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Ripples of Despair -  Shining a light on the impact of lives lost to alcohol, drugs, and suicide (2024)

References

(1) United Nations; Department of Economic and Social Affairs: International Day of Disabled Persons 2004 (opens new window) 

(2) South J. A guide to community-centred approaches for health and wellbeing - full report. Public Health England (opens new window)

(3) Camacho C, Webb RT, Bower P, Munford L. Risk factors for deaths of despair in England: An ecological study of local authority mortality data. Social Science & Medicine. 2024 Feb 1;342:116560.

(4) Institute for Health Metrics and Evaluation. GBD Compare.  (opens new window)

(5) Rising morbidity and mortality in midlife among white non-Hispanic Americans in the 21st century | PNAS (opens new window) 

(6) Association of alcohol and drug use disorders and completed suicide: an empirical review of cohort studies - ScienceDirect (opens new window) 

(7) Walsh D, McCartney G, Minton J, Parkinson J, Shipton D, Whyte B. Deaths from 'diseases of despair' in Britain: comparing suicide, alcohol-related and drug-related mortality for birth cohorts in Scotland, England and Wales, and selected cities. J Epidemiol Community Health. 2021 Dec;75(12):1195-201.

(8) Zero Suicide Alliance. Substance Misuse (opens new window) 

(9) Alcohol Profile | Fingertips | Department of Health and Social Care (opens new window)

(10) Area Profile; Alcohol, Fingertips | Department of Health and Social Care (opens new window) 

(11) Adults in treatment at specialist drug misuse services, Fingertips | Department of Health and Social Care (opens new window) 

(12) Opiate and crack cocaine use: prevalence estimates - GOV.UK (opens new window) 

(13) DHSC. Fingertips | Department of Health and Social Care. 2022. Hospital admissions as a result of self-harm (10-24 years) (opens new window) 

(14) DHSC. Fingertips | Department of Health and Social Care. 2022. Emergency Hospital Admissions for Intentional Self-Harm. (opens new window)

(15) Suicides in England and Wales by local authority - Office for National Statistics (opens new window) 

(16) Transport D for. Road Safety Data (opens new window)

(17) Deaths related to drug poisoning by local authority, England and Wales - Office for National Statistics (opens new window)

(18) Alcohol-specific deaths in England and Wales by local authority - Office for National Statistics (opens new window) 

(19) Alcohol-specific deaths in the UK - Office for National Statistics (opens new window) 

(20) Alcohol-specific deaths in the UK - Office for National Statistics (opens new window)

(21) North N. Sharp 46% increase in alcohol-related liver disease deaths across UK in past decade raises public health concerns. British Liver Trust. (opens new window)

(22) Suicide Prevention - Data | Fingertips | Department of Health and Social Care (opens new window) 

(23) Fingertips | Department of Health and Social Care (opens new window) 

(24) Gateshead Council: Population estimates and projections

(25) NDTMS - ViewIt - Adult (opens new window) 

(26) NCISH. Suicide by people in contact with drug and alcohol services: a national study 2021 to 2022 (opens new window) 

(27) University of Manchester. The National Confidential Inquiry into Suicide and Safety  in Mental Health. Annual Report: UK patient and general  population data, 2011-2021. (opens new window) 

(28) GOV.UK. Suicide prevention strategy: action plan (opens new window)

(29) Gilmore AB, Fabbri A, Baum F, Bertscher A, Bondy K, Chang HJ, et al. Defining and conceptualising the commercial determinants of health. The Lancet. 2023 Apr 8;401(10383):1194-213.

(30) Pirkis J, Dandona R, Silverman M, Khan M, Hawton K. Preventing suicide: a public health approach to a global problem. The Lancet Public Health. 2024 Oct 1;9(10):e787-95.

(31) Addressing the leading risk factors for ill health - The Health Foundation (opens new window)

(32) Jones L, Sumnall H. Understanding the relationship between poverty and alcohol misuse.

