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    Suicide Prevention, with Jill Harkavy-Friedman, PhD

    enApril 07, 2021

    Podcast Summary

    • Understanding the Complexity of Suicide RatesSuicide rates have been increasing in the US, with demographic factors playing a role. Research continues to uncover reasons, including better reporting and prescription rates, but it's a complex issue requiring ongoing study and intervention.

      The suicide rate in the United States had been increasing in recent years before the COVID-19 pandemic, and researchers are still trying to understand why. Some possible explanations include better reporting and identification of suicides, as well as changes in prescription rates of certain medications. Suicide rates do vary based on demographic factors, with some groups, such as American Indian/Alaska Native, Hispanic or Latino, and Native Hawaiian or Pacific Islander populations having higher suicide rates than others. It's important to note that suicide is a complex issue with many contributing factors, and there is no single answer to why rates are increasing or who is most at risk. It's crucial that we continue to research and work on effective interventions to help those at risk of suicide. If you're concerned about someone in your life, reach out for help and support.

    • Differences in suicide rates don't necessarily cause suicideSuicide is complex, demographics don't determine cause, pandemic may increase suicidal ideation, be aware of risk factors, gun access doesn't guarantee suicide

      While there are differences in suicide rates among different demographics, such as males having higher rates than females and whites having higher rates than other racial and ethnic groups, these differences do not necessarily mean that these factors cause suicide. Suicide is a complex issue with many contributors on an individual and environmental level. The ongoing COVID-19 pandemic may be having an effect on suicide rates, particularly in increasing suicidal ideation, but reliable data on suicide rates during the pandemic is not yet available. It's important to take any reports of suicidal ideation seriously and be aware of other risk factors, such as trauma, substance use, and access to lethal means. The increase in gun sales during the pandemic is a concern, as having access to lethal means in a household can increase the risk of suicide. However, having a gun does not automatically lead to suicide.

    • Limiting access to lethal means can prevent suicideIdentifying suicide risk factors is challenging, but limiting access to lethal means, particularly firearms, can help prevent suicide attempts. Trust your instincts and ask for help if concerned.

      Limiting access to lethal means, particularly firearms, can be crucial in preventing suicide. The connection between gun ownership and suicide risk is not definitive, but guns are lethal and can increase the likelihood of successful suicide attempts. Identifying individuals at risk is challenging, as most suicide risk factors are not reliable predictors of attempts. Therefore, it's essential to trust your instincts and ask if you're concerned about someone, even if they haven't mentioned suicidal thoughts. New research in this area includes using digital technology to monitor individuals in real-time, providing valuable insights into suicidal ideation and behavior. Ethical guidelines for this research are essential to protect privacy and ensure that interventions are appropriate and effective.

    • Identifying risk groups for suicide through researchResearch on suicide patterns helps identify risk groups, provides a responsibility to ensure ethical practices, and highlights the importance of addressing mental health conditions to prevent suicide.

      Suicide research has revealed various patterns of suicidal thinking and behavior, and these patterns help identify risk groups for more accurate prediction. Ethical considerations include informing participants about data monitoring and providing emergency resources. Researchers have a responsibility to provide safeguards and not create unrealistic expectations of intervention. Additionally, 90% of individuals who die by suicide have a diagnosable and treatable mental health condition, emphasizing the importance of addressing mental health issues to prevent suicide.

    • Mental health conditions often come with other risksBiology and mental health conditions increase suicide risk, and media coverage can trigger harmful outcomes for vulnerable individuals

      Mental health conditions are often comorbid, meaning that people with one condition are at increased risk for others, particularly substance use, depression, bipolar disorder, and PTSD. Suicide contagion is real, but it only affects those already at risk. Media coverage of suicides does not create new risks, but can trigger harmful outcomes for vulnerable individuals. Biology plays a significant role in suicide risk, with neurotransmitters, genetics, inflammation, and the gut biome all contributing to the complex interplay between nature and nurture. Understanding these connections can help us better prevent and address suicide.

    • Brain imbalance and suicideGenetic predisposition and environmental factors can impact brain chemistry, leading to suicide risk. Treatment can restore balance and improve lives.

      Suicide is complex and involves an intricate balance of neurotransmitters in the brain. Areas with decreased activity of certain transmitters, particularly in the frontal lobe, are linked to rigidity of thinking and impulsivity. Conversely, increased activity in other parts of the brain can lead to negative decision-making. The interaction between genetics and environment plays a role, with a genetic predisposition potentially increasing the risk for suicide. However, treatment can change brain function and help individuals lead fulfilling lives. If you suspect someone may be at risk, approach the conversation with care, listen without judgment, and encourage professional help.

    • Having a conversation about suicide doesn't increase risk, it provides opportunity for supportApproaching a suicidal person with care, non-judgment, and open-ended questions can provide support and reduce risk. Mental health parity is crucial for equal access to care.

      Having a conversation with someone who may be suicidal does not increase their risk, but rather provides an opportunity for connection and support. It's important to approach the conversation with care and non-judgment, focusing on open-ended questions and expressing concern. Mental health parity, ensuring equal treatment and access to mental health care as physical health care, is a crucial policy change that can make a significant difference in suicide prevention. Additionally, starting the conversation by acknowledging the person's feelings and offering help, without being pushy, can go a long way in making them feel understood and supported.

    • Addressing the mental health crisis and suicide preventionEffective suicide prevention requires access to mental health professionals, education on suicide prevention, more research funding, a holistic approach, and addressing challenges like limited access to at-risk populations and insufficient instrumentation.

      Access to healthcare is crucial for both physical and mental wellbeing, and the lack of insurance coverage can hinder effective treatment, especially in mental health cases. Mental health professionals need to be educated about suicide prevention and equipped to handle such situations. There's a significant shortage of mental health professionals in the US, and more research funding is necessary to advance suicide prevention across the health spectrum. Suicide is linked to various health conditions, so a holistic approach is required. Additionally, researchers face challenges such as limited access to populations at risk for suicide and insufficient instrumentation for studying this complex issue. Including individuals with suicide risk in clinical trials and addressing these challenges can lead to more effective suicide prevention strategies.

    • Investing in new technologies is crucial for conducting research on suicide and preventing it due to its complexity and resource-intensive nature.Advanced research on suicide requires significant resources, including expensive equipment and storage facilities. Investing in new technologies is essential to improve our understanding and prevention efforts.

      Conducting research on suicide and preventing it requires significant resources and infrastructure, including access to advanced imaging and genetic techniques, as well as the ability to store and preserve samples. These resources can be costly, with refrigerators for storing genetics costing around $100,000 each. However, as technology improves, the ability to study suicide and its causes will also get better. Therefore, investing in new technologies is crucial. Another important point is that suicide is a complex issue, and it's essential to consider all the factors related to it rather than focusing on just one. If you or someone you know is experiencing suicidal thoughts, contact the National Suicide Prevention Lifeline at 1-800-273-TALK (8255) for support, information, or local resources. Speaking of Psychology is produced by Lee Weinerman, and our sound editor is Chris Kondayan. Thank you for tuning in, and stay tuned for more insightful discussions on Speaking of Psychology.

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