Abstract
Suicide is an urgent public health concern, and its prevention and reduction have been declared matters of national priority in several countries. Suicide is devastating both for its loss of life and for its wider impacts on families and communities. This chapter provides an overview of the implications for the social work role within this global crisis. Due to their day-to-day proximity to people at increased risk of suicide and those impacted by suicide, social workers are identified as being uniquely placed to play a pivotal role in the prevention and reduction of suicide and suicidality, as well as being well-positioned to make a significant contribution to improved understanding of supporting families and communities in the aftermath of a fatal suicide. Suicide statistics are outlined with reference to known risk factors and opportunities highlighted for social workers to be instrumental in the identification and mitigation of risk. Issues of social worker education and training are discussed in relation to the likelihood of social workers coming into contact with one or more individuals at risk of suicide during their career and at any given time. Attention is drawn to the existing contributions made by the social work profession to the field of knowledge on suicide, and the scope for increased social worker involvement in suicide research is put forward. Relating this broader global perspective to the Australian context, an innovative intervention recently developed in collaboration between Melbourne researchers and clinicians is introduced.
References
Berman AL, Silverman MM, Bongar BM (2000) Comprehensive textbook of suicidology. Guilford Press, New York
Brough M, Wagner I, Farrell L (2013) Review of Australian health related social work research 1990–2009. Aust Soc Work 66:528–539
Bunney WE, Kleinman AM, Pellmar TC, Goldsmith SK (2002) Reducing suicide: a national imperative. National Academies Press, Washington, DC
Butler AM, Malone K (2013) Attempted suicide v. non-suicidal self-injury: behaviour, syndrome or diagnosis? Br J Psychiatry 202:324–325. https://doi.org/10.1192/bjp.bp.112.113506
Callahan J (1996) Negative effects of a school suicide postvention program – a case example. Crisis 17:108
Chemtob CM, Hamada RS, Bauer G, Kinney B, Torigoe RY (1988) Patients’ suicides: frequency and impact on psychiatrists. Am J Psychiatry 145:224
Ciffone J (1993) Suicide prevention: a classroom presentation to adolescents. Soc Work 38:197–203
Clarke L, Whittaker M (1998) Self-mutilation: culture, contexts and nursing responses. J Clin Nurs 7:129–137
Coghlan R, Lawrence D, Holman CDJ, Jablensky AV (2001) Duty to care: physical illness in people with mental illness. The University of Western Australia, Perth
Cooper J, Kapur N, Dunning J, Guthrie E, Appleby L, Mackway-Jones K (2006) A clinical tool for assessing risk after self-harm. Ann Emerg Med 48:459–466. https://doi.org/10.1016/j.annemergmed.2006.07.944
Crandall C, Fullerton-Gleason L, Aguero R, LaValley J (2006) Subsequent suicide mortality among emergency department patients seen for suicidal behavior. Acad Emerg Med 13:435–442. https://doi.org/10.1197/j.aem.2005.11.072
Cutright P, Fernquist RM (2004) The culture of suicide through societal integration and religion: 1996–1998 gender-specific suicide rates in 50 American states. Arch Suicide Res 8:271–285. https://doi.org/10.1080/13811110490436936
Department of Health (2010) Working with the suicidal person: clinical practice guidelines for emergency departments and mental health services. Victorian Government, Melbourne
Favazza AR (1989) Why patients mutilate themselves. Hosp Community Psychiatry 40:137–145
Feldman BN, Freedenthal S (2006) Social work education in suicide intervention and prevention: an unmet need? Suicide Life Threat Behav 36:467–480
Fernquist RM (2004) Educational attainment and the payoff of education: black male suicide in the United States, 1947–1998. Curr Res Soc Psychol 9:184
Gairin I, House A, Owens D (2003) Attendance at the accident and emergency department in the year before suicide: retrospective study. Br J Psychiatry 183:28–33
Gilbody S, House A, Owens D (1997) The early repetition of deliberate self harm. J R Coll Physicians Lond 31:171–172
Gilliland D (1995) Research note: an attempt to classify adolescent parasuicide attempters. Br J Soc Work 25:647–657
Gunnell D, Bennewith O, Peters TJ, Stocks N, Sharp DJ (2002) Do patients who self-harm consult their general practitioner soon after hospital discharge? A cohort study. Soc Psychiatry Psychiatr Epidemiol 37:599–602
Hawgood J, De Leo D (2015) STARS: screening tool for assessing risk of suicide. Griffith University, Brisbane
Hawgood J, De Leo D (2016) Suicide prediction: a shift in paradigm is needed. Crisis 37:251–255
Hawton K, Fagg J (1988) Suicide, and other causes of death, following attempted suicide. Brit J Psych 152(3):359–366
Hawton K, Zahl D, Weatherall R (2003) Suicide following deliberate self-harm: long-term follow-up of patients who presented to a general hospital. Br J Psychiatry 182:537–542
Holdsworth N, Belshaw D, Murray S (2001) Developing A&E nursing responses to people who deliberately self-harm: the provision and evaluation of a series of reflective workshops. J Psychiatr Ment Health Nurs 8:449–458
Immanuel M, Wurr C (2001) Early suicide following discharge from a psychiatric hospital. Suicide Life Threat Behav 31:358–364
