Rory O'Connor is Professor of Health Psychology at the University of Glasgow and Past President of the International Academy of Suicide Research. O'Connor leads the Suicidal Behaviour Research Laboratory at Glasgow, one of the leading suicide and self-harm research groups in the UK. He has published extensively in the field of suicide and self-harm, and is also Deputy Chief Editor of Archives of Suicide Research, an Associate Editor of Suicide and Life-Threatening Behavior, and a member of the editorial board of Crisis.Jane Pirkis is the Director of the Centre for Mental Health in the Melbourne School of Population and Global Health at the University of Melbourne, and General Secretary of the International Association for Suicide Prevention. She has published extensively on suicide and its prevention.

"This book is therefore of relevance to a wider range of users than those books which regard suicide purely as a mental health issue.... Libraries that found the first edition useful are strongly recommended to upgrade to this one."—Martin Guha, Reference Reviews, 31(6)

• Notes on Contributors xiIntroduction 1Rory C. O’Connor and Jane PirkisPart I Suicidal Determinants and Frameworks 91 Challenges to Defining and Classifying Suicide and Suicidal Behaviors 11Morton M. Silverman2 International Perspectives on the Epidemiology and Etiology of Suicide and Self-Harm 36Kirsten Windfuhr, Sarah Steeg, Isabelle M. Hunt, and Navneet Kapur3 Self-Harm: Extent of the Problem and Prediction of Repetition 61Ella Arensman, Eve Griffin, and Paul Corcoran4 Major Mood Disorders and Suicidal Behavior 74Zoltán Rihmer and Peter Döme5 Schizophrenia, Other Psychotic Disorders, and Suicidal Behavior 93Antoine Desîlets, Myriam Labossière, Alexander McGirr, and Gustavo Turecki6 Substance Use Disorders and Suicidal Behavior: A Conceptual Model 110Kenneth R. Conner and Mark A. Ilgen7 Personality Disorders and Suicidality 124Joel Paris8 The Association Between Physical Illness/Medical Conditions and Suicide Risk 133Maurizio Pompili, Alberto Forte, Alan L. Berman, and Dorian A. Lamis9 Relationships of Genes and Early-Life Experience to the Neurobiology of Suicidal Behavior 149J. John Mann and Dianne Currier10 Understanding the Suicidal Brain: A Review of Neuropsychological Studies of Suicidal Ideation and Behavior 170Kees van Heeringen and Stijn Bijttebier11 Visualizing the Suicidal Brain: Neuroimaging and Suicide Prevention  188Katherin Sudol and Maria A. Oquendo12 Present Status and Future Prospects of the Interpersonal–Psychological Theory of Suicidal Behavior 206Christopher R. Hagan, Jessica D. Ribeiro, and Thomas E. Joiner13 The Integrated Motivational-Volitional Model of Suicidal Behavior: An Update 220Rory C. O’Connor, Seonaid Cleare, Sarah Eschle, Karen Wetherall, and Olivia J. Kirtley14 Sociological Perspectives on Suicide: A Review and Analysis of Marital and Religious Integration 241Steven Stack and Augustine J. Kposowa15 Inequalities and Suicidal Behavior 258Stephen Platt16 Economic Recession, Unemployment, and Suicide 284David Gunnell and Shu-Sen ChangPart II Intervention, Treatment, and Care 30117 Evidence-Based Prevention and Treatment of Suicidal Behavior in Children and Adolescents 303Yari Gvion and Alan Apter18 Prevention and Treatment of Suicidality in Older Adults 323Diego De Leo and Urška Arnautovska19 Therapeutic Alliance and the Therapist 346Konrad Michel20 Clinical Care of Self-Harm Patients: An Evidence-Based Approach 362Keith Hawton and Kate E. A. Saunders21 After the Suicide Attempt—The Need for Continuity and Quality of Care  387Lars Mehlum and Erlend Mork22 Management of Suicidal