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Annual Review of Public Health

Volume 46, 2025

Evidence for Public Policies to Prevent Suicide Death in the United States

Abstract

Suicide rates have increased in the United States in recent years. Public policies have great potential to prevent suicide death, and well-designed quasi-experimental studies have identified policies that are effective at reducing suicide rates; however, evidence about these policies has not been synthesized. This review summarizes evidence across three domains of public policies: () policies that affect structural determinants of suicide risk (e.g., policies that improve economic security), () policies that promote access to clinical services (e.g., Medicaid expansion), and () policies that limit access to lethal means for completing suicide (e.g., policies that restrict access to firearms). The historical context of suicide prevention in US public policy is provided, considerations for successful suicide prevention policy implementation are discussed—such as policy awareness among key groups, enforcement, and sufficient funding—and priority areas for future research are enumerated.

Keyword(s): policy, policy implementation, suicide, suicide prevention, United States
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/content/journals/10.1146/annurev-publhealth-071723-121359
2025-04-04
2025-04-30
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Literature Cited

  1. 1.
    Anderson DM, Rees DI, Sabia JJ. 2014.. Medical marijuana laws and suicides by gender and age. . Am. J. Public Health 104::2369–76
     [Google Scholar]
  2. 2.
    Andrés AR, Hempstead KJ. 2011.. Gun control and suicide: the impact of state firearm regulations in the United States, 1995–2004. . Health Policy 101::95–103
     [Google Scholar]
  3. 3.
    Anglemyer A, Horvath T, Rutherford G. 2014.. The accessibility of firearms and risk for suicide and homicide victimization among household members: a systematic review and meta-analysis. . Ann. Intern. Med. 160::101–10
     [Google Scholar]
  4. 4.
    Austin AE, Frank M, Shanahan ME, Reyes HLM, Corbie G, Naumann RB. 2023.. Association of state Supplemental Nutrition Assistance Program eligibility policies with adult mental health and suicidality. . JAMA Netw. Open 6::e238415
     [Google Scholar]
  5. 5.
    Austin AE, Naumann RB, Short NA. 2021.. Association between Medicaid expansion and suicide mortality among nonelderly US adults. . Am. J. Epidemiol. 190::1760–69
     [Google Scholar]
  6. 6.
    Baldessarini RJ. 2020.. Epidemiology of suicide: recent developments. . Epidemiol. Psychiatr. Sci. 29::e71
     [Google Scholar]
  7. 7.
    Bandara P, Pirkis J, Clapperton A, Shin S, San Too L, et al. 2022.. Cost-effectiveness of installing barriers at bridge and cliff sites for suicide prevention in Australia. . JAMA Netw. Open 5::e226019
     [Google Scholar]
  8. 8.
    Barnes JM, Graboyes EM, Adjei Boakye E, Kent EE, Scherrer JF, et al. 2023.. The Affordable Care Act and suicide incidence among adults with cancer. . J. Cancer Surviv. 17::449–59
     [Google Scholar]
  9. 9.
    Basch CH, Donelle L, Fera J, Jaime CJ. 2022.. Deconstructing TikTok videos on mental health: cross-sectional, descriptive content analysis. . JMIR Form. Res. 6::e38340
     [Google Scholar]
  10. 10.
    Bell R. 2012.. We Shall Be No More: Suicide and Self-Government in the Newly United States. Cambridge, MA:: Harvard Univ. Press
     [Google Scholar]
  11. 11.
    Birckmayer J, Hemenway D. 1999.. Minimum-age drinking laws and youth suicide, 1970–1990. . Am. J. Public Health 89::1365–68
     [Google Scholar]
  12. 12.
    Borgschulte M, Vogler J. 2020.. Did the ACA Medicaid expansion save lives?. J. Health Econ. 72::102333
     [Google Scholar]
  13. 13.
    Bullock HL, Lavis JN, Wilson MG, Mulvale G, Miatello A. 2021.. Understanding the implementation of evidence-informed policies and practices from a policy perspective: a critical interpretive synthesis. . Implement. Sci. 16::18
     [Google Scholar]
  14. 14.
    Burris S, Pacula RL, Wagenaar AC. 2024.. Conceptual confusion leads policy evaluation astray. . Proc. JAMA Health Forum 5::e241180
     [Google Scholar]
  15. 15.
    Burstein P. 2020.. The determinants of public policy: What matters and how much. . Policy Stud. J. 48::87–110
     [Google Scholar]
  16. 16.
    Burvill PW. 1990.. The changing pattern of suicide by gassing in Australia, 1910–1987: the role of natural gas and motor vehicles. . Acta Psychiatr. Scand. 81::178–84
     [Crossref] [Google Scholar]
  17. 17.
    Cai Z, Junus A, Chang Q, Yip PSF. 2022.. The lethality of suicide methods: a systematic review and meta-analysis. . J. Affect. Disord. 300:121–29
     [Google Scholar]
  18. 18.
