Reviews
Issue 3 - September 2025
Comparison of behaviour and suicide attempt protocols in the world: a scoping review article
Abstract
ntroduction. Within the annals of philosophy, the question of suicide has persisted as a perennial enigma, transcending epochs of human existence. Framed within the context of the fundamental biopsychosocial model, the comprehension, management, and definition of suicidal behaviors prompt a legitimate inquiry: what are the principal protocols governing the management and intervention strategies for global suicide attempts?
Evidence Acquisition. A Scoping Review, employing the PRISMA-P method and Scoping review search strategy, was conducted over the past five years, utilizing PubMed, Epistemonikos, Lilacs, and Google Scholar databases. MeSH terms (“Suicide behavior” AND “Suicide”) OR (“Mental disorders” AND “therapy”) were employed for the search. Subsequently, emphasis was placed on clinical trial therapy evaluations alongside historical evidence effects. Forty primary studies were identified, with a thorough examination of included articles vis-à-vis the specified inclusion criteria. The analysis encompassed ten primary studies and ten primary historical resources, ensuring a comprehensive overview within this domain.
Conclusion. An integrated mental health system interfaced with the labor infrastructure, duly considering biopsychosocial variables, proffers the advantage of mitigating the incidence of mental and neurological disorders by fostering engagement and activity among the elderly population.
Principal message. The concept of suicide has been presented a progressive evolution since its sacralization in the preclassical era where it was sin and punishment that dominated the suicidal attempt and act in the times of King Saul, and later the concepts of civic or assisted suicide appeared in times of Socrates and later Mark Antony and Cleopatra who transmuted this concept into a pendulum meaning between logic and creed.
The history of suicide from the philosophy of human thought dates back to sumerian, babylonian, assyrian and hebrews kingdoms times where suicide was considered punishment from the gods, and in classical times the concept of suicide is associated with the sacred of life by the State such as Socrates and Seneca in The Age of Nero. This is where assisted suicide is created. Already in the average age, the concept of suicide is understood as a source of capital sin and the commandments cannot be resurrected or buried, and if they do, they will not be consecrated. It is with Pinel and Esquirol (refers to the image 2 in the romantic period) that suicide is considered a manageable and treatable disease, breaking us down and the patients being treated with different types of treatments, the asylum system was the main one.
Limitations. This scoping review uses both scientific literature sources and gray literature in its preparation, and historical sources derived from universal literature, which adds a subjective component to the appreciation of the authors of their time when describing the epidemiological phenomenon.
Final result. We identified 40 primary studies, we counted the number of studies included in the review that potentially met our inclusion criteria, and noted how many studies had been missed by our search. We analyzed 10 Primary studies and 10 secondary resources, which were included in the scope of this study. It would be advisable to create a Medical Institute Neuromodulation Center Assessment that studies and controls in a coordinated manner, especially in countries with lower per capita income, such as third-world countries where there is a greater risk of the appearance of Mental illness.
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Copyright (c) 2025 Italian Journal of Psychiatry
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