Crisis-The Journal of Crisis Intervention and Suicide Prevention最新文献

{"title":"Assessing Patterns of Nonadherence With Reporting Guidelines for Articles Relating to Suicide in National Media.","authors":"Colm Sweeney, Edel Ennis, Maurice Mulvenna, Raymond Bond, Áine O'Meara","doi":"10.1027/0227-5910/a001023","DOIUrl":"https://doi.org/10.1027/0227-5910/a001023","url":null,"abstract":"<p><p><b></b> <i>Background:</i> Certain forms of media reporting on suicide, particularly those involving celebrity suicides, have been associated with an increase in imitative suicidal behavior. <i>Aims:</i> This research employs data science methodologies, including association rule mining, to identify patterns of nonadherence to reporting guidelines in Irish national media articles about suicide. <i>Methods:</i> This study analyses a dataset of 2,939 articles identified as noncompliant with Samaritans' reporting guidelines, using association rule mining to explore relationships among key categories of nonadherence. Initial analysis was conducted on the full dataset, followed by comparative analysis of celebrity-related and noncelebrity-related subsets to examine potential differences in reporting practices. <i>Results:</i> The most frequent recommendation not adhered to was the provision of helpline information, with higher nonadherence rates observed in celebrity-related articles and an increasing trend from 2019 to 2021. The second most common nonadherence involved the use of the term <i>commit</i>. Among those articles not adhering to two or more recommendations, association rule mining revealed co-occurrence patterns, which differed between celebrity-related media reports and noncelebrity-related reports. The top rules were linkage between nonadherences of the recommendations surrounding Graphic images and Methodology - Suicide Or Self-Harm within celebrity-related media, and linkage between nonadherences of the Methodology - Suicide Or Self-Harm and Location Details recommendations within noncelebrity-related media. <i>Limitations</i><i>:</i> The dataset represents only 20% of guideline-breaking suicide articles, manually tagged with high inter-rater reliability, but excludes positive practices, full guideline coverage, and distinctions between ideation, attempt, or death. <i>Conclusions:</i> Results are discussed in terms of their implications for supporting journalists in adhering to principles of the responsible reporting of suicide within the media, and the need to address celebrity-related and noncelebrity-related reporting separately. Relevant challenges are also discussed.</p>","PeriodicalId":47943,"journal":{"name":"Crisis-The Journal of Crisis Intervention and Suicide Prevention","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145193415","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of the Effect of Arizona's Crisis Response System on Hospitalizations for Behavioral Health Conditions.","authors":"Tami L Mark, Kristen Henretty, Brent J Gibbons","doi":"10.1027/0227-5910/a001027","DOIUrl":"https://doi.org/10.1027/0227-5910/a001027","url":null,"abstract":"<p><p><b></b> <i>Background:</i> US federal and state governments are investing in comprehensive behavioral health crisis system reforms. These reforms aim to prevent suicide, limit police involvement in crises, and reduce reliance on hospitals and emergency departments. Arizona's reform is considered a model for other states. <i>Aims:</i> We evaluated whether Arizona's crisis system reform was associated with reductions in behavioral health-related hospitalizations. <i>Method:</i> We used a comparative interrupted time series design to assess Arizona's implementation of their crisis response system in 2015. We used 2011-2018 Healthcare Cost and Utilization Project (HCUP) State Inpatient Dataset (SID) data and selected Colorado, Kentucky, Michigan, New Jersey, New Mexico, and Washington as comparison states. <i>Results:</i> Arizona's annual behavioral health-related hospital discharge rate per 100,000 population decreased from 686.3 in 2011 to 673.7 in 2014 and increased from 759.3 in 2016 to 955.7 in 2019. The comparative interrupted time series analyses revealed that implementation of Arizona's crisis system was not associated with a change in the rate of behavioral health hospitalizations. <i>Limitations:</i> There may be some unmeasured, time-varying factors related to the rate of behavioral health-related hospitalizations between Arizona and our comparison states that we are not accounting for. Also, hospitals switched from using ICD-9 to ICD-10 codes in 2015, the same year as Arizona implemented their crisis system. <i>Conclusions:</i> More research is needed to confirm whether and how comprehensive crisis response systems impact behavioral health-related hospitalizations.