American Suicide

"In Guns and Suicide, Michael Anestis reframes our perspective on gun violence by shifting the focus to suicide. Guns play a uniquely profound role in American suicide, and Anestis explains how they have this effect--not by making otherwise non-suicidal people want to die, but by facilitating suicide attempts among suicidal individuals"--

Every year, about 30,000 people die by suicide in the U.S., and some 650,000 receive emergency treatment after a suicide attempt. Often, those most at risk are the least able to access professional help. Reducing Suicide provides a blueprint for addressing this tragic and costly problem: how we can build an appropriate infrastructure, conduct needed research, and improve our ability to recognize suicide risk and effectively intervene. Rich in data, the book also strikes an intensely personal chord, featuring compelling quotes about people's experience with suicide. The book explores the factors that raise a person's risk of suicide: psychological and biological factors including substance abuse, the link between childhood trauma and later suicide, and the impact of family life, economic status, religion, and other social and cultural conditions. The authors review the effectiveness of existing interventions, including mental health practitioners' ability to assess suicide risk among patients. They present lessons learned from the Air Force suicide prevention program and other prevention initiatives. And they identify barriers to effective research and treatment. This new volume will be of special interest to policy makers, administrators, researchers, practitioners, and journalists working in the field of mental health.

The past 25 years have seen a major paradigm shift in the field of violence prevention, from the assumption that violence is inevitable to the recognition that violence is preventable. Part of this shift has occurred in thinking about why violence occurs, and where intervention points might lie. In exploring the occurrence of violence, researchers have recognized the tendency for violent acts to cluster, to spread from place to place, and to mutate from one type to another. Furthermore, violent acts are often preceded or followed by other violent acts. In the field of public health, such a process has also been seen in the infectious disease model, in which an agent or vector initiates a specific biological pathway leading to symptoms of disease and infectivity. The agent transmits from individual to individual, and levels of the disease in the population above the baseline constitute an epidemic. Although violence does not have a readily observable biological agent as an initiator, it can follow similar epidemiological pathways. On April 30-May 1, 2012, the Institute of Medicine (IOM) Forum on Global Violence Prevention convened a workshop to explore the contagious nature of violence. Part of the Forum's mandate is to engage in multisectoral, multidirectional dialogue that explores crosscutting, evidence-based approaches to violence prevention, and the Forum has convened four workshops to this point exploring various elements of violence prevention. The workshops are designed to examine such approaches from multiple perspectives and at multiple levels of society. In particular, the workshop on the contagion of violence focused on exploring the epidemiology of the contagion, describing possible processes and mechanisms by which violence is transmitted, examining how contextual factors mitigate or exacerbate the issue. Contagion of Violence: Workshop Summary covers the major topics that arose during the 2-day workshop. It is organized by important elements of the infectious disease model so as to present the contagion of violence in a larger context and in a more compelling and comprehensive way.

America is disintegrating. The "one Nation under God, indivisible" of the Pledge of Allegiance is passing away. In a few decades, that America will be gone forever. In its place will arise a country unrecognizable to our parents. This is the thrust of Pat Buchanan's Suicide of a Superpower, his most controversial and thought-provoking book to date. Buchanan traces the disintegration to three historic changes: America's loss of her cradle faith, Christianity; the moral, social, and cultural collapse that have followed from that loss; and the slow death of the people who created and ruled the nation. And as our nation disintegrates, our government is failing in its fundamental duties, unable to defend our borders, balance our budgets, or win our wars. How Americans are killing the country they profess to love, and the fate that awaits us if we do not turn around, is what Suicide of a Superpower is all about.

A Logos Book of the Year "If destruction be our lot, we must ourselves be its author and finisher. As a nation of freemen, we must live through all time, or die by suicide." Abraham Lincoln Nothing is more daring in the American experiment than the founders' belief that the American republic could remain free forever. But how was this to be done, and are Americans doing it today? It is not enough for freedom to be won. It must also be sustained. Cultural observer Os Guinness argues that the American experiment in freedom is at risk. Summoning historical evidence on how democracies evolve, Guinness shows that contemporary views of freedom--most typically, a negative freedom from constraint-- are unsustainable because they undermine the conditions necessary for freedom to thrive. He calls us to reconsider the audacity of sustainable freedom and what it would take to restore it. "In the end," Guinness writes, "the ultimate threat to the American republic will be Americans. The problem is not wolves at the door but termites in the floor." The future of the republic depends on whether Americans will rise to the challenge of living up to America's unfulfilled potential for freedom, both for itself and for the world.

From the New York Times bestselling author of The Government Racket, A Call for Revolution and The Tax Racket comes a scathing indictment of the dysfunctional federal government and its reckless disregard for the future of our country. The government of the United States is a juggernaut of mismanagement, malfeasance and incompetence. Despite the strong foundation laid down by the founding fathers, it is headed to extinction. From the Alternative Minimum Tax to Zip Codes, New York Times bestselling author Martin L. Gross outlines the programs that have exploded financially, the laws that had completely unintended consequences, and the scams perpetrated by legislators intent upon remaining in office no matter what the cost to the nation—and its citizens.

The aim of the American Psychiatric Association Practice Guideline series is to improve patient care. Guidelines provide a comprehensive synthesis of all available information relevant to the clinical topic. Practice guidelines can be vehicles for educating psychiatrists, other medical and mental health professionals, and the general public about appropriate and inappropriate treatments. The series also will identify those areas in which critical information is lacking and in which research could be expected to improve clinical decisions. The Practice Guidelines are also designed to help those charged with overseeing the utilization and reimbursement of psychiatric services to develop more scientifically based and clinically sensitive criteria.

This new edition of Textbook of Suicide Assessment and Management follows the natural sequence of events in evaluating and treating patients: assessment, major mental disorders, treatment, treatment settings, special populations, special topics, prevention, and the aftermath of suicide.