Understanding and managing suicide risk. Issue 1 (21st May 2020)

• Record Type: Journal Article
• Authors: Zortea, Tiago C; Cleare, Seonaid; Melson, Ambrose J; Wetherall, Karen; O'Connor, Rory C
• Is Part Of: British medical bulletin. Volume 134:Issue 1(2020)
• Page Start: 73
• Page End: 84
• Publication Date: 2020-05-21
• Subjects: suicidal behaviour -- suicide science -- treatment; Medicine -- Periodicals; 610.5
• DOI: 10.1093/bmb/ldaa013
• Languages: English
• ISSNs: 0007-1420

Abstract

Abstract: Background: Suicidal behaviours and non-suicidal self-harm (NSSH) are global public health concerns that affect millions of lives. Sources of data: This review is a narrative synthesis of systematic reviews, meta-analyses of randomized control trials (RCTs) and landmark studies published in scientific journals. Areas of agreement: Restricting access to lethal means reduces the likelihood of future suicide deaths. Areas of controversy: Our ability to predict future suicidal behaviour is no better than chance. No individual risk prediction instrument offers sufficient sensitivity and specificity to inform clinically useful decision-making. Growing points: Different types of psychosocial interventions may be effective in preventing future suicide attempts; such interventions include clinical assessment, tailored crisis response and safety plans and follow-up contact. Areas timely for developing research: Whilst some psychosocial interventions can be effective in reducing suicide risk, little is known about the mechanisms of recovery from suicidal thoughts and behaviours.