Resources by Level: Health Care Professionals

Risk Factors

Slide Sets and Presentations

The following selection of slide sets and presentations can be downloaded for use by the general public. Please see individual annotations for more information about a particular set of slides and recommended audience.

  1. ACE (Peer) Suicide Intervention Program. United States Army Public Health Command.
    This PowerPoint, arranged by Dr. James Cartwright, discusses the Ask, Care, Escort (ACE) suicide intervention program. The information provided allows the audience to learn about 1) what ACE is, 2) protective and risk factors for suicide in the military, and 3) how to implement ACE as a member of the US Army. This presentation includes videos and real life strategies for using ACE in any military setting.
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    Topics: Treatment and Referral; Risk Factors; Screening Tools;
  2. Struggling in Silence - Physician Depression additional Resources
    This website contains the resource guide and slide set to accompany the DVD (Struggling in Silence). The slide set is 29 slides with detailed information, including discussion questions, facts, risk factors, and other materials relevant to physician depression. The AFSP seeks to educate physicians about depression so that they can better recognize the symptoms in themselves and their patients while also cultivating a better understanding of mood disorders in the community at large. This video is 54 minutes.
    This is appropriate for graduate and medical level educators as well as health professionals.
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    Topics: Treatment and Referral; Risk Factors;
  3. Suicide and Out of the Silence - Medical Student Depression and Suicide
    The website contains 2 slide sets to accompany the film Medical Student Depression and Suicide. Resource links connect to the American Foundation for Suicide Prevention resources.
    Appropriate for graduate and medical level educators as well as health professionals
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    Topics: Risk Factors;
  4. Suicide in the Military
    This is a 50 slide presentation by John Rodolico, Ph.D based out of Harvard. Presentation focuses on demographics of new veterans, military studies and interventions, as well as military culture and suicide.
    This is appropriate for those who interact with military personnel in their work and/or classroom environments.
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    Topics: Risk Factors;
  5. Suicide Prevention among LGBT Youth: A Workshop for Professionals Who Serve Youth
    This presentation is designed to assist staff in schools, youth-serving organizations, and suicide prevention programs take action to reduce suicidal behavior among lesbian, gay, bisexual, and transgender (LGBT) youth. Topics covered include suicidal behavior among LGBT youth, risk and protective factors for suicidal behavior, strategies to reduce risk, and ways to increase school or agency cultural competence.
    The workshop includes lecture, small group exercises, and group discussion. All of these can be adapted to meet the needs of diverse audiences.
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    Topics: Risk Factors;
  6. Suicide Prevention Best Practice Guideline: Enhancing Nursing Practice, Education and Organizational Policy to Address a Global Health Concern
    Mina ES, Muxlow J, Smye V, Hamer B, Shachi N. Suicide Prevention Best Practice Guideline: Enhancing Nursing Practice, Education and Organizational Policy to Address a Global Health Concern. A Project of the RNAO (Registered Nurses Association of Ontario), International Affairs and Best Practice Programs Funded by the Ontario Ministry of Health & Long Term Care. Sigma Theta Tau research conference July 14, 2009. Multidisciplinary panel convened in 2007 to develop practical best practices guide to help assess and prevent suicide of people >17 in Ontario, Canada.
    Appropriate for nurses or health professionals, particularly those who may not have mental health care expertise.
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    Topics: Risk Factors;
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Publications

