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This chapter depicts the burden of suicidal behavior among African American males. It describes the public health approach to preventing suicidal behavior among African American males. This approach includes assessing and describing the problem; identifying causes or risk and protective factors; developing and evaluating programs and policies; and implementing and disseminating findings and activities. The chapter provides a review of the epidemiology of fatal and non-fatal suicidal behavior; a summary of what is known about the risk and protective factors of the problem; and a descriptive analysis of the circumstances associated with suicides among young African American males is presented. Lastly, the authors give a summary of evidenced-based prevention programs which could be applied in preventing male suicidal behavior.

This chapter offers a prospective and naturalistic study of the impact of a risk-assessment and risk-management program on mentally abnormal young offenders admitted to a medium secure adolescent psychiatric inpatient unit in the United Kingdom (U.K.) because of violent, dangerous or self-harming behaviour. As a result of the risk assessment, there was a reduction in their violent, dangerous or self-harming behaviour that was significantly associated with a reduction in the number of risk factors. About 80% were discharged directly back into the community.

Adolescence is a period of new experiences, including dating. Romantic relationships can be a source of stress; one-third of teens experience dating violence (Molidor & Tolman, 1998; Straus, 2004). Teens are also at a heightened risk for suicide; it is the third leading cause of death among teens (Center for Disease Control [CDC], 2013a). Suicidal ideation, threats, and attempts occur within the context of a relationship where there is also dating violence (Chan, Straus, Brownridge, Tiwari, & Leung, 2008; Else, Goebert, Bell, Carlton, & Fukuda, 2009). Due to life course, adolescence may not have knowledge, experience, or skills to manage these situations. Furthermore, these experiences may shape romantic relationship expectations as adults. Both dating violence and suicidality have short- and long-term effects (for example, see Castellví et al., 2017; Coker et al., 2000; Exner-Cortens, Eckenrode, & Rothman, 2013; Holmes & Sher, 2013; Jouriles, Garrido, Rosenfield, & McDonald, 2009; Magdol et al., 1997; Zaha, Helm, Baker, & Hayes, 2013). However, little is known about how young women that experience teen dating violence and partner suicidality respond (except, see Baker, Helm, Bifulco, & Chung-Do, 2015). This study seeks to explore this gap.

As part of a larger study, 16 young women who had experienced a “bad dating relationship” as a teenager also disclosed that their boyfriends had threatened suicide. These young women completed in-depth, retrospective interviews to discuss their experiences. Interviews were transcribed and analyzed using HyperResearch. Life course and grounded theory guided this research.

The young women that experienced suicidal threats by their dating partners were also victims of a range of abusive behaviors in their dating relationships, including verbal, physical, and sexual abuses and controlling behaviors. The young women struggled with how to deal with the suicidal ideation and the abuse concurrently. Some of the young women believed that the threats of suicide were real, and had concerns for their boyfriends’ well-being. Others believed that their boyfriend was using this as a manipulative tactic to get them the stay in the unhealthy relationship. This impacted how young women dealt with and reacted to the abuse, including if they chose to stay in the relationship or not.

This study provides narratives from young women in relationships where there is dating violence and threats of suicide, which adds to our understanding of the dynamics of how life course impacts both dating violence and suicide. The sample is small and not generalizable. Future research should include both partners to provide a more holistic picture of the relationship. Additional research should also examine any differences of experiences based on gender, race and ethnicity, social class, and sexual orientation.

This has serious implications for prevention education and intervention. Policy-makers may want to consider: (1) mandating additional training for teachers and other adults that work with teens, in order to identify warning signs of both dating violence and suicidal ideation, (2) require education for teens on these topics, and (3) ensure evidenced-based interventions are accessible to teens dealing with these issues.

This paper provides a deeper understanding of teen experiences with suicidal threats and how they respond to them within the context of an abusive dating relationship. Policy-makers, advocates, school personnel, and youth may benefit from these findings, particularly in regard to developing appropriate prevention education and interventions.

Throughout history, from ballads to requiems, music has played an important social role in reflection on mortality. Not only do musicians articulate their angst and thoughts about death, but, in so doing, they enable listeners to explore their own feelings. While the relationship between music and mental health can be examined from a number of perspectives, two broad approaches can be taken: artist-centred approaches and listener-centred approaches. The first analyses the life and work of artists, focussing particularly on the ways in which they explore death and angst in their music. The second looks at the ways in which the life and work of an artist is interpreted by listeners. Within these general approaches, a complex set of questions emerge – often at the interface of both approaches. How is the music used by listeners in their reflection on mortality? How is music used to manage mental health? Does reflection on the life and work of an artist contribute to suicidal ideation? Is the reception of music altered by an artist’s suicide? Using both these approaches and drawing particularly on the work of Émile Durkheim, this discussion demonstrates the significance of popular music analysis for death studies, focussing particularly on the issues surrounding popular music’s relationship to suicidal ideation.

