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type=\u0022text\/css\u0022 rel=\u0022stylesheet\u0022 href=\u0022\/\/d282kpwvnogo5m.cloudfront.net\/sites\/default\/files\/advagg_css\/css__ce2QY63WIanKyr8eSq7eavr1XQRRmFD6ZSmwpyJi8lM__zXwFqpqmxrZOXXcd_TpBQpjuELbmIP9wBR5UuTDWAO4__YJWWMMdfCJuAFm5cUEp88OsodhO3ZA-2lzRfoBsSlk4.css\u0022 media=\u0022all\u0022 \/\u003E\n\u003Clink rel=\u0027stylesheet\u0027 type=\u0027text\/css\u0027 href=\u0027\/sites\/all\/modules\/contrib\/panels\/plugins\/layouts\/onecol\/onecol.css\u0027 \/\u003E\u003C\/head\u003E\u003Cbody\u003E\u003Cdiv class=\u0022panels-ajax-tab-panel panels-ajax-tab-panel-sageoa-tab-art\u0022\u003E\u003Cdiv class=\u0022panel-display panel-1col clearfix\u0022 \u003E\n  \u003Cdiv class=\u0022panel-panel panel-col\u0022\u003E\n    \u003Cdiv\u003E\u003Cdiv class=\u0022panel-pane pane-highwire-markup\u0022 \u003E\n  \n      \n  \n  \u003Cdiv class=\u0022pane-content\u0022\u003E\n    \u003Cdiv class=\u0022highwire-markup\u0022\u003E\u003Cdiv xmlns=\u0022http:\/\/www.w3.org\/1999\/xhtml\u0022 id=\u0022content-block-markup\u0022 xmlns:xhtml=\u0022http:\/\/www.w3.org\/1999\/xhtml\u0022\u003E\u003Cdiv class=\u0022article fulltext-view \u0022\u003E\u003Cspan class=\u0022highwire-journal-article-marker-start\u0022\u003E\u003C\/span\u003E\u003Cdiv class=\u0022section abstract\u0022 id=\u0022abstract-1\u0022\u003E\u003Ch2\u003ESummary\u003C\/h2\u003E\n            \u003Cp id=\u0022p-1\u0022\u003EMental disorders, past suicide attempts, symptomatic precursors, genetic factors, sociodemographics, and environmental factors have been shown to play a role in suicide. Mental illness is the number 1 risk factor for suicide, and psychological autopsies and interviews with family members and caregivers after a suicide have shown that 90% of victims of suicide have 1 or more mental disorders at the time of death [Harris \u0026amp; Barraclough. \u003Cem\u003EBr J Psychiatry\u003C\/em\u003E 1997]. This article discusses possible risk factors and suicide prevention strategies.\u003C\/p\u003E\n         \u003C\/div\u003E\u003Cul class=\u0022kwd-group\u0022\u003E\u003Cli class=\u0022kwd\u0022\u003EMood Disorders\u003C\/li\u003E\u003C\/ul\u003E\u003Cp id=\u0022p-2\u0022\u003EIn 2006, the suicide rate was 11.2 people\/100,000 (n=33,000), averaging 1 person every 16 minutes and exceeding the rate of homicide (6.2\/100,000) in the United States [Centers for Disease Control and Prevention. \u003Ca href=\u0022http:\/\/www.cdc.gov\/ncipc\/wisquars\/default.htm\u0022\u003Ewww.cdc.gov\/ncipc\/wisquars\/default.htm\u003C\/a\u003E.]. Paula Clayton, MD, American Foundation for Suicide Prevention, New York, NY, discussed possible risk factors and suicide prevention strategies at the APA Annual Meeting. Mental disorders, past suicide attempts, symptomatic precursors, genetic factors, sociodemographics, and environmental factors have been shown to play a role in suicide. Mental illness is the number 1 risk factor for suicide, and psychological autopsies and interviews with family members and caregivers after a suicide have shown that 90% of victims of suicide have 1 or more mental disorders at the time of death [Harris \u0026amp; Barraclough. \u003Cem\u003EBr J Psychiatry\u003C\/em\u003E 1997]. Schizophrenia, unipolar depression, and bipolar disorder are associated with the highest short-term risk [Tidermalm et al. BMJ, 2008]. Acute anxiety, psychic pain, and panic attacks during an acute depressive episode are also linked to higher rates of suicide [Lewis LM et al. \u003Cem\u003ESuicide \u0026amp; Life Threat Beh\u003C\/em\u003E 2007].\u003C\/p\u003E\u003Cp id=\u0022p-3\u0022\u003EIn a study by Lewis and colleagues, the use of no-harm contracts as a prevention method was shown to have little efficacy [Fawcett et al. \u003Cem\u003EAJP\u003C\/em\u003E 1990]. Therefore, other prevention tools are needed. Prof. Clayton pointed out that method restriction is the best strategy for patients who are at risk. Bridge barriers and netting, as well as increased firearm restriction, have been the best methods of prevention, according to Prof. Clayton, because bridgeside phones and signs have not impacted suicide rates thus far. Time delays that are associated with these prevention methods allow the suicidal patient to change his mind, resolve the preceding conflict or stressor, detoxify if there are contributing substances that lead to an attempt, and seek professional help.