You will be presented with the full text of a biomedical research paper. Please write an abstract for this paper. Your response should include the abstract and no additional text.

Paper text:
worldwide , the incidence of suicide ( the act of deliberately killing oneself ) has increased at an alarming rate and has acquired the status of a global public health concern .
the estimates released by the world health organization suggest that close to 1 million people died ( which was equivalent to one suicide death every 40 s ) , because of suicide in the year 2012 alone .
these estimates are approximate figures , as suicide being a sensitive issue , often goes unreported .
furthermore , suicide has been identified as the second most common cause of death among 1529 years old age group individuals worldwide , and more than three - fourth of the cases are from low and middle - income nations alone .
this is quite challenging as they are often ill - equipped to meet the general and mental health needs of their population .
in addition , with each suicide , there is a considerable amount of impact on the family members and the society .
the society has to bear a significant economic cost resulting from the health care services used in cases of suicide and attempted suicide , and because of the lost production from the exit or absence from the workforce .
a wide range of potential factors like positive history of a prior suicide attempt ; presence of a mental disorder , especially depression or substance abuse ; life stresses such as financial crisis , failure in relationships , chronic illness ; exposure to violence / abuse / disaster ; and being from a vulnerable group such as a prisoner , etc .
the global analysis has revealed that consumption of pesticide ( accounted for 30% of the global suicides ) , followed by hanging and use of firearms are the most frequent mode of committing suicide .
although , it is a well - acknowledged fact that suicides are completely preventable , the public health authorities have failed to halt the rising trend of the suicide .
this has been attributed to the presence of stigma in the society , especially with regard to mental illnesses , owing to which a major proportion of people never accesses health centers .
in addition , poor awareness among the general population and absence of the realization to consider suicide as a serious problem has also been acknowledged as the perpetrating factors for suicide .
however , it is not always the society which should be held responsible , as in a large proportion of cases , absence of a psychiatrist or counselor or a trained medical professional ; and geographical inaccessibility to the health centers , have been identified as the main obstacles , especially in low - resource settings .
further , because of absence of a streamlined / universal mechanism to obtain precise estimates for suicide , the actual figures are never obtained and hence in most of the nation , suicide has not been given a status of public health problem .
as suicide is a complex issue , to prevent it , there is an immense need to have a comprehensive approach by ensuring the integration among all the stakeholders ( such as policy makers , health professionals , education , law , media , community , etc . ) . in low and middle - income nations ,
the most cost - effective approach is to ensure the integration of suicide prevention program into the primary health care network . ensuring the presence of a psychiatrist in rural and remote health centers can significantly reduce the incidence of suicide , but in cases of shortage of specialists , significant improvement can be obtained by training the paramedical health workers toward the assessment and management of suicidal behaviors .
multiple measures can be planned and implemented at different levels to prevent suicide and suicide attempts .
the first and foremost thing is to strengthen the mental health services , in terms of its reach , human resources , medicines , and range of services .
however , this is indirectly dependent on a holistic policy which can guide program managers to execute their action .
in fact , it is very much important to integrate mental health services with the primary health care services so that better utilization of resources can be achieved , especially in low - resource settings . at the same time
, the media can be involved to create awareness about suicides , and activities can be even planned to remove the associated stigma .
furthermore , the stakeholders such as school teachers ( to initiate suicide prevention activities among schools ) or medical practitioners ( to have a high index of suspicion for suicide among high - risk group people , and provision of follow - up care ) or members of community ( for provision of social support to vulnerable individuals , follow - up care , and negating stigma ) , can also be involved in a need - based manner .
in addition , there is a crucial need to strengthen the monitoring and surveillance activities so that to ensure comprehensive and complete suicide estimates .
finally , community - based research should be encouraged to obtain an insight into the potential risk factors and determinants , and thus provide evidence to the local program managers to customize the existing strategy depending on the needs of the society .
in fact , realizing the public health concern associated with suicides and to achieve the target of a reduction in suicide rates by 10% by the year 2020 , the world health organization is assisting nations to develop or strengthen comprehensive suicide prevention strategies .
however , the need of the hour is that all the stakeholders should take collective responsibility , and work in collaboration to develop and implement a comprehensive multi - sectoral suicide prevention strategy .
worldwide , the incidence of suicide has increased at an alarming rate and in the year 2012 close to 1 million people died because of suicide . 
 although , it is a well - acknowledged fact that suicides are completely preventable , the public health authorities have failed to halt the rising trend of the suicide because of the presence of various social and health related factors . as 
 suicide is a complex issue , in the low and middle - income nations , the most cost - effective approach is to ensure the integration of suicide prevention program into the primary health care network . to conclude , suicide is an important public health concern which is definitively preventable . 
 however , the need of the hour is that all the stakeholders should take collective responsibility , and work in collaboration to develop and implement a comprehensive multi - sectoral suicide prevention strategy .