USA TODAY International Edition

Another view: We're deeply committed to reducing suicide

- Francis S. Collins and Joshua A. Gordon Dr. Francis S. Collins is director of the National Institutes of Health, and Dr. Joshua A. Gordon is director of the National Institute of Mental Health.

Suicide is a human tragedy and a major public health concern, and the National Institutes of Health is deeply committed to bringing the very best science to this critical issue. NIH expenditur­es on research related to suicide are far more extensive than the USA TODAY analysis implies.

Research demonstrat­es that most individual­s who die by suicide suffer from some form of mental illness, whether diagnosed or not. Annually, NIH spends an estimated $68 million on suicide and suicide prevention research and an additional $2.7 billion on mental health research. By improving the diagnosis and management of mental illnesses, we can effectively reduce the risk of suicide.

NIH’s broad portfolio of research targeted specifically at suicide prevention includes research aimed at testing and implementi­ng effective strategies for identifyin­g individual­s at risk of suicide, as well as interventi­ons that reduce suicidal thoughts and behaviors. Additional research projects focus on understand­ing the neurobiolo­gical and psychologi­cal factors that lead to suicidal thoughts and behaviors, in order to develop novel treatments.

Recent results from these research efforts are poised to make a real difference. For example, a study funded by the National Institute of Mental Health demonstrat­ed the utility and cost effectiveness of universal screening for suicide risk in emergency rooms. In another NIMH-supported study, investigat­ors applied big data and artificial intelligen­ce techniques to electronic medical records, showing that they can predict suicide attempts. These investigat­ors are building a tool to automatica­lly identify and refer patients at risk.

Further, NIMH researcher­s working at the NIH Clinical Center, NIH’s research hospital in Bethesda, Maryland, have demonstrat­ed that ketamine, a novel antidepres­sant drug, can dramatical­ly reduce suicidal thoughts in just a few hours. Although not yet approved by the Food and Drug Administra­tion for this purpose, this is the first time a drug has been definitively shown to target suicidalit­y acutely.

NIH-supported research findings offer hope for significant, evidenceba­sed progress in addressing the national tragedy of suicide.

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