{"title":"To What Extent Are Therapists Willing to Treat Suicide-Loss Survivors With Suicide Risk?","authors":"Gleb Khorev, Yossi Levi-Belz","doi":"10.1027/0227-5910/a001016","DOIUrl":"10.1027/0227-5910/a001016","url":null,"abstract":"<p><p><b></b> <i>Introduction:</i> Managing individuals at suicide risk poses significant challenges for mental health professionals (MHPs), particularly when these clients are also coping with the sudden loss of a loved one. Existing research suggests that stigma and perceived lack of competence often affect MHPs' willingness to treat such cases. However, the extent to which symptom severity and the cause of loss (suicide vs. accident) influence MPHs' decisions remains unclear. In this study, we examined these factors and whether suicide prevention training moderates MHPs' willingness to treat and their perceived competence. <i>Method:</i> Using a vignette-based design, we presented 413 MHPs (e.g., clinical psychologists, clinical social workers, and psychiatrics) from Israel with hypothetical cases manipulated by suicidal risk (no risk, depression, or high risk) and cause of loss (suicide or accident). Participants rated their willingness to treat, likelihood of referral, and perceived competence. <i>Results</i>: As suicide risk increased, MHPs showed a decreased willingness to treat and increased referral inclinations, regardless of the cause of loss. Suicide prevention training significantly increased willingness to treat and enhanced perceived competence. The cause of loss (suicide vs. accident) had no significant effect on willingness to treat or perceived competence. <i>Limitations</i>: The study relied on hypothetical vignettes and self-report measures, which may not fully capture the complexities of real-world clinical decision-making. <i>Conclusions:</i> These findings highlight the significance of targeted training programs during MHPs' academic studies and among experienced professionals to boost their competence and reduce stigma when treating individuals at suicide risk.</p>","PeriodicalId":47943,"journal":{"name":"Crisis-The Journal of Crisis Intervention and Suicide Prevention","volume":" ","pages":"301-310"},"PeriodicalIF":2.6,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144601903","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":"A Word of Thanks to Our Reviewers.","authors":"","doi":"10.1027/0227-5910/a001035","DOIUrl":"https://doi.org/10.1027/0227-5910/a001035","url":null,"abstract":"","PeriodicalId":47943,"journal":{"name":"Crisis-The Journal of Crisis Intervention and Suicide Prevention","volume":"46 6","pages":"349-350"},"PeriodicalIF":2.6,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145497011","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}
Yufei Li, Jolie Bourgeois, MaryGrace Lauver, Yi-Jung Shen, Matthew Podlogar, Elizabeth Schaper, Izabela Sadej, Melissa M Garrido
{"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":"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":"319-326"},"PeriodicalIF":2.6,"publicationDate":"2025-11-01","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}
Abhilasha Das, Savithri Suresh, Geetha Desai, Veena A Satyanarayana
{"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":"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>: 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":"334-344"},"PeriodicalIF":2.6,"publicationDate":"2025-11-01","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}
Cole Marvin, Michael LeDuc, Sean Mitchell, Devin Mills
{"title":"The Indirect Association Between Alcohol Use and Suicide Ideation Through Perceived Burdensomeness and Thwarted Belonging in a High-Risk USA Sample.","authors":"Cole Marvin, Michael LeDuc, Sean Mitchell, Devin Mills","doi":"10.1027/0227-5910/a001013","DOIUrl":"10.1027/0227-5910/a001013","url":null,"abstract":"<p><p><b></b> <i>Background:</i> The interpersonal theory of suicide (ITS) may explain the link between alcohol use severity and suicidal ideation (SI) through interpersonal stressors at elevated alcohol use levels. <i>Aims:</i> This study aimed to clarify the indirect effects of perceived burdensomeness (PB) and thwarted belongingness (TB) in this relationship. <i>Method:</i> Cross-sectional data on SI, ITS, and alcohol use severity variables were collected via an online sample (<i>N</i> = 299) screened for lifetime suicidal thoughts or behaviors, nonsuicidal self-injury, and alcohol use. Associations were tested using linear regression with parallel mediators. <i>Results:</i> Alcohol use severity was indirectly linked to SI through the unique indirect effect of PB, and the total indirect effect of both TB and PB. <i>Limitations:</i> Limitations include the cross-sectional design and use of an online sample, which limit causal inferences and generalizability to other high-risk populations. <i>Conclusion:</i> PB and the additive indirect effect of TB and PB may explain the positive relation between alcohol use and SI; implications are discussed.</p>","PeriodicalId":47943,"journal":{"name":"Crisis-The Journal of Crisis Intervention and Suicide Prevention","volume":" ","pages":"345-348"},"PeriodicalIF":3.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12253959/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144486636","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":"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}
Brittany M Gouse, Aviva G Schwarz, Jessica Lewczyk, Carl G Streed, Elijah E Boliver, Cindy Xu, Amelia C Blanton, Hannah E Brown
{"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}
Jennifer S Funderburk, Wendi F Cross, Jennifer West, Lisa K Kearney, Katherine Dollar, Alyssa Giannone, Stephanie Gamble
{"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}
Vera Yu Men, Prudence Po Ming Chan, Ayal Schaffer, Rosalie Steinberg, Rachel Mitchell, Jennifer M Dmetrichuk, Paul Siu Fai Yip, Simon Hatcher, Mark Sinyor
{"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}