Understanding and managing suicide risk

Zortea, T. C. , Cleare, S. , Melson, A. J. , Wetherall, K. and O'Connor, R. C. (2020) Understanding and managing suicide risk. British Medical Bulletin, 134(1), pp. 73-84. (doi: 10.1093/bmb/ldaa013) (PMID:32435794)

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Abstract

Background: Suicidal behaviours and non-suicidal self-harm (NSSH) are global public health concerns that affect millions of lives. Sources of data: This review is a narrative synthesis of systematic reviews, meta-analyses of randomized control trials (RCTs) and landmark studies published in scientific journals. Areas of agreement: Restricting access to lethal means reduces the likelihood of future suicide deaths. Areas of controversy: Our ability to predict future suicidal behaviour is no better than chance. No individual risk prediction instrument offers sufficient sensitivity and specificity to inform clinically useful decision-making. Growing points: Different types of psychosocial interventions may be effective in preventing future suicide attempts; such interventions include clinical assessment, tailored crisis response and safety plans and follow-up contact. Areas timely for developing research: Whilst some psychosocial interventions can be effective in reducing suicide risk, little is known about the mechanisms of recovery from suicidal thoughts and behaviours.

Item Type:Articles
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Zortea, Dr Tiago and Wetherall, Miss Karen and O'Connor, Professor Rory and Melson, Dr Ambrose and Cleare, Miss Seonaid
Authors: Zortea, T. C., Cleare, S., Melson, A. J., Wetherall, K., and O'Connor, R. C.
College/School:College of Medical Veterinary and Life Sciences > Institute of Health and Wellbeing > Mental Health and Wellbeing
Journal Name:British Medical Bulletin
Publisher:Oxford University Press
ISSN:0007-1420
ISSN (Online):1471-8391
Published Online:21 May 2020
Copyright Holders:Copyright © 2020 The Authors
First Published:First published in British Medical Bulletin 134(1): 73-84
Publisher Policy:Reproduced in accordance with the publisher copyright policy

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