Vision Zero In Suicide Prevention And Suicide Preventive Methods

Wasserman, Danuta; Tadić, I.; Bec, C.

doi:10.1007/978-3-030-23176-7_43-1

“…The Swedish vision zero states that ‘promoting good life opportunities for less privileged groups’ is one of its main strategies. 3 Yet a goal stated in terms of reducing suicide rates risks diverting from promoting just opportunities – the good experiences that may drive such reductions. We should fight the ‘fire’ of social injustice instead of the ‘smoke’ of suicide.…”

Section: Fighting Injustice: Attacking the Symptom Instead Of The Mal...mentioning

confidence: 99%

“…8 Sometimes it is used as a label for specific approaches or strategies. 3,9 However, taken literally, a zero-suicide goal in public health goes beyond that. To hold zero as an overarching goal for suicide prevention seems to be based on the following ethical assumptions.…”

mentioning

confidence: 99%

“…1 In 2008, the Swedish parliament adopted the so-called 'vision zero' for suicide prevention, stating that 'no one should have to end up in a situation of such vulnerability that suicide is seen as the only way out.' 2,3 In the USA, the Surgeon General's 2012 National Strategy for Suicide Prevention promotes the adoption of zero suicide as an 'aspirational goal' for healthcare systems. 4 A 'zero' goal for suicide has also been promoted in the UK, Australia, the Netherlands and elsewhere.…”

mentioning

confidence: 99%

“…4 A 'zero' goal for suicide has also been promoted in the UK, Australia, the Netherlands and elsewhere. 3,5 The US National Action Alliance for Suicide Prevention states that suicide should be a 'never event'. 6 Although the World Health Organization (WHO), as far as we are aware, does not explicitly recommend a zero goal for suicide, its latest major report on suicide prevention may embrace such a goal in stating that 'every single life lost to suicide is one too many'.…”

mentioning

confidence: 99%

See 2 more Smart Citations

The phantasm of zero suicide

Sjöstrand

¹

,

Eyal

²

2023

Br J Psychiatry

0

View full text Add to dashboard Cite

Governments and non-governmental organisations are increasingly adopting a ‘zero-suicide’ goal, but what such a goal precisely involves is unclear. Ostensibly it strongly prioritises the prevention and elimination of all suicide. We argue that, so understood, a societal goal of zero suicide risks contravening several ethical principles. In terms of beneficence and non-maleficence, a ‘zero-suicide’ goal risks being inefficient and may burden or harm many people. Autonomy-wise, a blanket ban on all suicide is excessive. As regards social justice, zero suicide risks focusing on the symptoms of social malaise instead of the structures causing it. With respect to transparency, a ‘zero’ goal that cannot be met makes these authorities look detached and risks frustration, distrust and, worse, stigmatisation of suicide and of mental health conditions. Instead, we propose a middle path for suicide prevention, founded on harm reduction, ‘soft group paternalism’ and efforts directed at increased quality of life for disadvantaged groups. Although soft group paternalism respects autonomy, this approach permits coercive interferences in certain circumstances. We hope that the justificatory framework tying together these largely familiar elements is novel and sensible.

show abstract

“…Both the Swedish and the American zero suicide goals have been subject to criticism by authors who consider these goals to be unrealistic (Holm and Sahlin 2009;Smith et al 2015). For an in-depth discussion on the goal of zero suicides and strategies to approach it, see Wasserman et al (2022).…”

Section: Preventive Medicinementioning

confidence: 99%

Zero Visions and Other Safety Principles

Hansson

¹

2022

The Vision Zero Handbook

1

0

View full text Add to dashboard Cite

Safety management is largely based on safety principles, which are simple guidelines intended to guide safety work. This chapter provides a typology and systematic overview of safety principles and an analysis of how they relate to Vision Zero. Three major categories of safety principles are investigated. The aspiration principles tell us what level of safety or risk reduction we should aim at or aspire to. Important examples are Vision Zero, continuous improvement, ALARA (as low as reasonably achievable), BAT (best available technology), cost-benefit analysis, cost-effectiveness analysis, risk limits, and exposure limits. The error tolerance principles are based on the insight that accidents and mistakes will happen, however much we try to avoid them. We therefore have to minimize the negative effects of failures and unexpected disturbances. Safety principles telling us how to do this include fail-safety, inherent safety, substitution, multiple safety barriers, redundancy, and safety factors. Finally, evidence evaluation principles provide guidance on how to evaluate uncertain evidence. Major such principles are the precautionary principle, a reversed burden of proof, and risk neutrality.

show abstract

Zero Visions and Other Safety Principles

Hansson

¹

2022

The Vision Zero Handbook

1

0

View full text Add to dashboard Cite

Safety management is largely based on safety principles, which are simple guidelines intended to guide safety work. This chapter provides a typology and systematic overview of safety principles and an analysis of how they relate to Vision Zero. Three major categories of safety principles are investigated. The aspiration principles tell us what level of safety or risk reduction we should aim at or aspire to. Important examples are Vision Zero, continuous improvement, ALARA (as low as reasonably achievable), BAT (best available technology), cost-benefit analysis, cost-effectiveness analysis, risk limits, and exposure limits. The error tolerance principles are based on the insight that accidents and mistakes will happen, however much we try to avoid them. We therefore have to minimize the negative effects of failures and unexpected disturbances. Safety principles telling us how to do this include fail-safety, inherent safety, substitution, multiple safety barriers, redundancy, and safety factors. Finally, evidence evaluation principles provide guidance on how to evaluate uncertain evidence. Major such principles are the precautionary principle, a reversed burden of proof, and risk neutrality.

show abstract

Vision Zero In Suicide Prevention And Suicide Preventive Methods

Cited by 5 publications

References 100 publications

The phantasm of zero suicide

The phantasm of zero suicide

Zero Visions and Other Safety Principles

Zero Visions and Other Safety Principles

Contact Info

Product

Resources

About