  1. Adolescent Health Case Studies
    This document contains two brief case studies, one regarding access to confidential care and the other regarding access to mental health services for adolescents. This 5 page document was put together for an adolescent health discussion and contains brief summary statistics with Rhode Island data.
    This is recommended for use at the graduate and medical school level.
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    Topics: Risk Factors;
  2. Adoption as a Risk Factor for Attempted Suicide During Adolescence
    Depression, impulsivity, and aggression during adolescence have been associated with both adoption and suicidal behavior. Studies of adopted adults suggest that impulsivity, even more than depression, may be an inherited factor that mediates suicidal behavior. However, the association between adoption and adolescent suicide attempts and the mechanisms that might explain it remain unknown. The objective of this study was to determine the following: 1) whether suicide attempts are more common among adolescents who live with adoptive parents rather than biological parents; 2) whether the association is mediated by impulsivity, and 3) whether family connectedness decreases the risk of suicide attempt regardless of adoptive or biological status. Adoption as a Risk Factor for Attempted Suicide During Adolescence Gail Slap, MD; Elizabeth Goodman, MD; and Bin Huang, MS Pediatrics Vol. 108 No. 2 August 1, 2001 pp. e30 (doi: 10.1542/peds.108.2.e30)
    Students
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    Topics: Risk Factors;
  3. Assessing the risk factors for suicidal thoughts at a nontraditional commuter school. Gillman JL1, Kim HS, Alder SC, Durrant LH. J Am Coll Health. 2006 Jul-Aug;55(1):17-26.
    The sample of students completing the National College Health Assessment (NCHA) Survey at the University of Utah differs from the national reference group for the NCHA 2003 in age, employment, residence, and marital status. The purpose of this study is to determine if the defining characteristics of a commuter school increase the risk for suicidal thoughts.
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    Topics: Risk Factors; Treatment and Referral;
  4. Associations between bullying and engaging in aggressive and suicidal behaviors among sexual minority youth: The moderating role of connectedness.
    This study examined associations between experiencing cyber and school bullying and engaging in aggressive and suicidal behaviors among sexual minority youth, they also explored whether feeling connected to an adult at school moderated these associations. The findings highlight the challenges faced by bullied lesbian, gay, and bisexual (LGB) youth. Practitioners should work with school administrators to establish supportive environments for sexual minority youth. Helping victimized LGB youth develop meaningful connections with adults at school can minimize the negative impacts of cyber and school bullying. Duong, J. & Bradshaw, C. (2014). Associations between bullying and engaging in aggressive and suicidal behaviors among sexual minority youth: The moderating role of connectedness. Journal of School Health 84(10), 636-645.
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    Topics: Risk Factors;
  5. Caring for suicidal patients in the emergency department: Where nursing knowledge falls short. Benford, Dawn M. Master of Science in Nursing Thesis, University of Arizona. 2009
    Contains statement of problem, literature review, discussion of attitudes, educational recommendations and contents of slide set presentation.
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    Topics: Risk Factors;
  6. Familial transmission of suicidal behavior
    Suicide and suicidal behavior is highly familial, and appears to be familially transmitted independently from the familial transmission of psychiatric disorder per se (1). Adoption, twin, and family studies support the view that the etiology of the familial transmission of suicidal behavior is at least in part genetic, and may be mediated by the transmission of intermediate phenotypes, such as impulsive aggression. Brent, D.A. & Melhem, N. (2008). Familial transmission of suicidal behavior. Psychiatric Clinics of North America, 31, 157-177.
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    Topics: Risk Factors; Treatment and Referral;
  7. Family history of suicide, female sex, and childhood trauma: separate or interacting risk factors for attempts at suicide?
    Female sex, childhood trauma, and a family history of suicidal behavior are three well established risk factors for attempting suicide. However, interactions between these three factors in attempting suicide have been little studied. One thousand eight hundred and eighty-nine abstinent substance dependent patients were interviewed about their lifetime and family history of suicidal behavior and completed the Childhood Trauma Questionnaire (CTQ). Gender, family history of suicidal behavior, and CTQ scores--and their interaction--were examined in relation to suicidal behavior. Roy, A. A., & Janal, M. M. (2005). Family history of suicide, female sex, and childhood trauma: separate or interacting risk factors for attempts at suicide?. Acta Psychiatrica Scandinavica, 112(5), 367-371. doi:10.1111/j.1600-0447.2005.00647.x