    Carlyle KE, Guidry JPD, Williams K, Tabaac A, Perrin PB. 2018.. Suicide conversations on Instagram™: contagion or caring?. J. Commun. Healthc. 11::12–18
     [Crossref] [Google Scholar]
  19. 19.
    Carpenter C. 2004.. Heavy alcohol use and youth suicide: evidence from tougher drunk driving laws. . J. Policy Anal. Manag. 23::831–42
     [Crossref] [Google Scholar]
  20. 20.
    Carpenter CS, Dobkin C. 2009.. The effect of alcohol consumption on mortality: Regression discontinuity evidence from the minimum drinking age. . Am. Econ. J. Appl. Econ. 1::164–82
     [Crossref] [Google Scholar]
  21. 21.
    CDC (Cent. Dis. Control Prev.). 2023.. Suicide mortality by state. . National Center for Health Statistics. https://www.cdc.gov/nchs/pressroom/sosmap/suicide-mortality/suicide.htm
    [Google Scholar]
  22. 22.
    CDC (Cent. Dis. Control Prev.). 2024.. Suicide data and statistics. . Suicide Prevention. https://www.cdc.gov/suicide/facts/data.html#:∼:text=More%20than%2048%2C000%20people%20died,adults%20seriously%20thought%20about%20suicide
    [Google Scholar]
  23. 23.
    CDC (Cent. Dis. Control Prev.). 2024.. WISQARS: Web-based Injury Statistics Query and Reporting System. . CDC. https://wisqars.cdc.gov/
    [Google Scholar]
  24. 24.
    Christensen H, Cuijpers P, Reynolds CF 3rd. 2016.. Changing the direction of suicide prevention research: a necessity for true population impact. . JAMA Psychiatry 73::435–36
     [Crossref] [Google Scholar]
  25. 25.
    Cintron DW, Adler NE, Gottlieb LM, Hagan E, Tan ML, et al. 2022.. Heterogeneous treatment effects in social policy studies: an assessment of contemporary articles in the health and social sciences. . Ann. Epidemiol. 70::79–88
     [Crossref] [Google Scholar]
  26. 26.
    Clark KA, Blosnich JR. 2024.. Limitations of sexual orientation and gender identity information as reported in the National Violent Death Reporting System. . LGBT Health 11::173–77
     [Crossref] [Google Scholar]
  27. 27.
    Conner A, Azrael D, Miller M. 2019.. Suicide case-fatality rates in the United States, 2007 to 2014: a nationwide population-based study. . Ann. Intern. Med. 171::885–95
     [Crossref] [Google Scholar]
  28. 28.
    Cox GR, Owens C, Robinson J, Nicholas A, Lockley A, et al. 2013.. Interventions to reduce suicides at suicide hotspots: a systematic review. . BMC Public Health 13::214
     [Crossref] [Google Scholar]
  29. 29.
    Crable EL, Lengnick-Hall R, Stadnick NA, Moullin JC, Aarons GA. 2022.. Where is “policy” in dissemination and implementation science? Recommendations to advance theories, models, and frameworks: EPIS as a case example. . Implement. Sci. 17::80
     [Crossref] [Google Scholar]
  30. 30.
    Cunningham GB, Watanabe NM, Buzuvis E. 2022.. Anti-transgender rights legislation and internet searches pertaining to depression and suicide. . PLOS ONE 17::e0279420
     [Crossref] [Google Scholar]
  31. 31.
    Curtin SC, Garnett MF, Ahmad FB. 2023.. Provisional estimates of suicide by demographic characteristics: United States, 2022. Vital Stat. Surveill. Rep. 34 , Natl. Cent. Health Stat. https://stacks.cdc.gov/view/cdc/135466
    [Google Scholar]
  32. 32.
    Cylus J, Glymour MM, Avendano M. 2014.. Do generous unemployment benefit programs reduce suicide rates? A state fixed-effect analysis covering 1968–2008. . Am. J. Epidemiol. 180::45–52
     [Crossref] [Google Scholar]
  33. 33.
    Dagar A, Falcone T. 2019.. High viewership of videos about teenage suicide on YouTube. . J. Am. Acad. Child Adolesc. Psychiatry 59::1–3.e1
     [Crossref] [Google Scholar]
  34. 34.
    Daigle MS. 2005.. Suicide prevention through means restriction: assessing the risk of substitution: a critical review and synthesis. . Accid. Anal. Prev. 37::625–32
     [Crossref] [Google Scholar]
  35. 35.
    Decker MR, Wilcox HC, Holliday CN, Webster DW. 2018.. An integrated public health approach to interpersonal violence and suicide prevention and response. . Public Health Rep. 133::65S–79S
     [Crossref] [Google Scholar]
  36. 36.
    Doucette ML, Borrup KT, Lapidus G, Whitehill JM, McCourt AD, Crifasi CK. 2021.. Effect of Washington State and Colorado's cannabis legalization on death by suicides. . Prev. Med. 148::106548
     [Crossref] [Google Scholar]
  37. 37.
