9899 Therefore increasing the time interval between deciding to act and the

9899 therefore increasing the time interval between

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98,99 Therefore, increasing the time interval between deciding to act and the suicide attempt, for example, by making it more difficult to access lethal means, can be lifesaving. The following are examples of approaches reducing access to lethal means for persons at risk of suicide: Intervening at Suicide Hotspots. Suicide hotspots, or places where suicides may take place relatively easily, include tall structures (e.g., bridges, cliffs, balconies, and rooftops), railway tracks, and isolated locations such as parks. Efforts to prevent suicide at these locations include erecting barriers or limiting access to prevent jumping, and installing signs and telephones to encourage individuals who are considering suicide, to seek help. 100 Safe Storage Practices. Safe storage of medications, firearms, and other household products can reduce the risk for suicide by separating vulnerable individuals from easy access to lethal means. Such practices may include education and counseling around storing firearms locked in a secure place (e.g., in a gun safe or lock box), unloaded and separate from the ammunition; and keeping medicines in a locked cabinet or other secure location away from people who may be at risk or who have made prior attempts. 89,101 Organizational policies and culture that promote protective environments may be implemented in places of employment, detention facilities, and other secured environments (e.g., residential settings). Such policies and cultural values encourage leadership from the top down and may promote prosocial behavior (e.g., asking for help), skill building, positive social norms, assessment, referral and access to helping services (e.g., mental health, substance abuse treatment, financial counseling), and development of crisis response plans, postvention and other measures to foster a safe physical environment. Such policies and cultural shifts can positively impact organizational climate and morale and help prevent suicide and its related risk factors (e.g., depression, social isolation). 88,102
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24 Preventing Suicide: A Technical Package of Policy, Programs, and Practices Community-based policies to reduce excessive alcohol use. Research studies in the United States have found that greater alcohol availability is positively associated with alcohol-involved suicides. 103-105 Policies to reduce excessive alcohol use broadly include zoning to limit the location and density of alcohol outlets, taxes on alcohol, and bans on the sale of alcohol for individuals under the legal drinking age. 105 These policies are important because acute alcohol use has been found to be associated with more than one-third of suicides and approximately 40% of suicide attempts. 106 Potential Outcomes Increases in safe storage of lethal means Reductions in rates of suicide Reductions in suicide attempts Increases in help-seeking Reductions in alcohol-related suicide deaths Evidence The evidence suggests that creating protective environments can reduce suicide and suicide attempts and increase protective behaviors.
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