Sophie E Smart, Hollie Dimes, Cordelia Lumley, Steve Spooner, Sarah Anderson, Stephen Platt, Sarah Davidson
{"title":"A Volunteer-Run, Face-to-Face, Early Intervention Service for Reducing Suicidality.","authors":"Sophie E Smart, Hollie Dimes, Cordelia Lumley, Steve Spooner, Sarah Anderson, Stephen Platt, Sarah Davidson","doi":"10.1027/0227-5910/a000879","DOIUrl":"https://doi.org/10.1027/0227-5910/a000879","url":null,"abstract":"<p><p><b></b> <i>Background:</i> Befriending is one of many strategies with the potential to reduce suicidal ideation and decrease the risk of suicide. <i>Aims:</i> To measure change in suicidal ideation and behavior among visitors (service users) supported at The Listening Place (TLP), a charity which offers volunteer-run, face-to-face befriending to people who are suicidal. <i>Method:</i> This study was peer reviewed and preregistered on the Open Science Framework prior to data extraction. Anonymized data were extracted for visitors at the point of referral and after 3 months of receiving support. Paired-sample tests were used to test whether self-reported suicidal ideation and behaviors changed after 3 months of support from TLP. Multivariable regressions were used to test whether change in suicidal feelings was associated with demographic characteristics or baseline self-reported suicidality. <i>Results:</i> TLP received 13,938 referrals from July 2016 to February 2022. Self-reported suicidal ideation, suicidal behavior, and feelings of distress decreased after 3 months, while feelings of support increased. Only self-reported suicidal behavior prior to referral was associated with a lesser reduction in self-reported suicidality after 3 months. <i>Limitations:</i> In the absence of a control group, it cannot be concluded that TLP causes the reduction in self-reported suicidality. <i>Conclusions:</i> An empathetic, nonjudgmental, listening service for people who are feeling suicidal was well received by users, who experienced a reduction in suicidality.</p>","PeriodicalId":47943,"journal":{"name":"Crisis-The Journal of Crisis Intervention and Suicide Prevention","volume":"44 4","pages":"349-360"},"PeriodicalIF":3.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9944960","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}
Margot C A van der Burgt, Saskia Mérelle, Aartjan T F Beekman, Renske Gilissen
{"title":"The Impact of COVID-19 on the Suicide Prevention Helpline in The Netherlands.","authors":"Margot C A van der Burgt, Saskia Mérelle, Aartjan T F Beekman, Renske Gilissen","doi":"10.1027/0227-5910/a000863","DOIUrl":"10.1027/0227-5910/a000863","url":null,"abstract":"<p><p><b></b> <i>Background:</i> Although the number of suicides did not increase in 2020, there are concerns about the mental health consequences of the COVID-19 pandemic. <i>Aims:</i> To present the demand for the Dutch suicide prevention helpline during times of lockdown and to describe the coronavirus-related problems discussed. <i>Methods:</i> An observational and exploratory study analyzing the frequency of helpline requests and registration data (<i>n</i> = 893 conversations). <i>Results:</i> Demand for the helpline did increase, but with no distinctive relation with the lockdown measures. During the first lockdown, approximately a quarter of the analyzed helpline conversations were registered as coronavirus-related by the counselors. Most frequently mentioned conversation topics were the interruption to or changes in professional help, social isolation and loss of structure, and ways to find a distraction from suicidal thoughts/rumination. <i>Limitations:</i> Observational study design prevents causal inferences, and demand for the helpline is impacted by multiple factors. <i>Conclusion:</i> These coronavirus-related problems made help-seekers vulnerable to suicidal thoughts and a reduced desire to live. That many suffered from loneliness is concerning as this contributes to the risk of suicidal ideation. The distress among help-seekers due to the sudden loss of mental health care underscores the importance of maintaining contact with those in care and lowering the threshold for help.</p>","PeriodicalId":47943,"journal":{"name":"Crisis-The Journal of Crisis Intervention and Suicide Prevention","volume":"44 4","pages":"285-291"},"PeriodicalIF":1.7,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/1d/ae/cri_44_4_285.PMC10448893.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10069597","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Widening the Lens on Suicide Prevention - Introducing <i>Practice and Policy Insights</i> Articles.","authors":"Jane Pirkis","doi":"10.1027/0227-5910/a000920","DOIUrl":"https://doi.org/10.1027/0227-5910/a000920","url":null,"abstract":"","PeriodicalId":47943,"journal":{"name":"Crisis-The Journal of Crisis Intervention and Suicide Prevention","volume":"44 4","pages":"259-260"},"PeriodicalIF":3.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10323370","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}
Michael Doyle, Philip Ainsworth, Sarah Boul, Diane Lee
