Direct efforts to prevent the incidence of suicide
This article is about secondary prevention and intervention in suicide attempts. For primary prevention of suicides, see Suicide prevention.
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Suicide
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Suicide intervention is a direct effort to prevent a person or persons from attempting to take their own life or lives intentionally.
Asking direct questions is a recommended first step in intervention.[1][2] These questions may include asking about whether a person is having thoughts of suicide, if they have thought about how they would do it, if they have access to the means to carry out their plan, and if they have a timeframe in mind. Asking these questions builds connection, a key protective factor in preventing suicide.[3] These questions also enable all parties to establish a better understanding of risk. Research shows that asking direct questions about suicide does not increase suicidal ideation, and may decrease it.[4]
Most countries have some form of mental health legislation which allows people expressing suicidal thoughts or intent to be detained involuntarily for psychiatric treatment when their judgment is deemed to be impaired. These laws may grant the courts, police, or a medical doctor the power to order an individual to be apprehended to hospital for treatment. This is sometimes referred to as being committed. The review of ongoing involuntary treatment may be conducted by the hospital, the courts, or a quasi-judicial body, depending on the jurisdiction. Legislation normally requires police or court authorities to bring the individual to a hospital for treatment as soon as possible, and not to hold them in locations such as a police station.
Mental health professionals and some other health professionals receive training in assessment and treatment of suicidality. Suicide hotlines are widely available for people seeking help. However, some people may be reluctant to discuss their suicidal thoughts, due to stigma, previous negative experiences, fear of detainment, or other reasons.
^"Suicide: What to do when someone is suicidal". Mayo Clinic. Retrieved 28 August 2022.
^"How and Why the Five Steps Can Help". National Action Alliance for Suicide Prevention and the 988 Suicide & Crisis Lifeline. Retrieved 28 August 2022.
^Klonsky, E David (June 2015). "The Three-Step Theory (3ST): A New Theory of Suicide Rooted in the "Ideation-to-Action" Framework". International Journal of Cognitive Therapy. 8 (2): 114–129. doi:10.1521/ijct.2015.8.2.114. S2CID 8798543. Retrieved 30 August 2022.
^Dazzi, T; Gribble, R; Wessely, S; Fear, NT (December 2014). "Does asking about suicide and related behaviours induce suicidal ideation? What is the evidence?". Psychol. Med. 44 (16): 3361–3363. doi:10.1017/S0033291714001299. PMID 24998511. S2CID 1881668.
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