Document Detail

Controlling access to suicide means.
MedLine Citation:
PMID:  22408588     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Restricting access to common means of suicide, such as firearms, toxic gas, pesticides and other, has been shown to be effective in reducing rates of death in suicide. In the present review we aimed to summarize the empirical and clinical literature on controlling the access to means of suicide.
METHODS: This review made use of both MEDLINE, ISI Web of Science and the Cochrane library databases, identifying all English articles with the keywords "suicide means", "suicide method", "suicide prediction" or "suicide prevention" and other relevant keywords.
RESULTS: A number of factors may influence an individual's decision regarding method in a suicide act, but there is substantial support that easy access influences the choice of method. In many countries, restrictions of access to common means of suicide has lead to lower overall suicide rates, particularly regarding suicide by firearms in USA, detoxification of domestic and motor vehicle gas in England and other countries, toxic pesticides in rural areas, barriers at jumping sites and hanging, by introducing "safe rooms" in prisons and hospitals. Moreover, decline in prescription of barbiturates and tricyclic antidepressants (TCAs), as well as limitation of drugs pack size for paracetamol and salicylate has reduced suicides by overdose, while increased prescription of SSRIs seems to have lowered suicidal rates.
CONCLUSIONS: Restriction to means of suicide may be particularly effective in contexts where the method is popular, highly lethal, widely available, and/or not easily substituted by other similar methods. However, since there is some risk of means substitution, restriction of access should be implemented in conjunction with other suicide prevention strategies.
Marco Sarchiapone; Laura Mandelli; Miriam Iosue; Costanza Andrisano; Alec Roy
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Publication Detail:
Type:  Journal Article; Review     Date:  2011-12-07
Journal Detail:
Title:  International journal of environmental research and public health     Volume:  8     ISSN:  1660-4601     ISO Abbreviation:  Int J Environ Res Public Health     Publication Date:  2011 Dec 
Date Detail:
Created Date:  2012-03-12     Completed Date:  2012-06-19     Revised Date:  2013-06-26    
Medline Journal Info:
Nlm Unique ID:  101238455     Medline TA:  Int J Environ Res Public Health     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  4550-62     Citation Subset:  IM    
Department of Health Sciences, University of Molise, Via De Sanctis, Campobasso 86100, Italy.
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MeSH Terms
Hazardous Substances*
Reg. No./Substance:
0/Hazardous Substances; 0/Pesticides

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