Risk in Emergency Departments: A Clinical Perspective 403  Simon  Hatcher23 Treating the Suicidal Patient: Cognitive Therapy and Dialectical Behavior Therapy 416 Nadine A. Chang, Shari Jager-Hyman, Gregory K. Brown, Amy Cunningham, and Barbara Stanley24 Lessons Learned from Clinical Trials of the Collaborative Assessment and Management of Suicidality (CAMS) 431David A. Jobes, Katherine Anne Comtois, Lisa A. Brenner, Peter M. Gutierrez, and Stephen S. O’Connor25 Modes of Mind and Suicidal Processes 450J. Mark G. Williams, Danielle S. Duggan, Catherine Crane, Silvia R. Hepburn, Emily Hargus, and Bergljot Gjelsvik26 Brief Contact Interventions: Current Evidence and Future Research Directions 466Allison J. Milner and Gregory L. Carter27 Delivering Online Cognitive Behavioral Therapy Interventions to Reduce Suicide Risk 480Ad Kerkhof and Bregje van Spijker28 Helplines, Tele-Web Support Services, and Suicide Prevention 490Alan Woodward and Clare WylliePart III Suicide Prevention: Bringing Together Evidence, Policy, and Practice 50529 Suicide Prevention in Low- and Middle-Income Countries 507Lakshmi Vijayakumar and Michael Phillips30 Suicide in Asia: Epidemiology, Risk Factors, and Prevention 524Murad M. Khan, Nargis Asad, and Ehsanullah Syed31 Cultural Factors in Suicide Prevention 541Lai Fong Chan and Maniam Thambu32 Suicide Prevention Strategies: Case Studies from Across the Globe 556Gergö Hadlaczky, Danuta Wasserman, Christina W. Hoven, Donald J. Mandell, and Camilla Wasserman33 Rurality and Suicide 569Cameron R. Stark, Vincent Riordan, and Nadine Dougall34 Why Mental Illness is a Risk Factor for Suicide: Implications for Suicide Prevention 594Brian L. Mishara and François Chagnon35 Suicide Prevention Through Restricting Access to Suicide Means and Hotspots 609Ying-Yeh Chen, Kevin Chien-Chang Wu,Yun Wang, and Paul S. F. Yip36 Reducing Suicide Without Affecting Underlying Mental Health: Theoretical Underpinnings and a Review of the Evidence Base Linking the Availability of Lethal Means and Suicide 637Deborah Azrael and Matthew J. Miller37 Surviving the Legacy of Suicide 663Onja T. Grad and Karl Andriessen38 Suicide Prevention Through Personal Experience 681DeQuincy A. Lezine39 Time to Change Direction in Suicide Research 696Heidi Hjelmeland and Birthe Loa Knizek40 Suicide Research Methods and Designs 710Catherine R. Glenn, Joseph C. Franklin, Jaclyn C. Kearns, Elizabeth C. Lanzillo, and Matthew K. Nock41 School-Based Suicide Prevention Programs 725Lynda Kong, Jitender Sareen, and Laurence Y. Katz42 Media Influences on Suicidal Thoughts and Behaviors 743Jane Pirkis, Katherine Mok, Jo Robinson, and Merete Nordentoft43 Suicide Clusters 758Jo Robinson, Jane Pirkis, and Rory C. O’Connor44 Making an Economic Case for Investing in Suicide Prevention: Quo Vadis? 775David McDaidIndex 791

Rory O'Connor is Professor of Health Psychology at the University of Glasgow and Past President of the International Academy of Suicide Research. O'Connor leads the Suicidal Behaviour Research Laboratory at Glasgow, one of the leading suicide and self-harm research groups in the UK. He has published extensively in the field of suicide and self-harm, and is also Deputy Chief Editor of Archives of Suicide Research, an Associate Editor of Suicide and Life-Threatening Behavior, and a member of the editorial board of Crisis.Jane Pirkis is the Director of the Centre for Mental Health in the Melbourne School of Population and Global Health at the University of Melbourne, and General Secretary of the International Association for Suicide Prevention. She has published extensively on suicide and its prevention.

