This 4-volume report is the product of the Task Force on Youth Suicide presented to the Secretary of Health and Human Services. The task force developed six recommendations that address the most urgent needs for research, education and services to prevent youth suicide.
Every year, about 30,000 people die by suicide in the U.S., and some 650,000 receive emergency treatment after a suicide attempt. Often, those most at risk are the least able to access professional help. Reducing Suicide provides a blueprint for addressing this tragic and costly problem: how we can build an appropriate infrastructure, conduct needed research, and improve our ability to recognize suicide risk and effectively intervene. Rich in data, the book also strikes an intensely personal chord, featuring compelling quotes about people's experience with suicide. The book explores the factors that raise a person's risk of suicide: psychological and biological factors including substance abuse, the link between childhood trauma and later suicide, and the impact of family life, economic status, religion, and other social and cultural conditions. The authors review the effectiveness of existing interventions, including mental health practitioners' ability to assess suicide risk among patients. They present lessons learned from the Air Force suicide prevention program and other prevention initiatives. And they identify barriers to effective research and treatment. This new volume will be of special interest to policy makers, administrators, researchers, practitioners, and journalists working in the field of mental health.
The past 25 years have seen a major paradigm shift in the field of violence prevention, from the assumption that violence is inevitable to the recognition that violence is preventable. Part of this shift has occurred in thinking about why violence occurs, and where intervention points might lie. In exploring the occurrence of violence, researchers have recognized the tendency for violent acts to cluster, to spread from place to place, and to mutate from one type to another. Furthermore, violent acts are often preceded or followed by other violent acts. In the field of public health, such a process has also been seen in the infectious disease model, in which an agent or vector initiates a specific biological pathway leading to symptoms of disease and infectivity. The agent transmits from individual to individual, and levels of the disease in the population above the baseline constitute an epidemic. Although violence does not have a readily observable biological agent as an initiator, it can follow similar epidemiological pathways. On April 30-May 1, 2012, the Institute of Medicine (IOM) Forum on Global Violence Prevention convened a workshop to explore the contagious nature of violence. Part of the Forum's mandate is to engage in multisectoral, multidirectional dialogue that explores crosscutting, evidence-based approaches to violence prevention, and the Forum has convened four workshops to this point exploring various elements of violence prevention. The workshops are designed to examine such approaches from multiple perspectives and at multiple levels of society. In particular, the workshop on the contagion of violence focused on exploring the epidemiology of the contagion, describing possible processes and mechanisms by which violence is transmitted, examining how contextual factors mitigate or exacerbate the issue. Contagion of Violence: Workshop Summary covers the major topics that arose during the 2-day workshop. It is organized by important elements of the infectious disease model so as to present the contagion of violence in a larger context and in a more compelling and comprehensive way.
The main focus of this review is to present the findings from primary research that assessed the efficacy/effectiveness of suicide prevention programs on school aged children and youth (i.e., ages 5 to 19 years) including school-based or commmity-based suicide prevention programs An assessment tool developed, pre-tested and modified in other Canadian reviews was used to critically appraise the quality of the published studies. Most of the studies focused on the general student population, while a few studies first categorized students as 'at-risk' or 'in need' before the intervention. Six out of 10 studies were rated as moderate to strong in relation to their methodological quality. Two out of these six studies using similar approaches for risk stratification and delivering intervention programs with similar objectives, showed consistent and encouraging evidence on the effects (for example, decreases in depression, hopelessness, stress, anxiety and anger) of their programs. Despite these findings the overall methodological weaknesses and inconsistent findings from the studies indicate that there is insufficient evidence to either support or not to support curriculum-based suicide prevention programs in schools.
This handbook examines research on youth suicide, analyzes recent data on suicide among adolescents, and addresses the subject matter as a serious public health concern. The book explores the research on youth suicide, examining its causes, new and innovative ways of determining suicide risk, and evidence-based intervention and prevention strategies. In addition, it focuses on specific under-studied populations, including adolescents belonging to ethnic, racial, and sexual minority groups, youth involved in the criminal justice system, and adolescents in foster care. The book discusses how culturally informed and targeted interventions can help to decrease suicide risk for these populations. Key areas of coverage include: Early childhood adversity, stress, and developmental pathways of suicide risk. The neurobiology of youth suicide. Suicide, self-harm, and the media. Assessment of youth suicidal behavior with explicit and implicit measures. Suicide-related risk among immigrant, ethnic, and racial minority youth. LGBTQ youth and suicide prevention. Psychosocial treatments for ethnoculturally diverse youth with suicidal thoughts and behaviors. Technology-enhanced interventions and youth suicide prevention. The Handbook of Youth Suicide Prevention is an essential resource for researchers, professors, graduate students as well as clinicians, therapists, and other professionals in developmental psychology, social work, public health, pediatrics, family studies, child and adolescent psychiatry, school and educational psychology, and all interrelated disciplines. Chapters 8, 9 and 16 are available open access under a Creative Commons Attribution 4.0 International License via link.springer.com.