Seeking to Prevent Suicide at the Edge of the Ledge
Authors: Eric D. Caine
Journal: Annals of Internal Medicine (2019)

Editorials3 September 2019Seeking to Prevent Suicide at the Edge of the LedgeEric D. Caine, MDEric D. Caine, MDUniversity of Rochester Medical Center, Rochester, New York (E.D.C.)Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/M19-2347 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Suicide's dramatic rise in the United States during the first years of the 21st century has resisted persistent efforts—involving the general population, veterans, and military personnel—to turn the tide. The U.S. suicide rate in 2000 (the base year for standardized comparison) was 10.40 per 100 000 persons; by 2017, the crude rate had climbed by 39% to 14.48, taking 47 173 lives (1). It often has seemed as if powerful external forces beyond our control have propelled vulnerable persons over the edge to their death.As a clinician for many years, I felt that I could make a difference in the lives ...References1. Centers for Disease Control and Prevention. Injury Prevention & Control: Data & Statistics (WISQARS). Atlanta: Centers for Disease Control and Prevention. Accessed at https://webappa.cdc.gov/sasweb/ncipc/mortrate.html on 26 July 2019. Google Scholar2. Sall J, Brenner L, MillikanBell AM, et al. Assessment and management of patients at risk for suicide: synopsis of the 2019 U.S. Department of Veterans Affairs and U.S. Department of Defense clinical practice guidelines. Ann Intern Med. 2019;171:343-53. doi:10.7326/M19-0687 LinkGoogle Scholar3. D'Anci KE, Uhl S, Giradi G, et al. Treatments for the prevention and management of suicide. A systematic review. Ann Intern Med. 2019;171:334-42. doi:10.7326/M19-0869 LinkGoogle Scholar4. 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[PMID: 9926085] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: University of Rochester Medical Center, Rochester, New York (E.D.C.)Grant Support: Dr. Caine is supported in part by grant R49 CE002093 from the Centers for Disease Control and Prevention.Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M19-2347.Corresponding Author: Eric D. Caine, MD, Center for the Study and Prevention of Suicide, Department of Psychiatry, University of Rochester Medical Center, 300 Crittenden Boulevard, Rochester, NY 14642; e-mail, [email protected]rochester.edu.This article was published at Annals.org on 27 August 2019. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoAssessment and Management of Patients at Risk for Suicide: Synopsis of the 2019 U.S. Department of Veterans Affairs and U.S. Department of Defense Clinical Practice Guidelines James Sall , Lisa Brenner , Amy M. Millikan Bell , and Michael J. Colston Treatments for the Prevention and Management of Suicide Kristen E. D'Anci , Stacey Uhl , Gina Giradi , and Constance Martin Metrics 3 September 2019Volume 171, Issue 5Page: 374-375KeywordsArmed forcesDatabasesDisclosureFirearm injuriesHypertensionPrevention, policy, and public healthRandomized trialsSuicideSystematic reviewsTreatment guidelines ePublished: 27 August 2019 Issue Published: 3 September 2019 Copyright & PermissionsCopyright © 2019 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...