Citation

Jacovides CL, Karnick AT, Whitehorn GL, Kaufman EJ. Curr. Trauma Rep. 2021; 7(4): 115-124.

Copyright

(Copyright © 2021, Holtzbrinck Springer Nature Publishing Group)

DOI

10.1007/s40719-021-00220-2

PMID

unavailable

Abstract

PURPOSE of Review: Suicide rates have risen over the past two decades in the United States of America (USA). Rates are higher in rural settings, but more total suicides occur in urban areas. Understanding risk and protective factors prevalent in urban areas is essential in reducing the individual and public health impact of suicide. Recent Findings: Lower rates of suicide in urban settings derive less from underlying differences in mental distress than from variation in access to care and to highly lethal means of suicide. Culturally appropriate interventions incorporating intersectional perspectives are needed to prevent and reduce suicide among people of color, particularly Native American and Black youth, and among lesbian, gay, bisexual, and transgender (LGBT) populations. Summary: The Zero Suicide Initiative aims to coordinate multi-level suicide prevention interventions across sites of healthcare, and may be particularly well-suited to urban areas, where sources of care are more densely available and healthcare contacts may be more frequent. © 2021, The Author(s), under exclusive licence to Springer Nature Switzerland AG.

Language: en

Keywords

human; social interaction; Firearms; mental health; domestic violence; suicide; Suicide; Review; public health; anxiety; suicide attempt; personality; Suicide prevention; risk assessment; risk factor; psychoeducation; alcohol consumption; Urban; urban area; sexual orientation; distress syndrome; American Indian; American; LGBT people; Inequity; Lethal means reduction; pre-exposure prophylaxis