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Download - New York State Office of Mental Health

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Saving Lives in <strong>New</strong> <strong>York</strong> Volume 2: Approaches and Special Populations<br />

acknowledged that the front-line physician<br />

is no more responsible for effecting the<br />

patient's acceptance <strong>of</strong> such a referral than<br />

that <strong>of</strong> any other referral to a specialist.<br />

Given that there are approximately 150,000<br />

suicide attempts by teenagers in <strong>New</strong> <strong>York</strong><br />

<strong>State</strong> each year (though only 70 completed<br />

suicides), the pediatricians would face a<br />

significant work load increase in accordance<br />

with such a practice <strong>of</strong> inquiry; other<br />

primary-care physicians might not be similarly<br />

affected.<br />

There is no question but that inquiring<br />

about suicidal thoughts in the course <strong>of</strong><br />

routine visits represents a significant departure<br />

from current practice. Therefore, some<br />

resources must be dedicated to making it<br />

possible. The most direct is the provision <strong>of</strong><br />

at least annual lectures to residents and to<br />

departmental physicians.<br />

In the context <strong>of</strong> the national awareness <strong>of</strong><br />

suicide, inaugurated three years ago in the<br />

Surgeon General's Report on <strong>Mental</strong> <strong>Health</strong><br />

and likely to be given particular emphasis<br />

by the current President in his upcoming<br />

public health initiatives, it is not unlikely<br />

that pharmaceutical companies would be<br />

willing to underwrite such an effort. The<br />

goal, after all, is to reduce the rate <strong>of</strong> suicide<br />

in this state and to set a model for the<br />

rest <strong>of</strong> the nation.<br />

6 A Message to the Physicians <strong>of</strong> <strong>New</strong> <strong>York</strong> <strong>State</strong>

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