</p>","PeriodicalId":47943,"journal":{"name":"Crisis-The Journal of Crisis Intervention and Suicide Prevention","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145076425","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Domestic Violence and Self-Injurious Thoughts and Behaviors Among Adults.","authors":"Abhilasha Das, Savithri Suresh, Geetha Desai, Veena A Satyanarayana","doi":"10.1027/0227-5910/a001022","DOIUrl":"https://doi.org/10.1027/0227-5910/a001022","url":null,"abstract":"<p><p><b></b> <i>Background:</i> Exposure to domestic violence is associated with self-injurious thoughts and behaviors, including suicidal and nonsuicidal self-injury. However, an updated comprehensive review of the literature is unavailable. <i>Aims:</i> This systematic review aimed to describe the strength of the association between domestic violence exposure and self-injurious thoughts and behaviors among the adult population based on global literature. It also aimed to identify mediating and moderating factors and discuss whether the association varies according to the form of violence, sex, and between high-income countries (HICs) and low- and middle-income countries (LMICs). <i>Method:</i> Systematic searches in EBSCO, PubMed, ProQuest, SCOPUS, and Google Scholar identified 36 eligible articles published between 2012 and 2024. We assessed the methodological quality and extracted relevant data for narrative synthesis. <i>Results:</i> Studies showed a significant and moderate association between domestic violence exposure and self-injurious thoughts and behaviors in HICs and LMICs, as well as among males and females. Some studies reported a stronger association of self-injurious thoughts and behaviors with psychological and sexual violence. Mediators and moderators included posttraumatic stress disorder symptoms and loneliness. <i>Limitations</i><i>:</i> Meta-analysis was not possible due to heterogeneity in definitions and measures of domestic violence and self-injurious thoughts and behaviors employed by the studies. <i>Conclusion:</i> There is strong evidence for the association between domestic violence and self-injurious thoughts and behaviors, indicating a critical need to integrate prevention and intervention efforts.</p>","PeriodicalId":47943,"journal":{"name":"Crisis-The Journal of Crisis Intervention and Suicide Prevention","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974327","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Australia's Social Media Age Limit.","authors":"Jo Robinson, Louise La Sala, Vicki Harrison","doi":"10.1027/0227-5910/a001014","DOIUrl":"10.1027/0227-5910/a001014","url":null,"abstract":"","PeriodicalId":47943,"journal":{"name":"Crisis-The Journal of Crisis Intervention and Suicide Prevention","volume":" ","pages":"245-253"},"PeriodicalIF":2.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144660718","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Suicidality Among Sexual or Gender Minority College Students With a Schizophrenia Spectrum Disorder.","authors":"Brittany M Gouse, Aviva G Schwarz, Jessica Lewczyk, Carl G Streed, Elijah E Boliver, Cindy Xu, Amelia C Blanton, Hannah E Brown","doi":"10.1027/0227-5910/a001009","DOIUrl":"10.1027/0227-5910/a001009","url":null,"abstract":"<p><p><b></b> <i>Background:</i> Suicide is a leading cause of death among individuals with a schizophrenia spectrum disorder (SSD). Individuals who identify with a sexual and/or gender minority (SGM) identity are also at increased risk for suicidal thinking and behavior. <i>Aims:</i> To explore the association between SGM status and suicidality among university students with an SSD. <i>Method:</i> We used the 2019-2020 Healthy Minds survey data to explore the relationship between SGM status and past-year suicidal ideation, plan, and attempt among individuals with SSDs using bivariate and multivariable analyses. <i>Results:</i> Of 134 students with SSDs, 47.5% endorsed a sexual minority identity and 18.7% endorsed a gender minority identity. Gender minority individuals had 3.98 the odds of suicidal ideation compared to cisgender individuals (95% CI 1.16-13.60, <i>p</i> = .0277). There was no association between sexual minority identity and suicidal ideation. <i>Limitations:</i> This work was limited to a cross-sectional assessment using self-report survey data from a predominantly non-Latino White college student cohort, resulting in a small sample size and limited generalizability. <i>Conclusion:</i> The intersectionality of having a gender minority identity and an SSD may confer a heightened risk of suicidal ideation among young adults. University campuses and first-episode psychosis programs should consider targeted suicide prevention efforts in this population.</p>","PeriodicalId":47943,"journal":{"name":"Crisis-The Journal of Crisis Intervention and Suicide Prevention","volume":" ","pages":"254-261"},"PeriodicalIF":2.