What suicide interventions should target

Recent reviews and national statistics indicate that, so far, our field has made limited progress on fulfilling its central mission of preventing future suicidal thoughts and behaviors (STBs). We posit that a fundamental reason for our lack of progress is the way in which our field tends to think about and select STB intervention targets. Specifically, the vast majority of our intervention targets are derived from untested theoretical assertions, moderate correlates of STBs, or weak risk factors for STBs. None of these forms of evidence permits causal inferences, which is problematic because successful STB interventions must target the causes of STBs. To develop effective interventions, we must employ experimental designs to identify targets that are causal, necessary, and viable.