Dr. Roxanne Dryden-Edwards is an adult, child, and adolescent psychiatrist. She is a former Chair of the Committee on Developmental Disabilities for the American Psychiatric Association, Assistant Professor of Psychiatry at Johns Hopkins Hospital in Baltimore, Maryland, and Medical Director of the National Center for Children and Families in Bethesda, Maryland.
Melissa Conrad Stöppler, MD, is a U.S. board-certified Anatomic Pathologist with subspecialty training in the fields of Experimental and Molecular Pathology. Dr. Stöppler's educational background includes a BA with Highest Distinction from the University of Virginia and an MD from the University of North Carolina. She completed residency training in Anatomic Pathology at Georgetown University followed by subspecialty fellowship training in molecular diagnostics and experimental pathology.
How to best assess the risk of someone committing suicide continues to be an elusive challenge for health professionals, so this is an appropriate goal for future research. The best way to achieve the balance between using psychiatric medication to treat any underlying conditions that may result in suicidal thoughts and the potential side effects of those medications is an ongoing issue in suicide prevention.
Medically reviewed by Marina Katz, MD; American Board of Psychiatry & Neurology
Adams, K. "Managing Grief Through Journal Writing." Center for Journal Therapy.
Alexander, R.E. "Stress-Related Suicide by Dentists and Other Health Care Workers: Fact or Folklore?"
Journal of the American Dental Association 132.6 (2001): 786-794.
Aseltine, R.H. and DeMartino, R. "An Outcome Evaluation of the SOS Suicide
Program." American Journal of Public Health 94.3 (2004): 446-451.
Bender, E. "Suicide Expert Calls for More Aggressive Screening." Psychiatric
News 38.11 June 6, 2003: 28.
Björkenstam, C., J. Möller, G. Ringbäck, P. Salmi, J. Hallqvist, et al. "An association between initiation of selective serotonin reuptake inhibitors and suicide - a nationwide register-based case-crossover study." PLoS ONE 8.9 (2013): e73973. doi:10.1371/journal.pone.0073973.
Bridge, J.A., J.B. Greenhouse, and K.J. Kelleher. "Changes in suicide rates by hanging/suffocation and firearms among young persons aged 10 to 24 years in the United States: 1992-2006." Journal of Adolescent Health 46.5 May 2010: 503-505.
Brown, H. "Suicide by Cop: When It Happens to You, There's Almost Always
Stress as a Result." Police Stressline, 2003.
Center for Suicide Prevention. "Grief After Suicide: Notes From the Literature
on Qualitative Differences and Stigma." SIEC Alert 46, November 2001.
Conwell, Y., Duberstein, P.R., Connor, K., Eberly, S., Cox, C. and Caine, E.D.
Firearms and Risk for Suicide in Middle-aged and Older Adults." American Journal
of Geriatric Psychiatry 10 Aug. 2002: 407-416.
Cuellar, J. and Curry, T.R. "The Prevalence and Comorbidity Between Delinquency,
Abuse, Suicide Attempts, Physical and Sexual Abuse, and Self-Mutilation Among
Delinquent Hispanic Females." Hispanic Journal of Behavioral Science
29.1 (2007): 68-82.
De Moore, G.M., and A.R. Robertson. "Suicide attempts by firearms and by leaping from heights: A comparative study of survivors." American Journal of Psychiatry 156.9 (1999): 1425-1431.
Eliason, S. Murder-suicide: A review of the recent literature. Journal of the American Academy of Psychiatry and the Law 37.3 (2009); 371-376.
Fawcett, J. "Treating Impulsivity and Anxiety in the Suicidal Patient." Annals
of the New York Academy of Sciences 932 (2001): 94-105.
Frierson, R.L., Melikian, M. and Wadman, P.C. "Principles of Suicide Risk
How to Interview Depressed Patients and Tailor Treatment." Postgraduate Medicine
112.3 Sept. 2002.
Frileux, S., Lelievre, C., Munoz Sastre, M.T., Mullet, E. and Sorum, P.C. "When
Assisted Suicide or Euthanasia Acceptable?" Journal of Medical Ethics 29
Gibbons, R.D., K. Hur, D.K. Bhaumik, and J.J. Mann. "The Relationship Between Antidepressant Prescription Rates and Rate of Early Adolescent Suicide."
American Journal of Psychiatry 163 Nov. 2006: 1898-1904.
Hem, E., A.M. Berg, and O. Ekeberg. "Suicide Among Police Officers." American Journal of Psychiatry 161 Apr. 2004: 767-768.
Horowitz, M.J., Siegel, B., Holen, A., Bonanno, G.A., Milgrath, C. and Stinson, C.H.
