Never said doctors shouldn't focus on suicide prevention. I said they shouldn't focus on gun ownership. As I listed the risk factors for suicides do not include gun ownership from any major medical organization.
As far as top causes of death, here is the CDC list
https://www.cdc.gov/nchs/fastats/leading-causes-of-death.htm
Suicide it's on that list but look at the numbers, and then the relative actual risk factors. Half of suicides are successfully done in the US by firearms, but the other half are by other methods. As I said earlier, there mere presence of a gun isn't a risk factor for committing suicide, so asking about gun ownership to a patient that doesn't show actual signs of suicide risk factors is just plain stupid and political. As I said it's a difference of scale. 20K deaths versus anything else that is over double the rate for deaths according to the CDC. I've also never had a doctor ask me about risk factors for renal or liver failure unless those factors are included as factors for other higher risk death rate categories. Such drinking which is a risk factor in all sorts of major death categories well above either suicide or liver failure. Death by guns is a very small factor for any death category by comparison to something like drinking alcohol.
LOL, no it's not, I just said that gun ownership by itself is not a risk factor as born out by every major medical organization on the planet. Since it's not a risk factor, nor statistically significant as a vector for preventing or reducing suicide, it is not really something a good doctor should be asking about.
You are simply, totally, completely wrong. Here are 76 references to studies demonstrating means restriction is an effective preventive effort for suicide (firearms representing >50% of suicides in the US):
References
1
WHO
Suicide prevention (SUPRE)
http://www.who.int.proxy.library.emory.edu/mental_health/prevention/suicide/suicideprevent/en/(2011) (accessed Feb 16, 2012).
2
A Shah
The relationship between suicide rates and age: an analysis of multinational data from the World Health Organization
Int Psychogeriatr, 19 (2007), pp. 11411152
View Record in Scopus | Citing articles (74)
3
CK Law, PSF Yip, YY Chen
The economic and potential years of life lost from suicide in Taiwan, 19972007
Crisis, 32 (2011), pp. 152159
Full Text via CrossRef | View Record in Scopus | Citing articles (16)
4
G Hadlaczky, D Wasserman, CW Hoven, DJ Mandell, C Wasserman
Suicide prevention strategies: case studies from across the globe
RC OConnor, S Platt, J Gordon (Eds.), International handbook of suicide preventionresearch, policy and practice, Wiley-Blackwell, Chichester, UK (2011), pp. 475486
View Record in Scopus | Citing articles (3)
5
YY Chen, KC Wu, S Yousuf, PSF Yip
Suicide in Asia: opportunities and challenges
Epidemiol Rev, 34 (2012), pp. 129144
Full Text via CrossRef | View Record in Scopus | Citing articles (71)
6
KL Knox, Y Conwell, ED Caine
If suicide is a public health problem, what are we doing to prevent it?
Am J Public Health, 94 (2004), pp. 3745
Full Text via CrossRef | View Record in Scopus | Citing articles (136)
7
MA Oquendo, D Currier, JJ Mann
Prospective studies of suicidal behavior in major depressive and bipolar disorders: what is the evidence for predictive risk factors?
Acta Psychiatr Scand, 114 (2006), pp. 151158
Full Text via CrossRef | View Record in Scopus | Citing articles (136)
8
JJ Mann, A Apter, J Bertolote, et al.
Suicide prevention strategies: a systematic review
JAMA, 294 (2005), pp. 20642074
Full Text via CrossRef | View Record in Scopus | Citing articles (1207)
9
MS Daigle
Suicide prevention through means restriction: assessing the risk of substitution. A critical review and synthesis
Accid Anal Prev, 37 (2005), pp. 625632
Article | PDF (106 K) | View Record in Scopus | Citing articles (84)
10
R Clarke, D Lester
Suicide: closing the exits, Springer Verlag, New York, NY (1989)
11
RS Spicer, TR Miller
Suicide acts in 8 states: incidence and case fatality rates by demographics and method
Am J Public Health, 90 (2000), pp. 18851891
Full Text via CrossRef | View Record in Scopus | Citing articles (186)
12
AA Elnour, J Harrison
Lethality of suicide methods
Inj Prev, 14 (2008), pp. 3945
Full Text via CrossRef | View Record in Scopus | Citing articles (43)
13
VC Chen, AT Cheng, HK Tan, et al.
