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Bridging the Global Mental Health Gap

National Suicide Prevention Strategies

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Suicide Risk Assessment and Prevention
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Abstract

Global suicide rates continue to increase despite local efforts to address the problem. The field of global mental health has identified various barriers and strategies to effective suicide prevention, which have informed global efforts in providing resources and guidance at a national level. In this chapter, we provide a review of global efforts and national strategies aimed at decreasing rates of suicide globally. We look at the evolution of global mental health and its focus on suicide prevention, provide an overview of global efforts, national strategies, and the lessons to be learned from these programs.

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References

  1. Global Burden of Disease Collaborative Network. Global Burden of Disease Study 2019 (GBD 2019) Disease and Injury Burden 1990-2019 [dataset]. Seattle: Institute for Health Metrics and Evaluation; 2020. Available from: https://doi.org/10.6069/P5WM-5A36.

  2. Whiteford H, Ferrari A, Degenhardt L. Global burden of disease studies: implications for mental and substance use disorders. Health Aff. 2016;35(6):1114–20.

    Article  Google Scholar 

  3. World Health Organization. Global health estimates 2019: disease burden by cause, age, sex, by country and by region, 2000–2019 [dataset]. Geneva: WHO; 2020. Available from: https://www.who.int/data/gho/data/themes/mortality-and-global-health-estimates/global-health-estimates-leading-causes-of-dalys.

    Google Scholar 

  4. Vigo D, Thornicroft G, Atun R. Estimating the true global burden of mental illness. Lancet Psychiatry. 2016;3(2):171–8.

    Article  PubMed  Google Scholar 

  5. Becker AE, Kleinman A. Mental health and the global agenda. N Engl J Med. 2013;369(1):66–73.

    Article  CAS  PubMed  Google Scholar 

  6. Prince M, Patel V, Saxena S, Maj M, Maselko J, Phillips MR, et al. No health without mental health. Lancet. 2007;370(9590):859–77.

    Article  PubMed  Google Scholar 

  7. World Health Organization. Comprehensive mental health action plan 2013–2030. Geneva: WHO; 2021.

    Google Scholar 

  8. Patel V, Prince M. Global mental health: a new global health field comes of age. JAMA. 2010;303(19):1976–7.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  9. Kohn R, Saxena S, Levav I, Saraceno B. The treatment gap in mental health care. Bull World Health Organ. 2004;82(11):858–66.

    PubMed  PubMed Central  Google Scholar 

  10. Chisholm D, Sweeny K, Sheehan P, Rasmussen B, Smit F, Cuijpers P, et al. Scaling-up treatment of depression and anxiety: a global return on investment analysis. Lancet Psychiatry. 2016;3(5):415–24.

    Article  PubMed  Google Scholar 

  11. Lund C, De Silva M, Plagerson S, Cooper S, Chisholm D, Das J, et al. Poverty, and mental disorders: breaking the cycle in low-income and middle-income countries. Lancet. 2011;378(9801):1502–14.

    Article  PubMed  Google Scholar 

  12. Cohen A, Patel V, Minas H, Patel V, Minas H, Cohen A, et al. A brief history of global mental health. In: Patel V, Minas H, Cohen A, Prince M, editors. Global mental health: principles and practice. New York: Oxford University Press; 2014. Chapter 1.

    Google Scholar 

  13. Patel V. Global mental health: from science to action. Harv Rev Psychiatry. 2012;20(1):6–12.

    Article  PubMed  PubMed Central  Google Scholar 

  14. World Health Organization. mhGAP mental health gap action programme: scaling up care for mental, neurological and substance use disorders. Geneva: WHO; 2008.

    Google Scholar 

  15. World Health Organization. mhGAP intervention guide – Version 2.0: for mental, neurological, and substance use disorders in non-specialized health settings. Geneva: WHO; 2016.

    Google Scholar 

  16. World Health Organization. The WHO special initiative for mental health (2019–2023): universal health coverage for mental health. Geneva: WHO; 2019. Document no.: WHO/MSD/19.1.

