Nov 23, 2021
Welcome to PsychEd, the
psychiatry podcast for medical learners, by medical learners. This
episode covers suicide epidemiology, and prevention with Dr.
Juveria Zaheer, a Clinician
Scientist with the Institute for Mental Health Policy Research, and
Education Administrator in the Gerald Sheff and Shanitha Kachan
Emergency Department at CAMH in Toronto, Ontario. She is also an
Assistant Professor in the Department of Psychiatry at the
University of Toronto. She utilizes both quantitative and
qualitative methods to better understand suicide and identify areas
of potential improvement.
The learning objectives for this
episode are as follows:
By the end of this episode, you
should be able to…
- Develop an awareness of suicide risk and
prevalence, as it pertains to the general population and
- Incorporate additional contextual information
into suicide risk assessment that goes beyond SADPERSONS and other
- Develop a deeper understanding of how to
approach and help individuals with suicidal thoughts and
Guest expert: Dr. Juveria
Hosts: Dr. Chase Thompson
Episode production: Dr. Weam
Sieffien, Dr. Vincent Tang, and Dr. Chase Thompson
Audio editing: Dr. Chase
Show notes: Dr. Chase
00:00 – Introduction
01:14 – Learning
04:00 – Overview of suicide
rates across populations
07:20 - Sex and gender
differences in suicide
08:50 - Suicide following
discharge from hospital
14:10 - Finding suitable
dispositions for individuals dealing with suicidal thoughts and
20:50 - Meeting patients and
families where they are at
23:30 - Suicide safety
28:30 - Evidence-based
approaches to suicide prevention
32:30 - Commentary on strength
of evidence for interventions in suicide prevention
38:40 - Addressing suicidality
in borderline personality disorder
47:00 - Ethics of involuntary
hospitalization for suicidality
50:00 - Future of suicide
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(2019). Reweighing the ethical tradeoffs in the involuntary
hospitalization of suicidal patients. The American Journal of
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Geddes, J. R. (2013). Lithium in the prevention of suicide in mood
disorders: updated systematic review and meta-analysis.
- Chung, D., Hadzi-Pavlovic, D., Wang, M.,
Swaraj, S., Olfson, M., & Large, M. (2019). Meta-analysis of
suicide rates in the first week and the first month after
psychiatric hospitalisation. BMJ open, 9(3), e023883.
- Chung, D. T., Ryan, C. J., Hadzi-Pavlovic, D.,
Singh, S. P., Stanton, C., & Large, M. M. (2017). Suicide rates
after discharge from psychiatric facilities: a systematic review
and meta-analysis. JAMA
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& Franklin, J. C. (2019). Suicide risk around the world: a
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prediction models: a critical review of recent research with
recommendations for the way forward. Molecular psychiatry, 25(1), 168-179.
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Beautrais, A., Currier, D., Haas, A., ... & Hendin, H. (2005).
Suicide prevention strategies: a systematic review.
Jama, 294(16), 2064-2074.
- Miller, I. W., Camargo, C. A., Arias, S. A.,
Sullivan, A. F., Allen, M. H., Goldstein, A. B., ... & Ed-Safe
Investigators. (2017). Suicide prevention in an emergency
department population: the ED-SAFE study. JAMA psychiatry, 74(6), 563-570.
- Sakinofsky, I. (2014). Preventing suicide among
inpatients. The Canadian
journal of psychiatry, 59(3), 131-140.
- Stanley, B., Brown, G. K., Brenner, L. A.,
Galfalvy, H. C., Currier, G. W., Knox, K. L., ... & Green, K.
L. (2018). Comparison of the safety planning intervention with
follow-up vs usual care of suicidal patients treated in the
emergency department. JAMA psychiatry, 75(9), 894-900.
- Zaheer, J., Jacob, B., de Oliveira, C.,
Rudoler, D., Juda, A., & Kurdyak, P. (2018). Service
utilization and suicide among people with schizophrenia spectrum
- Zaheer, J., Links, P. S., & Liu, E. (2008).
Assessment and emergency management of suicidality in personality
Clinics of North America, 31(3), 527-543.
CPA Note: The views expressed in
this podcast do not necessarily reflect those of the Canadian
Psychiatric Association (CPA).
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