"Diagnostic Criteria for Complicated Grief Disorder." Focus 1 (2003):
JAMA Patient Page. Suicide. Journal of the American Medical Association 293.20
Johansson, L, Lindqvist, P, Eriksson, A. Teenage suicide cluster formation and contagion: implications for primary care. Biomedical Central Family Practice 2006 May; 7: 32.
Kemp, J., and R. Bossarte. "Suicide data report 2012." Department of Veterans Affairs Suicide Prevention Program.
Young-Shin. "Bullying and Being Bullied Linked to Suicide in Children, Review of Studies Suggests." Science Daily. July 19, 2008.
Klonsky, E.D., Oltmanns, T.F. and Turkheimer, E. "Deliberate Self-Harm in a
Population: Prevalence and Psychological Correlates." American Journal of
Psychiatry 160 Aug. 2003: 1501-1508.
Mayo Foundation. "Suicide: Coping When a Loved One Takes Their Life." 2007.
Mayo Foundation. "Suicide: Don't Let Despair Obscure Other Options." 2007.
Melhem, N.M., Day, N., Shear, K., Day, R., Reynolds, C.F. and Brent, D. "Traumatic
Adolescents Exposed to a Peer's Suicide." American Journal of Psychiatry
161 Aug. 2004: 1411-1416.
National Institute of Mental Health. "Suicide in the United States: Statistics
and Prevention." Oct. 3, 2007.
Neimeyer, R.A., Prigerson, H.G. and Davies, B. "Mourning and Meaning." American
Behavioral Scientist 46.2 (2002): 235-251.
Osterweil, N. "APA: Simple Screen Improves Suicide Risk Assessment." Psychiatric
Times May 25, 2007.
Palmer, L.I. "The Legal and Political Future of Physician-Assisted Suicide."
Journal of the American Medical Association 289 (2003): 2283.
Pfeffer, C.R. "Death." Psychiatric Times 17.9 Sept. 2000.
Qin, P., Agerbo, E. and Mortensen, P.B. "Suicide Risk in Relation to Socioeconomic,
Demographic, Psychiatric and Familial Factors: A National Register-Based Study
of All Suicides in Denmark, 1981-1997." American Journal of Psychiatry
160 Apr. 2003: 765-772.
Rao, K.N., C.Y. Sudarshan, and S. Begum. "Self-injurious Behavior: A Clinical Appraisal." Indian Journal Psychiatry
50.4 Oct.-Dec. 2008: 288-297.
Rask, K., Kaunonen, M. and Paunonen-Ilmonen, M. "Adolescent Coping With Grief
the Death of a Loved One." International Journal of Nursing Practice 8(3)
June 2002: 137-142.
Reinherz, H.Z., Tanner, J.L. and Berger, S.R. "Adolescent Suicidal Ideation as
of Psychopathology, Suicidal Behavior and Compromised Functioning at Age 30." American Journal of Psychiatry
163 (2006): 1226-3122.
Reuter-Rice, K. "Male Adolescent Bullying and the School Shooter." Journal of School Nursing
24.6 (2008): 350-359.
Russell, S.T., and K. Joyner. "Adolescent Sexual Orientation and Suicide Risk: Evidence From a National Study." American Journal of Public Health 91.8 Aug. 2001: 1276-1281.
Shain, B.N. "Committee on Adolescence. Suicide and Suicide Attempts in
Adolescents." Pediatrics 120.3 Sept. 2007: 669-676.
Sher, L. "Preventing Suicide." Quarterly Journal of Medicine 97.10
Silva, M.J. and Vitiello, B. "The Treatment for Adolescents With Depression
(TADS): Methods and Message at 12 Weeks." Journal of the American Academy of
Child and Adolescent Psychiatry 45 (2006): 1393-1403.
Soreff, S. "Suicide." eMedicine.com. Sept. 28, 2006.
Switzerland. World Health Organization. "Suicide rates per 100,000 by country, year and sex." (2013) <http://www.who.int/mental_health/prevention/suicide_rates/en/>.
United States. Centers for Disease Control and Prevention. "National Suicide Statistics at a Glance 2009." Sept. 30, 2009. <http://www.cdc.gov/violenceprevention/suicide/statistics/aag.html>.
van Houwelingen, C.A., and D.G. Beersma. "Seasonal Changes in 24-Hour Patterns of Suicide Rates: A Study on Train Suicides in the Netherlands." Journal of Affective Disorders 66.2-3 Oct. 2001: 215-223.
Washington State Legislature. Initiative Measure Number 1000. The Washington Death with Dignity Act 2008 January.