    Google Scholar 

  17. Patel V, Collins PY, Copeland J, Kakuma R, Katontoka S, Lamichhane J, et al. The movement for global mental health. Br J Psychiatry. 2011;198(2):88–90.

    Article  PubMed  PubMed Central  Google Scholar 

  18. Collins P, Patel V, Joestl S, March D, Insel TR, Daar AS, et al. Grand challenges in global mental health. Nature. 2011;475:27–30.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  19. United Nations General Assembly. Resolution adopted by the General Assembly on Work of the Statistical Commission pertaining to the 2030 Agenda for Sustainable Development, Annex. New York: UN; 2017. Document no.: A/RES/71/313.

    Google Scholar 

  20. World Health Organization. Preventing suicide: a global imperative. Geneva: WHO; 2014.

    Google Scholar 

  21. World Health Organization. LIVE LIFE: an implementation guide for suicide prevention in countries. Geneva: WHO; 2021.

    Google Scholar 

  22. Turecki G, Brent DA, Gunnell D, O’Connor RC, Oquendo MA, Pirkis J, et al. Suicide and suicide risk. Nat Rev Dis Primers. 2019;5:74.

    Article  PubMed  Google Scholar 

  23. World Health Organization. Public health action for the prevention of suicide: a framework. Geneva: WHO; 2012.

    Google Scholar 

  24. World Health Organization. National suicide prevention strategies: progress, examples, and indicators. Geneva: WHO; 2018.

    Google Scholar 

  25. Platt S, Niederkrotenthaler T. Suicide prevention programs. Crisis. 2020;41(Suppl 1):S99–S124.

    Article  PubMed  Google Scholar 

  26. Skegg K, Herbison P. Effect of restricting access to a suicide jumping site. Aust N Z J Psychiatry. 2009;43(6):498–502.

    Article  PubMed  Google Scholar 

  27. Perron S, Burrows S, Fournier M, Perron PA, Ouellet F. Installation of a bridge barrier as a suicide prevention strategy in Montréal, Québec. Canada Am J Public Health. 2013;103(7):1235–9.

    Article  PubMed  Google Scholar 

  28. Law CK, Sveticic J, De Leo D. Restricting access to a suicide hotspot does not shift the problem to another location. An experiment of two river bridges in Brisbane, Australia. Aust N Z J Public Health. 2014;38(2):134–8.

    Article  PubMed  Google Scholar 

  29. Mann JJ, Apter A, Bertolote J, Beautrais A, Currier D, Haas A, et al. Suicide prevention strategies: a systematic review. JAMA. 2005;294(16):2064–74.

    Article  CAS  PubMed  Google Scholar 

  30. Nordentoft M, Qin P, Helweg-Larsen K, Juel K. Restrictions in means for suicide: an effective tool in preventing suicide: the Danish experience. Suicide Life Threat Behav. 2007;37(6):688–97.

    Article  PubMed  Google Scholar 

  31. Thelander G, Jönsson AK, Personne M, Forsberg GS, Lundqvist KM, Ahlner J. Caffeine fatalities–do sales restrictions prevent intentional intoxications? Clin Toxicol. 2010;48(4):354–8.

    Article  CAS  Google Scholar 

  32. Holmgren P, Nordén-Pettersson L, Ahlner J. Caffeine fatalities—four case reports. Forensic Sci Int. 2004;139(1):71–3.

    Article  CAS  PubMed  Google Scholar 

  33. Lubin G, Werbeloff N, Halperin D, Shmushkevitch M, Weiser M, Knobler HY. Decrease in suicide rates after a change of policy reducing access to firearms in adolescents: a naturalistic epidemiological study. Suicide Life Threat Behav. 2010;40(5):421–4.

    Article  PubMed  Google Scholar 

  34. Reisch T, Steffen T, Habenstein A, Tschacher W. Change in suicide rates in Switzerland before and after firearm restriction resulting from the 2003 “Army XXI” reform. Am J Psychiatry. 2013;170(9):977–84.

    Article  PubMed  Google Scholar 

  35. Fleegler EW, Lee LK, Monuteaux MC, Hemenway D, Mannix R. Firearm legislation and firearm-related fatalities in the United States. JAMA Intern Med. 2013;173(9):732–40.

