Treatment of suicidal people around the world
Ronny Bruffaerts,Koen Demyttenaere,Irving Hwang,W. T. Chiu,Nancy A. Sampson,Ronald C. Kessler,Jordi Alonso,Guilherme Borges,G. de Girolamo,R. de Graaf,S. Florescu,Oye Gureje,Chiyi Hu,Elie G. Karam,Norito Kawakami,Stanislav Kostyuchenko,Viviane Kovess-Masfety,Sing Lee,Daphna Levinson,Herbert Matschinger,Jose Posada-Villa,Rajesh Sagar,Kate M. Scott,Dan J. Stein,Toma Tomov,Maria Carmen Viana,Matthew K. Nock +26 more
TLDR
Most people with suicide ideation, plans and attempts receive no treatment, especially in low-income countries, while those who had actually attempted suicide were more likely to receive care.Abstract:
Two-fifths of the suicidal respondents had received treatment (from 17% in low-income countries to 56% in high-income countries), mostly from a general medical practitioner (22%), psychiatrist (15%) or non-psychiatrist (15%). Those who had actually attempted suicide were more likely to receive care. Low perceived need was the most important reason for not seeking help (58%), followed by attitudinal barriers such as the wish to handle the problem alone (40%) and structural barriers such as financial concerns (15%). Only 7% of respondents endorsed stigma as a reason for not seeking treatment. Conclusions Most people with suicide ideation, plans and attempts receive no treatment. This is a consistent and pervasive finding, especially in low-income countries. Improving the receipt of treatment worldwide will have to take into account culture-specific factors that may influence the process of help-seeking. Declaration of interestread more
Citations
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What is the impact of mental health-related stigma on help-seeking? A systematic review of quantitative and qualitative studies.
Sarah Clement,Oliver Schauman,Tanya Graham,F Maggioni,Sara Evans-Lacko,Nikita Bezborodovs,Craig Morgan,Nicolas Rüsch,June S. L. Brown,Graham Thornicroft +9 more
TL;DR: Stigma has a small- to moderate-sized negative effect on help-seeking and Ethnic minorities, youth, men and those in military and health professions were disproportionately deterred by stigma.
Journal ArticleDOI
Prevalence, Correlates, and Treatment of Lifetime Suicidal Behavior Among Adolescents: Results From the National Comorbidity Survey Replication Adolescent Supplement
Matthew K. Nock,Jennifer Greif Green,Irving Hwang,Katie A. McLaughlin,Nancy A. Sampson,Alan M. Zaslavsky,Ronald C. Kessler +6 more
TL;DR: Differences suggest that distinct prediction and prevention strategies are needed for ideation, plans among ideators, planned attempts, and unplanned attempts.
Journal ArticleDOI
The psychology of suicidal behaviour
Rory C. O'Connor,Matthew K. Nock +1 more
TL;DR: Key recent developments in theoretical, clinical, and empirical psychological science about the emergence of suicidal thoughts and behaviours are described, and the central importance of psychological factors are emphasised.
Journal ArticleDOI
Introduction to Variance Estimation
TL;DR: In this article, the authors introduce the concept of variance estimation and introduce the Variance Estimation Estimation Method (VEM) as an alternative to variance estimation for variance estimation.
Journal ArticleDOI
The Lancet Psychiatry Commission on psychological treatments research in tomorrow's science
Emily A. Holmes,Ata Ghaderi,Catherine J. Harmer,Catherine J. Harmer,Paul Ramchandani,Pim Cuijpers,Anthony P. Morrison,Jonathan P. Roiser,Claudi L H Bockting,Rory C. O'Connor,Roz Shafran,Michelle L. Moulds,Michelle G. Craske +12 more
TL;DR: This Commission proposes opportunities to improve training in interdisciplinary mental health sciences, and outlines an area in which it sees substantial opportunity and scope for advancements that will move psychological treatments research forward.
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