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144745529","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patient-Centered Suicide Prevention Care Delivery Among Established Integrated Primary Care Providers.","authors":"Jennifer S Funderburk, Wendi F Cross, Jennifer West, Lisa K Kearney, Katherine Dollar, Alyssa Giannone, Stephanie Gamble","doi":"10.1027/0227-5910/a001011","DOIUrl":"10.1027/0227-5910/a001011","url":null,"abstract":"<p><p><b></b> <i>Background:</i> Identifying gaps in skill levels and increasing access to training focused on patient-centered skill delivery among integrated primary care providers (i.e., primary care providers, such as physicians and embedded behavioral health providers in primary care, such as psychologists) are needed to improve suicide prevention care. <i>Aims</i>: This pilot study examined an adapted suicide prevention measurement tool's acceptability and feasibility among established (nontrainee) integrated primary care providers and examined preliminary validity of total scores with patient experience. <i>Methods:</i> Thirty-three providers completed a virtual simulation, which was rated using the suicide prevention measurement tool. Twenty-four primary care patients also listened to four pre-recorded simulations with previously agreed upon scores using the measurement tool to preliminarily examine construct validity with the patient's experience. Descriptive statistics for primary study variables (e.g., acceptability) were calculated. <i>Results:</i> Findings suggest that this suicide prevention tool is feasible and acceptable among established integrated primary care providers. There was also preliminary support for its validity. <i>Limitations</i>: The sample is small. <i>Conclusion:</i> Utilizing an evidence-based suicide prevention measurement tool, with good feasibility and acceptability, may be an important next step to address the gaps in suicide training to achieve high-quality suicide prevention care.</p>","PeriodicalId":47943,"journal":{"name":"Crisis-The Journal of Crisis Intervention and Suicide Prevention","volume":" ","pages":"285-292"},"PeriodicalIF":2.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530388","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Between Guidelines and Headlines - Analysis of Newspapers Reporting of Suicide in Saudi Arabia.","authors":"Mona AlSheddi","doi":"10.1027/0227-5910/a001021","DOIUrl":"10.1027/0227-5910/a001021","url":null,"abstract":"<p><p><b></b> <i>Objectives:</i> Media plays a crucial role in shaping perceptions of suicide; however, little is known about the extent to which Saudi newspapers adhere to the World Health Organization (WHO) guidelines for responsible suicide reporting. This study aims to assess the adherence of Saudi newspapers to WHO recommendations and identify harmful and helpful reporting practices. <i>Methods:</i> A content analysis was conducted on 471 suicide-related news articles from five major Saudi newspapers (2010-2024). Each report was evaluated for harmful elements, such as graphic details of methods used, and helpful elements, such as mental health information or hotline details. <i>Results:</i> The findings showed significant variability in adherence to WHO guidelines. Harmful practices included mentioning the method of suicide in 85.4% of reports, describing the method in 21.4%, and specifying the location in 81.3%. The age of those who died by suicide was disclosed in 63.5% of cases, and nationality in 70.1%. In contrast, helpful reporting practices were rare, with only 3.2% of reports mentioning warning signs and 0.8% including expert opinions. <i>Limitations:</i> The study only analyzed online newspaper content and did not assess audience impact. <i>Conclusion:</i> These findings highlight the urgent need to promote and implement media coverage guidelines, whether locally developed or based on existing WHO recommendations, in Saudi Arabia. However, this study is limited to online newspaper content and does not assess audience impact.</p>","PeriodicalId":47943,"journal":{"name":"Crisis-The Journal of Crisis Intervention and Suicide Prevention","volume":" ","pages":"293-298"},"PeriodicalIF":2.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144795859","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Suicide Deaths by Gas Inhalation in Toronto, Canada - An Observational Study of Emerging Methods of Suicide From 1998 to 2020.","authors":"Vera Yu Men, Prudence Po Ming Chan, Ayal Schaffer, Rosalie Steinberg, Rachel Mitchell, Jennifer M Dmetrichuk, Paul Siu Fai Yip, Simon Hatcher, Mark Sinyor","doi":"10.1027/0227-5910/a001015","DOIUrl":"10.1027/0227-5910/a001015","url":null,"abstract":"<p><p><b></b> <i>Background:</i> Inert gases are an emerging means of suicide in Toronto, Canada. Trends in suicide by these methods change over time, yet long-term patterns remain uncharacterized in cities like Toronto. <i>Aims:</i> To update trends in suicide using inhalational gas and explore the profiles of individuals using different methods in Toronto. <i>Methods:</i> Suicide deaths were identified from coroner's records and classified