    Dow WH, Godøy A, Lowenstein CA, Reich M. 2019.. Can economic policies reduce deaths of despair? Work. Pap. 25787 , Natl. Bur. Econ. Res., Cambridge, MA:. https://www.nber.org/system/files/working_papers/w25787/w25787.pdf
    [Google Scholar]
  38. 38.
    Edwards G, Nesson E, Robinson JJ, Vars F. 2018.. Looking down the barrel of a loaded gun: the effect of mandatory handgun purchase delays on homicide and suicide. . Econ. J. 128::3117–40
     [Crossref] [Google Scholar]
  39. 39.
    Empl. Benefits Secur. Adm. 2023.. MHPAEA comparative analysis report to Congress, July 2023. Rep. , US Dep. Labor, Washington, DC:. https://www.dol.gov/agencies/ebsa/laws-and-regulations/laws/mental-health-parity/report-to-congress-2023-mhpaea-comparative-analysis#conclusion
    [Google Scholar]
  40. 40.
    Feder KA, Mojtabai R, Stuart EA, Musci R, Letourneau EJ. 2020.. Florida's opioid crackdown and mortality from drug overdose, motor vehicle crashes, and suicide: a Bayesian interrupted time-series analysis. . Am. J. Epidemiol. 189::885–93
     [Crossref] [Google Scholar]
  41. 41.
    Fernandez J, Lang M. 2015.. Suicide and organ donors: spillover effects of mental health insurance mandates. . Health Econ. 24::491–97
     [Crossref] [Google Scholar]
  42. 42.
    Franklin JC, Ribeiro JD, Fox KR, Bentley KH, Kleiman EM, et al. 2017.. Risk factors for suicidal thoughts and behaviors: a meta-analysis of 50 years of research. . Psychol. Bull. 143::187–232
     [Crossref] [Google Scholar]
  43. 43.
    Garraza LG, Walrath C, Goldston DB, Reid H, McKeon R. 2015.. Effect of the Garrett Lee Smith Memorial Suicide Prevention Program on suicide attempts among youths. . JAMA Psychiatry 72::1143–49
     [Crossref] [Google Scholar]
  44. 44.
    Gertner AK, Rotter JS, Shafer PR. 2019.. Association between state minimum wages and suicide rates in the U.S. . Am. J. Prev. Med. 56:(5):648–54
     [Crossref] [Google Scholar]
  45. 45.
    Giesbrecht N, Farkouh EK, Pavalaghanthan H, Orpana H. 2024.. Prevention of alcohol-related suicide: a rapid review. . Drugs Educ. Prev. Policy 31::1–26
     [Crossref] [Google Scholar]
  46. 46.
    Goldston DB, Walrath C. 2023.. The Garrett Lee Smith Memorial Act: a description and review of the suicide prevention initiative. . Annu. Rev. Clin. Psychol. 19::261–75
     [Crossref] [Google Scholar]
  47. 47.
    Gostin LO. 2000.. Public Health Law: Power, Duty, Restraint. Oakland:: Univ. Calif. Press
     [Google Scholar]
  48. 48.
    Grucza RA, Hipp PR, Norberg KE, Rundell L, Evanoff A, et al. 2012.. The legacy of minimum legal drinking age law changes: long-term effects on suicide and homicide deaths among women. . Alcohol. Clin. Exp. Res. 36::377–84
     [Crossref] [Google Scholar]
  49. 49.
    Grucza RA, Hur M, Agrawal A, Krauss MJ, Plunk AD, et al. 2015.. A reexamination of medical marijuana policies in relation to suicide risk. . Drug Alcohol. Depend. 152::68–72
     [Crossref] [Google Scholar]
  50. 50.
    Grucza RA, Plunk AD, Krauss MJ, Cavazos-Rehg PA, Deak J, et al. 2014.. Probing the smoking–suicide association: Do smoking policy interventions affect suicide risk?. Nicotine Tob. Res. 16::1487–94
     [Crossref] [Google Scholar]
  51. 51.
    Gunnell D, Knipe D, Chang S-S, Pearson M, Konradsen F, et al. 2017.. Prevention of suicide with regulations aimed at restricting access to highly hazardous pesticides: a systematic review of the international evidence. . Lancet Glob. Health 5::e1026–37
     [Crossref] [Google Scholar]
  52. 52.
    Hatzenbuehler ML. 2014.. Structural stigma and the health of lesbian, gay, and bisexual populations. . Curr. Dir. Psychol. Sci. 23::127–32
     [Crossref] [Google Scholar]
  53. 53.
    Hofstra E, van Nieuwenhuizen C, Bakker M, Özgül D, Elfeddali I, et al. 2020.. Effectiveness of suicide prevention interventions: a systematic review and meta-analysis. . Gen. Hosp. Psychiatry 63::127–40
     [Crossref] [Google Scholar]
  54. 54.
    Horne J, Wiggins S. 2009.. Doing being ‘on the edge’: managing the dilemma of being authentically suicidal in an online forum. . Sociol. Health Illn. 31::170–84
     [Crossref] [Google Scholar]
  55. 55.