"This book is therefore of relevance to a wider range of users than those books which regard suicide purely as a mental health issue.... Libraries that found the first edition useful are strongly recommended to upgrade to this one."—Martin Guha, Reference Reviews, 31(6)

• Notes on Contributors xiIntroduction 1Rory C. O’Connor and Jane PirkisPart I Suicidal Determinants and Frameworks 91 Challenges to Defining and Classifying Suicide and Suicidal Behaviors 11Morton M. Silverman2 International Perspectives on the Epidemiology and Etiology of Suicide and Self-Harm 36Kirsten Windfuhr, Sarah Steeg, Isabelle M. Hunt, and Navneet Kapur3 Self-Harm: Extent of the Problem and Prediction of Repetition 61Ella Arensman, Eve Griffin, and Paul Corcoran4 Major Mood Disorders and Suicidal Behavior 74Zoltán Rihmer and Peter Döme5 Schizophrenia, Other Psychotic Disorders, and Suicidal Behavior 93Antoine Desîlets, Myriam Labossière, Alexander McGirr, and Gustavo Turecki6 Substance Use Disorders and Suicidal Behavior: A Conceptual Model 110Kenneth R. Conner and Mark A. Ilgen7 Personality Disorders and Suicidality 124Joel Paris8 The Association Between Physical Illness/Medical Conditions and Suicide Risk 133Maurizio Pompili, Alberto Forte, Alan L. Berman, and Dorian A. Lamis9 Relationships of Genes and Early-Life Experience to the Neurobiology of Suicidal Behavior 149J. John Mann and Dianne Currier10 Understanding the Suicidal Brain: A Review of Neuropsychological Studies of Suicidal Ideation and Behavior 170Kees van Heeringen and Stijn Bijttebier11 Visualizing the Suicidal Brain: Neuroimaging and Suicide Prevention  188Katherin Sudol and Maria A. Oquendo12 Present Status and Future Prospects of the Interpersonal–Psychological Theory of Suicidal Behavior 206Christopher R. Hagan, Jessica D. Ribeiro, and Thomas E. Joiner13 The Integrated Motivational-Volitional Model of Suicidal Behavior: An Update 220Rory C. O’Connor, Seonaid Cleare, Sarah Eschle, Karen Wetherall, and Olivia J. Kirtley14 Sociological Perspectives on Suicide: A Review and Analysis of Marital and Religious Integration 241Steven Stack and Augustine J. Kposowa15 Inequalities and Suicidal Behavior 258Stephen Platt16 Economic Recession, Unemployment, and Suicide 284David Gunnell and Shu-Sen ChangPart II Intervention, Treatment, and Care 30117 Evidence-Based Prevention and Treatment of Suicidal Behavior in Children and Adolescents 303Yari Gvion and Alan Apter18 Prevention and Treatment of Suicidality in Older Adults 323Diego De Leo and Urška Arnautovska19 Therapeutic Alliance and the Therapist 346Konrad Michel20 Clinical Care of Self-Harm Patients: An Evidence-Based Approach 362Keith Hawton and Kate E. A. Saunders21 After the Suicide Attempt—The Need for Continuity and Quality of Care  387Lars Mehlum and Erlend Mork22 Management of Suicidal Risk in Emergency Departments: A Clinical Perspective 403  Simon  Hatcher23 Treating the Suicidal Patient: Cognitive Therapy and Dialectical Behavior Therapy 416 Nadine A. Chang, Shari Jager-Hyman, Gregory K. Brown, Amy Cunningham, and Barbara Stanley24 Lessons Learned from Clinical Trials of the Collaborative Assessment and Management of Suicidality (CAMS) 431David A. Jobes, Katherine Anne Comtois, Lisa A. Brenner, Peter M. Gutierrez, and Stephen S. O’Connor25 Modes of Mind and Suicidal Processes 450J. Mark G. Williams, Danielle S. Duggan, Catherine Crane, Silvia R. Hepburn, Emily Hargus, and Bergljot Gjelsvik26 Brief Contact Interventions: Current Evidence and Future Research Directions 466Allison J. Milner and Gregory L. Carter27 Delivering Online Cognitive Behavioral Therapy Interventions to Reduce Suicide Risk 480Ad Kerkhof and Bregje van Spijker28 Helplines, Tele-Web Support Services, and Suicide Prevention 490Alan Woodward and Clare WylliePart III Suicide Prevention: Bringing Together Evidence, Policy, and Practice 50529 Suicide Prevention in Low- and Middle-Income Countries 507Lakshmi Vijayakumar and Michael Phillips30 Suicide in Asia: Epidemiology, Risk Factors, and Prevention 524Murad