{"title":"Evaluation of a System for Real-Time Surveillance of Suicide in England.","authors":"Michael Doyle, Philip Ainsworth, Sarah Boul, Diane Lee","doi":"10.1027/0227-5910/a000874","DOIUrl":"https://doi.org/10.1027/0227-5910/a000874","url":null,"abstract":"<p><p><b></b> <i>Background:</i> Access to timely data on suicide is crucial to support suicide prevention. A real-time suicide surveillance (RTSS) system enables public health teams and allied agencies to review information following suicides promptly and take action quickly. <i>Aims:</i> The aim of this paper was to report on an evaluation of an RTSS system in South Yorkshire, England. <i>Method:</i> The system was reviewed, and outcome data were analyzed for 2019 and 2020 based on recorded suspected suicides, a stakeholder focus group, evaluation of postvention bereavement service outcomes, and lessons learned. <i>Results:</i> The benefits of RTSS included rapid response to emerging trends, identifying clusters, effective bereavement support, information to inform measures to mitigate risk, and supporting evaluation of interventions. The challenges faced included limited resources, data quality, consistency across places, and linkages with coronial processes. <i>Limitations:</i> This was an evaluation of one RTSS system based on routinely collected data covering one area, South Yorkshire, and hence some data limitations, and direct comparison with other services or against a control group was not possible. <i>Conclusion:</i> The RTSS system has led to better support for suicidal people and a responsive, timely, and effective service for those bereaved by suicide, all of which are likely to lead to enhanced well-being and community resilience.</p>","PeriodicalId":47943,"journal":{"name":"Crisis-The Journal of Crisis Intervention and Suicide Prevention","volume":"44 4","pages":"341-348"},"PeriodicalIF":3.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10298784","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":"Correction to Schlichthorst et al. (2022).","authors":"","doi":"10.1027/0227-5910/a000900","DOIUrl":"https://doi.org/10.1027/0227-5910/a000900","url":null,"abstract":"","PeriodicalId":47943,"journal":{"name":"Crisis-The Journal of Crisis Intervention and Suicide Prevention","volume":"44 4","pages":"329"},"PeriodicalIF":3.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10304892","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":"Unleashing the Potential of Systems Modeling and Simulation in Supporting Policy-Making and Resource Allocation for Suicide Prevention.","authors":"Maria Michail, Katrina Witt","doi":"10.1027/0227-5910/a000905","DOIUrl":"https://doi.org/10.1027/0227-5910/a000905","url":null,"abstract":"","PeriodicalId":47943,"journal":{"name":"Crisis-The Journal of Crisis Intervention and Suicide Prevention","volume":"44 4","pages":"261-266"},"PeriodicalIF":3.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10323371","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}
Kate M Chitty, Rachael C Cvejic, Teresa Heintze, Preeyaporn Srasuebkul, Kirsten Morley, Andrew Dawson, Gregory Carter, Michael Dinh, Nicholas A Buckley, Julian N Trollor
{"title":"The Association Between Problematic Use of Alcohol and Drugs and Repeat Self-Harm and Suicidal Ideation.","authors":"Kate M Chitty, Rachael C Cvejic, Teresa Heintze, Preeyaporn Srasuebkul, Kirsten Morley, Andrew Dawson, Gregory Carter, Michael Dinh, Nicholas A Buckley, Julian N Trollor","doi":"10.1027/0227-5910/a000880","DOIUrl":"https://doi.org/10.1027/0227-5910/a000880","url":null,"abstract":"<p><p><b></b> <i>Aims:</i> We investigated the association between problematic use of alcohol and/or drugs (PUAD) and the incidence, urgency, and mode of discharge for a subsequent episode of self-harm (SH) or suicidal ideation (SI). <i>Methods:</i> This was a retrospective population-based cohort study of individuals admitted to hospital for an index episode of SH/SI (2010-2014) using linked data from hospital admissions and emergency department (ED) presentations. The outcome variables were (1) subsequent presentation to the ED for SH/SI, (2) triage category, and (3) mode of departure. Key predictors were PUAD. <i>Results:</i> In total, 23,007 individuals were admitted to hospital for an index SH/SI, of whom 8% had a subsequent presentation to an ED for SH/SI within a year. The odds of subsequent presentation was increased in those with problematic alcohol use (AOR 1.62, 95% CI 1.36, 1.92), drug use (AOR 1.28, 95% CI 1.07, 1.53), and mental health diagnoses (AOR 1.63, 95% CI 1.44, 1.85). Those with problematic alcohol use were more likely to be assigned to the most urgent triage categories (AOR 1.84, 95% CI 1.32, 2.56). <i>Limitations:</i> Defining SH and PUAD using administrative data is challenging, and the true prevalence is likely to be underestimated. <i>Conclusion:</i> The findings underscore the importance of drug health intervention as a key component of self-harm prevention.</p>","PeriodicalId":47943,"journal":{"name":"Crisis-The Journal of Crisis Intervention and Suicide Prevention","volume":"44 4","pages":"309-317"},"PeriodicalIF":3.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9944957","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}
Emma H Moscardini, Anthony Robinson, Matthew Calamia, Raymond P Tucker
