Evidence map›Paper›PMID 29062296›Full record

ReviewFrontiers in psychology2017

A Social-Ecological Framework of Theory, Assessment, and Prevention of Suicide.

Robert J Cramer, Nestor D Kapusta

3 registry-linked trialsAbstract readReview
In one paragraph

Review in Frontiers in psychology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 81 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
81citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04757649 nacompletednot on this mapstarted 2021, after this paper: background citation

Suicide Prevention for Sexual and Gender Minority Youth (Case Series)

TypeinterventionalSponsorSan Diego State UniversityRan2021 to 2021Enrolled9ConditionsSuicideArmsSafety Planning Intervention with Navigation Services
NCT05087966 nacompletednot on this mapstarted 2021, after this paper: background citation

Suicide Prevention for Sexual and Gender Minority Youth (Open Trial)

TypeinterventionalSponsorSan Diego State UniversityRan2021 to 2022Enrolled31ConditionsSuicideArmsSafety Planning Intervention with Navigation Services
NCT05669976 naactive not recruitingnot on this mapstarted 2023, after this paper: background citation

Suicide Prevention for Sexual and Gender Minority Youth (Randomized Controlled Trial)

TypeinterventionalSponsorSan Diego State UniversityRan2023 to 2027Enrolled170ConditionsSuicideArmsSafety Planning Intervention with Navigation Services, Safety Planning Intervention
3 · Its place in the literature

Who cites it

81 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Article
  8. A Socioecological Approach to Adolescent Suicide Risk: The Roles of Social Bonds and Recognition.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2026
    Article
  9. Data-Driven and State-Tailored Strategies to Promote Suicide Prevention in Corrections Facilities.Prevention science : the official journal of the Society for Prevention Research · 2026
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Review

21 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Robert J CramerSchool of Community and Environmental Health Sciences, Old Dominion University, Norfolk, VA, United States.
Nestor D KapustaSuicide Research Group, Department for Psychoanalysis and Psychotherapy, Medical University of Vienna, Vienna, Austria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The juxtaposition of increasing suicide rates with continued calls for suicide prevention efforts begs for new approaches. Grounded in the Centers for Disease Control and Prevention (CDC) framework for tackling health issues, this personal views work integrates relevant suicide risk/protective factor, assessment, and intervention/prevention literatures. Based on these components of suicide risk, we articulate a Social-Ecological Suicide Prevention Model (SESPM) which provides an integration of general and population-specific risk and protective factors. We also use this multi-level perspective to provide a structured approach to understanding current theories and intervention/prevention efforts concerning suicide. Following similar multi-level prevention efforts in interpersonal violence and Human Immunodeficiency Virus (HIV) domains, we offer recommendations for social-ecologically informed suicide prevention theory, training, research, assessment, and intervention programming. Although the SESPM calls for further empirical testing, it provides a suitable backdrop for tailoring of current prevention and intervention programs to population-specific needs. Moreover, the multi-level model shows promise to move suicide risk assessment forward (e.g., development of multi-level suicide risk algorithms or structured professional judgments instruments) to overcome current limitations in the field. Finally, we articulate a set of characteristics of social-ecologically based suicide prevention programs. These include the need to address risk and protective factors with the strongest degree of empirical support at each multi-level layer, incorporate a comprehensive program evaluation strategy, and use a variety of prevention techniques across levels of prevention.

Indexed as

preventionrisk assessmentsocial-ecological modelsuicide

Identifiers

PMID29062296
PMCPMC5640776

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.