Gonzalo Martínez-Alés
Psychiatrist and epidemiologist at the Icahn School of Medicine at Mount Sinai.
Paper 1 (Preventing suicide: a public health approach to a global problem) is a great addition to the literature because it brings together decades of research on suicide prevention from a public health perspective. It also facilitates the conceptualization of the problem in a succinct and graphic manner, with a conceptual model that summarizes the causes of suicidal thoughts and behaviors at different levels in the population. Facilitating this conceptualization is very important for policy-making and for society in general, to view the risk of suicide not only as a clinical problem that can potentially be prevented solely in mental health consultations but as a global issue that can potentially be addressed through various layers of society.
Paper 5 (Addressing key risk factors for suicide at a societal level) directly focuses on four of the most well-understood social causes of suicidal behaviors in the literature: alcohol use, gambling disorder, domestic violence, and the grief from losing someone to suicide. It is a narrative review that can guide individuals who are not very familiar with these issues.
In general, this represents a major scientific effort to bring suicide to the forefront of the international stage as a public health problem, highlighting its social causes at both individual and population levels as key avenues for prevention. Notably, it calls attention to the commercial interests at play in population-level suicide risk and the potential role of commercial regulation in reducing this risk.