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

{"title":"Innovations in Crisis Line Interventions.","authors":"Gisell Castillo, Gil Angela Dela Cruz, Joe Lebbos, Emilio Fabiano Toala, Fatima Ahmad, Mackenzie Earle, Reena Besa, Anne Kirvan, Cheryl Pereira, Allison Crawford","doi":"10.1027/0227-5910/a001063","DOIUrl":"10.1027/0227-5910/a001063","url":null,"abstract":"<p><p><b></b> <i>Background:</i> Crisis lines provide evidence-based suicide prevention support that often involves active listening, safety assessment, collaborative problem solving, and sharing resources (care as usual). Many crisis lines are also innovating by providing additional interventions to support service users. <i>Aims</i>: We conducted a scoping review of peer-reviewed literature to understand what crisis line interventions are currently used beyond usual care and which have been evaluated. <i>Methods:</i> We worked with a librarian to develop a comprehensive search strategy applied across six databases (PsycInfo, MEDLINE, Embase, CINAHL, Applied Social Sciences Index and Abstracts, and Web of Science). Results were screened by pairs of analysts. Data from eligible sources were extracted using a standardized form and synthesized by type of intervention. <i>Results:</i> We identified 42 relevant studies describing crisis line interventions other than care as usual. Of these, seven evaluated the intervention and four found support for the evaluated intervention. There are single-study evidence in support of: applied suicide intervention skills training (ASIST); a structured safety planning intervention; artificial intelligence (AI) to support messaging; and a crisis line-specific risk assessment scale developed in Beijing. The remaining studies described a variety of interventions including triaging, managing, and de-escalating crises; structured or standardized suicide risk assessment and safety planning; care coordination; and supporting responders using AI. However, these interventions were not formally assessed. <i>Limitations:</i> Variability in how interventions are described, operationalized, delivered, and evaluated limits comparisons across studies. <i>Conclusion:</i> Crisis lines continue to explore ways to meet the needs of the people they serve. However, many approaches have not been formally evaluated. More research and evaluation are needed in real-life contexts where information can be triangulated from various data sources (e.g., crisis line data, responder feedback, user experiences) to evaluate the impact and meaning of a given intervention.</p>","PeriodicalId":47943,"journal":{"name":"Crisis-The Journal of Crisis Intervention and Suicide Prevention","volume":" ","pages":"279-292"},"PeriodicalIF":3.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148354407","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":"Epidemiological Profile of Repeated Self-Harm Presentations to Healthcare Services in a Brazilian Urban Centre (Vitoria, ES).","authors":"Katerina Kavalidou, Renata Martins Predo, Vítor Fabri de Oliveira, Alexandra Iglesias, Magda Diniz Dimenstein, Raísa Catherinne Cagliari Costa, Tiago C Zortea","doi":"10.1027/0227-5910/a001066","DOIUrl":"10.1027/0227-5910/a001066","url":null,"abstract":"<p><p><b></b> <i>Background:</i> In Brazil, national surveillance indicates a rise in self-harm, but little is known about patterns of repeated presentations to healthcare services or changes in self-harm methods over time. <i>Aims</i>: To examine sociodemographic and clinical factors associated with two or more (repeated) presentations to healthcare services for self-harm, and to explore method switching among individuals presenting to healthcare services in Vitória, Brazil. <i>Method:</i> A retrospective cohort analysis was conducted using administrative data from the Brazilian Unified Health System in Vitoria City (Espírito Santo; 2012-2022). Records from the Notifiable Diseases Information System and e-SUS National Health Surveillance System were used to identify individuals with self-harm presentations. Modified Poisson Regression was employed to examine associations between repeated self-harm episodes and sociodemographic and clinical characteristics between 2018 and 2022. <i>Results:</i> Among 2,152 self-harm notifications, 69% involved repeated presentations. The results revealed that female sex [RR = 1.14, 95% CI: 1.06-1.23], presence of disorder [RR = 1.41, 95% CI: 1.27-1.57], and use of sharp objects [RR = 1.22, 95% CI: 1.12-1.32] were positively associated with repetition, whereas Black [RR = 0.87, 95% CI: 0.79-0.95], multiracial ethnicity [RR = 0.92, 95% CI: 0.87-0.98], and poisoning [RR = 0.92, 95% CI: 0.85-1.00] were negatively associated. Among those with multiple episodes, half re-presented within 77 days and three-quarters within 260 days. Method switching was common: 42% changed methods between their first and second episodes, with cutting most frequently transitioning to self-poisoning. <i>Limitations:</i> Findings rely on routine notification data, which vary in completeness. Some clinical information was based on collateral reports rather than diagnosis. <i>Conclusion:</i> Repeated self-harm presentations often occur within short intervals. High levels of method switching underscore the need for person-centered assessments.