Crisis Centers and Their role in Treatment: Suicide Prevention Versus Health Promotion
Suicide is a major health problem in Canada (National Task Force on Suicide in Canada, 1987). In Canada and the other industrialized nations, it remains among the 10 leading causes of death (Centers for Disease Control, 1985). Since the 1960s, there has been a massive effort to reduce suicide mortality in North America through the establishment of suicide prevention centers (Litman, 1966; Seely, 1992). In spite of virtually a total lack of evidence concerning the efficacy of suicide prevention services, such centers have proliferated to the extent that nearly every metropolitan area in North America now has at least one. Overall suicide rates have increased slightly throughout this time.