Jacobson CM, Muehlenkamp JJ, Miller AL, Turner JB (2008) Psychiatric impairment among adolescents engaging in different types of deliberate self-harm. J Clin child Adolesc Psychol 37:363–375. https://doi.org/10.1080/15374410801955771
Jobes DA, Luoma JB, Hustead LAT, Mann RE (2000) In the wake of suicide: survivorship and postvention. In: Maris, R. W., Berman, A. L., Silverman, M. M., & Bongar, B. M. Comprehensive textbook of suicidology. Guildford Press. pp 536–561
Joe S, Niedermeier D (2006) Preventing suicide: a neglected social work research agenda. Br J Soc Work 38:507–530
Jordan JR, McIntosh JL (2011) Grief after suicide: understanding the consequences and caring for the survivors. Routledge, New York
Joubert L, Petrakis M, Cementon E (2012) Suicide attempt presentations at the emergency department: outcomes from a pilot study examining precipitating factors in deliberate self-harm and issues in primary care physician management. Soc Work Health Care 51:66–76
Knesper DJ (2010) Continuity of care for suicide prevention and research: suicide attempts and suicide deaths subsequent to discharge from the emergency department or psychiatry inpatient unit. Education Development Centre, Newton
Mann JJ et al (2005) Suicide prevention strategies: a systematic review. JAMA 294:2064–2074
Manthorpe J, Iliffe S (2010) Social work with older people – reducing suicide risk: a critical review of practice and prevention. Br J Soc Work 41:131–147
Maple M, Pearce T, Sanford RL, Cerel J (2017) The role of social work in suicide prevention, intervention, and postvention: a scoping review. Aust Soc Work 70:289–301
Mishna F, Antle BJ, Regehr C (2002) Social work with clients contemplating suicide: complexity and ambiguity in the clinical, ethical, and legal considerations. Clin Soc Work J 30:265–280
Mitchell AJ, Dennis M (2006) Self harm and attempted suicide in adults: 10 practical questions and answers for emergency department staff. Emerg Med J: EMJ 23:251–255. https://doi.org/10.1136/emj.2005.027250
Neuringer C (1974) Attitudes toward self in suicidal individuals∗. Suicide Life Threat Behav 4:96–106. https://doi.org/10.1111/j.1943-278X.1974.tb00871.x
Owens D, Horrocks J, House A (2002) Fatal and non-fatal repetition of self-harm: systematic review. The British Journal of Psychiatry 181(3):193–199
Pálsson SP, Jónsdóttir G, Pétursson H (1996) The mortality risk of psychiatric emergency patients: a follow-up study. Nord J Psychiatry 50:207–216. https://doi.org/10.3109/08039489609081410
Paykel ES, Prusoff BA, Myers JK (1975) Suicide attempts and recent life events. A controlled comparison. Arch Gen Psychiatry 32:327–333
Petrakis M (2009) Suicide prevention: recovery outcomes from an innovative model of client-centred assertive counselling, community linkage and monitoring, developed within one Victorian Hospital Emergency Department. The University of Melbourne
Petrakis M, Joubert L (2013) A social work contribution to suicide prevention through assertive brief psychotherapy and community linkage: use of the Manchester Short Assessment of Quality of Life (MANSA). Soc Work Health Care 52:239–257
Pritchard C, King E (2000) ‘High risk’ adolescents five years on: the subsequent suicide and homicide of former ‘looked-after’ and ‘exclusion unit’ adolescents (11–15). Int J Adolesc Youth 8:139–148
Pritchard C, Cox M, Dawson A (1997) Suicide and ‘violent’ death in a six-year cohort of male probationers compared with pattern of mortality in the general population: evidence of accumulative socio-psychiatric vulnerability. J R Soc Health 117:180–185. https://doi.org/10.1177/146642409711700310
Ron P (2002) Suicidal ideation and depression among institutionalized elderly: the influence of residency duration. Illn Crisis Loss 10:334–343. https://doi.org/10.1177/105413702236513
Ryan M, Parle M, Babidge N (1998) What precipitates deliberate self-harm? A cognitive behavioural formulation of attempted suicide presentations at an inner city hospital. Aust Health Rev 21:194–210
Schotte DE, Clum GA (1987) Problem-solving skills in suicidal psychiatric patients. J Consult Clin Psychol 55:49–54
Simon RI (2000) Taking the “sue” out of suicide: a forensic psychiatrist’s perspective. Psychiatr Ann 30:399–407
Townsend E et al (2001) The efficacy of problem-solving treatments after deliberate self-harm: meta-analysis of randomized controlled trials with respect to depression, hopelessness and improvement in problems. Psychol Med 31:979–988
WHO (2014) Preventing suicide: a global imperative. World Health Organisation, Geneva
Williams JMG, Pollock LR (2000) The psychology of suicidal behaviour. In: Hawton K, van Heeringen K (eds) The international handbook of suicide and attempted suicide. Wiley, Chichester, pp 79–93
Windfuhr K, Kapur N (2011) Suicide and mental illness: a clinical review of 15 years findings from the UK National Confidential Inquiry into Suicide. Br Med Bull 100:101–121
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Joubert, L., Lainson, K. (2019). Suicide Prevention. In: Ow, R., Cheong Poon, A. (eds) Mental Health and Social Work. Social Work. Springer, Singapore. https://doi.org/10.1007/978-981-13-0440-8_21-1
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DOI: https://doi.org/10.1007/978-981-13-0440-8_21-1
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