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

{"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}

{"title":"From Hospitals to Mental Health Care - Innovative Continuity-of-Care Programs to Reduce Adult Suicidality.","authors":"Shannon VonDras, Katie Ellison, Hannah Schleicher, Elizabeth Sale","doi":"10.1027/0227-5910/a001051","DOIUrl":"10.1027/0227-5910/a001051","url":null,"abstract":"<p><p><b></b> <i>Background:</i> In 2018, the Missouri Department of Mental Health was awarded a five-year federal grant to provide immediate mental health services to adults 25 years and older presenting at emergency departments (EDs) or admitted to inpatient psychiatric units (IPUs) for suicide attempts or suicidal ideation. Trained suicide prevention professionals from two mental health agencies were placed in hospitals or immediately contacted by hospital staff to recruit suicidal adults into mental health services, eliminating the need for patients to follow-up on referrals themselves. <i>Aims:</i> This article explored the effectiveness of these programs in reducing suicide attempts, IPU hospitalization, ED visits and suicidal ideation. <i>Method:</i> The researchers used a repeated-measures design to explore changes in these outcome variables between program intake and three months after intake. <i>Results:</i> Analyses revealed highly significant reductions of all outcome variables regardless of age, gender identity, race, referral source, or provider. <i>Limitations:</i> Due to limited funding, the research design could not include a control-group design or methods to reduce attrition at follow-up. <i>Conclusion:</i> The findings from this continuity-of-care approach suggest program replication within other hospital systems.</p>","PeriodicalId":47943,"journal":{"name":"Crisis-The Journal of Crisis Intervention and Suicide Prevention","volume":" ","pages":"161-169"},"PeriodicalIF":3.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147349444","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":"How Suicide Literacy and Self-Efficacy Influence the Empathy-Help Relationship.","authors":"Viviane Alves Dos Santos Bezerra, Lilian Kelly de Sousa Galvão, Cleonice Pereira Dos Santos Camino","doi":"10.1027/0227-5910/a001042","DOIUrl":"10.1027/0227-5910/a001042","url":null,"abstract":"<p><p><b></b> <i>Background:</i> Empathy plays a crucial role in motivating community engagement in suicide prevention. However, its relationship with helping behavior is not linear and can be influenced by moderating variables. <i>Objective:</i> This study examined the moderating role of self-efficacy and suicide-related knowledge (factual and perceived) in the relationship between empathy and the willingness to help. <i>Method:</i> Participants (<i>N</i> = 1,096) were recruited via social media and completed an online survey assessing sociodemographic data, empathy, willingness to help individuals at risk of suicide, intervention self-efficacy, and suicide-related knowledge (factual and perceived). <i>Results:</i> The moderation analyses showed that perceived knowledge is the main moderator of the relationship between empathy and willingness to help people at risk of suicide, with this association strengthening as perceived knowledge increases. <i>Limitations:</i> The cross-sectional design and use of convenience sampling restrict causal inference and reduce the generalizability of the findings. <i>Conclusion:</i> Multiple factors that shape the relationship between empathy and willingness to help in at-risk situations should be considered when developing intervention programs that promote empathy as a suicide prevention strategy.</p>","PeriodicalId":47943,"journal":{"name":"Crisis-The Journal of Crisis Intervention and Suicide Prevention","volume":" ","pages":"140-149"},"PeriodicalIF":3.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146012738","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":"Newspaper Reporting of Female Suicide in India.","authors":"Parvathy Ramesh, Anagha Pavithran, Peter J Taylor, Rebecca McPhillips, Catherine Robinson","doi":"10.1027/0227-5910/a001059","DOIUrl":"10.1027/0227-5910/a001059","url":null,"abstract":"<p><p><b></b> <i>Background:</i> Newspapers can highlight sociocultural assumptions of acceptable gender behavior that are used to frame suicide, with males depicted as aggressive and independent, and females portrayed as dependent and submissive. <i>Aims:</i> This mixed-methods study builds on existing research by examining how female suicide is reported in Indian newspapers. <i>Method</i>: The database Pressreader was used to identify English-language newspaper articles in India that covered suicides between May 2021 and May 2022. In total, 205 