PSYREFLECT

Issue #70

September 3, 2026

#1Research

The suicide drop in Russia's Northwest landed on men the clinic rarely sees

More than 96% of registered suicides in both subjects belong to the three generations above 20, and people under 19 account for fewer than 4% of cases – 87 deaths in St Petersburg across seven years – so whatever happens in the youngest group cannot move the regional rate in either direction.

Russiasuicide mortalityepidemiologysex and age differences
3 minRead analysis
#2Research

Three components for every self-harm patient instead of three risk groups

Trials of cognitive behavioural therapy for self-harm recruited unselected patients, so the high-risk label is not what makes that treatment available.

suicide preventionself-harmrisk predictionmachine learning
4 minRead analysis
#3Tool

One item on a depression questionnaire decides who gets assessed today

Of 4,674,515 eligible visits in 2019, 73 percent carried a screening; of the 128,996 positive screens, 16,094 people reached the brief intervention step.

suicide preventionZero Suiciderisk screeningcare pathway
3 minRead analysis
#4Industry

Toronto restricted access at one site and the effect held for seventeen years

At the site itself the count is 48 deaths in the five years before the barrier and 2 in the seventeen and a half years after. Across Toronto, bridge-related suicide fell 49% in the quarter after completion (IRR 0.51, 95% CI 0.30 to 0.86) and did not rebound over the following seventeen years (IRR 0.99, 95% CI 0.96 to 1.03), with no measured shift to other methods (IRR 1.04, 95% CI 0.90 to 1.20).

means restrictionsuicide preventionstructural interventionnatural experiment
4 minRead analysis
#5Industry

Ninety-two percent of what the line can pick up

The line answers 532 calls a day, which the ministry reports as 92 percent of its daily answering ceiling of 580, while the calls arriving average 1,118 a day.

crisis serviceshealth policykoreasuicide prevention
3 minRead analysis
#6Resource

Forty seven statements, a yes or a no, and the date the service looks again

The unit of this toolkit is a row – a statement about the service, a yes or a no, the date it will be looked at again, and a line for what the service intends to do.

suicide preventionservice auditquality improvementNCISH
3 minRead analysis