Health Promotion
Universal Prevention
Indicated Prevention
Selective Prevention
Treatment
Case Identification
Compliance
After Care
In Jake's school...
In Jake's Community...
If Jake needed emergency medical attention..
In Jake's family...
Biological Factors
Predisposing
Factors
Proximal
Factors
Immediate
Triggers
Familial Risk
Serotonergic Function
Neurochemical Regulators
Demographics
Pathyphysiology
Major Mental Disorders
Substance Use/Abuse
Personality Profile
Abuse Syndromes
Severe Medical Illness
Hopelessness
Intoxication
Impulsiveness
Aggressiveness
Negative Expectancy
Severe/Chronic Pain
Public Humiliation/Shame
Access to Weapons
Severe Defeat
Major Loss
Worsening Prognosis
"Every suicide is different. Every suicide has its own story."
David Knesper, M.D.
If Jake needed clinical attention...
(Partial) Web of Causation for Suicide
Mental Health Intervention Spectrum
From a strategic perspective, what would I hope for our field?
From a strategic perspective, what would I want for Jake?
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Youth Suicide Prevention: What is the Strategic Picture?
Presentation given at the 45th Annual Conference of the American Association of Suicidology, Baltimore, MD, April 18-21, 2012.
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