Suicide Prevention: An Emerging Priority For Health Care

Hogan, Michael; Grumet, Julie Goldstein

doi:10.1377/hlthaff.2015.1672

Cited by 131 publications

(109 citation statements)

References 25 publications

Supporting

Mentioning

105

Contrasting

Unclassified

Order By: Relevance

“…32 The Sentinel Event Alert recommends the Zero Suicide Model, a healthcare system suicide prevention approach with evidence-based screening, care management, and treatment interventions, including lower-intensity interventions such as safety planning and caring contacts as well as higher-intensity interventions like dialectical behavior therapy or cognitive behavioral therapy to prevent suicide. 33 …”

Section: Discussionmentioning

confidence: 99%

Major Physical Health Conditions and Risk of Suicide

Ahmedani

Peterson

et al. 2017

American Journal of Preventive Medicine

200

136

View full text Add to dashboard Cite

Introduction Most individuals make healthcare visits before suicide, but many do not have a diagnosed mental health condition. This study seeks to investigate suicide risk among patients with a range of physical health conditions in a U.S. general population sample and whether risk persists after adjustment for mental health and substance use diagnoses. Methods This study included 2,674 individuals who died by suicide between 2000 and 2013 along with 267,400 controls matched on year and location in a case-control study conducted in 2016 across eight Mental Health Research Network healthcare systems. A total of 19 physical health conditions were identified using diagnostic codes within the healthcare systems' Virtual Data Warehouse, including electronic health record and insurance claims data, during the year before index date. Results Seventeen physical health conditions were associated with increased suicide risk after adjustment for age and sex (p<0.001); nine associations persisted after additional adjustment for mental health and substance use diagnoses. Three conditions had a >twofold increased suicide risk, including traumatic brain injury (AOR=8.80, p<0.001), sleep disorders, and HIV/AIDS. Multimorbidity was present in 38% of cases versus 15.5% of controls, and represented nearly a twofold increased risk for suicide. Conclusions Although several individual conditions, such as traumatic brain injury, were associated with high risk of suicide, nearly all physical health conditions increased suicide risk, even after adjustment for potential confounders. In addition, having multiple physical health conditions increased suicide risk substantially. These data support suicide prevention based on the overall burden of physical health.

show abstract

Section: Discussionmentioning

confidence: 99%

Major Physical Health Conditions and Risk of Suicide

Ahmedani

Peterson

et al. 2017

American Journal of Preventive Medicine

200

136

View full text Add to dashboard Cite

show abstract

“…Better enforcement of illegal gun trafficking laws and preemptive gun removal laws that provide family members and police with a legal tool to separate dangerous people from guns 28–30 might also be important policies to pursue, in combination with health care strategies. 12 …”

Section: Discussionmentioning

confidence: 99%

“…But if gun violence is thought of more broadly as a public health problem that includes suicide, 12 then people with serious mental illnesses—and the actions of the behavioral health systems in which many are served—become quite relevant in designing and targeting strategies to reduce injury and mortality involving firearms.…”

mentioning

confidence: 99%

Gun Violence, Mental Illness, And Laws That Prohibit Gun Possession: Evidence From Two Florida Counties

et al. 2016

View full text Add to dashboard Cite

Gun violence kills about ninety people every day in the United States, a toll measured in wasted and ruined lives and with an annual economic price tag exceeding $200 billion. Some policy makers suggest that reforming mental health care systems and improving point-of-purchase background checks to keep guns from mentally disturbed people will address the problem. Epidemiological research shows that serious mental illness contributes little to the risk of interpersonal violence but is a strong factor in suicide, which accounts for most firearm fatalities. Meanwhile, the effectiveness of gun restrictions focused on mental illness remains poorly understood. This article examines gun-related suicide and violent crime in people with serious mental illnesses, and whether legal restrictions on firearm sales to people with a history of mental health adjudication are effective in preventing gun violence. Among the study population in two large Florida counties, we found that 62 percent of violent gun crime arrests and 28 percent of gun suicides involved individuals not legally permitted to have a gun at the time. Suggested policy reforms include enacting risk-based gun removal laws and prohibiting guns from people involuntarily detained in short-term psychiatric hospitalizations.

show abstract

“…Although suicide prevention strategies for youth have traditionally been implemented in behavioural health settings,14 only one-third of youth receive mental health treatment in the 12 months preceding a suicide attempt 15–17. Yet four out of five youth who die by suicide will have visited primary care in the year prior to their death,16 and 90% of youth visit primary care annually,18 highlighting the advantages of implementing a universal prevention approach in primary care for firearm safety interventions.…”

Section: Introductionmentioning

confidence: 99%

Developing implementation strategies for firearm safety promotion in paediatric primary care for suicide prevention in two large US health systems: a study protocol for a mixed-methods implementation study

et al. 2017

View full text Add to dashboard Cite

IntroductionThe promotion of safe firearm practices, or firearms means restriction, is a promising but infrequently used suicide prevention strategy in the USA. Safety Check is an evidence-based practice for improving parental firearm safety behaviour in paediatric primary care. However, providers rarely discuss firearm safety during visits, suggesting the need to better understand barriers and facilitators to promoting this approach. This study, Adolescent Suicide Prevention In Routine clinical Encounters, aims to engender a better understanding of how to implement the three firearm components of Safety Check as a suicide prevention strategy in paediatric primary care.Methods and analysisThe National Institute of Mental Health-funded Mental Health Research Network (MHRN), a consortium of 13 healthcare systems across the USA, affords a unique opportunity to better understand how to implement a firearm safety intervention in paediatric primary care from a system-level perspective. We will collaboratively develop implementation strategies in partnership with MHRN stakeholders. First, we will survey leadership of 82 primary care practices (ie, practices serving children, adolescents and young adults) within two MHRN systems to understand acceptability and use of the three firearm components of Safety Check (ie, screening, brief counselling around firearm safety and provision of firearm locks). Then, in collaboration with MHRN stakeholders, we will use intervention mapping and the Consolidated Framework for Implementation Research to systematically develop and evaluate a multilevel menu of implementation strategies for promoting firearm safety as a suicide prevention strategy in paediatric primary care.Ethics and disseminationStudy procedures have been approved by the University of Pennsylvania. Henry Ford Health System and Baylor Scott & White institutional review boards (IRBs) have ceded IRB review to the University of Pennsylvania IRB. Results will be submitted for publication in peer-reviewed journals.

show abstract

Suicide Prevention: An Emerging Priority For Health Care

Cited by 131 publications

References 25 publications

Major Physical Health Conditions and Risk of Suicide

Major Physical Health Conditions and Risk of Suicide

Gun Violence, Mental Illness, And Laws That Prohibit Gun Possession: Evidence From Two Florida Counties

Developing implementation strategies for firearm safety promotion in paediatric primary care for suicide prevention in two large US health systems: a study protocol for a mixed-methods implementation study

Contact Info

Product

Resources

About