by suicide methods. Time trends were explored, and bivariate analyses were performed to characterize differences in profiles between groups. <i>Results:</i> There were 229 suicide deaths by inert gas between 1998 and 2020. For 2016-2020, suicide by nitrogen increased by 100%, whereas there was a decrease in suicide by helium (-38%) and charcoal burning (-57%) compared to 2011-2015. Males comprised a higher proportion of inhalational gas deaths compared to other methods. Individuals who died by compressed gas and charcoal burning were more likely to have left suicide notes compared to people who died by other methods. <i>Limitations:</i> The number of suicide deaths by gas inhalation may be underestimated due to potential misclassification. <i>Conclusions:</i> Suicide prevention strategies including restricting access to suicidal means, providing helpline information on the products, and responsible media reporting should each be advocated for.</p>","PeriodicalId":47943,"journal":{"name":"Crisis-The Journal of Crisis Intervention and Suicide Prevention","volume":" ","pages":"270-277"},"PeriodicalIF":2.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144561539","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Peer-Delivered Written Versus Electronic Suicide Safety Planning in the Emergency Department.","authors":"Ronald G Thompson, Samuel Mullinax, Robert DeMonte, Angie Waliski, Michael P Wilson","doi":"10.1027/0227-5910/a001019","DOIUrl":"10.1027/0227-5910/a001019","url":null,"abstract":"<p><p><b></b> <i>Background:</i> Suicide is one of the leading causes of death in the United States, and safety planning is a best practice to reduce the risk of suicide. It is currently unknown if electronic safety planning with a phone app results in effective safety planning compared to paper versions. <i>Aims:</i> To evaluate electronic safety planning vs. a paper safety plan in the ED setting. <i>Methods:</i> A pilot randomized controlled trial was conducted in which 30 participants were randomized 1:1 into traditional paper safety planning versus safety planning on a phone app (My3). Outcomes of interest included safety plan completeness, safety plan quality, and return ED visits within 3 months. <i>Findings/Results:</i> Despite taking less time to complete, paper safety planning was more complete than electronic safety planning. There were no significant differences in quality or return ED visits within 3 months. <i>Limitations:</i> This study was limited to a small sample size by our local IRB. <i>Conclusions:</i> Given that plan completeness has previously shown mixed associations with clinical outcomes, further research is needed to refine and evaluate electronic formats.</p>","PeriodicalId":47943,"journal":{"name":"Crisis-The Journal of Crisis Intervention and Suicide Prevention","volume":" ","pages":"278-284"},"PeriodicalIF":2.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144785626","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Quantitative Evaluation of the Veteran Crisis Line Lethal Means Safety Pilot.","authors":"Yufei Li, Jolie Bourgeois, MaryGrace Lauver, Yi-Jung Shen, Matthew Podlogar, Elizabeth Schaper, Izabela Sadej, Melissa M Garrido","doi":"10.1027/0227-5910/a001025","DOIUrl":"https://doi.org/10.1027/0227-5910/a001025","url":null,"abstract":"<p><p><b></b> <i>Background:</i> The Veteran Crisis Line (VCL) Lethal Means Safety (LMS) Pilot offered cable gun locks or medication take-back envelopes to veteran callers at risk of suicide. <i>Aims:</i> We aimed to assess the acceptability of offering LMS interventions to these veterans and examined call outcomes, health care use, and mortality of veterans associated with acceptance of the intervention. <i>Method:</i> We assessed the acceptability of offering LMS interventions to eligible veterans who contacted the VCL between June 13, 2022, and March 31, 2023. To examine outcomes associated with acceptance of the intervention, we used inverse probability of treatment weights to balance veteran characteristics. <i>Results:</i> We found that 41.6% of veterans who were identified VHA enrollees accepted the intervention after being offered one, three times the rate of nonidentifiable veterans. Additionally, veterans who were offered any intervention, whether they accepted it or not, had a lower risk of having an emergency dispatch than those not offered one. <i>Limitations:</i> Veterans were not randomized to the intervention, so no causal inferences can be made. <i>Conclusions:</i> Our evaluation suggests that LMS interventions are acceptable to at-risk veterans. Further evaluation is needed to determine whether acceptance of an intervention has any long-term impacts on veteran outcomes.</p>","PeriodicalId":47943,"journal":{"name":"Crisis-The Journal of Crisis Intervention and Suicide Prevention","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974267","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}