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The calls are particularly helpful when the counselors are properly trained in suicide-risk management, said Madelyn Gould, a Columbia University epidemiologist.

The protocol can be done at home, said Holli Jakalow, an assistant professor of obstetrics and gynecology at Columbia University Irving Medical Center.

Findings from a Columbia University database help dispel the myth that having a severe psychiatric illness is predictive of who will perpetrate mass murder.