articles were identified. Descriptive statistics and critical discourse analysis were used to explore the data in the articles. <i>Results:</i> Themes such as the possible misclassification of the death of minors, the use of euphemism to describe certain relationships, and attribution of blame through the criminal charge of abetment to suicide were identified. Women's suicides were usually framed as a result of interpersonal problems and viewed sympathetically. <i>Limitations:</i> Analyzing traditional broadsheets and local language newspapers, as well as comparing gender differences would allow for more robust conclusions to be drawn about reporting styles in India. <i>Conclusion:</i> This study provides recommendations, such as the use of reporting guidelines that are country-specific, and the need for further research that focuses on newspaper reporting and perception of suicide in India.</p>","PeriodicalId":47943,"journal":{"name":"Crisis-The Journal of Crisis Intervention and Suicide Prevention","volume":" ","pages":"180-187"},"PeriodicalIF":3.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147677268","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 and Self-Harm by Burns in Pakistan.","authors":"Aisha Noorullah, Shahina Pirani, Emily Bebbington, Mohammad Zaman Khan, Murad M Khan","doi":"10.1027/0227-5910/a001055","DOIUrl":"10.1027/0227-5910/a001055","url":null,"abstract":"<p><p><b></b> <i>Background:</i> Burns are a major global public health issue, causing 180,000 deaths worldwide each year. Self-inflicted burns are more prevalent in low- and middle-income countries and are associated with high morbidity and mortality. Understanding its frequency, demographics, and contributing factors is critical for prevention. <i>Aims:</i> To determine the frequency, demographic distribution, methods, and outcomes of self-inflicted burns (self-harm and suicide) in Pakistan. <i>Methods:</i> This scoping review followed Arksey and O'Malley's framework. We searched MEDLINE (PubMed), Google Scholar, SCOPUS, PakMediNet, and gray literature via Open Access Theses and Dissertations up to December 2023. Studies on self-inflicted burns in Pakistan were included without date restrictions. Two reviewers independently screened articles, and data were extracted using a structured form and analyzed descriptively. <i>Results:</i> A total of 67 studies were included, comprising 1,684 cases of self-inflicted burns of 50,283 total burn cases (3.35%). Of 67 studies, two focused solely on self-inflicted burns, 19 on burns generally, and 46 on suicide/self-harm involving burns. Of these, 39% (<i>n</i> = 661) were suicide and 61% (<i>n</i> = 1,023) were self-harm. Sex distribution was reported in 33 studies, with 443 males and 564 females affected. The method of self-inflicted burns was specified in 21 studies, including 11 studies on self-immolation and 10 on fire/flame burns. Mortality data were reported in eight studies, indicating a 42% mortality rate (143/340 cases) and a 54.7% survival rate (186/340 cases). Only 25% of the studies had authors from a mental health background, and psychiatric comorbidities or referrals to psychiatric services were rarely documented. Sociodemographic and clinical variables (age, occupation, marital status, burn extent) were frequently not reported. <i>Limitations:</i> A key limitation is the reliance on authors' classification of intent, which may be subject to misclassification. <i>Discussion:</i> Self-inflicted burns are a significant public health concern in Pakistan, particularly among females. Incomplete reporting of age, occupation, and burn extent limits understanding of at-risk groups. A national surveillance system is needed to track trends and identify high-risk populations. Integrating psychiatric evaluations into burn care can enhance outcomes and suicide prevention.</p>","PeriodicalId":47943,"journal":{"name":"Crisis-The Journal of Crisis Intervention and Suicide Prevention","volume":" ","pages":"201-210"},"PeriodicalIF":3.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147445527","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":"Using Google Search Ads to Promote Lethal Means Safety in Military Veterans.","authors":"Alan R Teo, Sean P M Rice, Summer Newell","doi":"10.1027/0227-5910/a001057","DOIUrl":"10.1027/0227-5910/a001057","url":null,"abstract":"<p><p><b></b> <i>Background:</i> Despite increasing use of Google Ads in public health campaigns, few studies have described their use in suicide prevention and/or examined application to lethal means safety (LMS), a priority for suicide prevention efforts in military veterans. <i>Aims:</i> The objective of this study was to evaluate the effectiveness of an LMS campaign for US veterans