Public Health Approaches to Suicide Prevention - Gannett Health ...

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Population-Oriented versusHigh-Risk Reduction• Prevention of disease expression is the ultimatedesired outcome of population-oriented approaches(not well supported by our methods off episodebasedhealth care)• Shifting the population average requires distinctiveapproaches in comparison to treating high riskindividuals• Physicians typically treat signs of illness, symptomsand signs, not ‘distal’ risk factors – prevention thuscan be a challenge to the medical model
Behavioral and Social Implications ofRose’s Theorem• Focus on shifting common (“normative”) behaviorsthat are present in the general population• “Disease” and “illness” may not be easily applied totargets for preventive interventions• Examples of common or “normative” conditions:Frequent intoxication and binge drinking,“recreational” drug use, domestic “distress” and“disputes,” pain in the context of medical disorders• Potential “marker conditions”: Work performanceproblems, DWIs, domestic disputes that come tolegal attention, reduced involvement in physicalactivities
Page 1 and 2: Public Health Approaches toSuicide
Page 3: Intervention Strategies(Kellam and
Page 7 and 8: “Tip of the Iceberg”• Family
Page 9 and 10: Table 1: USAF Suicide Prevention Pr
Page 11 and 12: AnalysisConceptual framework for ev
Page 13 and 14: Analysis• Declines in the suicide
Page 15 and 16: AnalysisRelative risk of suicide an
Page 17 and 18: AnalysisPopulation characteristics
Page 19 and 20: ResultsTrend analysis of rates of s
Page 21 and 22: Knox et al., BMJ 2003
Page 23 and 24: Knox et al., BMJ 2003
Page 25 and 26: Discussion• Risk reductions of th
Page 27 and 28: Discussion• These results call fo

Public Health Approaches to Suicide Prevention - Gannett Health ...

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