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Ethics is attracting increasing attention in management of both public‐ and private‐sector organisations. For managers within health‐care systems, ethical issues can be most acute, especially given the human rights issues involved in new legislation. This paper explores some of the ways in which philosophy may potentially offer guidelines to managers faced with the need to make decisions ethically. It draws on a small number of philosophical perspectives to demonstrate how they can assist in informing ethical decision making, and illustrates its arguments through one topic, suicide prevention, an area of relevance to health managers but one that is beset by some of the most profound ethical dilemmas. The ways in which philosophy may assist in decision making in this one example are, it is argued, generalisable to many other health issues where complicated decisions have to be made. The paper develops a philosophical framework consisting of the ethical considerations of “self‐love”, “humanity”, “the value of human life” and “duty to others” and demonstrates, through the use of two hypothetical case studies, how these can be applied to a decision‐making process so as to reduce inconsistencies in attitudes and practice.

The purpose of this paper is to update the assessment of national data on law enforcement worker suicide based on the National Occupational Mortality Surveillance database (NOMS, Centers for Disease Control and Prevention).

Death certificate data for 4,441,814 decedents, age 18–90 who died in one of the 26 reporting states were the source of NOMS data. Utilizing proportionate mortality ratios (PMRs), the ratio of suicides in law enforcement occupations in those who are 18–90 years old with a designated usual occupation was calculated.

Findings indicate a significantly higher proportion of deaths from suicide for law enforcement officers (PMR = 154, 95% CI = 147–162), compared to all the US decedents in the study population who were employed during their lifetime. Law enforcement personnel are 54% more likely to die of suicide than all decedents with a usual occupation. PMRs were highest for African-Americans, Hispanic males and for females. PMRs were similar for detectives, corrections officers and all law enforcement jobs, when not stratified by race, ethnicity and sex.

Bias may arise because a PMR can be affected by disproportionate increased or decreased mortality from causes of death other than suicide.

A better understanding of the scope of law enforcement suicide can inform policy focused on the planning and initiation of prevention programs.

The use of a national database to study law enforcement worker suicide adds to other information available on law enforcement worker suicide in specific geographic areas. The discussion on prevention in this paper presents ideas for policy.

Media reporting and portrayals of mental illness and suicide can play an important role in shaping and reinforcing community attitudes and perceptions. Depending on the content, a report about suicide can have either a negative (Werther-) or a positive (Papageno-) effect. Evidence-informed recommendations for the reporting of suicide in Australia are provided under the Mindframe initiative. The purpose of this paper is to assess the application of these recommendations in broadcasts associated with one of the largest national campaigns to promote suicide prevention, the R U OK? Day, a yearly campaign of the Australian suicide prevention charity R U OK?

The sample consisted of 112 (32 TV, 80 radio) Australian broadcasts discussing the R U OK? Day suicide prevention campaign during the month preceding the 2015 campaign and on the national R U OK? Day itself. Broadcasts were coded for medium (TV or radio), content (suicide focus, mental illness focus or both) and consistency with Mindframe recommendations.

Over 97 per cent of broadcasts used language consistent with Mindframe recommendations. None of the broadcasts used images that negatively portrayed mental illness or suicide; there were no instances of using mental illness to describe a person’s behaviour; and no sensationalizing or glamorising terminology was used in the broadcasts. However, less than 40 per cent of the broadcasts included help-seeking information (e.g. helplines) and some of the broadcasts used negative or outdated terminology (e.g. “commit” suicide; “suffering” from mental illness).

The present study is the first to examine consistency with reporting recommendations around a national suicide prevention campaign (R U OK? Day). The results can steer improvements in current reporting and inform strategies to optimise future reporting.

The purpose of this paper is to provide a review of law enforcement suicide research from 1997 to 2016.

The PRISMA systematic review methodology was implemented. A SCOPUS search identified a total of 97 documents. After applying all exclusion criteria, the results included a list of 44 articles in the review.

Overall, studies investigating law enforcement suicide rates show conflicting results, with some studies showing lower suicide rates among law enforcement, some showing higher rates, and some showing no difference to comparison populations. Recurring research themes were lack of an appropriate comparison group, and small statistical power, particularly for minority and female officers. Stressors related to suicide among police included lack of organizational support, traumatic events, shift work, stigma associated with asking for help, or problems associated with fitting in with the police culture. Problems associated with domestic relationships and alcohol use were commonly mentioned as precursors to suicide or as correlates of suicidal ideation and were hypothesized to arise from stressful working conditions.

Some limitations in law enforcement suicide research include the lack of theory, under-reporting of suicides, and guarded survey responses from police officers. Future directions in police suicide research include investigating etiological factors such as past adverse life and family experiences, social-ecological variation in suicide, or differences in suicide rates within the law enforcement occupation.

Police work, given chronic and traumatic stress, lack of support, danger, and close public scrutiny is a fertile occupation for increased suicide risk. Awareness of the scope of the problem and associated risk factors can help to initiate prevention programs.

This paper provides a long-term review of literature regarding police suicidality, with suggestions for research and prevention.