(33) WHO. Closing the gap in a generation. 2008 (opens new window)

(34) Austerity and health: the impact in the UK and Europe | European Journal of Public Health | Oxford Academic (opens new window) 

(35) Samaritans. Online Excellence Programme (opens new window)

(36) Samaritans. How social media users experience self-harm and suicide content (opens new window)

(37) Kalinin VV, Hocaoglu C, Mohamed S. Anxiety Disorders: The New Achievements. BoD - Books on Demand; 2021. 210 p.

(38) NCISH. Annual report 2023: UK patient and general population data 2010-2020 (opens new window)

(39) Molly Russell: Coroner's report urges social media changes. BBC News (opens new window) 

(40) Tyler-Todd J, Woodhouse J. Suicide prevention: online platforms,  print media and broadcasting (opens new window)

(41) Samaritans. Samaritans' media guidelines for reporting suicide (opens new window) 

(42) Domaradzki J. The Werther Effect, the Papageno Effect or No Effect? A Literature Review. International Journal of Environmental Research and Public Health. 2021 Jan;18(5):2396.

(43) Petticrew M, Maani N, Pettigrew L, Rutter H, Van Schalkwyk MC. Dark Nudges and Sludge in Big Alcohol: Behavioral Economics, Cognitive Biases, and Alcohol Industry Corporate Social Responsibility. The Milbank Quarterly. 2020;98(4):1290-328.

(44) Thomas S, Cowlishaw S, Francis J, van Schalkwyk MCI, Daube M, Pitt H, et al. Global public health action is needed to counter the commercial gambling industry. Health Promotion International. 2023 Oct 1;38(5):daad110.

(45) GOV.UK. Gambling-related harms evidence review: summary (opens new window) 

(46) Samaritans. Gambling-related harms and suicide (opens new window)

(47) Royal College of Psychiatrists, Alcohol Concern. A Losing Bet? Alcohol and gambling: investigating parallels and shared solutions. 2013 Feb.

(48) Martinac M, Karlović D, Babić D. Chapter 54 - Alcohol and Gambling Addiction. In: Preedy VR, editor. Neuroscience of Alcohol (opens new window) 

(49) Dowling NA, Cowlishaw S, Jackson AC, Merkouris SS, Francis KL, Christensen DR. Prevalence of psychiatric co-morbidity in treatment-seeking problem gamblers: A systematic review and meta-analysis. Aust N Z J Psychiatry. 2015 Jun;49(6):519-39.

(50) Yarbakhsh E, van der Sterren A, Bowles D. Screening and Treatment for Co-occurring Gambling and Substance Use: A Scoping Review. J Gambl Stud. 2023 Dec 1;39(4):1699-721.

(51) Gong Y, Palmer S, Gallacher J, Marsden T, Fone D. A systematic review of the relationship between objective measurements of the urban environment and psychological distress. Environment International. 2016 Nov 1;96:48-57.

(52) Congdon P. Geographical Patterns in Drug-Related Mortality and Suicide: Investigating Commonalities in English Small Areas. International Journal of Environmental Research and Public Health. 2019 Jan;16(10):1831.

(53) Kim K, Lee DW, Jung SJ. Role of individual deprivation and community-level deprivation on suicidal behaviors: Insights from the UK Biobank study. SSM Popul Health. 2024 Mar 20;26:101654.

(54) Suicides in England and Wales - Office for National Statistics (opens new window) 

(55) Suicides in England and Wales by local authority - Office for National Statistics (opens new window) 

(56) Deaths related to drug poisoning in England and Wales - Office for National Statistics (opens new window) 

(57) Alcohol-specific deaths in the UK - Office for National Statistics (opens new window) 

(58) Michael Marmot, Jessica Allen, Tammy Boyce, Peter Goldblatt, Joana Morrison. Health equity in England: the Marmot review 10 years on. London: Institute of Health Equity; 2020 Feb (opens new window) 

(59) Office for Health Improvement & Disparities. A picture of health: Health intelligence pack for health improvement. North East and Yorkshire - ICS edition (beta version). Power BI Report (opens new window) 

(60) YoungMinds. Understanding trauma and adversity | Resources (opens new window) 

(61) Public Health England. No child left behind. A public health informed approach to improving outcomes for vulnerable children. 2020 (opens new window) 