A community-based study of case fatality proportion among those who carry out suicide acts
Soc Psychiatry Psychiatr Epidemiol, 44 (2009), pp. 10051011
Full Text via CrossRef | View Record in Scopus | Citing articles (19)
14
PSF Yip, ED Caine, RC Kwok, YY Chen
A decompositional analysis of the relative contribution of age, sex and methods of suicide to the changing patterns of suicide in Taipei City, 20042006
Inj Prev (2011)
http://dx.doi.org.proxy.library.emory.edu/10.1136/injuryprev-2011-040177 published online Oct 25.
15
K Hawton
Restricting access to methods of suicide: rationale and evaluation of this approach to suicide prevention
Crisis, 28 (suppl 1) (2007), pp. 49
Full Text via CrossRef | View Record in Scopus | Citing articles (55)
16
S Johnson
The ghost map: the story of London's most terrifying epidemicand how it changed science, cities and the modern world, Riverhead Books, London (2006)
17
RV Clarke
Introduction
RV Clarke (Ed.), Situational crime prevention: successful case studies, Criminal Justice Press, Monsey, NY (1997), pp. 143
View Record in Scopus | Citing articles (1)
18
YY Chen, KC-C Wu, PSF Yip
Suicide prevention through restricting access to suicide means and hotspots
RC OConnor, S Platt, J Gordon (Eds.), International handbook of suicide prevention: research, policy and practice, John Wiley & Sons, Chichester (2011), pp. 545560
Full Text via CrossRef | View Record in Scopus | Citing articles (2)
19
V Ajdacic-Gross, MG Weiss, M Ring, et al.
Methods of suicide: international suicide patterns derived from the WHO mortality database
Bull World Health Organ, 86 (2008), pp. 726732
Full Text via CrossRef | View Record in Scopus | Citing articles (130)
20
D Gunnell, M Eddleston, MR Phillips, F Konradsen
The global distribution of fatal pesticide self-poisoning: systematic review
BMC Public Health, 7 (2007), p. 357
Full Text via CrossRef
21
YY Chen, PSF Yip
Prevention of suicide by jumping: experiences from Taipei City (Taiwan), Hong Kong and Singapore
D Wasserman, C Wasserman (Eds.), Oxford textbook of suicidology and suicide prevention, Oxford University Press, Oxford (2009), pp. 569572
View Record in Scopus | Citing articles (6)
22
YY Chen, D Gunnell, TH Lu
Descriptive epidemiological study of sites of suicide jumps in Taipei, Taiwan
Inj Prev, 15 (2009), pp. 4144
Full Text via CrossRef | View Record in Scopus | Citing articles (10)
23
K Thomas, SS Chang, D Gunnell
Suicide epidemics: the impact of newly emerging methods on overall suicide ratesa time trends study
BMC Public Health, 11 (2011), p. 314
Full Text via CrossRef
24
N Kreitman
The coal gas story: United Kingdom suicide rates, 196071
Br J Prev Soc Med, 30 (1976), pp. 8693
Full Text via CrossRef | View Record in Scopus | Citing articles (218)
25
T Amos, L Appleby, K Kiernan
Changes in rates of suicide by car exhaust asphyxiation in England and Wales
Psychol Med, 31 (2001), pp. 935939
View Record in Scopus | Citing articles (58)
26
M Nordentoft, P Qin, K Helweg-Larsen, K Juel
Restrictions in means for suicide: an effective tool in preventing suicide: the Danish experience
Suicide Life Threat Behav, 37 (2007), pp. 688697
Full Text via CrossRef | View Record in Scopus | Citing articles (24)
27
DM Studdert, LC Gurrin, U Jatkar, J Pirkis
Relationship between vehicle emissions laws and incidence of suicide by motor vehicle exhaust gas in Australia, 200106: an ecological analysis
PLoS Med, 7 (2010), p. e1000210
Full Text via CrossRef
28
JA Mott, MI Wolfe, CJ Alverson, et al.