Suicide is a public health crisis that differentially affects racial and ethnic groups. Suicide is a public health crisis that differentially affects racial and ethnic groups. American Indians had the highest per capita suicide rates (11.1 for females and 33.4 for males) followed by White Americans (8.0 for females and 29.8 for males; Centers for Disease Control, 2019). There is an emerging focus on racial/ethnic disparities in suicide prevention research. Prior studies suggest that more accepting attitudes toward suicide are associated with elevated suicide risk status. As such, this study aims to examine the association between racial/ethnic identity and three attitude domains: the right to die, interpersonal gestures and resilience.

General linear models were used to compare racial/ethnic groups in right to die, interpersonal gestures and resilience attitudes.

Participants who identified as Native American or Black were more likely than participants who identified as White, Bi/Multi-racial and Hispanic to hold attitudes supporting interpersonal motivations for suicide. Participants who identified as Black were more likely than participants who identified as White to hold right to die attitudes. Participants who identified as Black were more likely than White participants to report not viewing suicide as an option. These results suggest that racial/ethnic identity impacts attitudes toward suicide. People who identify as Native American or Black may be more likely to see suicide as acceptable for interpersonal reasons despite those who identify as Black being less likely to see suicide as an option. This study has implications for suicide prevention programs and interventions within racial/ethnic communities. Focusing interventions on attitudes supporting interpersonal motivations for suicide may increase effectiveness within Native American and Black communities.

This study aimed to fill a gap in suicide prevention research by examining associations between racial/ethnic identity and responses to a multidimensional attitude toward suicide measure. No prior study has compared attitudes across multiple domains and racial/ethnic groups.

The World Health Organization Suicide trends in at-risk territories study is a multi-site regional research program operating first in French Polynesia and countries of the Western Pacific, then extended to the world. The aims of the study were to establish a monitoring system for suicidal behaviors and to conduct a randomised control trial intervention for non-fatal suicidal behaviors. The latter part is the purpose of the present article. Over the period 2008-2010, 515 patients were admitted at the Emergency Department of the Centre Hospitalier de Polynésie Française for suicidal behavior. Those then hospitalized in the Psychiatry Emergency Unit were asked to be involved in the study and randomly allocated to either Treatment As Usual (TAU) or TAU plus Brief Intervention and Contact (BIC), which provides a psycho-education session and a follow-up of 9 phone contacts over an 18-months period. One hundred persons were assigned to TAU, while 100 participants were allocated to the BIC group. At the end of the follow-up there were no significant differences between the two groups in terms of number of presentations to the hospital for repeated suicidal behaviors. Although the study could not demonstrate the superiority of a treatment over the other, nevertheless – given its importance – the investigation captured public attention and was able to contribute to the awareness of the need of suicide prevention in French Polynesia. The BIC model of intervention seemed to particularly suit the geographical and health care context of the country.

Elder suicide is a major problem, particularly in the USA, that accounts for 15.9 in 100,000 deaths, or an average of one death every 95 minutes. The rate of elder suicide is higher than that of any other age group. Unlike teens, or younger age groups, the elderly attempting suicide are largely successful. This selective literature guide includes materials on elder suicide that deal with all aspects of the topic, including identification of those at risk, prevention, and survivors, as well as resources addressing alternative views of suicide, such as assisted, rational, and pre‐emptive suicide.

Suicide in prisons has been the subject of much research effort (Topp, 1979; Dooley, 1990; Liebling, 1991; Bogue & Power, 1995; Towl & Crighton, 1998; Snow, 2002). For a pithy critique of UK research and practice see Crighton (2000) and Crighton (2003) respectively. Some of the research has clearly had a direct influence upon policy and practice in suicide prevention. However, despite this, the overall trend of rates of suicide in prisons is upwards.The comparatively high rate of suicide among prisoners and indeed offenders more generally may call into question the very humanity of our criminal justice structures and processes. The nature of imprisonment involves state containment; this carries with it a heavy weight of responsibility and accountability for the well‐being of the prisoner, a responsibility that may be amplified in the case of specific groups of prisoners, such as juveniles or young offenders.This paper reflects on research and practice in what is known about suicide in prisons. The language of suicide is also touched on, because of its relevance in working with the suicidal. Following on from this, the potential role of applied psychologists in preventing suicide will be outlined.

A detailed overview of policy and practice in suicide prevention in prisons is given, focusing on England and Wales. The current strategy for suicide awareness is outlined and its implementation discussed. Future developments aimed at reducing suicide are reviewed.

High suicide rates among men presents a global challenge for commissioners and clinicians. Innovative approaches towards suicide prevention interventions designed for men are needed. The James’ Place (JP) service opened in 2018, and its model of practice is a clinical, community-based intervention for men experiencing suicidal crisis. This paper aims to describe the implementation framework within which the JP model is applied.

Fostering a public health case study approach, this paper provides a description of how the JP service operates, including the referral pathways, key components of this innovative model and its impact upon the men who receive the intervention. Illustrative case studies derived from semi-structured interviews from men and therapists are reported.

The JP model is dynamic and flexible, allowing the tailoring of a suicidal crisis intervention to suit the needs and priorities of the individual and the wider local community. Clinical and practical implications, such as reduction in suicidality, are discussed.

Rapidly accessible, effective community-based interventions for men experiencing suicidal crisis are required. Yet, while widely advocated in policy, there remains a dearth of evidence illustrating the real-world application and value of such services within a community-setting. To the best of the authors’ knowledge, the JP model is the first of its kind in the UK and an example of an innovative clinical, community-based suicide prevention intervention offering support for men experiencing suicidal crisis.