Background and Aims: Exposure to media reporting on suicide leads to imitative suicide. This effect remains unexplored for frequently used sites, which this study will examine. Method: Data on 497 Australian newspaper articles on suicide that mentioned any of the top six most frequently used sites were retrieved between 2008 and 2017. The data were combined with national suicide data occurring during the same period, by determining the number of suicides occurring at the same sites that were reported in selected weeks pre- and post-article. Results: Articles on suicide that mentioned frequently used sites were associated with a greater risk of suicide imitation at those same sites. A greater risk of imitation was associated with articles that reported the suicide method, suicide statistics and prevention initiatives, and published in the inside pages of a newspaper. A reduction in suicide was associated with articles that focused on a suicide death, reported the deceased being well-known, and reported on interviews with the bereaved. Limitations: Data were collected from text-based transcripts without imagery and excluded other traditional media (e.g., television). Conclusion: This study identified elements of media reporting on suicide at frequently used sites that were associated with increases and decreases in subsequent suicides at such sites.

Background: Exposure to domestic violence is associated with self-injurious thoughts and behaviors, including suicidal and nonsuicidal self-injury. However, an updated comprehensive review of the literature is unavailable. Aims: This systematic review aimed to describe the strength of the association between domestic violence exposure and self-injurious thoughts and behaviors among the adult population based on global literature. It also aimed to identify mediating and moderating factors and discuss whether the association varies according to the form of violence, sex, and between high-income countries (HICs) and low- and middle-income countries (LMICs). Method: Systematic searches in EBSCO, PubMed, ProQuest, SCOPUS, and Google Scholar identified 36 eligible articles published between 2012 and 2024. We assessed the methodological quality and extracted relevant data for narrative synthesis. Results: Studies showed a significant and moderate association between domestic violence exposure and self-injurious thoughts and behaviors in HICs and LMICs, as well as among males and females. Some studies reported a stronger association of self-injurious thoughts and behaviors with psychological and sexual violence. Mediators and moderators included posttraumatic stress disorder symptoms and loneliness. Limitations: Meta-analysis was not possible due to heterogeneity in definitions and measures of domestic violence and self-injurious thoughts and behaviors employed by the studies. Conclusion: There is strong evidence for the association between domestic violence and self-injurious thoughts and behaviors, indicating a critical need to integrate prevention and intervention efforts.

Background: Certain forms of media reporting on suicide, particularly those involving celebrity suicides, have been associated with an increase in imitative suicidal behavior. Aims: This research employs data science methodologies, including association rule mining, to identify patterns of nonadherence to reporting guidelines in Irish national media articles about suicide. Methods: This study analyses a dataset of 2,939 articles identified as noncompliant with Samaritans' reporting guidelines, using association rule mining to explore relationships among key categories of nonadherence. Initial analysis was conducted on the full dataset, followed by comparative analysis of celebrity-related and noncelebrity-related subsets to examine potential differences in reporting practices. Results: The most frequent recommendation not adhered to was the provision of helpline information, with higher nonadherence rates observed in celebrity-related articles and an increasing trend from 2019 to 2021. The second most common nonadherence involved the use of the term commit. Among those articles not adhering to two or more recommendations, association rule mining revealed co-occurrence patterns, which differed between celebrity-related media reports and noncelebrity-related reports. The top rules were linkage between nonadherences of the recommendations surrounding Graphic images and Methodology - Suicide Or Self-Harm within celebrity-related media, and linkage between nonadherences of the Methodology - Suicide Or Self-Harm and Location Details recommendations within noncelebrity-related media. Limitations: The dataset represents only 20% of guideline-breaking suicide articles, manually tagged with high inter-rater reliability, but excludes positive practices, full guideline coverage, and distinctions between ideation, attempt, or death. Conclusions: Results are discussed in terms of their implications for supporting journalists in adhering to principles of the responsible reporting of suicide within the media, and the need to address celebrity-related and noncelebrity-related reporting separately. Relevant challenges are also discussed.

Rates of self-harm and suicide-related thoughts and behaviors are high among young people and there are growing concerns about the potential role of social media on this, and on youth mental health more broadly.These concerns have led several countries to strengthen their legislative approaches to online safety, in particular as they relate to young people.In Australia, a mandatory minimum age of 16 for young people accessing some social media platforms will come into effect in December 2025 (Online Safety Amendment [Social Media Minimum Age] Bill; Parliament of Australia, 2024).However, what is being referred to as the "social media ban" will almost certainly also have unintended harmful consequences for some young people.In this editorial we will (1) consider both the potential harms and benefits that exist regarding online safety and suicide prevention; (2) critique the approach being taken by Australia; and (3) present a possible framework for future approaches to improve online safety, as it relates to self-harm and suicide.Although the legislation for this minimum age requirement has passed in Australia, we argue that that restricting access to social media risks doing more harm than good and that complementary measures are also required.