(62) Asmussen DK, Fischer DF, Drayton E, McBride T. Adverse childhood experiences What we know, what we don't know, and what should happen next. Early Intervention Foundation; 2020. (opens new window) 

(63) Jemma Kwint, Senior Reseach Fellow (Evidence), NIHR. NIHR Evidence. 2022. NIHR Evidence: Adverse childhood experiences - what support do children need? (opens new window) 

(64) Public Health England. No child left behind. A public health informed approach to improving outcomes for vulnerable children. 2020 (opens new window)

(65) UCL Institute of Health Equity. The impact of adverse  experiences in the home on the  health of children and young  people, and inequalities in  prevalence and effects. 2015. (opens new window) 

(66) Barnes, A., Snell, C., Bailey, A., Loopstra, R., Cheetham, M., Morris, S., Power, M., Davies, H., Scott, M.,  Taylor-Robinson, D., Pickett, K. APPG Child of the North - Child Poverty and the Cost of Living Crisis. A report prepared for the APPG Child of the  North. 2022.

(67) Barnardo's. Neglected Minds: A report on mental health support for young people leaving care. 2017 Sep.

(68) Alderson H, Brown R, Copello A, Kaner E, Tober G, Lingam R, et al. The key therapeutic factors needed to deliver behavioural change interventions to decrease risky substance use (drug and alcohol) for looked after children and care leavers: a qualitative exploration with young people, carers and front line workers. BMC Medical Research Methodology. 2019 Feb 21;19(1):38.

(69) The Care Leavers Association. 2016. What is a Care Leaver. (opens new window) 

(70) Association for Young People's Health. Understanding health inequalities for young people who are care experienced. 2023 (opens new window)

(71) Sacker A, Murray E, Lacey R, Maughan B. The lifelong health and wellbeing trajectories of people who have been in care. 2021 Jul (opens new window)

(72) MacAlister J. The lifelong health and well-being of care leavers: Policy Briefing. Nuffield Foundation, UCL; 2021 Oct. (opens new window)

(73) Meltzer H, Gatward R, Corbin T, Goodman R, Ford T. The Mental Health of Young People Looked After by Local Authorities in England: (616412007-001). 2003 (opens new window) 

(74) Evans R, White J, Turley R, Slater T, Morgan H, Strange H, et al. Comparison of suicidal ideation, suicide attempt and suicide in children and young people in care and non-care populations: Systematic review and meta-analysis of prevalence. Children and Youth Services Review. 2017 Nov 1;82:122-9.

(75) Gateshead Health and Wellbeing Strategy. Good jobs, homes, health and friends (PDF, 3 MB)(opens new window) 

(76) Middle-aged generation most likely to die by suicide and drug poisoning - Office for National Statistics (opens new window)

(77) Health Matters: Preventing drug misuse deaths - UK Health Security Agency. 2017 (opens new window)

(78) Sociodemographic inequalities in suicides in England and Wales - Office for National Statistics (opens new window) 

(79) Alcohol-specific deaths by ethnic group, England and Wales: 2012 to 2019 - Office for National Statistics (opens new window)

(80) King's College London. King's College London. 2024. The National Programme on Substance Use Mortality (NPSUM) (opens new window)

(81) Deaths related to drug poisoning in England and Wales - Office for National Statistics (opens new window)

(82) McManus S, Bebbington P, Jenkis R, Brugha T. Mental Health and Wellbeing in England. Adult Psychiatric Morbidity Survey 2014. Leeds: NHS Digital;

(83) Remes O, Brayne C, Van der Linde R, Louise L. A systematic review of reviews on the prevalence of anxiety disorders in adult populations. Brain and Behavior (opens new window)

(84) Shirzad M, Yenokyan G, Marcell AV, Kaufman MR. Deaths of despair-associated mortality rates globally: a 2000-2019 sex-specific disparities analysis. Public Health. 2024;35-42.

(85) YoungMinds. Understanding trauma and adversity | Resources (opens new window)Personal well-being in the UK - Office for National Statistics [Internet]. [cited 2024 Nov 25]. Available from: https://www.ons.gov.uk/peoplepopulationandcommunity/wellbeing/bulletins/measuringnationalwellbeing/october2016toseptember2017

(86) Michniewicz KS, Bosson JK, Lenes JG, Chen JI. Gender-atypical mental illness as male gender threat. American Journal of Men's Health. 2016;10(4):306-17.

