Suicide Epidemiology The nature of suicide and the role of means restriction Mark Sinyor, MD, FRCPC Associate Professor Psychiatrist A bit about me • psychiatrist at Sunnybrook Health Sciences Centre in Toronto specializing in adults with complex mood and anxiety disorders • suicide prevention researcher at the University of Toronto – focuses: – lethal means restriction – safe public messaging • c. [...] Changes in suicide in England and Wales, 1960-1997. [...] A Firearm in the Home Homicide (n=1,720) - compared with adults in homes with no guns • adjusted odds ratio (OR) was 1.41 (95%CI 1.20-1.65) • particularly high among women (adjusted OR 2.72; 95%CI 1.89-3.90) • and among nonwhite subjects (adjusted OR 1.74; 95%CI 1.37 to 2.21) Suicide (n=1,959) - compared with adults in homes with no guns • adjusted OR for suicide was 3.44 (95%CI 3.06-3.86) • a ris. [...] Summary • access to an instrument of death in the home is a major risk factor for suicide • restricting access to firearms decreases suicide at a population level • having a firearm in the home is a major “net-harm” (i.e. [...] provides no overall safety advantage – indeed quite the opposite) • cultural factors are relevant and we need to avoid creating a culture where suicide by firearms is “normalized” The nature of suicide and the role of means restriction A bit about me How does suicide happen? Means Restriction: Coke Gas, Catalytic Converters and Suicide in England and Wales Slide Number 5 Slide Number 6 Slide Numbe.
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