*Suicide Prevention in Taiwan Chang Chia-Ming, MD, Ph.D.Visiting Psychiatrist and Chief of Suicide Prevention Center, Chang Gung Memorial Hospital at Linko, TaiwanVice CEO, Taiwan Suicide Prevention CenterDeputy Secretary, Taiwanese Society of Suidiology*

*1. 2. 2-1. 2-2. 2-3. 2-4. 2-5. 2-6.

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*1.

*http://www.who.int/mental_health/prevention/suicide/suicideprevent/en/print.html20022009*Map of world suicide rates from WHO

TaiwanSuicide rates of major countries

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12..*

Suicide rates, numbers, and rank in all causes of death in Taiwan (1994- 2011)1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 201110 110 9 9 9 9 9 9 9 9 9 9 9 9 9 9 11 11

Suicide rates and numbers by sex and age in Taiwan (2010 vs 2011)**2010 vs 2011

20102011 (%)2,63922.72,39220.5-9.41,25010.91,1159.7-11.21460.240.1-30.715-241765.51745.4-1.325-44141318.61,27116.9-9.345-64140822.81,25149.6-14.16588635.880732.2-10.2388916.8350715.1-10.0

Suicide numbers and rates by sex in Taiwan, 1994-2011* 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 20111994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

Suicide numbers and rates by age in Taiwan, 1994-2011* 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 20111994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

*Methods of Suicidal Death in Taiwan (2002-2009)HangingCharcoal burningPesticide*

*2.

2-1 *

0800-788-998

19.3201016.820102012

**Press conference for World Suicide Prevention Day, held on September 6, 2010, TaiwanCabinet officialsPresident Ma

*2-2

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1. 2.3. 4. 15 6244271165

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5. 6. 7.8.1

*Mood thermometer

*Poster for World Suicide Prevention Day 2010

*Stickers, leaflets, and small magnets for checkout counter of supermarkets or convenience stores

*General public

*Medical institutions

*Workplace

Facebook and suicide*

*2-3. 0800-788-995

* 61,284(143318)

* 888

*, 2006-2010989814399375

Chart1

27926

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48127

61284

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1

9527,926

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*2-4.

* 2008 vs 2009(2008 vs 2009)

20082009 (%) (%)(%)8,03333.2 8,74934.1 8.9 16,14766.8 16,90065.9 4.7 142050.8 2060.8 0.5 15-244,09216.9 3,94515.4 -3.6 25-4412,94553.5 13,63753.2 5.3 45-645,13121.2 5,88022.9 14.6 651,8027.5 1,9817.7 9.9 24,180100.0 25,649100.0 6.1

*2007-2009-

Age2007200820092007-2009groupnnnn14-1220.52050.82060.85330.7 15-24395517.2409216.9394515.41199216.5 25-441224653.21294553.51363753.23882853.3 45-64493721.5513121.2588022.91594821.9 65+17467.618027.519817.755297.6 Total23006100241801002564910072835100.0

*2007-2009-

14-%15-24%25-44%45-64%65+%Total %Sedatives intoxication24.434.244.543.527.941.2Cutting wrist25.329.616.175.315.6Charcoal burning6.24.57.87.91.76.8Other drugs intoxication8.67.56.65.456.4Pesticide intoxication2.11.53.69.7226Stabbing910.16.64.64.36.6Hanging2.61.12.15.110.43.2Other chemical32.52.94.2103.6Jumping 10.13.83.54.34.53.8other methods7.34.74.86.185.2Total100100100100100100

*2009*

15-2425-4445-6465+15-2425-4445-6465+18.717.818.818.818.418.820.128.324.522.018.017.415.915.816.815.222.826.420.222.229.114.73.31.512.343.823.97.70.922.213.912.411.36.411.613.621.622.89.919.81.711.711.57.79.65.119.719.26.816.41.34.414.740.610.81.23940.26.14.914.815.11.311.82.35.34.50.54.32009.1~2009.12

*National suicide surveillance systemReportingAftercaresSurveillanceNSSSAttempters

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*Chang SS et al: PLoS Med 2010;7: e1000212

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*(1995) 87.1% 44.0% 25.9% 6.9% 6.0% 1.7%(2004)56.1%90%60%

*, Mood disorder15%suicide Suicide attempt10% suicide within 10 years Suicide19-24% had previous suicide history45-70% with mood disorder

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*Our ultimate goal Suicide prevention is everyones responsibility.Network integration and continuous caring are crucial.Everyone should be the gatekeeper for saving life.*

Thanks for your attention!!

**