    Students
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    Topics: Risk Factors;
  8. Immigration generation status and its association with suicide attempts, substance use, and depressive symptoms among latino adolescents in the USA.
    This study investigated the relation between suicide attempts and immigrant generation status using the Latino subset of the National Longitudinal Study of Adolescent Health, a school-based, nationally representative sample. This study also examined whether generation status predicted risk factors associated with elevated suicide behaviors, namely illicit substance use, problematic alcohol use, and depressive symptoms. Finally, hypothesizing that elevated depressive symptoms and substance use mediate the relation between immigrant generation status and suicide attempts among Latino adolescents, a path model was tested. Peña, J.B., Wyman, P.A., Hendricks Brown, C.. Matthieu, M.M., Olivares, T.E., Hartel, D., & Zayas, L.H. (2008). Immigration generation status and its association with suicide attempts, substance use, and depressive symptoms among Latino adolescents in the USA. Prevention Science, 9(4), 299-301.
    Students
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    Topics: Risk Factors;
  9. Multi-Level Risk Factors for Suicidal Ideation Among at-Risk Adolescent Females
    Multi-Level Risk Factors for Suicidal Ideation Among at-Risk Adolescent Females: The Roleof Hypothalamic-Pituitary-Adrenal Axis Responses to Stress Matteo Giletta & Casey D. Calhoun & Paul D. Hastings & Karen D. Rudolph & Matthew K. Nock & Mitchell J. Prinstein
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    Topics: Risk Factors;
  10. Reducing a suicidal person’s access to lethal means of suicide: A research agenda.
    Reducing the availability of highly lethal and commonly used suicide methods has been associated with declines in suicide rates of as much as 30%â€"50% in other countries. The theory and evidence underlying means restriction is outlined. Most evidence of its efficacy comes from population-level interventions and natural experiments. In the U.S., where 51% of suicides are completed with firearms and household firearm ownership is common and likely to remain so, reducing a suicidal person’s access to firearms will usually be accomplished not by fiat or other legislative initiative but rather by appealing to individual decision, for example, by counseling at-risk people and their families to temporarily store household firearms away from home or otherwise making household firearms inaccessible to the at-risk person until they have recovered. Miller, M.J.. & Barber, C. W. (2014). Reducing a suicidal person’s access to lethal means of suicide: A research agenda. American Journal of Preventive Medicine, 47(3), Supplement 2, S264-S272.
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    Topics: Risk Factors;
  11. Sexual Orientation and Suicide Ideation, Plans, Attempts, and Medically Serious Attempts
    Sexual orientation and suicide ideation, plans, attempts, and medically serious attempts: evidence from local Youth Risk Behavior Surveys, 2001-2009. We examined the associations between 2 measures of sexual orientation and 4 suicide risk outcomes (SROs) from pooled local Youth Risk Behavior Surveys. Stone, D. M., Feijun, L., Lijing, O., Lippy, C., Hertz, M. F., & Crosby, A. E. (2014). Sexual Orientation and Suicide Ideation, Plans, Attempts, and Medically Serious Attempts: Evidence From Local Youth Risk Behavior Surveys, 2001-2009. American Journal of Public Health, 104(2), 262-271. doi:10.2105/AJPH.2013.301383
    Students
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    Topics: Risk Factors;
  12. Suicide Among Asian Americans/Pacific Islanders. Suicide Prevention Action Network (SPAN) and Suicide Prevention Resource Center (SPRC)
    This fact sheet discusses suicide data and ethnic suicide risk and protective factors among the Asian American/Pacific Islander population.
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    Topics: Risk Factors;
  13. Suicide Among Racial/Ethnic Populations in the U.S.: Hispanics. Suicide Prevention Resource Center (SPRC).
    This fact sheet analyzes data and research on suicidal behavior among Hispanics in the United States.
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    Topics: Risk Factors;
  14. Suicide prevention strategies: A systematic review. Mann, J. J., Apter, A., Bertolote, J., Beautrais, A., Currier, D., Haas, A., . . . Hendin, H. (2005). Journal of the American Medical Association, 294(16), 2064�2074. doi: 10.1001/jama.294.16.2064.
    This is appropriate for physicians.
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    Topics: Risk Factors;
  15. Suicide Rates for African Americans and Caucasians, 1999-2010. American Association of Suicidology.
    This fact sheet compares suicide data between African Americans and American Caucasians, mostly focusing on data in the African American population. In addition, it provides suggestions to the reader on strategies to decrease the suicide rates in his or her community.
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    Topics: Risk Factors;
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Courses and Training Materials