National vehicle emissions policies and practices and declining US carbon monoxide-related mortality
JAMA, 288 (2002), pp. 988995
Full Text via CrossRef | View Record in Scopus | Citing articles (85)
29
GD Skilling, PD Sclare, SJ Watt, S Fielding
The effect of catalytic converter legislation on suicide rates in Grampian and Scotland 19802003
Scott Med J, 53 (2008), pp. 36
Full Text via CrossRef | View Record in Scopus | Citing articles (4)
30
D Gunnell, M Eddleston
Suicide by intentional ingestion of pesticides: a continuing tragedy in developing countries
Int J Epidemiol, 32 (2003), pp. 902909
Full Text via CrossRef | View Record in Scopus | Citing articles (222)
31
D Gunnell, R Fernando, M Hewagama, WD Priyangika, F Konradsen, M Eddleston
The impact of pesticide regulations on suicide in Sri Lanka
Int J Epidemiol, 36 (2007), pp. 12351242
Full Text via CrossRef | View Record in Scopus | Citing articles (134)
32
DM Roberts, A Karunarathna, NA Buckley, G Manuweera, MH Sheriff, M Eddleston
Influence of pesticide regulation on acute poisoning deaths in Sri Lanka
Bull World Health Organ, 81 (2003), pp. 789798
View Record in Scopus | Citing articles (114)
33
L Vijayakumar, R Satheesh-Babu
Does no pesticide reduce suicides?
Int J Soc Psychiatry, 55 (2009), pp. 401406
Full Text via CrossRef | View Record in Scopus | Citing articles (13)
34
F Konradsen, R Pieris, M Weerasinghe, W van der Hoek, M Eddleston, AH Dawson
Community uptake of safe storage boxes to reduce self-poisoning from pesticides in rural Sri Lanka
BMC Public Health, 7 (2007), p. 13
Full Text via CrossRef
35
AL Beautrais, DM Fergusson, LJ Horwood
Firearms legislation and reductions in firearm-related suicide deaths in New Zealand
Aust N Z J Psychiatry, 40 (2006), pp. 253259
Full Text via CrossRef | View Record in Scopus | Citing articles (48)
36
FS Bridges
Gun control law (Bill C-17), suicide, and homicide in Canada
Psychol Rep, 94 (2004), pp. 819826
Full Text via CrossRef | View Record in Scopus | Citing articles (39)
37
J Caron
Gun control and suicide: possible impact of Canadian legislation to ensure safe storage of firearms
Arch Suicide Res, 8 (2004), pp. 361374
Full Text via CrossRef | View Record in Scopus | Citing articles (23)
38
J Caron, M Julien, JH Huang
Changes in suicide methods in Quebec between 1987 and 2000: the possible impact of bill C-17 requiring safe storage of firearms
Suicide Life Threat Behav, 38 (2008), pp. 195208
Full Text via CrossRef | View Record in Scopus | Citing articles (10)
39
S Chapman, P Alpers, K Agho, M Jones
Australia's 1996 gun law reforms: faster falls in firearm deaths, firearm suicides, and a decade without mass shootings
Inj Prev, 12 (2006), pp. 365372
Full Text via CrossRef | View Record in Scopus | Citing articles (72)
40
AH Cheung, CS Dewa
Current trends in youth suicide and firearms regulations
Can J Public Health, 96 (2005), pp. 131135
View Record in Scopus | Citing articles (13)
41
KR Conner, Y Zhong
State firearm laws and rates of suicide in men and women
Am J Prev Med, 25 (2003), pp. 320324
Article | PDF (78 K) | View Record in Scopus | Citing articles (30)
42
D De Leo, J Dwyer, D Firman, K Neulinger
Trends in hanging and firearm suicide rates in Australia: substitution of method?
Suicide Life Threat Behav, 33 (2003), pp. 151164
Full Text via CrossRef | View Record in Scopus | Citing articles (38)
43
F Marinho de Souza, J Macinko, AP Alencar, DC Malta, OL de Morais Neto
Reductions in firearm-related mortality and hospitalizations in Brazil after gun control
Health Aff, 26 (2007), pp. 575584
44
M Gagne, Y Robitaille, D Hamel, D St-Laurent
Firearms regulation and declining rates of male suicide in Quebec
Inj Prev, 16 (2010), pp. 247253
Full Text via CrossRef | View Record in Scopus | Citing articles (19)
45
ND Kapusta, E Etzersdorfer, C Krall, G Sonneck
Firearm legislation reform in the European Union: impact on firearm availability, firearm suicide and homicide rates in Austria
Br J Psychiatry, 191 (2007), pp. 253257
Full Text via CrossRef | View Record in Scopus | Citing articles (62)
46
H Klieve, M Barnes, D De Leo
Controlling firearms use in Australia: has the 1996 gun law reform produced the decrease in rates of suicide with this method?
