Fazel2020 - Suicide

Example citation

Key takeaways

  • What explanations have been put forward for regional differences?
    • How suicide is classified
    • Attitudes
    • Access to lethal means
    • Adequacy of treatment for mental disorders
  • Means restriction strategies play an important role: restrictive alcohol policies, detoxification of domestic gas, restrictions of firearms.
  • There are approximately 20 suicide attempts for every death by suicide
  • Five key points:
      1. A person who presents with suicidal thoughts may be at risk for suicide even if there are few overt symptoms of a psychiatric disorder
      1. Suicide risk should be assessed by considering predisposing and precipitating factors, including recent life events
      1. The risk of suicide should be managed through regular follow-up and brief psychological therapy
      1. The suicidal person, family members, and those who provide care should all take part in ensuring a safe environment, with removal of the means of suicide such as guns
      1. If the risk of suicide is considered to be high or uncertain, the person should be referred immediately to mental health services, and the use of risk-assessment tools should be considered to aid risk stratification and communication among services

Refs to read: 5, 6, 7, 8, 59 (about means restriction)

20 suicide attempts for each suicide death: Preventing suicide: a global imperative. Geneva: World Health Organization, 2014