{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T10:52:59Z","timestamp":1788778379537,"version":"build-2803163510"},"reference-count":20,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2019,11,7]],"date-time":"2019-11-07T00:00:00Z","timestamp":1573084800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Epidemiol Psychiatr Sci"],"published-print":{"date-parts":[[2020]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Suicide and suicide attempts have become more prevalent in recent years, with notable increases in the US in all age groups and geographic locations. Risk of suicide is particularly high among patients diagnosed with bipolar disorder or severe depression, especially when associated with mixed features or agitation, or with co-occurring substance abuse. Factors contributing to such risk include relative social and geographic isolation and low access to sources of support or clinical care. In addition, unemployment, poverty, demoralisation and opioid abuse have been identified as important risk factors. Notably, overall longevity rates in the US, though rising for many decades, have recently been declining, in part owing to suicide and substance overdoses. A particular circumstance associated with strikingly high rates of suicides and attempts is the days and weeks following discharge from psychiatric hospitalisation. Although the incidence of such events is low, there is a need for more secure aftercare planning and implementation. Research on therapeutics aimed at reducing suicidal risk and all-cause mortality among psychiatric patients remains severely under-developed.<\/jats:p>","DOI":"10.1017\/s2045796019000672","type":"journal-article","created":{"date-parts":[[2019,11,7]],"date-time":"2019-11-07T11:08:38Z","timestamp":1573124918000},"source":"Crossref","is-referenced-by-count":55,"title":["Epidemiology of suicide: recent developments"],"prefix":"10.1017","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9718-8211","authenticated-orcid":false,"given":"Ross J.","family":"Baldessarini","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2019,11,7]]},"reference":[{"key":"S2045796019000672_ref21","doi-asserted-by":"publisher","DOI":"10.1093\/med\/9780199300532.003.0037"},{"key":"S2045796019000672_ref18","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2018.03.020"},{"key":"S2045796019000672_ref15","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2017-2426"},{"key":"S2045796019000672_ref14","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.58.9.844"},{"key":"S2045796019000672_ref13","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.60.1.82"},{"key":"S2045796019000672_ref12","doi-asserted-by":"publisher","DOI":"10.1001\/jama.293.20.2487"},{"key":"S2045796019000672_ref5","article-title":"Bipolar depression: a major unsolved problem","author":"Baldessarini","year":"2019","journal-title":"International Journal of Bipolar Disorders"},{"key":"S2045796019000672_ref1","doi-asserted-by":"publisher","DOI":"10.1007\/978-1-4614-3710-9"},{"key":"S2045796019000672_ref3","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-5618.2006.00344.x"},{"key":"S2045796019000672_ref19","volume-title":"Textbook of Suicide Assessment and Management","author":"Simon","year":"2012"},{"key":"S2045796019000672_ref17","unstructured":"Redfield RR (2018) CDC Statement on U.S. life expectancy. Available at https:\/\/www.cdc.gov\/media\/releases\/2018\/s1129-US-life-expectancy.html (Accessed 29 August 2019)."},{"key":"S2045796019000672_ref4","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.2019.167"},{"key":"S2045796019000672_ref20","doi-asserted-by":"publisher","DOI":"10.4088\/JCP.v67n0402"},{"key":"S2045796019000672_ref16","doi-asserted-by":"publisher","DOI":"10.4088\/JCP.08m04994yel"},{"key":"S2045796019000672_ref10","doi-asserted-by":"publisher","DOI":"10.4088\/JCP.v68n0304"},{"key":"S2045796019000672_ref6","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2016.16989"},{"key":"S2045796019000672_ref11","unstructured":"Hedegaard H , Curtin SC and Warner M (2018) Suicide mortality in the United States, 1999\u20132017. US CDC [Centers for Disease Control and Prevention]-National Center for Health Statistics data brief 330, November. Available at https:\/\/www.cdc.gov\/nchs\/data\/databriefs\/db330-h.pdf (Accessed 29 August 2019)."},{"key":"S2045796019000672_ref8","doi-asserted-by":"publisher","DOI":"10.1001\/jamapsychiatry.2017.1044"},{"key":"S2045796019000672_ref7","unstructured":"CDC: US Centers for Disease Control and Prevention (2018) Suicide rates rising across the US. Available at https:\/\/www.cdc.gov\/media\/releases\/2018\/p0607-suicide-prevention.html (Accessed 29 August 2019)."},{"key":"S2045796019000672_ref9","doi-asserted-by":"crossref","first-page":"209","DOI":"10.1097\/HRP.0000000000000222","article-title":"Suicidal risk following hospital discharge: review","volume":"27","author":"Forte","year":"2019","journal-title":"Harvard Review of Psychiatry"}],"container-title":["Epidemiology and Psychiatric Sciences"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S2045796019000672","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,1,27]],"date-time":"2021-01-27T22:45:10Z","timestamp":1611787510000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S2045796019000672\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,11,7]]},"references-count":20,"alternative-id":["S2045796019000672"],"URL":"https:\/\/doi.org\/10.1017\/s2045796019000672","relation":{},"ISSN":["2045-7960","2045-7979"],"issn-type":[{"value":"2045-7960","type":"print"},{"value":"2045-7979","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,11,7]]},"article-number":"e71"}}