This section includes a variety of material about suicide prevention courses and trainings. For the high school level, selected material consists of workshops and online modules. At the college and graduate levels, there is material on suicide prevention, as well as on related topics, such as risk factors, depression, and mental illness. Also listed are course syllabi from professors who presently include suicide prevention in their courses. The section for care providers is recommended for clinicians and health care providers of all types.

  1. American Association of Suicidology (AAS) Clinical Assessment and Management Recommended Reading
    The American Association of Suicidology lists recommended texts with a brief summary of each.
    The books recommended are scholarly texts and geared towards clinicians and psychologists for assessing and managing suicide risk.
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    Topics: Treatment and Referral; Risk Factors;
  2. Aspira Continuing Education Online Courses - Suicide Prevention.
    Aspira describes this 7 hour course as "designed to increase awareness of suicide prevention methods and familiarity with broad based support systems. Become familiar with strategies to reduce stigma and lethal means of self harm. Identify at risk behavior, implement appropriate treatment and resources and develop clinical and professional practices." More information about the cost associated with this course and registering is available from the website.
    This is appropriate for professionals and workers from health and education fields.
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    Topics: Risk Factors; Treatment and Referral;
  3. Counseling on Access to Lethal Means (CALM) Training
    CALM is a 2-hour means restriction suicide prevention program. For more information on the program please see the Suicide Prevention Resource Center's description.
    This training is recommended for mental health providers & health care providers.
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    Topics: Risk Factors;
  4. Depression and Suicide: Risk Factors, Diagnosis, and Treatment
    Nurse.com describes the goal of its psychiatric nursing course to assist healthcare professionals in recognizing depression and to identify supportive measures to help patients and their loved ones decrease the risk of suicide.
    This is appropriate for the graduate and medical school level, as well as professionals and workers from the health field.
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    Topics: Risk Factors; Treatment and Referral;
  5. Ending Suicide for Professionals Program
    These are two, free on-line trainings by Clinical Tools, Inc. They cover identification of risk and protective factors for suicide in professional and school environments.
    Appropriate for health professionals/medical school educators. Also recommended for secondary educators and school administrators.
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    Topics: Treatment and Referral; Risk Factors;
  6. Griffith University, Australia Australian Institute for Suicide Research and Prevention
    Suicide Prevention Skills Training Workshops for preventing suicide in young people, workers from health, education, community, emergency, youth, and corrective services sectors.
    This is recommended for professionals working with youth and workers from health, education and community fields.
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    Topics: Treatment and Referral; Risk Factors;
  7. Health Professionals: Assessing and Managing Suicide Risk (AMSR): Core Competencies for Mental Health Professionals
    AMSR is a one-day training for mental health professionals such as social workers, counselors, psychologists, and psychiatrists. This 6.5 hour in-person training is evidence based. Following workshop completion, previous participants have reported an increase in confidence and competency while assessing and managing suicidal patients.
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    Topics: Risk Factors; Screening Tools; Treatment and Referral;
  8. Injury Control Research Centers
    Injury Control Research Centers (ICRC) are hosted through a research institution (hospital or university typically) and conduct research in the three core phases of injury control (prevention, acute care, and rehabilitation) and serve as training centers as well as information centers for the public. Not all ICRC's conduct suicide prevention work specifically (though many do). Currently funded ICRC's include Emory, UNC-Chapel Hill, John Hopkins School of Public Health, University of Iowa, San Francisco Injury Center and more. Links are provided to each institution's research center homepage for an overview of their work.
    This resource is appropriate for college, graduate, and medical school level educators. This is also recommended for researchers.
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    Topics: Treatment and Referral; Risk Factors;
  9. Mental Health First Aid
    Mental Health First Aid offers trainings designed to provide information on depression, mood and anxiety disorders, trauma, psychosis, and substance use disorders. Participants will receive instructions on ways to help a person developing a mental health disorder or in a crisis. Local courses are offered throughout the state of Rhode Island, and include regular training classes and train the trainer courses.
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    Topics: Risk Factors; Screening Tools; Treatment and Referral;
  10. QPR Institute: QPR Gatekeeper Training for Suicide Prevention
    QPR stands for Question, Persuade and Refer, three steps taught during this course that can help prevent suicide. QPR is an emergency response to someone who is in crisis and needs an immediate intervention. Both individuals and organizations can enroll in this training. When the course is completed, participants are prepared to teach QPR to others.
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    Topics: Screening Tools; Treatment and Referral; Risk Factors;
  11. Recognizing and Responding to Suicide Risk in Primary Care
    Per the website, RRSR-PC is a 90 minute online training that provides physicians, nurses/nurse practitioners, and physician assistants with the knowledge they need in order to integrate suicide risk assessments into routine office visits, to formulate relative risk, and to work collaboratively with patients to create treatment plans. An archived webinar and training resources are available for download from the Virginia Department of Health.
    This is appropriate for medical professionals and other health care workers.
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    Topics: Risk Factors; Treatment and Referral;
  12. Recognizing and Responding to Suicide Risk: Essential Skills for Clinicians (RRSR)
    The American Association of Suicidology website includes RRSR which describes its 2-day training as being advanced and interactive, based on core competencies for mental health professionals for assessing and managing suicide risk. Also included is a Recognizing and Responding to Suicide Risk in Primary Care Training (RRSP-PC).
    This is appropriate for medical professionals.
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    Topics: Treatment and Referral; Risk Factors; Screening Tools;
  13. Resources for Primary Care Providers
    The Western Interstate Commission for Higher Education, in partnership with the Suicide Prevention Resource Center, has developed a Suicide Prevention Toolkit for Rural Primary Care included among many other resources on this website. In addition to toolkits, there are trainings, fact sheets, and reimbursement/billing information targeting primary care providers, ED providers, and outpatient mental health providers.
    This resource is appropriate for health care providers and teaching at the medical school level.
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    Topics: Risk Factors; Treatment and Referral; Screening Tools;
  14. Suicide Prevention and Intervention Training with a Community-Based Approach
    Connect’s Suicide Prevention and Intervention Training is an interactive course designed to educate a wide range of audiences including community members, emergency departments, educators, and healthcare providers. The workshop’s curriculum includes information about suicide warning signs, how to build community services for those at-risk, and strategies to design a suicide prevention plan. Trainings range from a one-day (six hour) course to a four-day workshop.
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    Topics: Treatment and Referral; Risk Factors;
  15. Suicide Prevention Education for Health Professionals
    This links to two online courses which covers risk and protective factors for suicide in older adults, assessment of risk and selection of interventions for people who need urgent help, and a summary of clinical management strategies to reduce suicide risk. A free "log in" must be created to access courses and other materials on the site. This was developed with funding from the National Institute of Mental Health.
    This is appropriate for graduate and medical school educators and health professionals.
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    Topics: Risk Factors;
  16. suicideTALK
    suicideTALK is a 90-minute to half-day community-oriented program. The topics covered include mental health stigma, suicide prevention, and signs of depression. The goal of this in-person training is to increase community awareness of suicide and decrease taboo surrounding suicide.
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    Topics: Risk Factors;
  17. The National Association of Pediatric Nurse Practitioners - Adolescent Suicide Risk Assessment
    To access the training, click on "Adolescent Suicide Risk Assessment" under "Mental Health."
    This program is appropriate for nurses and nurse practitioners.
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    Topics: Risk Factors; Treatment and Referral;
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Movies and DVDs

