et al. 2021

Suicide & Life Threat Behav

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Objective The purpose of this study was to develop a conceptual model of community‐based veteran peer suicide prevention. Method We conducted a qualitative study in which semi‐structured interviews were followed by three focus groups. Participants (n = 17) were chosen from community‐based organizations who had peers working on veteran suicide prevention; the sample included veteran peers, non‐peers, program managers, and community stakeholders. Interview data were analyzed thematically and inductively to identify key components and subcomponents of veteran peer suicide prevention. A draft model was shared with each focus group to elicit feedback and refine key concepts. Results A conceptual model containing nine components and twenty‐six subcomponents was developed. Participants emphasized key organizational, relational, and practical elements needed to achieve positive outcomes. In addition, they described critical contextual and cultural factors that impacted veteran peers’ ability to prevent suicide and promote overall wellness. Conclusions Community‐based veteran peer efforts are a promising public health approach to preventing veteran suicide. Provided veteran peers are supported and fully allowed to contribute, these efforts can complement existing clinic‐based efforts. Future research on community‐based veteran peer suicide prevention should document a range of outcomes (e.g., clinical, wellness, financial) and allow for considerable flexibility in peer approaches.

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CDC Grand Rounds: Preventing Suicide Through a Comprehensive Public Health Approach

Abstract: reduce risk factors, increase interventions for suicidal behavior, and reduce access to lethal means by persons at greatest risk for suicide. By bringing together a public and mental health approach to suicide prevention, suicides can be prevented.

Cited by 38 publications

References 9 publications

Самоповреждающее Поведение Подростков: Дефиниции, Эпидемиология, Факторы Риска И Защитные Факторы. Сообщение I

Самоповреждающее Поведение Подростков: Дефиниции, Эпидемиология, Факторы Риска И Защитные Факторы. Сообщение I

Substance use disorders and risk of suicide in a general US population: a case control study

Veteran peer suicide prevention: A community‐based peer prevention model

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