    Hu X, Ma J, Jemal A, Zhao J, Nogueira L, et al. 2023.. Suicide risk among individuals diagnosed with cancer in the US, 2000–2016. . JAMA Netw. Open 6::e2251863
     [Crossref] [Google Scholar]
  56. 56.
    Jin T, Seo J, Ye S, Lee S, Park EY, et al. 2024.. Suicide mortality following the implementation of tobacco packaging and pricing policies in Korea: an interrupted time-series analysis. . BMC Med. 22::180
     [Crossref] [Google Scholar]
  57. 57.
    Jones NE, Pieper CF, Robertson LS. 1992.. The effect of legal drinking age on fatal injuries of adolescents and young adults. . Am. J. Public Health 82::112–15
     [Crossref] [Google Scholar]
  58. 58.
    Kappelman J, Fording RC. 2021.. The effect of state gun laws on youth suicide by firearm: 1981–2017. . Suicide Life Threat. Behav. 51::368–77
     [Crossref] [Google Scholar]
  59. 59.
    Kaufman JA, Salas-Hernández LK, Komro KA, Livingston MD. 2020.. Effects of increased minimum wages by unemployment rate on suicide in the USA. . J. Epidemiol. Community Health 74::219–24
     [Crossref] [Google Scholar]
  60. 60.
    Kellermann AL, Rivara FP, Somes G, Reay DT, Francisco J, et al. 1992.. Suicide in the home in relation to gun ownership. . New Engl. J. Med. 327::467–72
     [Crossref] [Google Scholar]
  61. 61.
    Kessler RC, Bossarte RM, Luedtke A, Zaslavsky AM, Zubizarreta JR. 2020.. Suicide prediction models: a critical review of recent research with recommendations for the way forward. . Mol. Psychiatry 25::168–79
     [Crossref] [Google Scholar]
  62. 62.
    Kivisto AJ, Kivisto KL, Gurnell E, Phalen P, Ray B. 2021.. Adolescent suicide, household firearm ownership, and the effects of child access prevention laws. . J. Am. Acad. Child Adolesc. Psychiatry 60::1096–104
     [Crossref] [Google Scholar]
  63. 63.
    Klonsky ED, May AM, Saffer BY. 2016.. Suicide, suicide attempts, and suicidal ideation. . Annu. Rev. Clin. Psychol. 12::307–30
     [Crossref] [Google Scholar]
  64. 64.
    Kõlves K, Chitty KM, Wardhani R, Värnik A, de Leo D, Witt K. 2020.. Impact of alcohol policies on suicidal behavior: a systematic literature review. . Int. J. Environ. Res. Public Health 17::7030
     [Crossref] [Google Scholar]
  65. 65.
    Lang M. 2013.. The impact of mental health insurance laws on state suicide rates. . Health Econ. 22::73–88
     [Crossref] [Google Scholar]
  66. 66.
    Lange S, Koyanagi A, Rehm J, Roerecke M, Carvalho AF. 2020.. Association of tobacco use and exposure to secondhand smoke with suicide attempts among adolescents: findings from 33 countries. . Nicotine Tob. Res. 22::1322–29
     [Crossref] [Google Scholar]
  67. 67.
    Lee PH, Tervo-Clemmens B, Liu RT, Gersten MB, Jung J-Y, et al. 2024.. Use of tobacco products and suicide attempts among elementary school-aged children. . JAMA Netw. Open 7::e240376
     [Crossref] [Google Scholar]
  68. 68.
    Lim JS, Buckley NA, Chitty KM, Moles RJ, Cairns R. 2021.. Association between means restriction of poison and method-specific suicide rates: a systematic review. . JAMA Health Forum 2::e213042
     [Crossref] [Google Scholar]
  69. 69.
    Lipsky M. 2010.. Street-Level Bureaucracy: Dilemmas of the Individual in Public Services. New York:: Russell Sage Found.
     [Google Scholar]
  70. 70.
    Luca M, Malhotra D, Poliquin C. 2017.. Handgun waiting periods reduce gun deaths. . PNAS 114::12162–65
     [Crossref] [Google Scholar]
  71. 71.
    Maclean JC, Cook BL, Carson N, Pesko MF. 2017.. Public insurance and psychotropic prescription medications for mental illness. Work. Pap. 23760 , Natl. Bur. Econ. Res., Cambridge, MA:. https://www.nber.org/system/files/working_papers/w23760/w23760.pdf
    [Google Scholar]
  72. 72.
    Mann JJ, Michel CA. 2016.. Prevention of firearm suicide in the United States: what works and what is possible. . Am. J. Psychiatry 173::969–79
     [Crossref] [Google Scholar]
  73. 73.
    Mann JJ, Michel CA, Auerbach RP. 2021.. Improving suicide prevention through evidence-based strategies: a systematic review. . Am. J. Psychiatry 178::611–24
     [Crossref] [Google Scholar]
  74. 74.