Soc Psychiatry Psychiatr Epidemiol, 44 (2009), pp. 285292
Full Text via CrossRef | View Record in Scopus | Citing articles (32)
47
WS Lee, S Suardi
The Australian firearms buyback and its effect on gun deaths
Contemp Econ Policy, 28 (2010), pp. 6579
Full Text via CrossRef | View Record in Scopus | Citing articles (8)
48
G Lubin, N Werbeloff, D Halperin, M Shmushkevitch, M Weiser, HY Knobler
Decrease in suicide rates after a change of policy reducing access to firearms in adolescents: a naturalistic epidemiological study
Suicide Life Threat Behav, 40 (2010), pp. 421424
Full Text via CrossRef | View Record in Scopus | Citing articles (25)
49
J Ozanne-Smith, K Ashby, S Newstead, VZ Stathakis, A Clapperton
Firearm related deaths: the impact of regulatory reform
Inj Prev, 10 (2004), pp. 280286
Full Text via CrossRef | View Record in Scopus | Citing articles (42)
50
A Rodriguez Andres, K Hempstead
Gun control and suicide: the impact of state firearm regulations in the United States, 19952004
Health Policy, 101 (2011), pp. 95103
Article | PDF (164 K) | View Record in Scopus | Citing articles (22)
51
M Rosengart, P Cummings, A Nathens, P Heagerty, R Maier, F Rivara
An evaluation of state firearm regulations and homicide and suicide death rates
Inj Prev, 11 (2005), pp. 7783
View Record in Scopus | Citing articles (33)
52
DW Webster, JS Vernick, AM Zeoli, JA Manganello
Association between youth-focused firearm laws and youth suicides
JAMA, 292 (2004), pp. 594601
Full Text via CrossRef | View Record in Scopus | Citing articles (68)
53
CH Cantor, PJ Baume
Access to methods of suicide: what impact?
Aust N Z J Psychiatry, 32 (1998), pp. 814
Full Text via CrossRef | View Record in Scopus | Citing articles (91)
54
PW Wong, PM Liu, WS Chan, et al.
An integrative suicide prevention program for visitor charcoal burning suicide and suicide pact
Suicide Life Threat Behav, 39 (2009), pp. 8290
Full Text via CrossRef | View Record in Scopus | Citing articles (7)
55
PSF Yip, CK Law, KW Fu, YW Law, PW Wong, Y Xu
Restricting the means of suicide by charcoal burning
Br J Psychiatry, 196 (2010), pp. 241242
Full Text via CrossRef | View Record in Scopus | Citing articles (31)
56
YY Chen, SF Liao, PR Ten, et al.
The impact of of media reporting of the suicide of a singer on suicide rates in Taiwan
Soc Psychiatry Psychiatr Epidemiol, 47 (2012), pp. 215221
Full Text via CrossRef | View Record in Scopus | Citing articles (26)
57
YY Chen, F Chen, PSF Yip
The impact of media reporting of suicide on actual suicides in Taiwan, 20022005
J Epidemiol Community Health, 65 (2010), pp. 934940
58
KP Chan, PS Yip, J Au, DT Lee
Charcoal-burning suicide in post-transition Hong Kong
Br J Psychiatry, 186 (2005), pp. 6773
Full Text via CrossRef | View Record in Scopus | Citing articles (71)
59
CW Tsai, D Gunnell, YH Chou, CJ Kuo, MB Lee, YY Chen
Why do people choose charcoal burning as a method of suicide? An interview based study of survivors in Taiwan
J Affect Disord, 131 (2011), pp. 402407
Article | PDF (157 K) | View Record in Scopus | Citing articles (28)
60
The Age Company
UK records first online suicide pact
http://www.theage.com.au/news/world...ne-suicide-pact/2005/09/30/1127804638937.html (Sept 30, 2005) (accessed Feb 16, 2012).
