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The Ontological Crisis in Suicide Prevention: Transcending Epistemological Silence through a Narrative Evidence Model
By
Madison Zeng
On
April 14, 2026
Current suicide prevention in the U.S. relies on checklist-based assessments that prioritize legal liability over patient experience, resulting in a staggering 0.01% predictive accuracy for suicide mortality. To effectively address the national crisis, the system must shift from these "silencing" clinical tools toward a human-centered model that values personal narrative and subjective distress.
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