    Marchant A, Hawton K, Stewart A, Montgomery P, Singaravelu V, et al. 2017.. A systematic review of the relationship between Internet use, self-harm and suicidal behaviour in young people: the good, the bad and the unknown. . PLOS ONE 12::e0181722
     [Crossref] [Google Scholar]
  75. 75.
    Markowitz S, Chatterji P, Kaestner R. 2003.. Estimating the impact of alcohol policies on youth suicides. . J. Ment. Health Policy Econ. 6::37–46
     [Google Scholar]
  76. 76.
    Martinez-Ales G, Hernandez-Calle D, Khauli N, Keyes KM. 2020.. Why are suicide rates increasing in the United States? Towards a multilevel reimagination of suicide prevention. . Curr. Top Behav. Neurosci. 46::1–23
     [Crossref] [Google Scholar]
  77. 77.
    Martínez-Alés G, Jiang T, Keyes KM, Gradus JL. 2022.. The recent rise of suicide mortality in the United States. . Annu. Rev. Public Health 43::99–116
     [Crossref] [Google Scholar]
  78. 78.
    Matthay EC, Kiang MV, Elser H, Schmidt L, Humphreys K. 2021.. Evaluation of state cannabis laws and rates of self-harm and assault. . JAMA Netw. Open 4::e211955
     [Crossref] [Google Scholar]
  79. 79.
    McGinty EE, Seewald NJ, Bandara S, Cerdá M, Daumit GL, et al. 2024.. Scaling interventions to manage chronic disease: innovative methods at the intersection of health policy research and implementation science. . Prev. Sci. 25::96–108
     [Crossref] [Google Scholar]
  80. 80.
    Melhem N, Moutier CY, Brent DA. 2023.. Implementing evidence-based suicide prevention strategies for greatest impact. . Focus 21::117–28
     [Crossref] [Google Scholar]
  81. 81.
    Miller M, Azrael D, Barber C. 2012.. Suicide mortality in the United States: the importance of attending to method in understanding population-level disparities in the burden of suicide. . Annu. Rev. Public Health 33::393–408
     [Crossref] [Google Scholar]
  82. 82.
    Miller M, Hemenway D. 2008.. Guns and suicide in the United States. . N. Engl. J. Med. 359::989–91
     [Crossref] [Google Scholar]
  83. 83.
    Miller M, Zhang Y, Prince L, Swanson SA, Wintemute GJ, et al. 2022.. Suicide deaths among women in California living with handgun owners vs those living with other adults in handgun-free homes, 2004–2016. . JAMA Psychiatry 79::582–88
     [Crossref] [Google Scholar]
  84. 84.
    Miranda-Mendizabal A, Castellví P, Parés-Badell O, Alayo I, Almenara J, et al. 2019.. Gender differences in suicidal behavior in adolescents and young adults: systematic review and meta-analysis of longitudinal studies. . Int. J. Public Health 64::265–83
     [Crossref] [Google Scholar]
  85. 85.
    Nandi A, Jahagirdar D, Dimitris MC, Labrecque JA, Strumpf EC, et al. 2018.. The impact of parental and medical leave policies on socioeconomic and health outcomes in OECD countries: a systematic review of the empirical literature. . Milbank Q. 96::434–71
     [Crossref] [Google Scholar]
  86. 86.
    Niederkrotenthaler T, Tran US, Gould M, Sinyor M, Sumner S, et al. 2021.. Association of Logic's hip hop song “1–800–273–8255” with Lifeline calls and suicides in the United States: interrupted time series analysis. . BMJ 375::e067726
     [Crossref] [Google Scholar]
  87. 87.
    Niezen R. 2013.. Internet suicide: communities of affirmation and the lethality of communication. . Transcult. Psychiatry 50::303–22
     [Crossref] [Google Scholar]
  88. 88.
    Odgers CL, Jensen MR. 2020.. Annual research review: adolescent mental health in the digital age: facts, fears, and future directions. . J. Child Psychol. Psychiatry 61::336–48
     [Crossref] [Google Scholar]
  89. 89.
    Okolie C, Wood S, Hawton K, Kandalama U, Glendenning AC, et al. 2020.. Means restriction for the prevention of suicide by jumping. . Cochrane Database Syst. Rev. 2:(2):CD013543
     [Google Scholar]
  90. 90.
    Onie S, Li X, Liang M, Sowmya A, Larsen ME. 2021.. The use of closed-circuit television and video in suicide prevention: narrative review and future directions. . JMIR Ment. Health 8::e27663
     [Crossref] [Google Scholar]
  91. 91.
    Ortega A. 2023.. Medicaid Expansion and mental health treatment: evidence from the Affordable Care Act. . Health Econ. 32::755–806
     [Crossref] [Google Scholar]
  92. 92.
    Patel H, Barnes J, Osazuwa-Peters N, Bierut LJ. 2022.. Association of state Medicaid expansion status with rates of suicide among US adults. . JAMA Netw. Open 5::e2217228
     [Crossref] [Google Scholar]
  93. 93.
