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Carson Spencer 1969-2004
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Age-adjusted suicide rates 2014 (U.S. avg 13.0/100K)
10.6-13.0 7.7-10.5 13.1-16.9 17.0-23.8 Source: CDC vital statistics Rate per 100,000
2015 State Ranking/No. (Rate)
≥18 years United States, 2013
*Source: CDC’s National Vital Statistics System,
†Source: Agency for Healthcare Research and Quality’s Healthcare Cost and Utilization Project - Nationwide Inpatient Sample
(HCUP-NIS)
§ Source: Source: CDC’s National Electronic Injury Surveillance System-All Injury Program ¶ Source: SAMHSA’s National Survey on Drug Use and Health
** Source: SAMHSA’s National Survey on Drug Use and Health Number in parentheses represent the ratio of deaths to other categories
39,894 Deaths
118,740 Hospitalizations
Firearms 49.9% Suffocation 26.7% Cut/pierce 1.7% Poisoning 15.9% Fall 2.3% Other 3.5%
Firearms Suffocation Cut/pierce Poisoning Fall Other Source: CDC vital statistics
Firearm 1% Overdose 83% Ligature/Suffocation 1% Sharp 11% Other 4%
Firearm Overdose Ligature/Suffocation Sharp Other
Suicide Attempt Method
Perceived Burdensomeness Thwarted Belongingness Acquired Capacity for Suicide Desire for suicide High risk for suicide death or serious attempt
Thomas Joiner’s model of suicide risk, 2006
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Died of Suicide Committed Suicide Suicide Death Successful Attempt Suicide Attempt Unsuccessful Attempt Person Living with Suicidal Thoughts
Suicide Ideator or Attempter Suicide Completed Suicide
(Describe the Behavior)
Manipulative, Cry for Help, Suicidal Gesture Working with Dealing with Suicidal Person
Strategic Suicide Prevention
“Making Suicide Prevention a Health and Safety Priority”
Source: Knox, K, et al., Risk of Suicide and related adverse outcomes after exposure to a suicide programme in the US Air Force: cohort study. British Medical Journal, December 13, 2003.
Table 3: Comparison of the effects of risk for suicide and related adverse outcomes in the USAF population prior to implementation of the program (1990-1996) and after implementation of the program (1996-2002). Outcome Relative Risk (RR) and 95% CI Risk Reduction (1- RR) Excess Risk (RR-1) Suicide .67 [.5702, .8017] ↓ 33%
.48 [.3260, .7357] ↓ 51% Accidental Death .82 [.7328, .9311] ↓ 18%
.46 [.4335, .5090] ↓ 54%
Violence .70 [.6900, .7272] ↓ 30%
1.18 [1.1636, 1.2040]
Results
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Lethal Method Reduced Substitution Attempter uses another
those methods are less lethal. Delay Attempt delayed as attempter seeks access. Fewer attempts prove fatal Suicidal crisis passes for many * The acute period in which someone will attempt is often short. * 89-95% of attempters do not go on to die by suicide. Overall Suicide Rate Drops driven by drop in suicides by restricted method.
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McInosh, John (2010, April 22). Therapists as Survivors of Client Suicide: . AAS Conference 2010
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