M. Khan, Nargis Asad, and Ehsanullah Syed31 Cultural Factors in Suicide Prevention 541Lai Fong Chan and Maniam Thambu32 Suicide Prevention Strategies: Case Studies from Across the Globe 556Gergö Hadlaczky, Danuta Wasserman, Christina W. Hoven, Donald J. Mandell, and Camilla Wasserman33 Rurality and Suicide 569Cameron R. Stark, Vincent Riordan, and Nadine Dougall34 Why Mental Illness is a Risk Factor for Suicide: Implications for Suicide Prevention 594Brian L. Mishara and François Chagnon35 Suicide Prevention Through Restricting Access to Suicide Means and Hotspots 609Ying-Yeh Chen, Kevin Chien-Chang Wu,Yun Wang, and Paul S. F. Yip36 Reducing Suicide Without Affecting Underlying Mental Health: Theoretical Underpinnings and a Review of the Evidence Base Linking the Availability of Lethal Means and Suicide 637Deborah Azrael and Matthew J. Miller37 Surviving the Legacy of Suicide 663Onja T. Grad and Karl Andriessen38 Suicide Prevention Through Personal Experience 681DeQuincy A. Lezine39 Time to Change Direction in Suicide Research 696Heidi Hjelmeland and Birthe Loa Knizek40 Suicide Research Methods and Designs 710Catherine R. Glenn, Joseph C. Franklin, Jaclyn C. Kearns, Elizabeth C. Lanzillo, and Matthew K. Nock41 School-Based Suicide Prevention Programs 725Lynda Kong, Jitender Sareen, and Laurence Y. Katz42 Media Influences on Suicidal Thoughts and Behaviors 743Jane Pirkis, Katherine Mok, Jo Robinson, and Merete Nordentoft43 Suicide Clusters 758Jo Robinson, Jane Pirkis, and Rory C. O’Connor44 Making an Economic Case for Investing in Suicide Prevention: Quo Vadis? 775David McDaidIndex 791

Rory O'Connor is Professor of Health Psychology at the University of Glasgow and Past President of the International Academy of Suicide Research. O'Connor leads the Suicidal Behaviour Research Laboratory at Glasgow, one of the leading suicide and self-harm research groups in the UK. He has published extensively in the field of suicide and self-harm, and is also Deputy Chief Editor of Archives of Suicide Research, an Associate Editor of Suicide and Life-Threatening Behavior, and a member of the editorial board of Crisis.Jane Pirkis is the Director of the Centre for Mental Health in the Melbourne School of Population and Global Health at the University of Melbourne, and General Secretary of the International Association for Suicide Prevention. She has published extensively on suicide and its prevention.

"This book is therefore of relevance to a wider range of users than those books which regard suicide purely as a mental health issue.... Libraries that found the first edition useful are strongly recommended to upgrade to this one."—Martin Guha, Reference Reviews, 31(6)

• Notes on Contributors xiIntroduction 1Rory C. O’Connor and Jane PirkisPart I Suicidal Determinants and Frameworks 91 Challenges to Defining and Classifying Suicide and Suicidal Behaviors 11Morton M. Silverman2 International Perspectives on the Epidemiology and Etiology of Suicide and Self-Harm 36Kirsten Windfuhr, Sarah Steeg, Isabelle M. Hunt, and Navneet Kapur3 Self-Harm: Extent of the Problem and Prediction of Repetition 61Ella Arensman, Eve Griffin, and Paul Corcoran4 Major Mood Disorders and Suicidal Behavior 74Zoltán Rihmer and Peter Döme5 Schizophrenia, Other Psychotic Disorders, and Suicidal Behavior 93Antoine Desîlets, Myriam Labossière, Alexander McGirr, and Gustavo Turecki6 Substance Use Disorders and Suicidal Behavior: A Conceptual Model 110Kenneth R. Conner and Mark A. Ilgen7 Personality Disorders and Suicidality 124Joel Paris8 The Association Between Physical Illness/Medical Conditions and Suicide Risk 133Maurizio Pompili, Alberto Forte, Alan L. Berman, and Dorian A. Lamis9 Relationships of Genes and Early-Life Experience to the Neurobiology of Suicidal Behavior 149J. John Mann and Dianne Currier10 Understanding the Suicidal Brain: A Review of Neuropsychological Studies of Suicidal Ideation and Behavior 170Kees van Heeringen and Stijn Bijttebier11 Visualizing the Suicidal Brain: Neuroimaging and Suicide