Reducing Suicide: A National Imperative

Front Cover

Every year, about 30,000 people die by suicide in the U.S., and some 650,000 receive emergency treatment after a suicide attempt. Often, those most at risk are the least able to access professional help.

Reducing Suicide provides a blueprint for addressing this tragic and costly problem: how we can build an appropriate infrastructure, conduct needed research, and improve our ability to recognize suicide risk and effectively intervene. Rich in data, the book also strikes an intensely personal chord, featuring compelling quotes about people‚€™s experience with suicide. The book explores the factors that raise a person‚€™s risk of suicide: psychological and biological factors including substance abuse, the link between childhood trauma and later suicide, and the impact of family life, economic status, religion, and other social and cultural conditions. The authors review the effectiveness of existing interventions, including mental health practitioners‚€™ ability to assess suicide risk among patients. They present lessons learned from the Air Force suicide prevention program and other prevention initiatives. And they identify barriers to effective research and treatment.

This new volume will be of special interest to policy makers, administrators, researchers, practitioners, and journalists working in the field of mental health.

 

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Contents

EXECUTIVE SUMMARY 1
INTRODUCTION 17
MAGNITUDE OF THE PROBLEM 33
xiii
PSYCHIATRIC AND PSYCHOLOGICAL FACTORS 69
BIOLOGICAL FACTORS 119
CHILDHOOD TRAUMA 157
SOCIETY AND CULTURE 193
MEDICAL AND PSYCHOTHERAPEUTIC INTERVENTIONS 229
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PROGRAMS FOR SUICIDE PREVENTION
BARRIERS TO EFFECTIVE TREATMENT
BARRIERS TO RESEARCH AND PROMISING
FINDINGS AND RECOMMENDATIONS
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273

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