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Mental Illness & Suicide: Research & Interventions. Jane Pearson, Ph.D. National Institute of Mental Health. NIMH Mission Statement.

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mental illness suicide research interventions

Mental Illness & Suicide: Research & Interventions

Jane Pearson, Ph.D.

National Institute of Mental Health

nimh mission statement
NIMH Mission Statement

Our mission is to reduce the burden of mental illness and behavioral disorders through research on mind, brain, and behavior…Schizophrenia, bipolar disorder, depression, autism, and other mental disorders are serious, often life-threatening illnesses for which we need reliable diagnostic tests, new treatments, and effective strategies for prevention…

risk factors for suicide deaths
Risk Factors For Suicide Deaths

US/European Psychological Autopsy Studies:

At least 90% of suicide decedents had a mental or substance abuse disorder

Adolescents - depression, conduct disorder,

substance use, prior attempt

Adults - prior suicide attempt, depression,

alcohol dependence, schizophrenia

Older Adults - depression - late onset

revised life time risk for suicide case fatality rates
Revised Life-time Risk for Suicide Case Fatality Rates

Schizophrenia: first onset 5.6%; mixed time of onset samples 1.8%

Depression: any outpt tx 2%; any inpt tx 4%

any depression tx men 7%

any depression tx women 1%

Palmer et al (2005); Bostwick & Pankratz (2000)

service use patterns among suicide decedents in psychological autopsy studies month before
Service use patterns among suicide decedents in psychological autopsy studies; month before

Primary Care Mental Health

All ages 45% (20-76%) 19% (7-28%)

< 35 23% (10-36%) 15 % (7-32%)

55 + 58% (43-70%) 11% (8-14%)

Luoma, Martin & Pearson, 2002

slide6

Leading causes of death for selected age groups – United States, 2002

1

Unintentional

Injuries

Unintentional

Injuries

Unintentional

Injuries

Malignant

Neoplasms

2

Malignant

Neoplasms

Homicide

Malignant

Neoplasms

Heart

Disease

3

Congenital

Malformations

Suicide

Heart

Disease

Unintentional

Injuries

4

Homicide

Malignant

Neoplasms

Suicide

Cerebro-

vascular

5

Suicide

Heart

Disease

Homicide

Diabetes

Mellitus

6

Heart

Disease

Congenital

Malformations

HIV

Chronic

Lower Respiratory Ds.

7

Other

Neoplasms

HIV

Liver

Disease

Liver

Disease

8

Chronic

Lower Respiratory Ds.

Cerebro-

vascular

Cerebro-

vascular

Suicide

15-24

5 - 14

25-44

45-64

Source: CDC vital statistics

slide7

35

30

25

Eur-Amer Non-Latino

Afr-Amer Non-Latino

20

Rate per 100,000 population

Native American

15

Asian-PI

Latino

10

5

0

20-24

50-54

10-14

15-19

30-34

35-39

40-44

45-49

55-59

65-69

70-74

25-29

60-64

75-79

80-84

0-4

5-9

85 +

Suicide Rates by Ethnicity and Age Group United States, 1995-1999

Age Group in Years

slide8

Public Health Burden of Suicide

Deaths

Hospitalizations

Emergency Dept visits

Events reported on surveys

Unreported events

slide9

Ratios Of Attempted Suicides to Suicide Deaths

Young women 200:1

General population 10-20:1

Elderly 1-4:1

Fremouw WJM et al., Pergamon Press, 1990

Parkin D, Stengel E, Br Med J 2:133-138, 1965

slide10

http://www.psych.org/psych_pract/treatg/quick_ref_guide/Suibehavs_QRG.pdfhttp://www.psych.org/psych_pract/treatg/quick_ref_guide/Suibehavs_QRG.pdf

suicide prevention resource center effective or promising programs
Suicide Prevention Resource Center: Effective or Promising Programs
  • Community-based (3)
  • Environmental (1)
  • Home-based (1)
  • School-based (8)
  • Treatment (4) 2 focused on depression
  • Workplace (1)

http://www.sprc.org

recent research advances nimh press releases
Recent Research AdvancesNIMH Press Releases

July 3, 2006

  • Targeted Therapy Halves Suicide Attempts in Borderline Personality Disorder

August 2, 2005

  • Cognitive Therapy Reduces Repeat Suicide Attempts by 50 Percent

http://www.nih.nimh.gov

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