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Lithium in Drinking Water as a Public Policy for Suicide Prevention

Relevance and Considerations

Bibliographic Data

ID22067041
AuthorsPablo Araya (0000-0001-8706-2893, Pontificia Universidad Católica de Chile), Camila Martínez Rebolledo (0000-0001-9559-8014, Pontificia Universidad Católica de Chile), Camila Martínez, Jorge Barros (Pontificia Universidad Católica de Chile, corresponding author)
Year2022
Volume10
Pages805774-805774
Publication date2022-02-17
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueFrontiers in Public Health (JOURNAL)
Journal identifiersISSN: 2296-2565 • E-ISSN: 2296-2565
PublisherFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2022.805774
PMID35252091
OpenAlexW4213140077
LanguageEN
Citations received1
References cited58

Although suicide is considered a major preventable cause of mortality worldwide, we do not have effective strategies to prevent it. Lithium has been consistently associated with lowering risk of suicide. This effect could occur at very low concentrations, such as trace doses of lithium in tap water. Several ecological studies and recent meta-analysis have suggested an inverse association between lithium in water and suicide in the general population, with a lack of knowledge of clinically significant side effects. This paper is aimed as a proposal to discuss the addition of lithium to drinking water to decrease the suicide rate. For this, we review the evidence available, use previous experiences, such as water fluoridation to prevent dental caries, and discuss the complexity involved in such a public policy. Considering the limited data available and the controversies contained in this proposal, we suggest that a consensus on lithium concentration in water is needed, where the suicide rates start to reduce, as happened with water fluoridation. This measure will require to develop community-controlled trials with strict monitoring of any side effects, where democratic procedures would constitute one of the most appropriate ways to validate its implementation according to the reality of each community

Environmental health · Injury prevention · Poison control · Political science · Population · Psychiatry · Public health · Scientific evidence · Suicide prevention · Suicide rates · Water fluoridation · Bipolar Disorder and Treatment · Medicine · Mental Health Treatment and Access · Nursing · Suicide and Self-Harm Studies

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Unique citing works1
Citations per year0,5
Citation span2024 - 2024 (1)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 1

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