Advertisement

Prioritizing Research to Reduce Youth Suicide and Suicidal Behavior

      The goal of the National Action Alliance for Suicide Prevention is to reduce suicide and suicide attempts in the U.S. by 40% in the next decade. In this paper, a public health approach is applied to suicide prevention to illustrate how reductions in youth suicide and suicidal behavior might be achieved by prioritizing research in two areas: (1) increasing access to primary care–based behavioral health interventions for depressed youth and (2) improving continuity of care for youth who present to emergency departments after a suicide attempt. Finally, some scientific, clinical, and methodologic breakthroughs needed to achieve rapid, substantial, and sustained reductions in youth suicide and suicidal behavior are discussed.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to American Journal of Preventive Medicine
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

      1. CDC. National Center for Injury Prevention and Control. Web-based Injury Statistics Query and Reporting System (WISQARS). cdc.gov/ncipc/wisqars

        • Bridge J.A.
        • Goldstein T.R.
        • Brent D.A.
        Adolescent suicide and suicidal behavior.
        J Child Psychol Psychiatry. 2006; 47: 372-394
        • Eaton D.K.
        • Kann L.
        • Kinchen S.
        • et al.
        Youth Risk Behavior Surveillance—U.S., 2011.
        MMWR Morb Mortal Wkly Rep. 2012; 61: 1-162
        • Reinherz H.Z.
        • Tanner J.L.
        • Berger S.R.
        • Beardslee W.R.
        • Fitzmaurice G.M.
        Adolescent suicidal ideation as predictive of psychopathology, suicidal behavior, and compromised functioning at age 30.
        Am J Psychiatry. 2006; 163: 1226-1232
        • National Action Alliance for Suicide Prevention: Research Prioritization Task Force
        A prioritized research agenda for suicide prevention: an action plan to save lives.
        National Institute of Mental Health and Research Prioritization Task Force, Rockville MD2014
        • Pringle B.
        • Colpe L.J.
        • Heinssen R.K.
        • et al.
        A strategic approach for prioritizing research and action to prevent suicide.
        Psychiatr Serv. 2013; 64: 71-75
        • Claassen C.A.
        The agenda development process of the U.S. National Action Alliance for Suicide Prevention Research Prioritization Task Force.
        Crisis. 2013; 34: 147-155
        • Rhodes A.E.
        • Khan S.
        • Boyle M.H.
        • et al.
        Sex differences in suicides among children and youth: the potential impact of help-seeking behaviour.
        Can J Psychiatry. 2013; 58: 274-282
        • Farand L.
        • Renaud J.
        • Chagnon F.
        Adolescent suicide in Quebec and prior utilization of medical services.
        Can J Psychiatry. 2004; 95: 357-360
        • Bruce M.L.
        • Pearson J.L.
        Designing an intervention to prevent suicide: PROSPECT (Prevention of Suicide in Primary Care Elderly: Collaborative Trial).
        Dialogues Clin Neurosci. 1999; 1: 100-112
        • Birmaher B.
        • Brent D.
        • Bernet W.
        • et al.
        Practice parameter for the assessment and treatment of children and adolescents with depressive disorders.
        J Am Acad Child Adolesc Psychiatry. 2007; 46: 1503-1526
        • USDHHS
        Health Resources and Services Administration–Maternal and Child Health Bureau. The National Survey of Children’s Health 2007.
        USDHHS, Rockville Maryland2009
        • Kelleher K.J.
        • Hohmann A.A.
        • Larson D.B.
        Prescription of psychotropics to children in office-based practice.
        Am J Dis Child. 1989; 143: 855-859
        • Shain B.N.
        Suicide and suicide attempts in adolescents.
        Pediatrics. 2007; 120: 669-676
        • Cheung A.H.
        • Zuckerbrot R.A.
        • Jensen P.S.
        • Ghalib K.
        • Laraque D.
        • Stein R.E.
        Guidelines for adolescent depression in primary care (GLAD-PC): II. Treatment and ongoing management.
        Pediatrics. 2007; 120: e1313-e1326
        • Zuckerbrot R.A.
        • Cheung A.H.
        • Jensen P.S.
        • Stein R.E.
        • Laraque D.
        Guidelines for adolescent depression in primary care (GLAD-PC): I. Identification, assessment, and initial management.
        Pediatrics. 2007; 120: e1299-e1312
        • Thielke S.
        • Vannoy S.
        • Unutzer J.
        Integrating mental health and primary care.
        Prim Care. 2007; 34 (vii): 571-592
        • Thota A.B.
        • Sipe T.A.
        • Byard G.J.
        • et al.
        Collaborative care to improve the management of depressive disorders: a community guide systematic review and meta-analysis.
        Am J Prev Med. 2012; 42: 525-538
        • Bruce M.L.
        • Ten Have T.R.
        • Reynolds 3rd, C.F.
        • et al.
        Reducing suicidal ideation and depressive symptoms in depressed older primary care patients: a randomized controlled trial.
        JAMA. 2004; 291: 1081-1091
        • Alexopoulos G.S.
        • Reynolds 3rd, C.F.
        • Bruce M.L.
        • et al.
        Reducing suicidal ideation and depression in older primary care patients: 24-month outcomes of the PROSPECT study.
        Am J Psychiatry. 2009; 166: 882-890
        • Unützer J.
        • Katon W.
        • Callahan C.M.
        • et al.
        Collaborative care management of late-life depression in the primary care setting: a randomized controlled trial.
        JAMA. 2002; 288: 2836-2845
        • Unützer J.
        • Tang L.
        • Oishi S.
        • et al.
        Reducing suicidal ideation in depressed older primary care patients.
        J Am Geriatr Soc. 2006; 54: 1550-1556
        • Asarnow J.R.
        • Jaycox L.H.
        • Duan N.
        • et al.
        Effectiveness of a quality improvement intervention for adolescent depression in primary care clinics: a randomized controlled trial.
        JAMA. 2005; 293: 311-319
        • Fergusson D.M.
        • Beautrais A.L.
        • Horwood L.J.
        Vulnerability and resiliency to suicidal behaviours in young people.
        Psychol Med. 2003; 33: 61-73
        • Stevens J.
        • Kelleher K.J.
        • Gardner W.
        • et al.
        Trial of computerized screening for adolescent behavioral concerns.
        Pediatrics. 2008; 121: 1099-1105
        • Horowitz L.
        • Bridge J.A.
        • Pao M.
        • Boudreaux E.D.
        Ask and they will tell you: screening youth for suicide risk in medical settings.
        Am J Prev Med. 2014;
      2. CDC. WISQARSTM nonfatal injury reports. cdc.gov/injury/wisqars/nonfatal.html.

