Suicide is a major cause of death worldwide, and its impact has only been fully appreciated in the past few decades. Historically it was viewed from a religious and moral perspective, but that gave way to broad sociological and biological theories, which sometimes seemed to be mutually exclusive. There is now a wealth of knowledge which has allowed an integration of these perspectives, which have varying importance in different contexts.
Part of the Oxford Psychiatry Library, this pocketbook provides a review of the diverse theories about suicide and places them in perspective - not all theories have the same weight in different settings, and there is no one management for all those who may be suicidal. However, there is now persuasive data that there are a range of suicide prevention initiatives which are effective, and that it is reasonable to expect that the suicide rate worldwide will be reduced in coming years.
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Robert Goldney qualified in medicine in Adelaide in 1967, and as a psychiatrist in 1973. He is a Fellow of the Royal Australian and New Zealand College of Psychiatrists, and of the Royal College of Psychiatrists of the United Kingdom. He has worked in academic, public hospital and private practice settings, and at present he is Professor and Head of the Discipline of Psychiatry at the University of Adelaide, based at the Royal Adelaide Hospital. His main research interest is in the prevention of suicidal behaviour, by focussing on the detection and optimum clinical management of psychiatric illness, particularly depression. He is a recipient of the Stengel Research Award (1987) of the International Association for Suicide Prevention, an award for outstanding contributions to suicide prevention by Suicide Prevention Australia (2000), and the Louis Dublin award of the American Association for Suicidology for lifetime achievement in suicide research (2007).
Robert D. Goldney is Professor and Head, Discipline of Psychiatry, University of Adelaide, Australia.
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