</p>","PeriodicalId":47943,"journal":{"name":"Crisis-The Journal of Crisis Intervention and Suicide Prevention","volume":" ","pages":"260-271"},"PeriodicalIF":3.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148363206","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":"Is Perceived Poor School Connectedness Associated With Self-Poisoning in Adulthood in a Sri Lankan Population?","authors":"Corinne Robbins, Thilini Rajapakse, Piumee Bandara, Tharuka Ushani, Lalith Senarathna, Duleeka Knipe, Judi Kidger","doi":"10.1027/0227-5910/a001050","DOIUrl":"10.1027/0227-5910/a001050","url":null,"abstract":"<p><p><b></b> <i>Background:</i> Globally over 720,000 deaths yearly are due to suicide, approximately 20% due to pesticide self-poisoning. Poor school-connectedness has been shown to be associated with increased risk of suicidal thoughts and behaviors in high-income countries, while good school-connectedness is protective of suicidality. This study investigated associations between poor school-connectedness and self-poisoning in a low- and middle-income country. <i>Methods:</i> We used data collected in a hospital-based case-control study in rural Sri Lanka. Cases (<i>n</i> = 298) were adults admitted due to self-poisoning, and controls (<i>n</i> = 596) frequency matched on age and sex. Structured interviews assessed school-connectedness using four questions, and data on confounders (ethnicity, parental migration, child adversity, and parental education) were also collected. Associations were quantified using logistic regression. <i>Results:</i> Individuals with poorer relationships with other students (<i>OR</i> = 1.90, 95% CI 1.22, -2.95) and lower levels of school enjoyment (<i>OR</i> = 1.34, 95% CI 0.94, -1.92) were more likely to present for self-poisoning in adulthood. They were also more likely to report poor relationships with teachers, but this relationship was not as strong (<i>OR</i> = 1.30, 95% CI 0.90, -1.88). <i>Limitations</i>: The questionnaire used is not validated in this setting. Additionally, this is a retrospective study using a hospital sample, which may be impacted by recall bias and/or excluding individuals who did not seek hospital treatment. <i>Conclusions:</i> Interventions to improve school-connectedness in Sri Lanka, with a particular focus on relationships between students, may reduce self-poisoning in adulthood. Further research is needed to explore how to achieve this, and to understand the reasons for association between school-connectedness and self-poisoning.</p>","PeriodicalId":47943,"journal":{"name":"Crisis-The Journal of Crisis Intervention and Suicide Prevention","volume":" ","pages":"234-242"},"PeriodicalIF":3.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147285801","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":"Rail Suicide Prevention - Evaluating the Impact of Online Awareness Training for Workers.","authors":"Angela Clapperton, Jane Pirkis, Angela Nicholas, Heather Neil, Hope Steele, Matthew J Spittal","doi":"10.1027/0227-5910/a001036","DOIUrl":"10.1027/0227-5910/a001036","url":null,"abstract":"<p><p><b></b> <i>Aims</i>: The study aim was to determine whether brief online suicide awareness training could increase rail workers': (1) knowledge about how to intervene safely with someone at risk on the rail; (2) belief that the rail industry could help to reduce suicides on the rail; (3) confidence to intervene with someone at risk on the rail; and (4) likelihood that they would intervene with someone at risk on the rail. <i>Method</i>: 1,050 rail workers completed the training and pre-/postsurveys designed to assess the impact of the training. We calculated the proportional mean change between the pre- and postintervention periods for each outcome. <i>Results</i>: Significant increases were observed across all outcomes. For rail workers' knowledge of how to intervene safely the proportional mean difference was 1.15 (95% CI: 1.14 to 1.16), for belief that rail workers can help to reduce rail suicides it was 1.14 (95% CI: 1.13 to 1.16), for confidence to intervene with someone at risk on the rail it was 1.24 (95% CI: 1.22 to 1.27), and for likelihood of intervention with someone at risk on the rail it was 1.03 (95% CI: 1.02 to 1.05). <i>Limitations</i>: This study relied on a pre-/postdesign without a control group, limiting causal inferences. <i>Conclusion</i>: Brief online suicide prevention awareness training appears to be effective in improving outcomes.</p>","PeriodicalId":47943,"journal":{"name":"Crisis-The Journal of Crisis Intervention and Suicide Prevention","volume":" ","pages":"217-226"},"PeriodicalIF":3.