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\"Suicide hurts people. People commit suicide as a last resort, no one wants to commit suicide and myths surround suicide. Psychologists know the truth about suicide. What causes it, how to prevent it, the warning signs and more. Tackling this difficult topic, best-selling writer Connor Whiteley explains the fascinating research and tackles the myths of suicide. And why it is critical to talk about. Psychology students, professionals and anyone interested in suicide psychology needs to read this engaging easy-to-understand book.\" -- page [4] of cover.

Houellebecq's latest novel, Annihilation, places medical tragedy and family trauma at the heart of what is set to be his final novel but marks an uncharacteristic departure from the rage we have come to know. Complications with the escape result in the death of Paul's brother by suicide. Surgery could save his life, but he will lose his voice. Paul hides the reality of the situation from his family and discreetly prepares himself for death.

[This corrects the article DOI: 10.1371/journal.pone.0252077.].

Attempted suicide is the main risk factor for suicide and repeated suicide attempts. However, the evidence for follow-up treatments reducing suicidal behavior in these patients is limited. The objective of the present study was to evaluate the efficacy of the Attempted Suicide Short Intervention Program (ASSIP) in reducing suicidal behavior. ASSIP is a novel brief therapy based on a patient-centered model of suicidal behavior, with an emphasis on early therapeutic alliance. Patients who had recently attempted suicide were randomly allocated to treatment as usual (n = 60) or treatment as usual plus ASSIP (n = 60). ASSIP participants received three therapy sessions followed by regular contact through personalized letters over 24 months. Participants considered to be at high risk of suicide were included, 63% were diagnosed with an affective disorder, and 50% had a history of prior suicide attempts. Clinical exclusion criteria were habitual self-harm, serious cognitive impairment, and psychotic disorder. Study participants completed a set of psychosocial and clinical questionnaires every 6 months over a 24-month follow-up period. The study represents a real-world clinical setting at an outpatient clinic of a university hospital of psychiatry. The primary outcome measure was repeat suicide attempts during the 24-month follow-up period. Secondary outcome measures were suicidal ideation, depression, and health-care utilization. Furthermore, effects of prior suicide attempts, depression at baseline, diagnosis, and therapeutic alliance on outcome were investigated. During the 24-month follow-up period, five repeat suicide attempts were recorded in the ASSIP group and 41 attempts in the control group. The rates of participants reattempting suicide at least once were 8.3% (n = 5) and 26.7% (n = 16). ASSIP was associated with an approximately 80% reduced risk of participants making at least one repeat suicide attempt (Wald χ21 = 13.1, 95% CI 12.4-13.7, p < 0.001). ASSIP participants spent 72% fewer days in the hospital during follow-up (ASSIP: 29 d; control group: 105 d; W = 94.5, p = 0.038). Higher scores of patient-rated therapeutic alliance in the ASSIP group were associated with a lower rate of repeat suicide attempts. Prior suicide attempts, depression, and a diagnosis of personality disorder at baseline did not significantly affect outcome. Participants with a diagnosis of borderline personality disorder (n = 20) had more previous suicide attempts and a higher number of reattempts. Key study limitations were missing data and dropout rates. Although both were generally low, they increased during follow-up. At 24 months, the group difference in dropout rate was significant: ASSIP, 7% (n = 4); control, 22% (n = 13). A further limitation is that we do not have detailed information of the co-active follow-up treatment apart from participant self-reports every 6 months on the setting and the duration of the co-active treatment. ASSIP, a manual-based brief therapy for patients who have recently attempted suicide, administered in addition to the usual clinical treatment, was efficacious in reducing suicidal behavior in a real-world clinical setting. ASSIP fulfills the need for an easy-to-administer low-cost intervention. Large pragmatic trials will be needed to conclusively establish the efficacy of ASSIP and replicate our findings in other clinical settings. ClinicalTrials.gov NCT02505373.

Suicidal behavior in older adults (65 years old and over) is a major public health issue in many countries. Suicide rates increase during the life course and are as high as 48.7/100,000 among older white men in the USA. Specific health conditions and stress factors increase the complexity of the explanatory model for suicide in older adults. A PubMed literature search was performed to identify most recent and representative studies on suicide risk factors in older adults. The aim of our narrative review was to provide a critical evaluation of recent findings concerning specific risk factors for suicidal thoughts and behaviors among older people: psychiatric and neurocognitive disorders, social exclusion, bereavement, cognitive impairment, decision making and cognitive inhibition, physical illnesses, and physical and psychological pain. We also aimed to approach the problem of euthanasia or physician-assisted suicide in older adults. Our main findings emphasize the need to integrate specific stress factors, such as feelings of social disconnectedness, neurocognitive impairment or decision making, as well as chronic physical illnesses and disability in suicide models and in suicide prevention programs in older adults. Furthermore, the chronic care model should be adapted for the treatment of older people with long-term conditions in order to improve the treatment of depressive disorders and the prevention of suicidal thoughts and acts.

Around the world, more than a million people die by suicide each year. Yet many of us know very little about a tragedy that may strike our own loved ones, and much of what we think we know is wrong. This book dismantles myth after myth to bring compassionate and accurate understanding of a massive international killer. Drawing on a fascinating array of clinical cases, media reports, literary works, and scientific studies, the author demolishes both moralistic and psychotherapeutic cliches. He shows that suicide is not easy, painless, cowardly, rash, vengeful, or selfish. It is not a manifestation of \"suppressed rage\" or a side effect of medication. It is not caused by breast augmentation, medicines, \"slow\" methods like smoking or anorexia, or, as some psychoanalysts once thought, things like masturbation. Threats of suicide, far from being idle, are often followed by serious attempts. People who are prevented once from killing themselves will not necessarily try again. The risk for suicide, he argues, is partly genetic and is influenced by often agonizing mental disorders. Vulnerability to suicide may be anticipated and treated. Most important, suicide can be prevented. The author, an expert whose own father's death by suicide changed his life, is relentless in his pursuit of the truth about suicide and deeply sympathetic to such tragic waste of life and the pain it causes those left behind.--Book jacket.

Suicide rates have risen among emerging adults of Asian descent, yet limited research has explored risk and protective factors within this population. Grounded in the Interpersonal Theory of Suicide, this study examined the associations between coping orientations (i.e., problem-focused, emotion-focused, and avoidant) and strategies (i.e., gratitude, self-compassion, and search for meaning in life) and suicide risk (i.e., perceived burdensomeness and thwarted belongingness) among emerging adults of Asian descent (N = 429). Multiple linear regression models were used to assess these associations while controlling for relevant demographic variables. Problem-focused coping and gratitude were negatively associated with perceived burdensomeness and thwarted belongingness, whereas emotion-focused and avoidant coping were positively associated with perceived burdensomeness. Avoidant coping was also positively associated with thwarted belongingness, whereas self-compassion was negatively associated with thwarted belongingness. These findings underscore the importance of culturally responsive interventions that promote active coping and emotional resilience in addressing perceived burdensomeness and thwarted belongingness and addressing suicide risk factors.