This section lists a selection of videos about suicide prevention. Please see individual annotations for more information about a particular video and recommended audience

  1. A Different Kind of Courage: Safeguarding and Enhancing Your Psychological Health.
    This 25-minute educational DVD discusses the stresses related to military deployment. Viewers are educated on the symptoms of mental health issues among military service members and families and useful ways to seek help for those at-risk. In addition, a series of real stories told by military service members and their families reduces the stigma of discussing mental health issues. This DVD is free for military behavioral health clinicians, unit commanders, Reserve unit leaders, chaplains, Family Readiness Group leaders, and other military groups who encourage mental health awareness and promote seeking help for military service members and families suffering from poor mental health.
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    Topics: Treatment and Referral; Risk Factors;
  2. Struggling in Silence - Physician Depression
    American Foundation for Suicide Prevention (AFSP) seeks to educate physicians about depression so that they can better recognize the warning symptoms in themselves and their patients while also cultivating a better understanding of mood disorders in the community at large. This video is approximately 54 minutes in length and can be ordered through the AFSP website.
    Appropriate for graduate and medical level educators as well as health professionals.
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    Topics: Treatment and Referral; Risk Factors;
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Websites

Below are listed the homepages for national suicide prevention organizations. These websites contain information for targeted as well as general audiences.

