
@article{ref1,
title="Understanding and managing suicide risk",
journal="British medical bulletin",
year="2020",
author="Zortea, Tiago C. and Cleare, Seonaid and Melson, Ambrose J. and Wetherall, Karen and O'Connor, Rory C.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="BACKGROUND: Suicidal behaviours and non-suicidal self-harm (NSSH) are global public health concerns that affect millions of lives.  SOURCES OF DATA: This review is a narrative synthesis of systematic reviews, meta-analyses of randomized control trials (RCTs) and landmark studies published in scientific journals.  AREAS OF AGREEMENT: Restricting access to lethal means reduces the likelihood of future suicide deaths.  AREAS OF CONTROVERSY: Our ability to predict future suicidal behaviour is no better than chance. No individual risk prediction instrument offers sufficient sensitivity and specificity to inform clinically useful decision-making.  GROWING POINTS: Different types of psychosocial interventions may be effective in preventing future suicide attempts; such interventions include clinical assessment, tailored crisis response and safety plans and follow-up contact.  AREAS TIMELY FOR DEVELOPING RESEARCH: Whilst some psychosocial interventions can be effective in reducing suicide risk, little is known about the mechanisms of recovery from suicidal thoughts and behaviours.<p /> <p>Language: en</p>",
language="en",
issn="0007-1420",
doi="10.1093/bmb/ldaa013",
url="http://dx.doi.org/10.1093/bmb/ldaa013"
}