{"title":"Perfectionism and Suicidal Ideation.","authors":"Emma H Moscardini, Anthony Robinson, Matthew Calamia, Raymond P Tucker","doi":"10.1027/0227-5910/a000850","DOIUrl":"https://doi.org/10.1027/0227-5910/a000850","url":null,"abstract":"<p><p><b></b> <i>Background:</i> The integrated motivational-volitional (IMV) model of suicidal behavior posits that defeat leads to suicidal ideation through increased vulnerability for feelings of entrapment. One potentially important vulnerability factor for the development of feelings of defeat is socially prescribed perfectionism. <i>Aims:</i> The current study investigated these relationships in a sample of 313 US adults. <i>Method:</i> Mediation and parallel mediation analyses were conducted to determine the relationships between defeat, entrapment, social prescribed perfectionism, negative social comparison, and rejection sensitivity. <i>Results:</i> Findings indicated that socially prescribed perfectionism was significantly related to defeat through both negative social comparison and rejection sensitivity even when controlling for depression symptoms. Negative social comparison and rejection sensitivity were related to entrapment through feelings of defeat. This relationship was strongest when analyzing externalized (vs. internalized) entrapment. <i>Limitations:</i> The findings were limited by the cross-sectional study design as well as the relatively homogeneous sample. Implications and future directions are discussed.</p>","PeriodicalId":47943,"journal":{"name":"Crisis-The Journal of Crisis Intervention and Suicide Prevention","volume":"44 4","pages":"267-275"},"PeriodicalIF":3.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9996016","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}
Katharina Bockhoff, Wolfgang Ellermeier, Simone Bruder
{"title":"Evaluation of a Suicide Prevention Program Encompassing Both Student and Teacher Training Components.","authors":"Katharina Bockhoff, Wolfgang Ellermeier, Simone Bruder","doi":"10.1027/0227-5910/a000862","DOIUrl":"https://doi.org/10.1027/0227-5910/a000862","url":null,"abstract":"<p><p><b></b> <i>Background:</i> Although suicide prevention programs have been shown to change suicide-related knowledge and attitudes, relatively little is known about their effects on actual behavior. <i>Aims:</i> Therefore, the focus of the present study was on improving participating school staff's practical and communication skills. <i>Method:</i> Suicide prevention workshops for students in grades 8-10 (<i>N</i> = 200) and a gatekeeper training program for school staff (<i>N</i> = 150) were conducted in 12 secondary schools in Germany. Schools were alternately assigned to one of three interventions (staff, students, or both trained) or to a waitlist control group. <i>Results:</i> School staff undergoing the training showed increased action-related knowledge, greater self-efficacy when counseling students in need and augmented counseling skills, and also had more conversations with students in need. Although students participating in the workshops did not seek help more frequently, they provided help to their peers more often in the conditions in which both students and school staff or only the latter had been trained. <i>Limitations:</i> The generalizability of the results is constrained by high dropout rates due to the COVID-19 pandemic and the relatively small sample size. <i>Conclusion:</i> A combination of suicide prevention programs for school staff and students appears to be most effective.</p>","PeriodicalId":47943,"journal":{"name":"Crisis-The Journal of Crisis Intervention and Suicide Prevention","volume":"44 4","pages":"276-284"},"PeriodicalIF":3.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10448894/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10066717","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Roland Mergl, Ines Heinz, Antje-Kathrin Allgaier, Ulrich Hegerl
{"title":"Munich Alliance Against Depression.","authors":"Roland Mergl, Ines Heinz, Antje-Kathrin Allgaier, Ulrich Hegerl","doi":"10.1027/0227-5910/a000870","DOIUrl":"https://doi.org/10.1027/0227-5910/a000870","url":null,"abstract":"<p><p><b></b> <i>Background:</i> A four-level community-based intervention aiming simultaneously to improve the care for depression and to prevent suicidal behavior has been implemented in the German city Munich. <i>Aims:</i> Changes in suicide rates in Munich during 2009-2014 were analyzed with respect to a 10-year baseline. The same was true for a control region (Cologne) and Germany minus Munich. <i>Method:</i> The interventions included training of primary care providers, a public awareness campaign, training of community facilitators, and support for patients and relatives. Analyses included repeated-measures, generalized linear models. <i>Results:</i> In Munich, the suicide rate significantly decreased during the intervention period compared to baseline (percentage change = -15.0%; <i>p</i> < .001, 198 compared to 222 suicides per year). Differences in the change for Munich and the change for the control locations (Cologne; -1.7%; <i>p</i> = .71) and Germany minus Munich (-6.2%; <i>p</i> = .09) were not significant. <i>Limitations:</i> Data on suicide attempts were unavailable. <i>Conclusion:</i> In Munich, a clinically and statistically significant decrease in suicide rate was found. This change was numerically but not significantly larger than in the control regions. The results are promising, however. Because of low suicide base rates and limited power, no strong conclusions can be drawn concerning suicide preventive effects of the intervention.</p>","PeriodicalId":47943,"journal":{"name":"Crisis-The Journal of Crisis Intervention and Suicide Prevention","volume":"44 4","pages":"300-308"},"PeriodicalIF":3.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ea/28/cri_44_4_300.PMC10448895.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10445599","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}