Evidence map›Paper›PMID 32860592›Full record

ReviewCurrent topics in behavioral neurosciences2020

Why Are Suicide Rates Increasing in the United States? Towards a Multilevel Reimagination of Suicide Prevention.

Gonzalo Martinez-Ales, Daniel Hernandez-Calle, Nicole Khauli, Katherine M Keyes

Open access · greenAbstract readReview
In one paragraph

Review in Current topics in behavioral neurosciences, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
23.5field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 51 citations in OpenAlex.

  1. Suicide in neurodegenerative diseases: a systematic review.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Pooled it
  2. Article
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  6. Review
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  12. Observational
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  15. Epidemiology of Suicide Mortality in Paraguay from 2005 to 2019: A Descriptive Study.International journal of environmental research and public health · 2024
    Observational
  16. Article
  17. Article
  18. Article
  19. Article
  20. Pathogens (Basel, Switzerland) · 2021
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 2 countries.

Gonzalo Martinez-AlesColumbia University Mailman School of Public Health, New York, NY, USA. gm2794@cumc.columbia.edu.
Daniel Hernandez-CalleLa Paz University Hospital, Madrid, Spain.
Nicole KhauliColumbia University Mailman School of Public Health, New York, NY, USA.
Katherine M KeyesColumbia University Mailman School of Public Health, New York, NY, USA.
Columbia University · USHospital Universitario La Paz · ES

Funding

Suicide as a contagion: modeling and forecasting emergent outbreaksR01MH121410 · NIMH · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI KEYES, KATHERINE M., SHAMAN, JEFFREY L · 2020 to 2024
$3.2M
NIMH NIH HHS R01 MH121410
6 · The paper itself

Abstract

Suicide, a major public health concern, takes around 800,000 lives globally every year and is the second leading cause of death among adolescents and young adults. Despite substantial prevention efforts, between 1999 and 2017, suicide and nonfatal self-injury rates have experienced unprecedented increases across the United States - as well as in many other countries in the world. This chapter reviews the existing evidence on the causes behind increased suicide rates and critically evaluates the impact of a range of innovative approaches to suicide prevention. First, we briefly describe current trends in suicide and suicidal behaviors and relate them to recent time trends in relevant suicide risk markers. Then, we review the existing evidence in suicide prevention at the individual and the population levels, including new approaches that are currently under development. Finally, we advocate for a new generation of suicide research that examines causal factors beyond the proximal and clinical and fosters a socially conscious reimagining of suicidal prevention. To this end, we emphasize the need for the conceptualization of suicide and suicidal behaviors as complex phenomena with causes at several levels of organization. Future interdisciplinary research and interventions should be developed within a multilevel causal framework that can better capture the social, economic, and political settings where suicide, as a process, unfolds across the life course.

Indexed as

Self-Injurious BehaviorSuicide PreventionAdolescentHumansUnited StatesYoung AdultMultilevel epidemiologyPreventionSelf-harmSuicide

Identifiers

PMID32860592
PMCPMC8699163
OpenAlexW3082682808

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.