        • Bridge J.A.
        • Marcus S.C.
        • Olfson M.
        Outpatient care of young people after emergency treatment of deliberate self-harm.
        J Am Acad Child Adolesc Psychiatry. 2012; 51 (e211): 213-222
        • Rotheram-Borus M.J.
        • Piacentini J.
        • Cantwell C.
        • Belin T.R.
        • Song J.
        The 18-month impact of an emergency room intervention for adolescent female suicide attempters.
        J Consult Clin Psychol. 2000; 68: 1081-1093
        • Rotheram-Borus M.J.
        • Piacentini J.
        • Van Rossem R.
        • et al.
        Enhancing treatment adherence with a specialized emergency room program for adolescent suicide attempters.
        J Am Acad Child Adolesc Psychiatry. 1996; 35: 654-663
        • Spirito A.
        • Boergers J.
        • Donaldson D.
        • Bishop D.
        • Lewander W.
        An intervention trial to improve adherence to community treatment by adolescents after a suicide attempt.
        J Am Acad Child Adolesc Psychiatry. 2002; 41: 435-442
        • Asarnow J.R.
        • Baraff L.J.
        • Berk M.
        • et al.
        An emergency department intervention for linking pediatric suicidal patients to follow-up mental health treatment.
        Psychiatr Serv. 2011; 62: 1303-1309
        • Hughes J.L.
        • Asarnow J.R.
        Enhanced mental health interventions in the emergency department: suicide and suicide attempt prevention.
        Clin Pediatr Emerg Med. 2013; 14: 28-34
        • Hawton K.
        • Bergen H.
        • Kapur N.
        • et al.
        Repetition of self-harm and suicide following self-harm in children and adolescents: findings from the multicentre study of self-harm in England.
        J Child Psychol Psychiatry. 2012; 53: 1212-1219
        • Owens D.
        • Horrocks J.
        • House A.
        Fatal and non-fatal repetition of self-harm. Systematic review.
        Brit J Psychiat. 2002; 181: 193-199
        • Brown G.K.
        • Ten Have T.
        • Henriques G.R.
        • Xie S.X.
        • Hollander J.E.
        • Beck A.T.
        Cognitive therapy for the prevention of suicide attempts: a randomized controlled trial.
        JAMA. 2005; 294: 563-570
        • Stanley B.
        • Brown G.
        • Brent D.
        • et al.
        Cognitive-behavioral therapy for suicide prevention (CBT-SP): treatment model, feasibility, and acceptability.
        J Am Acad Child Adolesc Psychiatry. 2009; 48: 1005-1013
        • Campo J.V.
        Youth suicide prevention: does access to care matter?.
        Curr Opin Pediatr. 2009; 21: 628-634
        • Gould M.S.
        • Greenberg T.
        • Velting D.M.
        • Shaffer D.
        Youth suicide risk and preventive interventions: a review of the past 10 years.
        J Am Acad Child Adolesc Psychiatry. 2003; 42: 386-405
        • Diamond G.S.
        • Wintersteen M.B.
        • Brown G.K.
        • et al.
        Attachment-based family therapy for adolescents with suicidal ideation: a randomized controlled trial.
        J Am Acad Child Adolesc Psychiatry. 2010; 49: 122-131
        • Esposito-Smythers C.
        • Spirito A.
        • Kahler C.W.
        • Hunt J.
        • Monti P.
        Treatment of co-occurring substance abuse and suicidality among adolescents: a randomized trial.
        J Consult Clin Psychol. 2011; 79: 728-739
        • Cipriani A.
        • Hawton K.
        • Stockton S.
        • Geddes J.R.
        Lithium in the prevention of suicide in mood disorders: updated systematic review and meta-analysis.
        BMJ. 2013; 346: f3646
        • Hunkeler E.M.
        • Fireman B.
        • Lee J.
        • et al.
        Trends in use of antidepressants, lithium, and anticonvulsants in Kaiser Permanente-insured youths, 1994–2003.
        J Child Adolesc Psychopharmacol. 2005; 15: 26-37
        • Coffey C.E.
        Pursuing perfect depression care.
        Psychiatr Serv. 2006; 57: 1524-1526