by analyzing engagement rates across different types of Google Ad search terms included in the campaign. <i>Methods:</i> We conducted a secondary data analysis of Google Ads from July 2022 and May 2023 in Keep It Secure, the Department of Veterans Affairs (VA) first national LMS campaign. Our primary outcome was click-through rate (CTR). Our predictor variable was category of Google search. Categories were identified from the user queries employing a team-based immersion/crystallization process, an inductive, iterative qualitative approach. We then used generalized mixed modeling to compare CTR across search categories. <i>Results:</i> Using Google Ads, the campaign resulted in a total of 1,849,077 impressions and 342,747 clicks to the campaign website, for an overall 18.5% CTR of 59,587 unique searches, and we categorized 47,387 into 10 categories (Firearm Storage, General VA Inquiries, Veteran Resources, Suicide Prevention, Mental Health, Crisis Line, Suicidal Ideation, Safety Class, Firearm Policy, and Homelessness). Campaign engagement varied significantly across categories (<i>p</i> < .001). Searches related to general VA inquiries (30.0% CTR) and veteran resources (23.0% CTR) demonstrated the highest engagement, whereas firearm storage (4.6% CTR) and suicidal ideation (1.3% CTR) were the lowest. <i>Limitations:</i> Since this study was a secondary analysis, causal inferences cannot be made. <i>Conclusions:</i> Google Ads resulted in high overall engagement in an LMS educational campaign. For LMS outreach to veterans who are not in acute crisis, a \"side-door\" approach targeting people searching for general VA information and veteran benefits and resources may be more effective than using firearm or suicide-related keywords.</p>","PeriodicalId":47943,"journal":{"name":"Crisis-The Journal of Crisis Intervention and Suicide Prevention","volume":" ","pages":"170-179"},"PeriodicalIF":3.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13094417/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147515955","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":"Extent of and Reasons for the Underreporting of Suicide Deaths to the Police in India.","authors":"Rakhi Dandona, Neha Dhole, Mohammed Akbar, Moutushi Majumder, Siva Prasad Dora, G Anil Kumar, Lalit Dandona","doi":"10.1027/0227-5910/a001054","DOIUrl":"10.1027/0227-5910/a001054","url":null,"abstract":"<p><p><b></b> <i>Background:</i> Little is known about the underreporting of suicide deaths to the police in India. <i>Aim:</i> To document the extent and reasons of underreporting suicide deaths to the police by socio-demography of the deceased in India. <i>Methods:</i> Interviews documented if a suicide death was reported to the police for suicide deaths that occurred between 2019 and 2022 in India, identified as part of a national all-cause mortality survey in nine states. Further interviews in three of these states explored the reasons for underreporting of suicide deaths to the police. <i>Results:</i> The prevalence of underreporting suicide deaths to the police in India was 35.5% (95% CI 30.8, -40.6), 34.1% (95% CI 28.5, -40.2), and 38.6% (95% CI 30.1, -47.9) for both sexes combined, male, and female suicide deaths, respectively. The underreporting was significantly higher in 15-19 years (46.7%; 95% CI 32.7, -61.2) and in 50+ years (42.5%; 95% CI 32.1, -53.6) compared to those in 30-39 years (19.0%; 95% CI 10.8, -31.1). Avoidance of postmortem was the most cited reason for underreporting followed by compromise between the affected parties, with variations in reasons seen by sex of the deceased and state. Concerns related to social stigma, maintaining family reputation, and securing custody of young children were mentioned as reasons more for female than male suicide deaths. <i>Limitations:</i> Underreporting estimates rely on self-report subject to recall and social desirability bias. Reasons for nonreporting were collected postevent and may not reflect real-time family or community decision-making. <i>Conclusion:</i> One in three suicide deaths are not reported to the police in India, with variations in this underreporting by age, urbanicity, and state of the suicide deaths. These findings can allow for developing targeted awareness campaigns and community engagement in high underreporting areas rather than a one-size-fits-all approach, and simplifying the police protocols around postmortem can help to reduce this underreporting.</p>","PeriodicalId":47943,"journal":{"name":"Crisis-The Journal of Crisis Intervention and Suicide Prevention","volume":" ","pages":"211-216"},"PeriodicalIF":3.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147285720","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}