Risk Factors

I don’t really want to read one more thing about suicide in 13 Reasons Why, let alone add to the mix. But I think it’s necessary. Many articles and essays I read about the show are based on emotion, without acknowledging the very well-researched phenomenon of suicide contagion. The more that people understand the facts about […]

No objective test exists for suicidal thoughts – no X-ray to detect broken hope, no CAT scan to reveal intolerable emotional pain, no blood test to expose toxic intentions. This reality is disappointing, even devastating. People understandably want professionals to predict and prevent suicide. For example, in the aftermath of the pilot Andreas Lubitz intentionally […]

Transgender youth and adults have far higher rates of suicidal thoughts and suicide attempts than the average person. Consider these research findings: The suicide rate among transgender adults in an international study was almost 800 per 100,000. In comparison, the suicide rate in the U.S. for all people is 14 per 100,000. (That study is briefly […]

There are many characteristics that place a person at higher risk for suicide – depression, substance use, a prior suicide attempt, as examples. It is important for clinicians to know that an especially dangerous characteristic, one that exponentially increases the chances of suicide, is recent discharge from a psychiatric hospital. I am at the Aeschi West […]

Antidepressants and suicide are an odd combination. On the one hand, antidepressants reduce depression, which is a major cause of suicide. But – and this is an important “but” – there is also consistent evidence that, in a very small proportion of adolescents and young adults, antidepressants can trigger suicidal thoughts and suicide itself. Before I […]