Conceptualising the commercial determinants of suicide: broadening the lens on suicide and self-harm prevention

May van Schalkwyk*, Jeff Collin, Michael Eddleston, Mark Petticrew, Melissa Pearson, Lisa Schölin, Nason Maani, Flemming Konradsen, David J Gunnell, Duleeka Knipe*

*Corresponding author for this work

Research output: Contribution to journalArticle (Academic Journal)peer-review

7 Citations (Scopus)
274 Downloads (Pure)

Abstract

Suicide is preventable, yet, in many settings, robust suicide prevention strategies are lacking. While a commercial determinants of health lens is increasingly being applied to industries important to the field of suicide prevention, the interplay between the vested interests of commercial actors and suicide has received limited attention. There is a need to shift attention to the “causes of the causes”, directing more attention to the ways that commercial determinants influence suicide and shape suicide prevention strategies. Such a shift in perspective, with an evidence base and precedents to draw upon, has transformative potential for research and policy agendas dedicated to understanding and addressing upstream modifiable determinants of suicide and self-harm. We propose a framework intended to help guide efforts to conceptualise, research, and address the commercial determinants of suicide and their inequitable distribution. We hope these ideas and lines of inquiry help catalyse the building of more bridges across disciplines and open spaces for further debate and discussion as to how to take such an agenda forward.
Original languageEnglish
Pages (from-to)363-370
Number of pages8
JournalLancet Psychiatry
Volume10
Issue number5
Early online date2 Apr 2023
DOIs
Publication statusPublished - 1 May 2023

Bibliographical note

Funding Information:
MCIvS, MPet, and JC have funding through and are co-investigators in the SPECTRUM consortium which is funded by the UK Prevention Research Partnership, a consortium of UK funders (UK research and innovation research councils [Medical Research Council, Engineering and Physical Sciences Research Council, Economic and Social Research Council, and Natural Environment Research Council], charities [British Heart Foundation, Cancer Research UK, the Wellcome Trust, and The Health Foundation], and government [Scottish Government Chief Scientist Office, Health and Care Research Wales, NIHR, and Public Health Agency]). NM (co-investigator) and MPet (principal investigator) have grant funding from the NIHR “Three Schools” Mental Health Programme. MCIvS is funded by the NIHR Doctoral Fellowship (NIHR3000156) and her research is also partially supported by the NIHR Applied Research Collaboration North Thames. The views expressed are those of the authors and not necessarily those of the NIHR or the Department of Health and Social Care. DK is funded through the Elizabeth Blackwell Institute for Health Research at the University of Bristol, UK, which is supported by the Wellcome Trust. DK is also in receipt of a grant from the CPSP. LS is supported by the CPSP. The CPSP is funded by a grant from Open Philanthropy, at the recommendation of GiveWell, CA, USA.

Publisher Copyright:
© 2023 Elsevier Ltd

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