    Perron S, Burrows S, Fournier M, Perron P-A, Ouellet F. 2013.. Installation of a bridge barrier as a suicide prevention strategy in Montréal, Québec, Canada. . Am. J. Public Health 103::1235–39
     [Crossref] [Google Scholar]
  94. 94.
    Pirkis J, Rossetto A, Nicholas A, Ftanou M, Robinson J, Reavley N. 2019.. Suicide prevention media campaigns: a systematic literature review. . Health Commun. 34::402–14
     [Crossref] [Google Scholar]
  95. 95.
    Pirkis J, San Too L, Spittal MJ, Krysinska K, Robinson J, Cheung YTD. 2015.. Interventions to reduce suicides at suicide hotspots: a systematic review and meta-analysis. . Lancet Psychiatry 2::994–1001
     [Crossref] [Google Scholar]
  96. 96.
    Pirkis J, Spittal MJ, Cox G, Robinson J, Cheung YTD, Studdert D. 2013.. The effectiveness of structural interventions at suicide hotspots: a meta-analysis. . Int. J. Epidemiol. 42::541–48
     [Crossref] [Google Scholar]
  97. 97.
    Pitman A, Osborn D, King M, Erlangsen A. 2014.. Effects of suicide bereavement on mental health and suicide risk. . Lancet Psychiatry 1::86–94
     [Crossref] [Google Scholar]
  98. 98.
    Platt S, Niederkrotenthaler T. 2020.. Suicide prevention programs. . Crisis 41::S99–124
     [Crossref] [Google Scholar]
  99. 99.
    Prairie K, Kivisto AJ, Gray SL, Taylor N, Anderson AM. 2023.. The association between hate crime laws that enumerate sexual orientation and adolescent suicide attempts. . Psychol. Public Policy Law 29::196–209
     [Crossref] [Google Scholar]
  100. 100.
    Presskreischer R, Barry CL, Lawrence AK, McCourt A, Mojtabai R, McGinty EE. 2023.. Factors affecting state-level enforcement of the Federal Mental Health Parity and Addiction Equity Act: a cross-case analysis of four states. . J. Health Polit. Policy Law 48:1–34
     [Google Scholar]
  101. 101.
    Purtle J, Moucheraud C, Yang LH, Shelley D. 2023.. Four very basic ways to think about policy in implementation science. . Implement. Sci. Commun. 4::111
     [Crossref] [Google Scholar]
  102. 102.
    Purtle J, Nelson KL, Counts NZ, Yudell M. 2020.. Population-based approaches to mental health: history, strategies, and evidence. . Annu. Rev. Public Health 41::201–21
     [Crossref] [Google Scholar]
  103. 103.
    Purtle J, Nelson KL, Gebrekristos L, Lê-Scherban F, Gollust SE. 2022.. Partisan differences in the effects of economic evidence and local data on legislator engagement with dissemination materials about behavioral health: a dissemination trial. . Implement. Sci. 17::38
     [Crossref] [Google Scholar]
  104. 104.
    Purtle J, Nelson KL, Lê-Scherban F, Gollust SE. 2023.. Unintended consequences of disseminating behavioral health evidence to policymakers: results from a survey-based experiment. . Implement. Res. Pract. 4::26334895231172807
     [Crossref] [Google Scholar]
  105. 105.
    Purtle J, Ortego JC, Bandara S, Goldstein A, Pantalone J, Goldman ML. 2023.. Implementation of the 988 Suicide & Crisis Lifeline: estimating state-level increases in call demand costs and financing. . J. Ment. Health Policy Econ. 26::85–95
     [Google Scholar]
  106. 106.
    Purtle J, Soltero M, Crane ME, McSorley A-MM, Knapp M, Drapeau CW. 2023.. State legislator social media posts about the 988 suicide and crisis lifeline. . JAMA Netw. Open 6:e2339845
     [Google Scholar]
  107. 107.
    Raifman J, Charlton BM, Arrington-Sanders R, Chan PA, Rusley J, et al. 2020.. Sexual orientation and suicide attempt disparities among US adolescents. : 2009–2017. Pediatrics 145::e20191658
     [Crossref] [Google Scholar]
  108. 108.
    Raifman J, Larson E, Barry CL, Siegel M, Ulrich M, et al. 2020.. State handgun purchase age minimums in the US and adolescent suicide rates: regression discontinuity and difference-in-differences analyses. . BMJ 370::m2436
     [Crossref] [Google Scholar]
  109. 109.
    Rambotti S. 2020.. Is there a relationship between welfare-state policies and suicide rates? Evidence from the US states, 2000–2015. . Soc. Sci. Med. 246::112778
     [Crossref] [Google Scholar]
  110. 110.
    Ramchand R. 2018.. The relationship between firearm availability and suicide. Res. Rev. RAND Corp., Santa Monica, CA:. https://www.rand.org/research/gun-policy/analysis/essays/firearm-availability-suicide.html
    [Google Scholar]
  111. 111.