Prevention  188Katherin Sudol and Maria A. Oquendo12 Present Status and Future Prospects of the Interpersonal–Psychological Theory of Suicidal Behavior 206Christopher R. Hagan, Jessica D. Ribeiro, and Thomas E. Joiner13 The Integrated Motivational-Volitional Model of Suicidal Behavior: An Update 220Rory C. O’Connor, Seonaid Cleare, Sarah Eschle, Karen Wetherall, and Olivia J. Kirtley14 Sociological Perspectives on Suicide: A Review and Analysis of Marital and Religious Integration 241Steven Stack and Augustine J. Kposowa15 Inequalities and Suicidal Behavior 258Stephen Platt16 Economic Recession, Unemployment, and Suicide 284David Gunnell and Shu-Sen ChangPart II Intervention, Treatment, and Care 30117 Evidence-Based Prevention and Treatment of Suicidal Behavior in Children and Adolescents 303Yari Gvion and Alan Apter18 Prevention and Treatment of Suicidality in Older Adults 323Diego De Leo and Urška Arnautovska19 Therapeutic Alliance and the Therapist 346Konrad Michel20 Clinical Care of Self-Harm Patients: An Evidence-Based Approach 362Keith Hawton and Kate E. A. Saunders21 After the Suicide Attempt—The Need for Continuity and Quality of Care  387Lars Mehlum and Erlend Mork22 Management of Suicidal Risk in Emergency Departments: A Clinical Perspective 403  Simon  Hatcher23 Treating the Suicidal Patient: Cognitive Therapy and Dialectical Behavior Therapy 416 Nadine A. Chang, Shari Jager-Hyman, Gregory K. Brown, Amy Cunningham, and Barbara Stanley24 Lessons Learned from Clinical Trials of the Collaborative Assessment and Management of Suicidality (CAMS) 431David A. Jobes, Katherine Anne Comtois, Lisa A. Brenner, Peter M. Gutierrez, and Stephen S. O’Connor25 Modes of Mind and Suicidal Processes 450J. Mark G. Williams, Danielle S. Duggan, Catherine Crane, Silvia R. Hepburn, Emily Hargus, and Bergljot Gjelsvik26 Brief Contact Interventions: Current Evidence and Future Research Directions 466Allison J. Milner and Gregory L. Carter27 Delivering Online Cognitive Behavioral Therapy Interventions to Reduce Suicide Risk 480Ad Kerkhof and Bregje van Spijker28 Helplines, Tele-Web Support Services, and Suicide Prevention 490Alan Woodward and Clare WylliePart III Suicide Prevention: Bringing Together Evidence, Policy, and Practice 50529 Suicide Prevention in Low- and Middle-Income Countries 507Lakshmi Vijayakumar and Michael Phillips30 Suicide in Asia: Epidemiology, Risk Factors, and Prevention 524Murad M. Khan, Nargis Asad, and Ehsanullah Syed31 Cultural Factors in Suicide Prevention 541Lai Fong Chan and Maniam Thambu32 Suicide Prevention Strategies: Case Studies from Across the Globe 556Gergö Hadlaczky, Danuta Wasserman, Christina W. Hoven, Donald J. Mandell, and Camilla Wasserman33 Rurality and Suicide 569Cameron R. Stark, Vincent Riordan, and Nadine Dougall34 Why Mental Illness is a Risk Factor for Suicide: Implications for Suicide Prevention 594Brian L. Mishara and François Chagnon35 Suicide Prevention Through Restricting Access to Suicide Means and Hotspots 609Ying-Yeh Chen, Kevin Chien-Chang Wu,Yun Wang, and Paul S. F. Yip36 Reducing Suicide Without Affecting Underlying Mental Health: Theoretical Underpinnings and a Review of the Evidence Base Linking the Availability of Lethal Means and Suicide 637Deborah Azrael and Matthew J. Miller37 Surviving the Legacy of Suicide 663Onja T. Grad and Karl Andriessen38 Suicide Prevention Through Personal Experience 681DeQuincy A. Lezine39 Time to Change Direction in Suicide Research 696Heidi Hjelmeland and Birthe Loa Knizek40 Suicide Research Methods and Designs 710Catherine R. Glenn, Joseph C. Franklin, Jaclyn C. Kearns, Elizabeth C. Lanzillo, and Matthew K. Nock41 School-Based Suicide Prevention Programs 725Lynda Kong, Jitender Sareen, and Laurence Y. Katz42 Media Influences on Suicidal Thoughts and Behaviors 743Jane Pirkis, Katherine Mok, Jo Robinson, and Merete Nordentoft43 Suicide Clusters 758Jo Robinson, Jane Pirkis, and Rory C. O’Connor44 Making an Economic Case for Investing in Suicide Prevention: Quo Vadis? 775David McDaidIndex 791