General principles of prevention

Broadly there are two approaches to suicide prevention.(23) As described by Rose(24) in the context of prevention of health problems in general, one can distinguish between population preventive strategies, which aim to decrease risk in the population as a whole, and high-risk preventive strategies, in which specific groups that are at increased risk are targeted. High-risk strategies often appear more attractive and realistic (e.g. identification of psychiatric patients at high risk). However, risk factors for many disorders are widely spread in the population and so the high-risk strategy tends to exclude a large number of people at moderate risk and is often ineffective in reducing the burden of a disease at the population level. On the other hand, population strategies may appear more difficult to achieve (e.g. generally improving the mental health of the population) but are more likely to be effective in reducing population levels of disease (see also Chapter,Z:.,4). The main population and high-risk strategies in the prevention of suicide and attempted suicide which are considered here are shown in Ta.bIe.J6..

PofHJULKHt hirX-Eirf h

Hcri-j-:□ AjUijroJ nx j-\ uih fir»"! ^ pnn»t ("I


-K-J-r^ if v.*-. l*(l it!K,-LV+ MfWi M^k riiL blrjicf+i ftL-rti —Iti 6rtt4n 1

H^-pUr EKEifnlfcraJf-D-^b fancm-i.

Table 6 Strategies for prevention of suicide and attempted suicide

Funny Wiring Autism

Funny Wiring Autism

Autism is a developmental disorder that manifests itself in early childhood and affects the functioning of the brain, primarily in the areas of social interaction and communication. Children with autism look like other children but do not play or behave like other children. They must struggle daily to cope and connect with the world around them.

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