\u003C\/p\u003E\u003Cp id=\u0022p-4\u0022\u003EMedications, such as antidepressants and lithium therapy, are also helpful tools in the prevention of suicide. Although only 20% of medicated depressed patients are adequately treated with antidepressants, Prof. Clayton stressed that lithium therapy is underutilized and that the use of this treatment in combination with psychotherapy should be encouraged for at-risk patients. Prof. Clayton concluded that early detection and treatment for mental disorders, method restriction, and responsible reporting on the part of the media to avoid sensationalizing suicide are currently the best practices for prevention.\u003C\/p\u003E\u003Cdiv id=\u0022F1\u0022 class=\u0022fig pos-float  odd\u0022\u003E\u003Cdiv class=\u0022highwire-figure\u0022\u003E\u003Cdiv class=\u0022fig-inline-img-wrapper\u0022\u003E\u003Cdiv class=\u0022fig-inline-img\u0022\u003E\u003Ca href=\u0022http:\/\/d282kpwvnogo5m.cloudfront.net\/content\/spmdc\/9\/3\/31\/F1.large.jpg?width=800\u0026amp;height=600\u0026amp;carousel=1\u0022 title=\u0022The editors would like to thank the many members of the American Psychiatric Association presenting faculty who generously gave their time to ensure the accuracy and quality of the articles in this publication.\u0022 class=\u0022fragment-images colorbox-load\u0022 rel=\u0022gallery-fragment-images-1039486900\u0022 data-figure-caption=\u0022The editors would like to thank the many members of the American Psychiatric Association presenting faculty who generously gave their time to ensure the accuracy and quality of the articles in this publication.\u0022 data-icon-position=\u0022\u0022 data-hide-link-title=\u00220\u0022\u003E\u003Cimg class=\u0022fragment-image\u0022 alt=\u0022Figure1\u0022 src=\u0022http:\/\/d282kpwvnogo5m.cloudfront.net\/content\/spmdc\/9\/3\/31\/F1.medium.gif\u0022\/\u003E\u003C\/a\u003E\u003C\/div\u003E\u003C\/div\u003E\u003Cul class=\u0022highwire-figure-links inline\u0022\u003E\u003Cli class=\u00220 first\u0022\u003E\u003Ca href=\u0022http:\/\/d282kpwvnogo5m.cloudfront.net\/content\/spmdc\/9\/3\/31\/F1.large.jpg?download=true\u0022 class=\u0022highwire-figure-link highwire-figure-link-download\u0022 title=\u0022Download Figure1\u0022 data-icon-position=\u0022\u0022 data-hide-link-title=\u00220\u0022\u003EDownload figure\u003C\/a\u003E\u003C\/li\u003E\u003Cli class=\u00221\u0022\u003E\u003Ca href=\u0022http:\/\/d282kpwvnogo5m.cloudfront.net\/content\/spmdc\/9\/3\/31\/F1.large.jpg\u0022 class=\u0022highwire-figure-link highwire-figure-link-newtab\u0022 target=\u0022_blank\u0022 data-icon-position=\u0022\u0022 data-hide-link-title=\u00220\u0022\u003EOpen in new tab\u003C\/a\u003E\u003C\/li\u003E\u003Cli class=\u00222 last\u0022\u003E\u003Ca href=\u0022\/highwire\/powerpoint\/11340\u0022 class=\u0022highwire-figure-link highwire-figure-link-ppt\u0022 data-icon-position=\u0022\u0022 data-hide-link-title=\u00220\u0022\u003EDownload powerpoint\u003C\/a\u003E\u003C\/li\u003E\u003C\/ul\u003E\u003C\/div\u003E\u003Cdiv class=\u0022fig-caption\u0022 xmlns:xhtml=\u0022http:\/\/www.w3.org\/1999\/xhtml\u0022\u003E\n            \u003Cp id=\u0022p-5\u0022 class=\u0022first-child\u0022\u003EThe editors would like to thank the many members of the American Psychiatric Association presenting faculty who generously gave their time to ensure the accuracy and quality of the articles in this publication.\u003C\/p\u003E\n         \u003Cdiv class=\u0022sb-div caption-clear\u0022\u003E\u003C\/div\u003E\u003C\/div\u003E\u003C\/div\u003E\u003Cul class=\u0022copyright-statement\u0022\u003E\u003Cli class=\u0022fn\u0022 id=\u0022copyright-statement-1\u0022\u003E\u00a9 2009 MD Conference Express\u003C\/li\u003E\u003C\/ul\u003E\u003Cspan class=\u0022highwire-journal-article-marker-end\u0022\u003E\u003C\/span\u003E\u003C\/div\u003E\u003Cspan id=\u0022related-urls\u0022\u003E\u003C\/span\u003E\u003C\/div\u003E\u003Ca href=\u0022http:\/\/mdc.sagepub.com\/content\/9\/3\/31.abstract\u0022 class=\u0022hw-link hw-link-article-abstract\u0022 data-icon-position=\u0022\u0022 data-hide-link-title=\u00220\u0022\u003EView Summary\u003C\/a\u003E\u003C\/div\u003E  \u003C\/div\u003E\n\n  \n  \u003C\/div\u003E\n\u003C\/div\u003E\n  \u003C\/div\u003E\n\u003C\/div\u003E\n\u003C\/div\u003E\u003Cscript type=\u0022text\/javascript\u0022 src=\u0022http:\/\/mdc.sagepub.com\/sites\/all\/modules\/highwire\/highwire\/plugins\/highwire_markup_process\/js\/highwire_figures.js?nzmk6p\u0022\u003E\u003C\/script\u003E\n\u003Cscript type=\u0022text\/javascript\u0022 src=\u0022http:\/\/mdc.sagepub.com\/sites\/all\/modules\/highwire\/highwire\/plugins\/highwire_markup_process\/js\/highwire_openurl.js?nzmk6p\u0022\u003E\u003C\/script\u003E\n\u003C\/body\u003E\u003C\/html\u003E"}