Introduction: Managing individuals at suicide risk poses significant challenges for mental health professionals (MHPs), particularly when these clients are also coping with the sudden loss of a loved one. Existing research suggests that stigma and perceived lack of competence often affect MHPs' willingness to treat such cases. However, the extent to which symptom severity and the cause of loss (suicide vs. accident) influence MPHs' decisions remains unclear. In this study, we examined these factors and whether suicide prevention training moderates MHPs' willingness to treat and their perceived competence. Method: Using a vignette-based design, we presented 413 MHPs (e.g., clinical psychologists, clinical social workers, and psychiatrics) from Israel with hypothetical cases manipulated by suicidal risk (no risk, depression, or high risk) and cause of loss (suicide or accident). Participants rated their willingness to treat, likelihood of referral, and perceived competence. Results: As suicide risk increased, MHPs showed a decreased willingness to treat and increased referral inclinations, regardless of the cause of loss. Suicide prevention training significantly increased willingness to treat and enhanced perceived competence. The cause of loss (suicide vs. accident) had no significant effect on willingness to treat or perceived competence. Limitations: The study relied on hypothetical vignettes and self-report measures, which may not fully capture the complexities of real-world clinical decision-making. Conclusions: These findings highlight the significance of targeted training programs during MHPs' academic studies and among experienced professionals to boost their competence and reduce stigma when treating individuals at suicide risk.

Background: The interpersonal theory of suicide (ITS) may explain the link between alcohol use severity and suicidal ideation (SI) through interpersonal stressors at elevated alcohol use levels. Aims: This study aimed to clarify the indirect effects of perceived burdensomeness (PB) and thwarted belongingness (TB) in this relationship. Method: Cross-sectional data on SI, ITS, and alcohol use severity variables were collected via an online sample (N = 299) screened for lifetime suicidal thoughts or behaviors, nonsuicidal self-injury, and alcohol use. Associations were tested using linear regression with parallel mediators. Results: Alcohol use severity was indirectly linked to SI through the unique indirect effect of PB, and the total indirect effect of both TB and PB. Limitations: Limitations include the cross-sectional design and use of an online sample, which limit causal inferences and generalizability to other high-risk populations. Conclusion: PB and the additive indirect effect of TB and PB may explain the positive relation between alcohol use and SI; implications are discussed.

Background: The Collaborative Assessment and Management of Suicidality (CAMS) is an evidence-based approach to reducing suicidal ideation. To date, there is limited evidence of the feasibility of implementing CAMS within the United Kingdom's National Health Service (NHS). Aims: The paper aims to describe the implementation of CAMS in an NHS adult mental health service and to report data on engagement and change in self-rated suicidal ideation. Method: Data on engagement, suicidal ideation, and care pathways were gathered for 88 people who started CAMS. Results: 75% of participants completed CAMS. Attendance rates were good. Self-rated suicidal ideation decreased significantly, with 68% of completers reporting a decrease. Participants with Emotionally Unstable Personality Disorder (EUPD) showed higher initial ratings of suicidal ideation but similar improvements. Just over half the participants were referred for psychological therapy after CAMS. Limitations: As an uncontrolled case series, the study could not conclude that changes in suicidal ideation were due to CAMS. It was not possible to report on changes in suicidal behavior. Key demographic data were missing. Conclusion: Implementation of CAMS in an NHS setting appears feasible and merits further study.

Background: Youth suicidality presents challenges for healthcare workers, particularly in Nova Scotia, Canada, where rates exceed national averages. Professional confidence, comfort, and anxiety in managing suicidal youth may be associated with training and education. Aims: This study examined associations between healthcare workers' educational backgrounds, their mental health training, and their perceptions, attitudes, and emotional responses when working with suicidal youth. Method: A cross-sectional survey of 123 healthcare workers in Nova Scotia assessed demographics, training, and clinical responses. Descriptive statistics, Pearson's correlations, t-tests, and regression analyses (adjusting for experience) examined associations between training, confidence, comfort, and anxiety. Results: Participants reported moderate confidence (M = 3.7, SD = 0.9) and comfort (M = 3.7, SD = 0.9), with higher anxiety (M = 3.0, SD = 1.0), particularly in family-related contexts (M = 3.5, SD = 1.1). General training was associated with greater confidence and comfort but not significantly with anxiety. Specialized training (e.g., mental health degrees) was associated with lower anxiety and reduced avoidance of suicidal youth and families. Limitations: The cross-sectional design, self-report measures, and purposive sampling limit causal inference and generalizability. Conclusion: Findings suggest training type relates to professional responses, highlighting the need for further research on tailored educational interventions.