An estimated 1,841 suicides in the United States between August and December 2014 were attributed to imitation after the August 11, 2014, death of entertainer Robin Williams most of the excess suicide deaths during that period resulted from suffocation, the same cause of death as Mr. In addition, some events, including celebrity suicide deaths, serve as “shocks” that disrupt seasonal time trends and may prompt imitation ( 3– 5). In the United States, there are temporal patterns in suicide for example, suicides peak in the spring, with a second, smaller peak in early summer ( 2). These intertwined efforts will require careful study of the calls made to the NSPL and other help-seeking behavior, as well as current capacities to meet demand, including where and when predictable surges may occur. In August 2018, the National Suicide Hotline Improvement Act was signed into law, requiring federal agencies to investigate the feasibility of making crisis mental health care more available through an “N11” telephone number and to analyze the effectiveness of the NSPL. crisis mental health care, including enhancing the availability and quality of the 24/7 regional crisis call centers (including crisis text and chat services) that make up and extend the National Suicide Prevention Lifeline (NSPL) ( 1). The National Action Alliance for Suicide Prevention, a public-private partnership focused on advancing suicide prevention in the United States, has prioritized transforming U.S.
Crisis mental health care is an integral component of the mental health care system but is currently deemed “inconsistent and inadequate” ( 1).
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