(87) NHS England » LGBT+ health (opens new window)

(88) Samaritans. LGBTQ+ communities and suicide (opens new window)

(89) Institude of Alcohol Studies. LGBTQ+ People and Alcohol. 2021 Jul.

(90) Murray S, Holloway K, Buhociu M. "It's called homophobia baby" exploring LGBTQ + substance use and treatment experiences in the UK. Drugs: Education, Prevention and Policy. 2024 Sep 2;31(5):505-15.

(91) GOV.UK. Drug misuse: Findings from the 2013/14 Crime Survey for England and Wales (opens new window)

(92) The Royal College of Nursing. The Royal College of Nursing; What is neurodiversity? |Neurodiversity RCN| Peer Support Service | Royal College of Nursing. (opens new window)

(93) Public Health Wales. Neurodiversity. (opens new window) 

(94) NHS England | Workforce, training and education. 2023. Neurodiversity (opens new window)

(95) Autistic people and suicidality (opens new window) 

(96) GOV.UK. Suicide prevention in England: 5-year cross-sector strategy (opens new window)

(97) Banaschewski T, Coghill D, Zuddas A. Oxford Textbook of Attention Deficit Hyperactivity Disorder. Oxford University Press; 2018. 473 p.

(98) Young S, Sedgwick O. Attention deficit hyperactivity disorder and substance misuse: an evaluation of causal hypotheses and treatment considerations. Expert Review of Neurotherapeutics. 2015 Sep 2;15(9):1005-14.

(99) Young S, Woodhouse E. Assessment and treatment of substance use in adults with ADHD: a psychological approach. J Neural Transm. 2021 Jul 1;128(7):1099-108.

(100) Johnson J, Morris S, George S. Managing Comorbid Attention Deficit Hyperactivity Disorder (ADHD) in Adults With Substance Use Disorder (SUD): What the Addiction Specialist Needs to Know. Addictive Disorders & Their Treatment. 2021 Sep;20(3):181.

(101) Fuller-Thomson E, Rivière RN, Carrique L, Agbeyaka S. The Dark Side of ADHD: Factors Associated With Suicide Attempts Among Those With ADHD in a National Representative Canadian Sample. Archives of Suicide Research. 2022 Jul 3;26(3):1122-40.

(102) Giupponi G, Giordano G, Maniscalco I, Erbuto D, Berardelli I, Conca A, et al. Suicide risk in attention-deficit/hyperactivity disorder. Psychiatr Danub. 2018 Mar;30(1):2-10.

(103) Balazs J, Kereszteny A. Attention-deficit/hyperactivity disorder and suicide: A systematic review. World Journal of Psychiatry. 2017 Mar 22;7(1):44.

(104) Garas P, Balazs J. Long-Term Suicide Risk of Children and Adolescents With Attention Deficit and Hyperactivity Disorder—A Systematic Review. Front Psychiatry. 2020 Dec 21 (opens new window)

(105) Jeng JS, Huang HH, Chang WH, Cheng CM, Su TP, Chen TJ, et al. Longitudinal study on all-cause and suicide mortality among individuals with attention deficit hyperactivity disorder. Eur Child Adolesc Psychiatry. 2024 Jun 25 (opens new window)

(106) NHS England » Perinatal mental health (opens new window) 

(107) Maternal Mental Health Alliance, Reform. Listening to the stories of women who have experienced  child removal due to drug and alcohol use. 2024 (opens new window)

(108) MBRRACE-UK. Saving Lives, Improving Mothers' Care. 2023 Oct.

(109) Wyse JJ, Lovejoy J, Holloway J, Morasco BJ, Dobscha SK, Hagedorn H, et al. Patients' perceptions of the pathways linking chronic pain with problematic substance use. Pain. 2021;162(3):787-93.

