{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,24]],"date-time":"2026-01-24T00:33:10Z","timestamp":1769214790216,"version":"3.49.0"},"reference-count":35,"publisher":"Hogrefe Publishing Group","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Crisis"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:p>Abstract: Background: Taiwan is among the few jurisdictions adopting a legislative approach to suicide prevention; a Suicide Prevention Act was implemented in June 2019. Aim: This study evaluates overall, age-, sex-, and method-specific suicide rates before and after the implementation of the Act. Methods: Monthly suicide mortality data from 2015 to 2023 were analyzed using interrupted time-series analysis using segmented regression with a quasi-Poisson distribution. Incidence rate ratios (IRRs) with 95% confidence intervals (CIs) were reported. Results: An immediate 10.1% reduction in overall suicide rates was observed after the enactment of the Suicide Prevention Act (IRR = 0.899, 95% CI = 0.837\u20130.966), although long-term trends remained unchanged. Hanging suicides declined steadily (IRR = 0.996, 95% CI = 0.993\u20130.999), while jumping suicides rose. Youth suicides (15\u201324 years) stabilized postintervention, and the 45\u201364-year age group experienced a significant decline (IRR = 0.849, 95% CI = 0.764, 0.942). In contrast, suicide rates among older adults (\u226565 years) increased. Limitations: Unmeasured factors may have affected the results. Some components of the plan began before the Act, limiting attribution of effects solely to the law. Conclusion: Taiwan\u2019s legislative approach may have helped stabilize suicide rates, especially among youth and middle-aged adults. Ongoing efforts should focus on older adults and shifts in suicide methods.<\/jats:p>","DOI":"10.1027\/0227-5910\/a001028","type":"journal-article","created":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T08:01:59Z","timestamp":1763452919000},"page":"23-33","source":"Crossref","is-referenced-by-count":0,"title":["Impact of Taiwan\u2019s Suicide Prevention Act"],"prefix":"10.1027","volume":"47","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5543-5704","authenticated-orcid":true,"given":"Ying-Yeh","family":"Chen","sequence":"first","affiliation":[{"name":"Taipei City Psychiatric Centre, Taipei City Hospital, Taipei City, Taiwan"},{"name":"School of Medicine, Institute of Public Health, National Yang Ming Chiao Tung University, Taipei City, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cheuk Yui","family":"Yeung","sequence":"additional","affiliation":[{"name":"School of Social Work, University of Maryland, Baltimore, MD, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vera Yu","family":"Men","sequence":"additional","affiliation":[{"name":"School of Social Work, University of Maryland, Baltimore, MD, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chung-Ying","family":"Chen","sequence":"additional","affiliation":[{"name":"Taiwan\u2019s National Suicide Prevention Center, Taipei City, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3685-1731","authenticated-orcid":true,"given":"Kevin","family":"Chien-Chang Wu","sequence":"additional","affiliation":[{"name":"Graduate Institute of Medical Education and Bioethics, National Taiwan University College of Medicine, Taipei City, Taiwan"},{"name":"Department of Psychiatry, National Taiwan University Hospital, Taipei City, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul S. F.","family":"Yip","sequence":"additional","affiliation":[{"name":"Department of Social Work and Social Administration, The University of Hong Kong, Hong Kong SAR, People\u2019s Republic of China"},{"name":"The Hong Kong Jockey Club Centre for Suicide Research and Prevention, The University of Hong Kong, Hong Kong SAR, People\u2019s Republic of China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"101","reference":[{"key":"c1","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/dyw098"},{"key":"c2","doi-asserted-by":"publisher","DOI":"10.1177\/00048674221108640"},{"key":"c3","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajp.2023.103588"},{"key":"c4","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0055000"},{"key":"c5","doi-asserted-by":"publisher","DOI":"10.1016\/j.ssmph.2023.101543"},{"key":"c6","doi-asserted-by":"publisher","DOI":"10.1136\/ip.2008.019794"},{"key":"c7","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2009.05.020"},{"key":"c8","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2021.08.084"},{"key":"c9","doi-asserted-by":"publisher","DOI":"10.1016\/j.jfma.2021.09.021"},{"key":"c10","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2023.02.006"},{"key":"c11","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajp.2025.104359"},{"key":"c12","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.111.099366"},{"key":"c13","volume-title":"Suicide Prevention Act","author":"Laws &amp; Regulations Database of The Republic of China (Taiwan).","year":"2019"},{"key":"c14","volume-title":"Ministry of health and welfare excluding social welfare, centers for disease control, National health Insurance Administration, National Institute of Traditional Chinese medicine 2021 unit budget assessment report","author":"Legislative Yuan Republic of China (Taiwan).","year":"2020"},{"key":"c15","volume-title":"Mental Health Law to be implemented next month: Insufficient mental health manpower...Legislators call for long-term budgeting and \u201cthis project\u201d to be included in regulations","author":"LINE TODAY.","year":"2024"},{"key":"c16","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2022.03.013"},{"key":"c17","volume-title":"Statistics on suicide deaths and suicide notifications","author":"Ministry of Health and Welfare.","year":"2022"},{"key":"c18","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.l94"},{"key":"c19","doi-asserted-by":"publisher","DOI":"10.1027\/0227-5910\/a000599"},{"key":"c20","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.m575"},{"key":"c21","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD013543"},{"key":"c22","volume-title":"Age-standardized suicide rates: Comparison of sources","author":"Our World in Data.","year":"2024"},{"key":"c23","doi-asserted-by":"publisher","DOI":"10.1016\/S2215-0366(21)00091-2"},{"key":"c24","doi-asserted-by":"publisher","DOI":"10.1177\/07067437241293978"},{"key":"c25","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2021.1625"},{"key":"c26","volume-title":"Statistical analysis report on Taiwan lifetime international service cases in 2020","author":"Taiwan Lifetime International.","year":"2021"},{"key":"c27","volume-title":"Taiwan suicide prevention center results report","author":"Taiwan Suicide Prevention Center.","year":"2021"},{"key":"c28","volume-title":"Specific prevention strategies for suicide means","author":"Taiwanese Society of Suicidology.","year":"2018"},{"key":"c29","volume-title":"Organizational history","author":"Taiwanese Society of Suicidology.","year":"2020"},{"key":"c30","volume-title":"Suicidedata","author":"Taiwanese Society of Suicidology.","year":"2024"},{"key":"c31","doi-asserted-by":"publisher","DOI":"10.1027\/0227-5910\/a000893"},{"key":"c32","volume-title":"Suicide worldwide in 2019","author":"World Health Organization.","year":"2021"},{"key":"c33","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajp.2023.103889"},{"key":"c34","first-page":"739","volume-title":"Oxford textbook of suicidology and suicide prevention","author":"Yip P. 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