1 / 12

Mental Illness & Suicide: Research & Interventions

Mental Illness & Suicide: Research & Interventions. Jane Pearson, Ph.D. National Institute of Mental Health. NIMH Mission Statement.

andrew
Download Presentation

Mental Illness & Suicide: Research & Interventions

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Mental Illness & Suicide: Research & Interventions Jane Pearson, Ph.D. National Institute of Mental Health

  2. NIMH Mission Statement Our mission is to reduce the burden of mental illness and behavioral disorders through research on mind, brain, and behavior…Schizophrenia, bipolar disorder, depression, autism, and other mental disorders are serious, often life-threatening illnesses for which we need reliable diagnostic tests, new treatments, and effective strategies for prevention…

  3. Risk Factors For Suicide Deaths US/European Psychological Autopsy Studies: At least 90% of suicide decedents had a mental or substance abuse disorder Adolescents - depression, conduct disorder, substance use, prior attempt Adults - prior suicide attempt, depression, alcohol dependence, schizophrenia Older Adults - depression - late onset

  4. Revised Life-time Risk for Suicide Case Fatality Rates Schizophrenia: first onset 5.6%; mixed time of onset samples 1.8% Depression: any outpt tx 2%; any inpt tx 4% any depression tx men 7% any depression tx women 1% Palmer et al (2005); Bostwick & Pankratz (2000)

  5. Service use patterns among suicide decedents in psychological autopsy studies; month before Primary Care Mental Health All ages 45% (20-76%) 19% (7-28%) < 35 23% (10-36%) 15 % (7-32%) 55 + 58% (43-70%) 11% (8-14%) Luoma, Martin & Pearson, 2002

  6. Leading causes of death for selected age groups – United States, 2002 1 Unintentional Injuries Unintentional Injuries Unintentional Injuries Malignant Neoplasms 2 Malignant Neoplasms Homicide Malignant Neoplasms Heart Disease 3 Congenital Malformations Suicide Heart Disease Unintentional Injuries 4 Homicide Malignant Neoplasms Suicide Cerebro- vascular 5 Suicide Heart Disease Homicide Diabetes Mellitus 6 Heart Disease Congenital Malformations HIV Chronic Lower Respiratory Ds. 7 Other Neoplasms HIV Liver Disease Liver Disease 8 Chronic Lower Respiratory Ds. Cerebro- vascular Cerebro- vascular Suicide 15-24 5 - 14 25-44 45-64 Source: CDC vital statistics

  7. 35 30 25 Eur-Amer Non-Latino Afr-Amer Non-Latino 20 Rate per 100,000 population Native American 15 Asian-PI Latino 10 5 0 20-24 50-54 10-14 15-19 30-34 35-39 40-44 45-49 55-59 65-69 70-74 25-29 60-64 75-79 80-84 0-4 5-9 85 + Suicide Rates by Ethnicity and Age Group United States, 1995-1999 Age Group in Years

  8. Public Health Burden of Suicide Deaths Hospitalizations Emergency Dept visits Events reported on surveys Unreported events

  9. Ratios Of Attempted Suicides to Suicide Deaths Young women 200:1 General population 10-20:1 Elderly 1-4:1 Fremouw WJM et al., Pergamon Press, 1990 Parkin D, Stengel E, Br Med J 2:133-138, 1965

  10. http://www.psych.org/psych_pract/treatg/quick_ref_guide/Suibehavs_QRG.pdfhttp://www.psych.org/psych_pract/treatg/quick_ref_guide/Suibehavs_QRG.pdf

  11. Suicide Prevention Resource Center: Effective or Promising Programs • Community-based (3) • Environmental (1) • Home-based (1) • School-based (8) • Treatment (4) 2 focused on depression • Workplace (1) http://www.sprc.org

  12. Recent Research AdvancesNIMH Press Releases July 3, 2006 • Targeted Therapy Halves Suicide Attempts in Borderline Personality Disorder August 2, 2005 • Cognitive Therapy Reduces Repeat Suicide Attempts by 50 Percent http://www.nih.nimh.gov

More Related