    Robinson J, Thorn P, McKay S, Hemming L, Battersby-Coulter R, et al. 2023.. #chatsafe 2.0. updated guidelines to support young people to communicate safely online about self-harm and suicide: a Delphi expert consensus study. . PLOS ONE 18::e0289494
     [Crossref] [Google Scholar]
  112. 112.
    Rosengart M, Cummings P, Nathens A, Heagerty P, Maier R, Rivara F. 2005.. An evaluation of state firearm regulations and homicide and suicide death rates. . Int. Prev. 11::77–83
     [Crossref] [Google Scholar]
  113. 113.
    Routley VH, Ozanne-Smith J. 1998.. The impact of catalytic converters on motor vehicle exhaust gas suicides. . Med. J. Aust. 168::65–67
     [Crossref] [Google Scholar]
  114. 114.
    Rylander M, Valdez C, Nussbaum AM. 2014.. Does the legalization of medical marijuana increase completed suicide?. Am. J. Drug Alcohol. Abuse 40::269–73
     [Crossref] [Google Scholar]
  115. 115.
    San Too L, Spittal MJ, Bugeja L, Milner A, Stevenson M, McClure R. 2015.. An investigation of neighborhood-level social, economic and physical factors for railway suicide in Victoria, Australia. . J. Affect. Disord. 183::142–48
     [Crossref] [Google Scholar]
  116. 116.
    Sanz-Gómez S, Vera-Varela C, Alacreu-Crespo A, Perea-González MI, Guija JA, Giner L. 2024.. Impulsivity in fatal suicide behaviour: a systematic review and meta-analysis of psychological autopsy studies. . Psychiatry Res. 337::115952
     [Crossref] [Google Scholar]
  117. 117.
    Saunders H. 2022.. Do states with easier access to guns have more suicide deaths by firearm?. KFF. https://www.kff.org/mental-health/issue-brief/do-states-with-easier-access-to-guns-have-more-suicide-deaths-by-firearm/
    [Google Scholar]
  118. 118.
    Scheim AI, Baker KE, Restar AJ, Sell RL. 2022.. Health and health care among transgender adults in the United States. . Annu. Rev. Public Health 43::503–23
     [Crossref] [Google Scholar]
  119. 119.
    Schell TL, Cefalu M, Griffin BA, Smart R, Morral AR. 2020.. Changes in firearm mortality following the implementation of state laws regulating firearm access and use. . PNAS 117::14906–10
     [Crossref] [Google Scholar]
  120. 120.
    Schuck A, Calati R, Barzilay S, Bloch-Elkouby S, Galynker I. 2019.. Suicide Crisis Syndrome: a review of supporting evidence for a new suicide-specific diagnosis. . Behav. Sci. Law 37::223–39
     [Crossref] [Google Scholar]
  121. 121.
    Scott JT, Collier KM, Pugel J, O'Neill P, Long EC, et al. 2023.. SciComm Optimizer for Policy Engagement: a randomized controlled trial of the SCOPE model on state legislators’ research use in public discourse. . Implement. Sci. 18::12
     [Crossref] [Google Scholar]
  122. 122.
    Sinyor M, Levitt AJ. 2010.. Effect of a barrier at Bloor Street Viaduct on suicide rates in Toronto: natural experiment. . BMJ 341::c2884
     [Crossref] [Google Scholar]
  123. 123.
    Smart R, Morral AR, Ramchand R, Charbonneau A, Williams J, et al. 2023.. The Science of Gun Policy: A Critical Synthesis of Research Evidence on the Effects of Gun Policies in the United States. Santa Monica, CA:: RAND Corp. , 3rd ed.. https://www.rand.org/pubs/research_reports/RRA243-4.html
    [Google Scholar]
  124. 124.
    Solomon KT, Dasgupta K. 2022.. State mental health insurance parity laws and college educational outcomes. . J. Health Econ. 86::102675
     [Crossref] [Google Scholar]
  125. 125.
    Son CH, Topyan K. 2011.. The effect of alcoholic beverage excise tax on alcohol-attributable injury mortalities. . Eur. J. Health Econ. 12::103–13
     [Crossref] [Google Scholar]
  126. 126.
    Stack S. 2021.. Contributing factors to suicide: political, social, cultural and economic. . Prev. Med. 152::106498
     [Crossref] [Google Scholar]
  127. 127.
    Stone DM, Holland KM, Bartholow BN, Crosby AE, Davis SP, Wilkins N. 2017.. Preventing suicide: a technical package of policies, programs, and practice. Rep. , CDC, Atlanta:, http://dx.doi.org/10.15620/cdc.44275
    [Google Scholar]
  128. 128.
    Stone DM, Mack KA, Qualters J. 2023.. Notes from the Field: recent changes in suicide rates, by race and ethnicity and age group—United States. , 2021.. MMWR 72::160–62
     [Google Scholar]
  129. 129.