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145769447","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":"Social Media Disclosure of Suicidal Thoughts and Behaviors.","authors":"Lindsay Sheehan","doi":"10.1027/0227-5910/a001047","DOIUrl":"10.1027/0227-5910/a001047","url":null,"abstract":"<p><p><b></b> <i>Background:</i> Disclosure of a stigmatized experience such as suicidal thoughts and behaviors can have both positive and negative consequences. While online social media platforms have become an increasingly prevalent mode of disclosure for suicide attempt survivors, it remains unclear how suicide attempt survivors perceive online disclosures. <i>Aims:</i> We sought to explore the advantages and disadvantages of suicide-related disclosure via social media, from the perspective of suicide attempt survivors. <i>Method:</i> As part of a larger study, we analyzed responses from qualitative interviews with suicide attempt survivors (<i>n</i> = 18) and coded responses around advantages and disadvantages of disclosing via social media. <i>Results:</i> Advantages of social media disclosure discussed by participants were: anonymity, easy connection to support, and opportunity to support others. Disadvantages of disclosure via social media included: potential for triggering others, negative responses (e.g., trolling, cyberbullying), communication barriers, and the perception of attention-seeking. <i>Limitations:</i> The sample was a relatively small convenience sample who were open enough about their experiences with suicide to participate in research interviews. <i>Conclusion:</i> Quantitative methods are warranted to determine the relative salience of advantages and disadvantages. Future investigations might delve into the decision-making process of suicide-related disclosure via social media and develop guidance for making disclosure decisions.</p>","PeriodicalId":47943,"journal":{"name":"Crisis-The Journal of Crisis Intervention and Suicide Prevention","volume":" ","pages":"227-233"},"PeriodicalIF":3.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146087610","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":"Impact of Railway Delay Announcements on Suicide-Related Associations, Emotions, and Announcement Appreciation.","authors":"Felix Bolinski, Stephanie Leone, Lonneke van Leeuwen, Jeroen Bommelé, Bart Hoogcarspel, Anne C Miers","doi":"10.1027/0227-5910/a001061","DOIUrl":"10.1027/0227-5910/a001061","url":null,"abstract":"<p><p><b></b> <i>Background:</i> Previous research has showed that exposure to a postsuicide railway announcement stating that a delay was due to a collision with a person yielded suicide associations and negative emotions. In 2021, the Dutch Railways implemented a new announcement that simply stated a collision had occurred, but its impact has not yet been tested. <i>Aims:</i> This follow-up study investigates the impact of this new announcement on suicide-related explicit associations, negative and positive emotions, and announcement appreciation. We compare it to the previously used announcement collision with a person, as well as to announcements stating that a delay was due to the presence of emergency services and to a collision with an animal (control announcement). <i>Method:</i> A randomized controlled online experiment was conducted in which participants (<i>N</i> = 346) were exposed to one of eight conditions varying across two factors: announcement and personal relevance of the delay. Participants were recruited from the Dutch railway customer panel. <i>Results:</i> The new announcement stating that a delay was due to a collision was less likely to yield associations with suicide than the collision with a person announcement, but more likely to elicit suicide associations compared to the announcement indicating presence of emergency services. However, the latter was the least appreciated delay announcement. Regarding positive and negative emotions, the new collision announcement did not significantly differ from the other announcements. Personally relevant delays yielded greater suicide associations and stronger negative emotions than nonrelevant delays but more willingness to help other passengers. <i>Limitations:</i> The extent to which the scenarios used in the online experiment reflect real-life situations may be limited. <i>Conclusion:</i> Announcement of collision or emergency services is more appropriate than stating collision with a person in a delay announcement.</p>","PeriodicalId":47943,"journal":{"name":"Crisis-The Journal of Crisis Intervention and Suicide Prevention","volume":" ","pages":"252-259"},"PeriodicalIF":3.