Suchergebnisse

Each year, firearms account for half of all the suicide deaths in the U.S. Research has shown that, worldwide, the most effective way to prevent suicide is so-called means safety: making the tools and methods of suicide less accessible and less lethal. In the U.S., research has shown, time and again, that access to firearms increases the risk for suicide death, particularly when firearms are not stored safely. Means safety, therefore, could be a powerful tool in reducing suicide deaths in America, where firearms are highly lethal, widely available, and frequently used within a specific geographic area. For this nation to sustainably lower its suicide rate, the issue of access to firearms is pivotal. We argue for a public health approach to suicide prevention: one that would improve data linkage; promote the effective upstream use of interventions like lethal means counseling and safe firearm storage messaging; and deploy more systematic efforts to identify and understand subcommunities of firearm owners, including those who obtained their firearms illegally.

Psychiatric hospitalization for a suicide attempt (SA), rather than suicide ideation (SI) alone, is a stronger risk indicator for eventual suicide death. Yet, little is known about demographic and clinical characteristics differentiating those admitted for SA versus SI. Understanding these differences has implications for assessment and treatment. A retrospective review of electronic medical records (EMRs) was performed on service members (n = 955) admitted for SA or SI at the Walter Reed Army Medical Center between 2001–2006. Service members hospitalized for SA were younger compared to those hospitalized for SI. The proportion of women admitted for SA was significantly higher than those admitted for SI whereas their male counterparts showed the opposite pattern. Patients admitted for SA, versus SI, had significantly higher prevalence of adjustment disorder with mixed disturbance of emotion and conduct (MDEC), personality disorder not otherwise specified (PDNOS), and borderline personality disorder (BPD). Patients admitted for SI had significantly higher prevalence of adjustment disorder with depressed mood and deferred Axis II diagnosis, compared to those admitted for SA. There were no significant between-group differences in the average or median number of documented prior suicide attempts. Findings highlight the need for more standardized assessment, diagnostic decision-making, and documentation practices for all patients.