    Article  PubMed  Google Scholar 

  36. Kessing LV, Søndergård L, Kvist K, Andersen PK. Suicide risk in patients treated with lithium. Arch Gen Psychiatry. 2005;62(8):860–6.

    Article  PubMed  Google Scholar 

  37. Lauterbach E, Felber W, Müller-Oerlinghausen B, Ahrens B, Bronisch T, Meyer T, et al. Adjunctive lithium treatment in the prevention of suicidal behaviour in depressive disorders: a randomised, placebo-controlled, 1-year trial. Acta Psychiatr Scand. 2008;118(6):469–79.

    Article  CAS  PubMed  Google Scholar 

  38. Tarrier N, Taylor K, Gooding P. Cognitive-behavioral interventions to reduce suicide behavior: a systematic review and meta-analysis. Behav Modif. 2008;32(1):77–108.

    Article  PubMed  Google Scholar 

  39. Brown GK, Ten Have T, Henriques GR, Xie SX, Hollander JE, Beck AT. Cognitive therapy for the prevention of suicide attempts: a randomized controlled trial. JAMA. 2005;294(5):563–70.

    Article  CAS  PubMed  Google Scholar 

  40. Tarrier N, Lewis S, Haddock G, Bentall R, Drake R, Kinderman P, et al. Cognitive-behavioural therapy in first-episode and early schizophrenia: 18-month follow-up of a randomised controlled trial. Br J Psychiatry. 2004;184(3):231–9.

    Article  PubMed  Google Scholar 

  41. Tarrier N, Haddock G, Lewis S, Drake R, Gregg L. Socrates trial group. Suicide behaviour over 18 months in recent-onset schizophrenic patients: the effects of CBT. Schizophr Res. 2006;83(1):15–27.

    Article  PubMed  Google Scholar 

  42. Stein DJ, Reed GM. Global mental health and psychiatric nosology: DSM-5, ICD-11, and RDoC. Braz J Psychiatry. 2019;41(1):3–4.

    Article  PubMed Central  Google Scholar 

  43. Wilcox HC, Kellam SG, Brown CH, Poduska JM, Ialongo NS, Wang W, et al. The impact of two universal randomized first-and second-grade classroom interventions on young adult suicide ideation and attempts. Drug Alcohol Depend. 2008;95(Suppl 1):S60–73.

    Article  PubMed  PubMed Central  Google Scholar 

  44. Wasserman D, Hoven CW, Wasserman C, Wall M, Eisenberg R, Hadlaczky G, et al. School-based suicide prevention programmes: the SEYLE cluster-randomised, controlled trial. Lancet. 2015;385(9977):1536–44.

    Article  PubMed  Google Scholar 

  45. Cheng Q, Chen F, Lee ES, Yip PS. The role of media in preventing student suicides: a Hong Kong experience. J Affect Disord. 2018;227:643–8.

    Article  PubMed  Google Scholar 

  46. Arafat SY, Mali B, Akter H. Quality of online news reporting of suicidal behavior in Bangladesh against World Health Organization guidelines. Asian J Psychiatr. 2019;40:126–9.

    Article  PubMed  Google Scholar 

  47. World Health Organization, International Association for Suicide Prevention. Preventing suicide: a resource for media professionals, 2017 update. Geneva: WHO; 2017. Document no.: WHO/MSD/MER/17.5.

    Google Scholar 

  48. Arafat SMY. Formulation of national suicide prevention strategy of Bangladesh: the readiness assessment. J Public Health (Oxf). 2021;43(1):e131–2.

    Article  Google Scholar 

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Correspondence to Maryke Van Zyl .

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Van Zyl, M., Fee, C., Burton, J., Leon, E. (2022). Bridging the Global Mental Health Gap. In: Pompili, M. (eds) Suicide Risk Assessment and Prevention. Springer, Cham. https://doi.org/10.1007/978-3-030-41319-4_63-1

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  • DOI: https://doi.org/10.1007/978-3-030-41319-4_63-1

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-41319-4

  • Online ISBN: 978-3-030-41319-4

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