(110) Lewer D, Cox S, Hurst JR, Padmanathan P, Petersen I, Quint JK. Burden and treatment of chronic obstructive pulmonary disease among people using illicit opioids: matched cohort study in England. BMJ Medicine. 2022 (opens new window) 

(111) Tang NKY, Crane C. Suicidality in chronic pain: a review of the prevalence, risk factors and psychological links. Psychological Medicine. 2006;36(5):575-86.

(112) Too LS, Spittal MJ, Bugeja L, Reifels L, Butterworth P, Pirkis J. The association between mental disorders and suicide: A systematic review and meta-analysis of record linkage studies. Journal of Affective Disorders. 2019 Dec 1;259:302-13.

(113) Public Health England. Better care for people with co-occurring mental health and alcohol/drug use conditions. 2017 Jun.

(114) National Institute for Health and Social Care. Severe mental illness and substance misuse (dual diagnosis): community health and social care services. 2016 Sep.

(115) Definition | Background information | Self-harm | CKS | NICE (opens new window) 

(116) DHSC. Fingertips | Department of Health and Social Care. 2022. Hospital admissions as a result of self-harm (10-14 yrs) (opens new window)

(117) Alcohol Profile - Data | Fingertips | Department of Health and Social Care (opens new window) 

(118) GOV.UK, 2018. The public health burden of alcohol: evidence review (opens new window)

(119) Bloomfield K. Understanding the alcohol-harm paradox: what next? The Lancet Public Health. 2020 Jun 1;5(6):e300-1.

(120) Fingertips | Department of Health and Social Care (opens new window) 

(121) PDF: Health and Wellbeing (opens new window)

(122) In-work poverty trends - The Health Foundation (opens new window) 

(123) Leng G. The Impact of Homelessness on Health, A Guide For Local Authorities. LGA. 2017;

(124) Samaritans. To thrive, not just survive. 2023.

(125) Nolte-Troha C, Roser P, Henkel D, Scherbaum N, Koller G, Franke AG. Unemployment and Substance Use: An Updated Review of Studies from North America and Europe. Healthcare (Basel). 2023 Apr 20;11(8):1182.

(126) Nagelhout GE, Hummel K, de Goeij MCM, de Vries H, Kaner E, Lemmens P. How economic recessions and unemployment affect illegal drug use: A systematic realist literature review. International Journal of Drug Policy. 2017 Jun 1;44:69-83.

(127) GOV.UK Review of drugs part two: prevention, treatment, and recovery (opens new window)

(128) Mental health at work (opens new window) 

(129) Bauld L, Hay G, McKell J, Carroll C. Problem drug users'  experiences of employment  and the benefit system. Department for Work and Pensions (opens new window)

(130) NHS England » Individual Placement and Support offers route to employment for people with severe mental health conditions (opens new window) 

(131) Keyes KM, Hatzenbuehler ML, Hasin DS. Stressful life experiences, alcohol consumption, and alcohol use disorders: the epidemiologic evidence for four main types of stressors. Psychopharmacology. 2011 Mar 5;218(1):1.

(132) Walling MA. Suicide Contagion. Curr Trauma Rep. 2021 Dec 1;7(4):103-14.

(133) World Health Organisation. Mental health and forced displacement (opens new window) 

(134) Council of Europe. Intercultural Responses  to drug-related challenges  for refugees, migrants and IDPS: Handbook for professionals working in the field of addictions  with refugees, migrants, and internally displaced persons (opens new window) 

(135) Murphy D, Ashwick R, Palmer E, Busuttil W. Describing the profile of a population of UK veterans seeking support for mental health difficulties. Journal of Mental Health. 2019 Nov 2;28(6):654-61.

(136) Murphy D, Turgoose D. Exploring patterns of alcohol misuse in treatment-seeking UK veterans: A cross-sectional study. Addictive Behaviors. 2019 May 1;92:14-9.

(137) Gateshead JSNA: Ex-armed forces personnel and their dependents. 

(138) Rodway C, Ibrahim S, Westhead J, Bojanić L, Turnbull P, Appleby L, et al. Suicide after leaving the UK Armed Forces 1996-2018: A cohort study. PLoS Med. 2023 Aug;20(8):e1004273.

(139) Gateshead Council. Gateshead Domestic Abuse Needs Assessment. 2024.