Bystander apathy has been a source of debate for decades. In the past half-century, psychologists developed theoretical frameworks to understand bystander activity, commonly referred to as bystander intervention models (BIMs). More recently, BIMs have been modified to facilitate initiatives to prevent various forms of online victimization. This chapter begins with a review of BIMs and recent applications of bystander intervention research to online environments. We also present several future directions for research along with applications for reducing technology-facilitated violence, including programming recommendations and theoretical development.

Among psychiatric illnesses, genetically determined disorders usually have an early onset and a severe and complicated course. Gene–environmental interaction is of importance for aggressive impulsive behaviour. For example, alcoholism type II has a high family loading, a severe course, and is often associated with antisocial behaviour. In order to gain further understanding of aggressive and impulsive behaviour, genes determining serotonin metabolism, neurosteroids and carbohydrate metabolism should be of interest to investigate. Furthermore, modern brain-imaging studies will reveal the site of action of aggressiveness and impulsivity. Within brain regions of interest, biological studies will promote our knowledge of this deleterious behaviour.

Purpose: Sexual minority youth are more likely than their heterosexual peers to consider and attempt suicide, in part due to victimization experienced within schools. While existing research suggests that rates of school victimization and suicidality among sexual minority students vary by school and community context, less is known about variation in these experiences at the state level.

Methodology: Using data from a large, representative sample of sexual minority and heterosexual youth (2017 Youth Risk Behavior States Data, n = 64,746 high school students in 22 states), multilevel models examine whether differences between sexual minority and heterosexual students in victimization and suicide risk vary by state-level policies.

Findings: Results suggest that disparities between sexual minority and heterosexual boys in bullying, suicide ideation, and suicide attempt are consistently smaller in states with high levels of overall policy support for LGBTQ equality and nondiscrimination in education laws. Sexual minority girls are more likely than heterosexual girls to be electronically bullied, particularly in states with lower levels of LGBTQ equality. Disparities between sexual minority and heterosexual girls in suicide ideation are lowest in high equality states, but state policies are not significantly associated with disparities in suicide attempt among girls.

Value: Overall, findings suggest that state-level policies supporting LGBTQ equality are associated with a reduced risk of suicide among sexual minority youth. This study speaks to the role of structural stigma in shaping exposure to minority stress and its consequences for sexual minority youth's well-being.

Purpose: In the current work, we provide a portrait of heavy alcohol use, cigarette smoking, mental health, and suicide ideation by sexual orientation among a large sample of US adults aged 25 years and older.

Design/methodology/approach: We produce a repository of information on sexual orientation, substance use, mental well-being, and suicide ideation for adults aged 25 years and older using Behavioral Risk Factor Surveillance System (BRFSS) surveys for nine US states from 2011 to 2018. We establish baseline differences on these outcomes for gay, lesbian, and bisexual (GLB), relative to heterosexual, adults and then use regression techniques to adjust the estimates for important sociodemographic, socioeconomic, and relationship status variables.

Findings: Disparities by sexual orientation across substance use, mental health, and suicide ideation are concerning, some alarmingly so. Bisexuals, particularly women, face pronounced challenges across outcomes. Sexual minority men and women report significantly more poor mental health days and much higher odds of suicide ideation. To illustrate, gay men, lesbians, and bisexual men and women, relative to their heterosexual counterparts, have odds of seriously contemplating taking their own lives that are two to four times higher even after adjusting for relevant controls.

Originality/value: Existing knowledge connecting GLB identity and mental well-being has focused largely on adolescent and young adults. We provide a representative study on older adult differences across four different behavioral health outcomes by sexual orientation. The scale of the disparities we report here, and their implications for overall well-being across groups, deserves national attention and action.

To examine some of the complex relationships that exist between sports work and mental health and illness.

This chapter draws upon prevalence data, athlete testimonies, and theoretical works to examine: (1) the prevalence of depression and suicide in professional sport and the wider society; (2) athlete experiences of depression and suicidal ideation, particularly among men; and (3) some of the key sociological ideas which might help to explain experiences of mental health and illness in professional sports work.

Although there are plentiful data on the societal prevalence of depression and suicide, increasing interest in the mental health of professional athletes (and other types of sports workers) has occurred largely in response to individual or clusters of often publicly known, sometimes high profile, cases rather than in response to systematic empirical grounded data. Athlete experiences of mental illness are shown to be related in complex ways to various constraints associated with their public and private lives, to the constraints of their interdependency networks, and to experiences of shame which can have a series of deleterious acute and chronic health costs.

Since much of what is currently known about the links between sports work and mental health and illness is derived from largely psychological studies and media-led or autobiographical accounts, more sociological research is needed to better understand the costs of mental health of working in often very public and highly pressurized, medicalized, scientized, and performance-focused performance sport settings.