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13543216/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148228616","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":"Lived Experience of Suicide in Suicide Researchers.","authors":"Eileen Danaee, Prudence Chan, Vanessa V Chen, Rachel Lebovic, Samantha G Mason, Simon Hatcher, E David Klonsky, Ayal Schaffer, Rachel Mitchell, Rosalie Steinberg, Rory O'Connor, Juveria Zaheer, Mark Sinyor","doi":"10.1027/0227-5910/a001062","DOIUrl":"https://doi.org/10.1027/0227-5910/a001062","url":null,"abstract":"<p><p><b></b> <i>Background:</i> Previous studies have highlighted the importance of including people with lived experience of suicide in research, yet no previous study has investigated lived experience of suicide among suicide researchers themselves. <i>Aims:</i> This pilot study aims to conduct a preliminary assessment of lived experience of suicide among suicide researchers in Canada. <i>Method:</i> A survey was disseminated via email to 70 Canadian suicide researchers and their teams, resulting in 120 potential participants, of which 32 responded. Demographics and details of lived experience with suicide and suicide-related thoughts and behaviors across self, social, and professional domains were collected. Descriptive statistics were reported on variables of interest. <i>Results:</i> Among 32 respondents, 93.8% reported at least one type of lived experience with suicide. Specifically, 19 (59.4%) reported self-lived experience, 27 (84.4%) reported social-lived experience, and 13 (40.6%) reported professional lived experience. Most participants had \"hidden\" lived experiences choosing to never (47.2%) or rarely (36.1%) disclose them in professional settings. <i>Limitations:</i> The relatively small sample size reduced the precision of findings. Additionally, the low survey completion rate may reflect reluctance among individuals with hidden lived experience to participate due to stigma, and ascertainment bias (i.e., those with lived experience may have been more likely to respond). <i>Conclusion:</i> These pilot findings must be cautiously interpreted given potential for response bias. Nevertheless, they reveal substantial lived experiences of suicide among suicide researchers which often remains hidden in professional settings. Larger studies are needed to confirm these findings.</p>","PeriodicalId":47943,"journal":{"name":"Crisis-The Journal of Crisis Intervention and Suicide Prevention","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2026-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148279301","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":"Eco-Emotions and Suicidal Ideation and Behavior.","authors":"Kairi Kõlves, Damian Shaw-Williams, Sadhvi Krishnamoorthy, Luke Bayliss, Sharna Mathieu, Linda R Zhong, Jacinta Hawgood, Caroline Donovan, Susan H Spence, Lennart Reifels","doi":"10.1027/0227-5910/a001065","DOIUrl":"https://doi.org/10.1027/0227-5910/a001065","url":null,"abstract":"<p><p><b></b> <i>Background:</i> Although there have been assumptions about the link between eco-emotions and suicidality, there is currently no systematic evidence. <i>Aim:</i> To systematically examine literature analyzing the link between eco-emotions and suicidal ideation and behaviors. <i>Methods:</i> A systematic literature review, registered in PROSPERO (CRD42022352379) following the PRISMA checklist, involved searches in seven databases for peer-reviewed articles published from January 2000 until January 2026. All study designs that presented primary empirical analyses of eco-emotions in connection with suicidal ideation and behaviors were included. The Joanna Briggs Institute's tools were used for quality assessment. <i>Results:</i> Searches revealed 2,074 records. After removal of duplicates, 1,505 articles were screened for abstracts and 79 for full text. Twelve papers satisfied the inclusion criteria: eight cross-sectional, two qualitative studies, a quasiexperimental, and a case report. Eight studies statistically analyzed the link between eco-emotions and suicidality on individual level. The univariate analyses showed positive correlations between different eco-emotions and suicidality. However, in some studies, the multivariate analyses, adjusting for confounding factors, found the association to be mediated by other factors such as mental health or feelings of entrapment. <i>Limitations:</i> Our searches were limited to English language. <i>Conclusions:</i> There is limited research regarding the association between eco-emotions and suicidality. Our review suggests an association between eco-emotions and suicidality, which might be mediated by other factors. Caution needs to be exercised in the interpretation of these results considering the design limitations of the studies. In keeping with advancing climate change research, our review emphasizes an urgent need for high level research.