(140) Agenda Alliance, Changing Lives. Dismantling Disadvantage: Levelling up public services for women with multiple unmet needs (opens new window) 

(141) DHSC. Fingertips | Department of Health and Social Care. 2022. Domestic abuse related incidents and crimes (opens new window)

(142) Domestic Homicide Project - VKPP Work (opens new window)

(143) Dobash RE, Dobash RP. Contacts with the Police and Other Agencies across the Life-Course of Men Who Murder an Intimate Woman Partner. Policing: A Journal of Policy and Practice. 2016;10(4):408-15.

(144) Vatnar SKB, Friestad C, Bjorkly S. The Influence of Substance Use on Intimate Partner Homicide: Evidence from a Norwegian National 22-year Cohort. International Journal of Forensic Mental Health. 2019;18(2):99-110.

(145) Home Office. Key findings from analysis of domestic homicide reviews: October 2019 to September 2020 (opens new window)

(146) Bridger E, Strang H, Parkinson J, Sherman LW. Intimate Partner Homicide in England and Wales 2011-2013: Pathways to Prediction from Multi-agency Domestic Homicide Reviews. Cambridge Journal of Evidence-Based Policing. 2017;93-104.

(147) Fingertips | Department of Health and Social Care (opens new window) 

(148) Hertzberg D, Boobis S. The Unhealthy State of Homelessness 2022: Findings from the Homeless Health Needs Audit. Homeless Link; 2022 Oct.

(149) Health matters: rough sleeping - GOV.UK (opens new window)

(150) Office for National Statistics [Internet]. 2023 [cited 2024 Sep 25]. Drug-related deaths and suicide in offenders in the community, England and Wales: 2011 to 2021. Available from: Drug-related deaths and suicide in offenders in the community, England and Wales: 2011 to 2021

(151) NHS England » Health and justice framework for integration 2022-2025: Improving lives - reducing inequality (opens new window) 

(152) Identification and brief advice could reduce alcohol harm, survey says | The BMJ (opens new window) 

(153) GOV.UK Widening the availability of naloxone (opens new window)

(154) GOV.UK Proposals to expand access to take-home naloxone supplies: government response (opens new window)

(155) GOV.UK Alcohol and drug prevention, treatment and recovery: why invest? (opens new window) 

(156) Stigma Kills | NHS Addictions Provider Alliance (opens new window)

(157) Luna A. The Components of Dehumanization. Peace and Conflict Studies. 2015 May 1;22(1):18-33.

(158) Samaritans: Suicidal thoughts more common than many realise new Samaritans survey reveals (opens new window)

(159) Abuse NI on D. Words Matter - Terms to Use and Avoid When Talking About Addiction | National Institute on Drug Abuse (opens new window)

(160) NHS Inform: Challenging drug and alcohol stigma (opens new window)

(161) Batchelder AW, Glynn TR, Moskowitz JT, Neilands TB, Dilworth S, Rodriguez SL, et al. The shame spiral of addiction: Negative self-conscious emotion and substance use. PLOS ONE. 2022 Mar 18;17(3):e0265480.

(162) Alcohol Change UK. Challenging the stigma around alcohol (opens new window)

(163) Columbia University Mailman School of Public Health. Stigma Deters Those With Alcohol Disorders From Seeking Treatment (opens new window)

(164) McKenzie SK, Oliffe JL, Black A, Collings S. Men's Experiences of Mental Illness Stigma Across the Lifespan: A Scoping Review. Am J Mens Health. 2022 Jan 1;16(1):15579883221074789.

(165) Chatmon BN. Males and Mental Health Stigma. Am J Mens Health. 2020 Jul 1;14(4):1557988320949322.

(166) Lamb R, Kougiali ZG. Women and shame: narratives of recovery from alcohol dependence. Psychology & Health. 0(0):1-38.

(167) Majumder P. Exploring stigma and its effect on access to mental health services in unaccompanied refugee children. BJPysch Bulletin. 2019;275-81.

(168) Jennifer S McCleary, Patricia J Shannon, Tonya L Cook. Connecting Refugees to Substance Use Treatment: A Qualitative Study. Social Work in Public Health. 2016;31(1):1-8.