  1. American Association of Suicidology (AAS) Recommended Videos
    The American Association of Suicidology (AAS) issues a list of existing videos regarding various aspects of suicide and prevention with a short description of each.
    The videos listed are primarily about young people and are recommended for a variety of audiences and uses.
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    Topics: Risk Factors;
  2. American Foundation for Suicide Prevention (AFSP) List of Risk Factors
    The list is organized by distal (e.g. psychiatric disorders, demographics) and proximal (e.g. suicidal crisis, change in affect, and life events) risk factors. The list provides a rich description of the risk factors.
    Appropriate for undergraduate, graduate school educators, and for educators who teach aspiring health providers.
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    Topics: Risk Factors;
  3. Resources for Emergency Department. Suicide Prevention Resource Center (SPRC)
    This guide provides resources regarding suicide in emergency room departments, including posters, suicide facts, relevant webinars, publications, and research.
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    Topics: Screening Tools; Risk Factors; Treatment and Referral;
  4. Substance Abuse and Mental Health Services Administration (SAMHSA)
    SAHMSA provides individuals, families, professionals, and organizations with information and resources to seek help, provide assistance, and/or implement suicide prevention programs in their communities.
    This is useful for college, graduate or medical school level.
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    Topics: Risk Factors; Treatment and Referral;
  5. Suicide Prevention Resource Center (SPRC)
    SPRC supports the nation's mental health infrastructure by providing states, government agencies, private organizations, colleges and universities, and suicide survivor and mental health consumer groups with access to resources that can bolster efforts to develop programs, implement intervention and promote policies to prevent suicide.
    This appropriate for all audiences.
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    Topics: Treatment and Referral; Risk Factors;
  6. Suicide Prevention Resource Center (SPRC) Best Practice Registry - Section I: Evidence Based Programs
    This website provides a list of the National Registry of Evidence-based Programs and Practices (NREPP) in several categories: Education and Training, Treatment (Psychotherapies), Screening, Guidelines and Protocols, and Education and Training (Screening). It includes a description of the program, areas of interest, target outcomes, implementation history, adaptations, and adverse events.
    This is recommended for educators, professionals or researchers who want information about evidence-based programs.
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    Topics: Risk Factors; Treatment and Referral; Screening Tools;
  7. University of Michigan Depression Center
    The University of Michigan Depression center provides useful information regarding mental health disorders and suicide.
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    Topics: Risk Factors; Screening Tools; Treatment and Referral;
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Statistics

These sets of statistics represent commonly cited, public sources of data related to suicide, injury, and mental health. A statistical programming package (SAS/STATA/SPSS) is recommended. Recommended Audience and Setting: This material is recommended primarily for researchers, educators at the college, graduate, and medical school level ,and health professionals.

  1. National Suicide Statistics
    The American Association of Suicidology prepares a series of data reports based on the National Vital Statistics Reports from the National Center for Health Statistics. The most current data available is from 2009. These reports are short and can be used to provide state, regional, and national level information on suicide deaths and rates as well as gender and age specific rates.
    This is appropriate for educators.
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    Topics: Risk Factors;
  2. National Violent Death Reporting System (NVDRS)
    A Centers for Disease Control and Prevention (CDC) database, includes information on deaths resulting from homicide, suicide, legal intervention, deaths of undetermined intent, and unintentional deaths involving firearms. It is based on a surveillance system that collects information from law enforcement, coroners and medical examiners, vital statistics and crime laboratories.
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    Topics: Risk Factors;
  3. Suicide Prevention Resource Center (SPRC) Datasheets
    Links to CDC fact sheet with data on suicide and attempts resulting in hospitalization connected with suicides and suicide attempts.
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    Topics: Risk Factors;
  4. Web-based Injury Statistics Query and Reporting System (WISQARS)
    An interactive system providing injury-related mortality data (including data on suicides and self-inflicted injuries) as mortality reports, leading causes of death reports, and years of potential life lost reports. These reports can be generated by state, age group, and ethnicity. WISQARS can generate similar data tables for nonfatal injuries.
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    Topics: Risk Factors;
  5. Youth Risk Behavior Surveillance System (YRBSS)
    The YRBSS was developed to monitor priority health risk behaviors that contribute to the leading causes of death, disability, and social problems among youth and adults in the United States. Conducted biennially since 1991, it draws on representative samples of students in grades 9-12. The survey includes questions about young people who attempted or seriously considered suicide, as well as those who had made a suicide plan or suffered from depression.
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    Topics: Risk Factors;