Suicide Prevention from a Public Health Perspective

Lloyd B. Potter · Kenneth E. Powell · S. Patrick Kachur

115 citations0/0 files storedSuicide and Life-Threatening Behavior

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Suicide and Self-Harm Studies Injury Epidemiology and Prevention Homicide, Infanticide, and Child Abuse

Abstract

The public health approach to health problems provides a strong framework and rationale for developing and implementing suicide prevention programs. This approach consists of health-event surveillance to describe the problem, epidemiologic analysis to identify risk factors, the design and evaluation of interventions, and the implementation of prevention programs. The application of each of these components to suicide prevention is reviewed. Suggestions for improving surveillance include encouraging the use of appropriate coding, reviewing suicide statistics at the local level, collecting more etiologically useful information, and placing greater emphasis on analysis of morbidity data. For epidemiologic analysis, greater use could be made of observational studies, and uniform definitions and measures should be developed and adopted. Efforts to develop interventions must include evaluating both the process and the outcome. Finally, community suicide prevention programs should include more than one strategy and, where appropriate, should be strongly linked with the community's mental health resources. With adequate planning, coordination, and resources, and the public health approach can help reduce the emotional and economic costs imposed on society by suicide and suicidal behavior.

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References

1951Suicide: A Study in Sociology.1988CDC recommendations for a community plan for the prevention and containment of suicide clusters.1992Attempted suicide among young adults: progress toward a meaningful estimate of prevalence 1988Operational Criteria for the Determination of Suicide 1989A Consideration of the Validity and Reliability of Suicide Mortality Data 1989Suicide and the attempted suicide: An interntional perspective 1992Let's be clear. Violence is a public health problem 1992Let's Be Clear

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1998Developmental and Adjustment Issues of Gay, Lesbian, and Bisexual Adolescents: A Review of the Empirical Literature 1999Partner abuse and posttraumatic stress disorder as risk factors for suicide attempts in a sample of low‐income, inner‐city women 2000Mediating Effects of an Indicated Prevention Program for Reducing Youth Depression and Suicide Risk Behaviors 2003Life on the Seesaw 1999Teaching front-line health and voluntary workers to assess and manage suicidal patients

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