By Jane Pirkis, Jason Bantjes, Rakhi Dandona, Duleeka Knipe, Alexandra Pitman, Jo Robinson, Morton Silverman, Keith Hawton 

 A public health approach to suicide prevention recognizes the powerful influence of social determinants. In this paper—the fifth in a Series on a public health approach to suicide prevention—we consider four major risk factors for suicide (alcohol use, gambling, domestic violence and abuse, and suicide bereavement) and examine how their influence on suicide is socially determined. Cultural factors and societal responses have an important role in all four risk factors. In the case of alcohol use and gambling, commercial entities are culpable. This Series paper describes a range of universal, selective, and indicated interventions that might address these risk factors and focuses particularly on key universal interventions that are likely to yield substantial population-level benefits

The Lancet Public Health Available online 10 September 2024 In Press, Corrected Proof

 By Keith Hawton, Duleeka Knipe, Jane Pirkis 

 One of the most effective public health measures to prevent suicide is the restriction of access to means used in suicidal acts. This approach can be especially effective if a method is common and readily accessible. Suicide methods vary widely, and there have been several examples where means restriction has been applied, often with considerable success. Factors contributing to the availability of suicide methods can include access to physical means as well as cognitive awareness of methods. In this paper, which is the second in a Series on a public health approach to suicide prevention, we focus primarily on examples of restricting access to physical means of suicide, such as pesticides, firearms, and medication. We also discuss restricting the cognitive availability of means through attention to media and other representations of suicide methods. There are challenges associated with restricting access to means, including resistance to measures required to change the availability of some methods (which might, in part, be commercially determined) and method substitution, whereby one suicide method is replaced by another. Nevertheless, this means restriction must be an integral part of all national and local suicide prevention strategies

The Lancet, The Lancet Public Health, Volume 0, Issue 0, Online first, Sept. 2024.

By Alexander Murray

Historical Context: The book exploressuicide in medieval Europe,focusing on the period from the millennium to 1500.

Three-Part Structure: The book is divided into three parts:The Violent against Themselves, The Curse on Self-Murder, and The Mapping of Mental Desolation.

Sources and Evidence: The author uses a wide range of sources, including legal records, chronicles, and religious texts, to examine attitudes and cases of suicide.

Limitations and Scope: The study is limited to medieval Europe, excluding earlier periods and certain groups like the Cathars and Jews.

Oxford University Press, 1998, 485 pages

By Olive Anderson

Historical Context: The book explores the history of suicide in Victorian and Edwardian England, focusing on statistical data, personal experiences, societal attitudes, and prevention efforts.

Statistical Analysis: It examines the processes behind official suicide statistics, highlighting the variability in data collection and the challenges in interpreting these statistics accurately.

Personal Experiences: The book delves into individual case histories,particularly through coroners' records, to understand the personal andsocial contexts of suicide during this period.

Societal Attitudes and Prevention: It discusses the societal attitudes towards suicide and the various efforts made by authorities and individuals to prevent it, including legal, medical, and philanthropic interventions.

Clarendon Press, 1987, 475 pages