</p>","PeriodicalId":47943,"journal":{"name":"Crisis-The Journal of Crisis Intervention and Suicide Prevention","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2026-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148279285","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":"Impact of Media Guidelines on Suicide-Related Reporting Quality and Suicides.","authors":"Simone Scotti Requena, Vikas Arya, Thomas Niederkrotenthaler, Mark Sinyor, Michiko Ueda, Matthew J Spittal, Jane Pirkis","doi":"10.1027/0227-5910/a001049","DOIUrl":"10.1027/0227-5910/a001049","url":null,"abstract":"<p><p><i>Background:</i> Suicide-related media reporting can influence suicidal thoughts and behaviors. Stories describing suicide methods can increase suicides (Werther effect), whereas those highlighting coping with suicidal crises can prevent them (Papageno effect). <i>Aims:</i> To assess the impact of media guidelines for suicide reporting on reporting quality and suicides. <i>Method:</i> Following PRISMA guidelines, we searched PubMed, Scopus, Embase, PsycInfo, and Web of Science up to February 10, 2025, with an update on November 17, 2025. We included ecological pre-post studies assessing changes in reporting quality and time-series analyses assessing changes in suicides after guideline release. Random-effects meta-analyses estimated pooled risk ratios (RRs) for reporting quality and incidence rate ratios (IRRs) for suicides. <i>Results:</i> Fifteen studies from 11 countries (2003-2025) were included (14 on reporting quality, three on suicides, two measuring both). Following guideline release, reporting quality improved for \"Do educate the public about the facts of suicide and suicide prevention based on accurate information\" (k = 13, RR = 1.56, 95% CI = 1.30, -1.88), \"Don't describe the method used\" (k = 12, RR = 1.33, 95% CI = 1.15, -1.53), and \"Don't oversimplify the reason for a suicide or reduce it to a single factor\" (k = 0, RR = 1.16, 95% CI = 1.02, -1.33). For other recommendations, pooled estimates generally favored the guidelines but were often imprecise, and in some cases, had substantial heterogeneity. We could not draw firm conclusions on their impact on suicides as only three studies assessed this outcome. Contour-enhanced funnel plots and Egger's tests suggested possible small-study effects for some recommendations. <i>Limitations:</i> All included studies included ecological before-and-after designs. Implementation strength was inconsistently reported, preventing analysis of its influence. <i>Conclusions:</i> Media guidelines appear to improve several aspects of reporting quality. Although evidence for impact on suicides is limited, guidelines are unlikely to cause any harm and may confer benefits through improved reporting standards. Further research is urgently needed to quantify their impact on suicides.</p>","PeriodicalId":47943,"journal":{"name":"Crisis-The Journal of Crisis Intervention and Suicide Prevention","volume":" ","pages":"188-200"},"PeriodicalIF":3.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13231429/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146182940","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":"The Correlation Between Normative Beliefs About Suicide and Attitudes Toward Suicide-Related Compulsory Psychiatric Treatment in Taiwan.","authors":"Shi-Tin Liang, Ying-Yeh Chen, Shu-Sen Chang, Ying-Chen Chi, Paul S F Yip, Kevin Chien-Chang Wu","doi":"10.1027/0227-5910/a001046","DOIUrl":"10.1027/0227-5910/a001046","url":null,"abstract":"<p><p><b></b> <i>Background/Aims:</i> This study examines how normative beliefs (human rights-based and rationality-based) about suicide aligned with their support for compulsory psychiatric treatment. <i>Method:</i> A national telephone survey of 1,087 Taiwanese participants was conducted to assess opinions on suicide rights, suicide rationality, and psychiatric intervention. Multinominal logistic regression analyzed the relationship between beliefs about suicide and attitudes toward compulsory intervention. <i>Results:</i> Between 68.9% and 83.7% of the sample supported involuntary treatments, with 37.6% acknowledging the right to suicide and 24.7% considering suicide rational. Belief in this right did not correlate with support for compulsory treatment. However, those viewing suicide as rational were less likely to support compulsory psychiatric referral for those with, or without, mental illness (adjusted odds ratio [aOR] = 0.39, 95% confidence interval [CI] 0.27-0.57, <i>p</i> ≤.001; aOR = 0.29, 95% CI 0.16-0.53, <i>p</i> ≤.001) and compulsory psychiatric admission (aOR = 0.36, 95% CI 0.25-0.54, <i>p</i> ≤.001). <i>Limitation:</i> The cross-sectional design limits causal inferences. Relevant factors such as economic status, mental health stigma, and family suicide history were not measured. <i>Conclusion:</i> Compulsory psychiatric treatment was widely supported in Taiwan. Belief in the right to suicide had little impact, but individuals who viewed suicide as rational were more likely to oppose the intervention. This highlights the need to address cultural narratives for mental health policymaking.</p>","PeriodicalId":47943,"journal":{"name":"Crisis-The Journal of Crisis Intervention and Suicide Prevention","volume":" ","pages":"150-160"},"PeriodicalIF":3.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146031371","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}