61
J Pirkis, M Nordentoft
Media influences on suicide and attempted suicide
RC OConnor, S Platt, J Gordon (Eds.), International handbook of suicide prevention: research, policy and practice, John Wiley & Sons, Chichester (2011), pp. 531544
Full Text via CrossRef | View Record in Scopus | Citing articles (2)
62
T Niederkrotenthaler, M Voracek, A Herberth, et al.
Role of media reports in completed and prevented suicide: Werther v Papageno effects
Br J Psychiatry, 197 (2010), pp. 234243
Full Text via CrossRef | View Record in Scopus | Citing articles (85)
63
K Hawton, E Townsend, J Deeks, et al.
Effects of legislation restricting pack sizes of paracetamol and salicylate on self poisoning in the United Kingdom: before and after study
BMJ, 322 (2001), pp. 12031207
View Record in Scopus | Citing articles (213)
64
K Hawton, S Simkin, J Deeks, et al.
UK legislation on analgesic packs: before and after study of long term effect on poisonings
BMJ, 329 (2004), p. 1076
Full Text via CrossRef | View Record in Scopus | Citing articles (150)
65
DN Bateman
Limiting paracetamol pack size: has it worked in the UK?
Clin Toxicol, 47 (2009), pp. 536541
Full Text via CrossRef | View Record in Scopus | Citing articles (22)
66
AL Beautrais
Effectiveness of barriers at suicide jumping sites: a case study
Aust N Z J Psychiatry, 35 (2001), pp. 557562
Full Text via CrossRef | View Record in Scopus | Citing articles (63)
67
AL Beautrais, SJ Gibb, DM Fergusson, LJ Horwood, GL Larkin
Removing bridge barriers stimulates suicides: an unfortunate natural experiment
Aust N Z J Psychiatry, 43 (2009), pp. 495497
Full Text via CrossRef | View Record in Scopus | Citing articles (21)
68
O Bennewith, M Nowers, D Gunnell
Effect of barriers on the Clifton suspension bridge, England, on local patterns of suicide: implications for prevention
Br J Psychiatry, 190 (2007), pp. 266267
Full Text via CrossRef | View Record in Scopus | Citing articles (48)
69
CK Law, PSF Yip, WS Chan, KW Fu, PW Wong, YW Law
Evaluating the effectiveness of barrier installation for preventing railway suicides in Hong Kong
J Affect Disord, 114 (2009), pp. 254262
Article | PDF (337 K) | View Record in Scopus | Citing articles (37)
70
AR Pelletier
Preventing suicide by jumping: the effect of a bridge safety fence
Inj Prev, 13 (2007), pp. 5759
Full Text via CrossRef | View Record in Scopus | Citing articles (26)
71
T Reisch, K Michel
Securing a suicide hot spot: effects of a safety net at the Bern Muenster Terrace
Suicide Life Threat Behav, 35 (2005), pp. 460467
Full Text via CrossRef | View Record in Scopus | Citing articles (34)
72
M Sinyor, AJ Levitt
Effect of a barrier at Bloor Street Viaduct on suicide rates in Toronto: natural experiment
BMJ, 341 (2010), p. c2884
Full Text via CrossRef | View Record in Scopus | Citing articles (1)
73
K Skegg, P Herbison
Effect of restricting access to a suicide jumping site
Aust N Z J Psychiatry, 43 (2009), pp. 498502
Full Text via CrossRef | View Record in Scopus | Citing articles (10)
74
G Glasgow
Do local landmark bridges increase the suicide rate? An alternative test of the likely effect of means restriction at suicide-jumping sites
Soc Sci Med, 72 (2011), pp. 884889
Article | PDF (304 K) | View Record in Scopus | Citing articles (9)
75
D Gunnell, M Miller
Strategies to prevent suicide
BMJ, 341 (2010), p. c3054
Full Text via CrossRef
76
VA de Silva, S Senanayake, P Dias, R Hanwella
From pesticides to medicinal drugs: time series analyses of methods of self-harm in Sri Lanka
Bull World Health Organ, 90 (2012), pp. 4046