(169) Exploring stigma and its effect on access to mental health services in unaccompanied refugee children - PubMed (opens new window)

(170) Sveen CA, Walby FA. Suicide Survivors' Mental Health and Grief Reactions: A Systematic Review of Controlled Studies. Suicide and Life-Threatening Behavior. 2008 Feb;38(1):13-29.

(171) Feigelman W, Gorman BernardS, Jordan JohnR. Stigmatization and Suicide Bereavement. Death Studies. 2009 Aug;33(7):591-608.

(172) Exploring stigma and its effect on access to mental health services in unaccompanied refugee children - PubMed (opens new window)Cleveland Clinic [Internet]. [cited 2024 Oct 15]. What is grief? Available from: https://my.clevelandclinic.org/health/diseases/24787-grief

(173) Scocco P, Preti A, Totaro S, Corrigan P, Castriotta C. Stigma, grief and depressive symptoms in help-seeking people bereaved through suicide. Journal of Affective Disorders. 2019 Feb 1;244:223-30.

(174) John R.  Jordan. Suicide and Life-Threatening Behavior. Guilford Publications Inc.; 2005. Is Suicide Bereavement Different? A Reassessment of the Literature (opens new window)

(175) Jordan JR, McIntosh JL. Grief After Suicide: Understanding the Consequences and Caring for the Survivors. Routledge; 2011. 575 p.

(176) Cerel J, Maple M, van de Venne J, Moore M, Flaherty C, Brown M. Exposure to Suicide in the Community: Prevalence and Correlates in One U.S. State. Public Health Rep. 2016;131(1):100-7.

(177) Miklin S, Mueller AS, Abrutyn S, Ordonez K. What does it mean to be exposed to suicide?: Suicide exposure, suicide risk, and the importance of meaning-making. Social Science & Medicine. 2019 Jul 1;233:21-7.

(178) Pitman A, Osborn D, King M, Erlangsen A. Effects of suicide bereavement on mental health and suicide risk. The Lancet Psychiatry. 2014 Jun 1;1(1):86-94.

(179) Abrutyn S, Mueller AS. Are Suicidal Behaviors Contagious in Adolescence? Using Longitudinal Data to Examine Suicide Suggestion. Am Sociol Rev. 2014 Apr 1;79(2):211-27.

(180) Young IT, Iglewicz A, Glorioso D, Lanouette N, Seay K, Ilapakurti M, et al. Suicide bereavement and complicated grief. Dialogues in Clinical Neuroscience. 2012 Jun;14(2):177.

(181) Lander L, Howsare J, Byrne M. The Impact of Substance Use Disorders on Families and Children: From Theory to Practice. Social work in public health. 2013;28(0):194.

(182) Eng J, Drabwell L, Stevenson F, King M, Osborn D, Pitman A. Use of Alcohol and Unprescribed Drugs after Suicide Bereavement: Qualitative Study. International Journal of Environmental Research and Public Health. 2019 Oct 24;16(21):4093.

(183) Cain AC. Survivors of suicide. Springfield, Ill. : Thomas; 1972 (opens new window)

(184) Cerel J, Brown MM, Maple M, Singleton M, Van De Venne J, Moore M, et al. How Many People Are Exposed to Suicide? Not Six. Suicide & Life Threat Behav. 2019 Apr;49(2):529-34.

(185) Cerel J, McIntosh JL, Neimeyer RA, Maple M, Marshall D. The Continuum of "Survivorship": Definitional Issues in the Aftermath of Suicide. Suicide and Life-Threatening Behavior. 2014;44(6):591-600.

(186) Pirkis J, Bantjes J, Gould M, Niederkrotenthaler T, Robinson J, Sinyor M, et al. Public health measures related to the transmissibility of suicide. The Lancet Public Health. 2024 Oct 1;9(10):e807-15.

(187) Identifying and responding to suicide clusters.

(188) Waegemakers Schiff J, Lane AM. PTSD Symptoms, Vicarious Traumatization, and Burnout in Front Line Workers in the Homeless Sector. Community Ment Health J. 2019 Apr 1;55(3):454-62.

