The research is clear - so why aren't people struggling with suicidality being offered evidence-based, suicide-focused treatments? Thank you Four Pines Fund for providing this insightful resource.
In this systematic review and meta-analysis, CBT interventions including a narrative assessment were associated with a reduced risk of suicide attempt, while CBT without this component did not have an association with risk of suicide attempt. Age differences between study populations may partly expl …
This case-control study compares postdischarge mortality rates for matched veterans attending mental health treatment at Department of Veterans Affairs hospitals with those receiving community mental health treatment.
Last week in New York, the global mental health community showed up in its beautiful diversity for the Fourth United Nations High-level Meeting on prevention and control of NCDs and the promotion of mental health and wellbeing. I was privileged to start the week with Devex Impact House as a panelist for "Brain Health at the Crossroads: Innovation, Integration and Impact" and to share the stage with Vincent Mujune, Kana Enomoto, George Vradenburg, and Annika Sten Pärson. Brain health requires a life-course approach that includes #prevention and #care. Primary care, #publichealth and community partners play important roles in both. We have to celebrate and sustain the research, the innovation, the advocates and the implementors around the globe who create paths to healing and recovery for well over a billion people living with mental, neurological, and substance use disorders. Global mental health is local, and I ended the week on Staten Island. Dr. Ginny Mantello and her colleagues shared the Blueprint for youth mental health, whose goal is to respond to worrying trends in mental health on Staten Island by engaging a broad coalition of committed partners to prevent and treat mental health conditions, #substanceabuse, #suicide and suicidal behaviors. CHRISTA D. LABOULIERE, New York State Office of Mental Health, Nick Ialongo, Allen Tien, MD, MHS, Joshua M. Sharfstein, Partnerships for Community Wellness, Staten Island Tech High School, Bloomberg American Health Initiative I’m so grateful for this community, #local and #global, whose research, practice, and advocacy spurs our field. United for Global Mental Health, Devora Kestel, Renato Oliveira e Souza, Sarah Kline, Dr Antonis Kousoulis MD, DrPH, Dr Ruma Bhargava, StrongMinds, McKinsey Health Institute, Department of Mental Health - Johns Hopkins BSPH, Global Mental Health - Johns Hopkins. #globalmentalhealthislocal
After 43 years of working in suicidology, I find myself with mixed feelings on World Suicide Prevention Day. While undeniable progress has been made over my four decades, rates of suicide are too high. I think about the hundreds of patients I have seen over the years and I still reflect on the person I lost during my clinical internship. I think about the 1600+ partipants we have treated in our clinical trial research over 30 years. And with a heavy heart I mourn the 5 we lost despite our best efforts. I think about all those who have lost someone to suicide—I am mindful every day of the toll on loss-survivors. I think anout our research with those who have lived experience and I am grateful for lessons learned from them. But lately, more than anything, I think about the 16,900,000 American adults and teens who are still with us but have serious thoughts of suicide (SAMHSA, 2025). Moreover, if these suffering souls muster the courage to seek care, they should receive evidence-based, suicide-focused, clinical care. However, far too often such people encounter clinician-centered care that relies on a carceral and non-evidence based approach with providers who are too preoccupied with liability instead of effective care. While there are always exceptions, peopje who suffer with thoughts of suicide and seek care too often deserve much better than they get. We simply must do better. Those who suffer—and those who love them—should expect nothing less than care that is actually reduces suffering which might help save a life. Such are my musings today… | 11 comments on LinkedIn
Changing the narrative is not just about how we talk about suicide, but also about how we act together. Together, through collective action, we can create a world where every life is valued, and no one feels alone in their struggle. Hear directly from IASP President, Professor Jo Robinson AM, on why Changing the Narrative on Suicide matters and how we can all play a part. Watch the full message here: https://lnkd.in/exSZjc6K #WSPD2025
When a boy or man takes his own life, the pain they carried doesn’t vanish, it’s transferred to the people and systems that failed to help, to care, or to listen. Families, friends, communities, and institutions are left grappling with grief, guilt, and regret. In that sense, suicide becomes an indictment of neglect. It is not just an individual act, but a mirror held up to society: Where were we when this person was suffering? Did we look away because it was uncomfortable? Did we excuse austerity, underfunded services, abandonment and isolation as “just the way things are”? Did we dismiss cries for help as weakness instead of signals of unbearable pain? The cruel irony is that those most in need of support and care are often abandoned until it is too late, and then society blames them for not reaching out or surviving alone. Suicide is rarely about wanting to die; it is about no longer being able to carry the weight of life without support. In this sense, every suicide is both personal tragedy and public failure. The pain is redistributed onto survivors, onto communities, onto the conscience of a society that allowed someone to feel they had no place left to turn. Taking Action If we know the systems we live in neglect those at risk until suicide feels like the only escape, what can we do differently? 1. Shift the Target of Justice Hold predators accountable. Corporations, politicians, employers and abusers who profit by causing harm should face consequences equal to the damage they inflict. 2. Redefine Responsibility Collective, not individual. Instead of blaming people for failing to survive impossible conditions, hold systems responsible for producing those conditions. Cultural shift. Value empathy, reciprocity, and care as social priorities instead of extraction and competition. 3. Build Lifelines Before the Cliff Universal access to support. Mental health care, and the necessities of life must be rights, not cost prohibitive privileges used to drive exploitation. Proactive intervention. Recognize red flags and act before they reach breaking points instead of ignoring them until tragedy strikes. 4. Normalize Care and Connection Check in. Make asking “Are you okay?” and really listening a cultural reflex, not an afterthought. Fight isolation. Create public spaces for community, mentorship, and solidarity, antidotes to the loneliness and abandonment that feed despair. 5. Change the Narrative Struggling is not weakness; it is human. Expose the predators. Shift public outrage away from those who struggle and toward the parasites who divide us and hollow out society. ⸻ Doing things differently means rejecting the lie that despair and suicide are “personal failures.” They are signals that the social body is sick and healing requires changing how we connect and care for each other and how we hold self-serving divisive power to account.