Download - A Public Health Approach Lynn Mangini, MD Child & Adolescent Psychiatry HH/IOL & CCMC May 20, 2010
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A Public Health Approach
Lynn Mangini, MDChild & Adolescent Psychiatry
HH/IOL & CCMC May 20, 2010
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ADOLESCENTS 15 TO 19 SUICIDE IS THE THIRD LEADING CAUSE OF DEATH
CHILDREN 10 TO 14 SUICIDE IS THE FOURTH LEADING CAUSE OF DEATH
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During the 2003-2004 year, six NYU students completed suicide.
Two of the students died within a two-month period after jumping off balconies in Bobst Library.
The Bobst Library , the main library on campus, is 12 stories high.
In response, NYU permanently installed Lexan barriers made of transparent plastic around the balconies in Bobst library. (Willner 2010)
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The school also blocked access to certain balconies within the residence halls and installed locks on all the windows, which prevent students from opening the windows more than a few inches.
This was in response to the completed suicide of a freshman at NYU who jumped off the roof of his 15-story dormitory in 2007.
It was noted that some NYU students have reacted negatively to these measures.
(Willner 2010)
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According to Dr. Lanny Berman, Executive Director of the American Association for Suicidology:
Studies from around the world have shown that building barriers to “jump sites” are effective in preventing suicides.
(Willner 2010)
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Design: prospective follow-up study Goal: educate parents of youth at high risk for
suicide about limiting access to lethal means for suicide.
Setting: emergency departments Lethal means: included firearms, medications
(over the counter and prescribed), and alcohol.
Results: family members of at-risk youth who received means restriction counseling were more likely than those not exposed to remove or lock up firearms and medications. (Kruesi 2005)
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Centers for Disease Control and Prevention (CDC). Suicide: Facts At a Glance Summer 2009 [Online]. (2009). National Center for Injury Prevention and Control, CDC (producer). Available from URL: www.cdc.gov/violenceprevention/index.html
Heron, M. (2010) Deaths: Leading causes for 2006. National vital statistics reports; vol 58, no 14. Hyattsville, MD: National Center for Health Statistics. Table 1. Deaths, percentage of total deaths, and death rates for the 10 leading causes of death in selected age groups, by race and sex: United States, 2006.www.cdc.gov/nchs/data/nvsr/nvsr58/nvsr58_14.pdf
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Kruesi, M (03/17/2005). Emergency Department Means Restriction Education. Registry of Evidence-Based Suicide Prevention Programs. www.sprc.org/featured_resources/bpr/ebpp_PDF/emer_dept.pdf
Mulkern, V, Raab B, Potter, D (2007) A Rising Tide: Use of Emergency Departments for Mental Heath Care for Connecticut’s Children: Report One: Children Enrolled in Husky A. Child Health and Development Institute. CT: Farmington.
Mulkern, V, Isvan N, Potter, D & Huntington N (2007) A Rising Tide: Use of Emergency Departments for Mental Heath Care for Connecticut’s Children: Report Two: statewide Utilization 2001-05. Child Health and Development Institute. CT: Farmington.
Shain, B & The Committee on Adolescence (2007) Suicide and Suicide Attempts in Adolescents. Pediatrics. 120 (3):669-676.
Willner, S (May 4, 2010 – 12:00am). Suicide Prevention at Peer Schools May Guide Cornell. The Cornell Daily Sun. www.cornellsun.com