(189) Suicide prevention and postvention | NHS Employers (opens new window) 

(190) About Blue Light Together (opens new window) 

(191) Balance. 2021-2022 Cost of Alcohol harm in Gateshead. Institute of Alcohol Studies (opens new window)

(192) GOV.UK Government response to the independent review of drugs by Dame Carol Black (opens new window)

(193) GOV.UK Review of drugs: summary (accessible version) (opens new window)

(194) Samaritans. The economic cost of suicide in the UK (opens new window) 

(195) Webb L, Yarwood G, Witham G, Wright S, Galvani S. Providing holistic end-of-life care for people with a history of problem substance use: a mixed methods cohort study of interdisciplinary service provision and integrated care. BMC Palliative Care. 2024 Apr 1;23(1):86.

(196) Quesada J, Hart LK, Bourgois P. Structural Vulnerability and Health: Latino Migrant Laborers in the United States. Medical Anthropology. 2011 Jul 1;30(4):339-62.

(197) Galvani S. Final Project Report: End of Life Care for People with Alcohol and other Drug Problems and their Families. Manchester Metropolitan University; 2018 Nov (opens new window) 

(198) Hudson BF, Flemming K, Shulman C, Candy B. Challenges to access and provision of palliative care for people who are homeless: a systematic review of qualitative research. BMC Palliative Care. 2016 Dec 3;15(1):96.

(199) Stajduhar KI, Mollison A, Giesbrecht M, McNeil R, Pauly B, Reimer-Kirkham S, et al. "Just too busy living in the moment and surviving": barriers to accessing health care for structurally vulnerable populations at end-of-life. BMC Palliative Care. 2019 Jan 26;18(1):11.

(200) Abel J. Compassionate communities and end-of-life care. Clin Med (Lond). 2018 Feb;18(1):6-8.

(201) Kellehear A. Compassionate Communities Civic Charter (opens new window)

(202) Scocco P, Idotta C, Totaro S, Preti A. Addressing psychological distress in people bereaved through suicide: From care to cure. Psychiatry Research. 2021 Jun 1;300:113869.

(203) Pitman AL, Rantell K, Moran P, Sireling L, Marston L, King M, et al. Support received after bereavement by suicide and other sudden deaths: a cross-sectional UK study of 3432 young bereaved adults. BMJ Open. 2017 May 1;7(5):e014487.

(204) Jordan JR, McIntosh JL, Bolton IM, Campbell FR, Harpel JL, Linn-Gust M. A Call to Action: Building Clinical and Programmatic Support for Suicide Survivors. In: Grief After Suicide. Routledge; 2010.

(205) Butler JC. 2017 ASTHO President's Challenge: Public Health Approaches to Preventing Substance Misuse and Addiction. Journal of Public Health Management and Practice. 2017 Sep;23(5):531-6.

(206) Martineau F, Tyner E, Lorenc T, Petticrew M, Lock K. Population-level interventions to reduce alcohol-related harm: An overview of systematic reviews. Preventive Medicine. 2013 Oct 1;57(4):278-96.

(207) Begun DA. Ch. 2: Prevention and the Continuum of Care (opens new window)

(208) Prevention | Local Government Association (opens new window)

(209) The three levels of prevention - Public health approach to prevention - What we do and how we work - About us - Public Health Scotland (opens new window) 

(210) Prevention Technology Transfer Center Network. What is Substance Misuse Prevention (opens new window)

(211) Danese A, Asmussen K, MacLeod J, Meehan A, Sears J, Slopen N, et al. Revisiting the use of adverse childhood experience screening in healthcare settings. Nat Rev Psychol. 2024 Nov;3(11):729-40.

(212) Hawk KF, Vaca FE, D'Onofrio G. Reducing Fatal Opioid Overdose: Prevention, Treatment and Harm Reduction Strategies. Yale J Biol Med. 2015 Sep 3;88(3):235-45.

(213) Deaths related to drug poisoning in England and Wales QMI - Office for National Statistics (opens new window)

(214) Change in the standard of proof used by coroners and the impact on suicide death registrations data in England and Wales - Office for National Statistics (opens new window)