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Little change in suicidal thoughts, plans or attempts in US

ies have reported a 6 percent decrease in actual suicides among people in this age range (18-54 years) from 14.8 per 100,000 per year in 1990-1992 to 13.9 per 100,000 per year in 2000-2002.

"Efforts are needed to identify optimal interventions for primary and secondary prevention of suicidality," the authors write. "Substantial barriers to uptake of effective interventions continue to exist, including competing clinical demands and distorted incentives for treating mental disorders and symptoms. Failure to disseminate evidence-based treatments widely may, in fact, help explain why suicidality did not decline in response to the treatment increases during the 1990s. This means that expansion of disease management programs, treatment quality-assurance programs, and 'report cards' to improve the quality of care for suicidal patients may all be needed to reduce the burden of suicidality."


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Contact: John Lacey
617-432-0442
JAMA and Archives Journals
24-May-2005


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