    Studdert DM, Zhang Y, Swanson SA, Prince L, Rodden JA, et al. 2020.. Handgun ownership and suicide in California. . N. Engl. J. Med. 382::2220–29
     [Crossref] [Google Scholar]
  130. 130.
    Swanson SA, Miller M. 2024.. Toward a clearer understanding of what works to reduce gun violence: the role of falsification strategies. . Am. J. Epidemiol. 193::1061–65
     [Crossref] [Google Scholar]
  131. 131.
    Swanson SA, Studdert DM, Zhang Y, Prince L, Miller M. 2023.. Handgun divestment and risk of suicide. . Epidemiology 34::99–106
     [Crossref] [Google Scholar]
  132. 132.
    Vallee E. 2017.. “ A fatal sympathy:” suicide and the republic of abjection in the writings of Benjamin Rush and Charles Brockden Brown. . Early Am. Stud. 15::332–51
     [Crossref] [Google Scholar]
  133. 133.
    van der Feltz-Cornelis CM, Sarchiapone M, Postuvan V, Volker D, Roskar S, et al. 2011.. Best practice elements of multilevel suicide prevention strategies: a review of systematic reviews. . Crisis 32::319–33
     [Crossref] [Google Scholar]
  134. 134.
    Wagenaar AC, Tobler AL, Komro KA. 2010.. Effects of alcohol tax and price policies on morbidity and mortality: a systematic review. . Am. J. Public Health 100::2270–78
     [Crossref] [Google Scholar]
  135. 135.
    Wagenaar AC, Toomey TL. 2002.. Effects of minimum drinking age laws: review and analyses of the literature from 1960 to 2000. . J. Stud. Alcohol Suppl. 2002:(s14):206–25
     [Crossref] [Google Scholar]
  136. 136.
    Walrath C, Garraza LG, Reid H, Goldston DB, McKeon R. 2015.. Impact of the Garrett Lee Smith youth suicide prevention program on suicide mortality. . Am. J. Public Health 105::986–93
     [Crossref] [Google Scholar]
  137. 137.
    Webster DW, Vernick JS, Zeoli AM, Manganello JA. 2004.. Association between youth-focused firearm laws and youth suicides. . JAMA 292::594–601
     [Crossref] [Google Scholar]
  138. 138.
    Winett LB, Niederdeppe J, Xu Y, Gollust SE, Fowler EF. 2021.. When “tried and true” advocacy strategies backfire: narrative messages can undermine state legislator support for early childcare policies. . J. Public Interest Commun. 5::45–77
     [Crossref] [Google Scholar]
  139. 139.
    Witt K, Chitty KM, Wardhani R, Värnik A, De Leo D, et al. 2021.. Effect of alcohol interventions on suicidal ideation and behaviour: a systematic review and meta-analysis. . Drug Alcohol Depend. 226::108885
     [Crossref] [Google Scholar]
  140. 140.
    Wolf DA, Montez JK, Monnat SM. 2022.. US state preemption laws and working-age mortality. . Am. J. Prev. Med. 63::681–88
     [Crossref] [Google Scholar]
  141. 141.
    Wray M, Colen C, Pescosolido B. 2011.. The sociology of suicide. . Annu. Rev. Sociol. 37::505–28
     [Crossref] [Google Scholar]
  142. 142.
    Xuan Z, Naimi TS, Kaplan MS, Bagge CL, Few LR, et al. 2016.. Alcohol policies and suicide: a review of the literature. . Alcohol. Clin. Exp. Res. 40::2043–55
     [Crossref] [Google Scholar]
  143. 143.
    Zalsman G, Hawton K, Wasserman D, van Heeringen K, Arensman E, et al. 2016.. Suicide prevention strategies revisited: 10-year systematic review. . Lancet Psychiatry 3::646–59
     [Crossref] [Google Scholar]
  144. 144.
    Zandberg J, Waller R, Visoki E, Barzilay R. 2023.. Association between state-level access to reproductive care and suicide rates among women of reproductive age in the United States. . JAMA Psychiatry 80::127–34
     [Crossref] [Google Scholar]
  145. 145.
    Zhang Y, Holsinger EE, Prince L, Rodden JA, Swanson SA, et al. 2019.. Assembly of the LongSHOT cohort: public record linkage on a grand scale. . Inj. Prev. 26::153–58
     [Crossref] [Google Scholar]
  146. 146.
    Zhu L, Westers NJ, Horton SE, King JD, Diederich A, et al. 2016.. Frequency of exposure to and engagement in nonsuicidal self-injury among inpatient adolescents. . Arch. Suicide Res. 20::580–90
     [Crossref] [Google Scholar]
/content/journals/10.1146/annurev-publhealth-071723-121359
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Evidence for Public Policies to Prevent Suicide Death in the United States
Annual Review of Public Health 46, 349 (2025); https://doi.org/10.1146/annurev-publhealth-071723-121359
/content/journals/10.1146/annurev-publhealth-071723-121359
/content/journals/10.1146/annurev-publhealth-071723-121359
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