The field of suicide prevention has had numerous promising advances in recent decades,
including the development of evidence-based prevention strategies, the National Suicide
Prevention Lifeline (1-800-273-TALK), the Suicide Prevention Resource Center, and
a revised National Strategy for Suicide Prevention.
1
Despite these important advances, suicide prevention still lacks the breadth and
depth of the coordinated response truly needed to reduce suicide morbidity and mortality.
Suicide prevention requires a comprehensive approach that spans systems, organizations,
and environments, combining treatment and intervention with primary prevention efforts
beginning in childhood so they can set the stage for future health and well-being.
Adverse childhood experiences (ACEs), including exposure to child abuse and neglect,
are well-documented risk factors for suicidality,
2
,
3
,
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and a viable suicide prevention target; however, suicide prevention efforts seldom
focus here. The following provides an overview of suicide prevention and intervention,
and suggestions for comprehensive suicide prevention programs that address ACE prevention.To read this article in full you will need to make a payment
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References
- 2012 National Strategy for Suicide Prevention: Goals and Objectives for Action.DHHS, Washington, DCSeptember 2012
- Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults.Am J Prev Med. 1998; 14: 245-258https://doi.org/10.1016/S0749-3797(98)00017-8
- Childhood adversity and adult chronic disease: an update from ten states and the District of Columbia, 2010.Am J Prev Med. 2015; 48: 345-349https://doi.org/10.1016/j.amepre.2014.09.006
- Childhood abuse, household dysfunction, and the risk of attempted suicide throughout the life span.JAMA. 2001; 286: 3089https://doi.org/10.1001/jama.286.24.3089
CDC, National Center for Health Statistics. Underlying cause of death 1999-2015 on CDC WONDER online database. http://wonder.cdc.gov/ucd-icd10.html. Accessed December 20, 2016.
Agency for Healthcare Research and Quality. Healthcare Cost and Utilization Project (HCUPnet). http://hcupnet.ahrq.gov/. Accessed August 1, 2016.
- 2015 National Survey on Drug Use and Health: Detailed Tables.Substance Abuse and Mental Health Services Administration, Rockville, MD2016www.samhsa.gov/data/sites/default/files/NSDUH-DetTabs-2015/NSDUH-DetTabs-2015/NSDUH-DetTabs-2015.pdf(Accessed December 20, 2016)
- Estimated lifetime medical and work-loss costs of fatal injuries—United States, 2013.MMWR Morb Mortal Wkly Rep. 2015; 64: 1074-1077https://doi.org/10.15585/mmwr.mm6438a4
- Estimated lifetime medical and work-loss costs of emergency department-treated nonfatal injuries—United States, 2013.MMWR Morb Mortal Wkly Rep. 2015; 64: 1078-1082https://doi.org/10.15585/mmwr.mm6438a5
- Preventing Suicide: A Technical Package of Policies, Programs, and Practices.National Center for Injury Prevention and Control, CDC, Atlanta, GA2017
- The impact of two universal randomized first- and second-grade classroom interventions on young adult suicide ideation and attempts.Drug Alcohol Depend. 2008; 95: S60-S73https://doi.org/10.1016/j.drugalcdep.2008.01.005
- The Zuni life skills development program: a school/community-based suicide prevention intervention.Suicide Life Threat Behav. 2008; 38: 343-353https://doi.org/10.1521/suli.2008.38.3.343
- Risk of suicide and related adverse outcomes after exposure to a suicide prevention programme in the U.S. Air Force: cohort study.BMJ. 2006; 327: 1376https://doi.org/10.1136/bmj.327.7428.1376
- Connecting the Dots: An Overview of the Links Among Multiple Forms of Violence.National Center for Injury Prevention and Control, CDC and Oakland, CA: Prevention Institute, Atlanta, GA2014
- Adverse childhood experiences and the risk of premature mortality.Am J Prev Med. 2009; 37: 389-396https://doi.org/10.1016/j.amepre.2009.06.021
- Capitalizing on advances in science to reduce the health consequences of early childhood adversity.JAMA Pediatr. 2016; 170: 1003-1007https://doi.org/10.1001/jamapediatrics.2016.1559
- Pathways from childhood abuse and other adversities to adult health risks: the role of adult socioeconomic conditions.Child Abuse Negl. 2016; 51: 390-399https://doi.org/10.1016/j.chiabu.2015.05.013
- Estimating the rates of deaths by suicide among adults who attempt suicide in the United States.J Psychiatr Res. 2016; 77: 125-133https://doi.org/10.1016/j.jpsychires.2016.03.002
CDC. Essentials for childhood: steps to create safe, stable, nurturing relationships and environments. www.cdc.gov/violenceprevention/pdf/essentials_for_childhood_framework.pdf. Published 2014. Accessed June 15, 2016.
- Preventing Child Abuse and Neglect: A Technical Package for Policy, Norm, and Programmatic Activities.National Center for Injury Prevention and Control, CDC, Atlanta, GA2016https://doi.org/10.15620/cdc.38864
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Published online: May 05, 2017
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Published by Elsevier Inc. on behalf of American Journal of Preventive Medicine
