Journal articles: 'Suicidality'

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Obegi, Joseph H. "Rethinking Suicidal Behavior Disorder." Crisis 40, no. 3 (May 2019): 209–19. http://dx.doi.org/10.1027/0227-5910/a000543.

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Abstract. Background: It is a peculiar fact that the deadliest psychiatric disturbance – suicidality – cannot be formally diagnosed. Suicidal behavior disorder (SBD), a condition for further study in the DSM-5, is the field's first attempt to capture suicidality in a diagnosis. Aims: To provoke discussion about the standing of suicidality as a diagnosable psychiatric condition. Method: I present pragmatic and conceptual rationales for why a diagnosis of suicidality is clinically useful but conclude that SBD does little to aid clinicians in assessing suicidality's symptoms, planning treatment, or monitoring progress. Results: To improve the clinical utility of SBD, I re-conceptualize it from the vantage point of descriptive psychiatry. I hypothesize that this revised SBD is an independent, episodic, and frequently co-occurring condition and propose new cognitive, affective, and behavioral criteria that more completely capture the phenomenology of suicidality. Conclusion: The revised SBD is a starting place for dialogue about whether a clinically significant presentation of suicidality is a mental illness and, if it is, what its defining features should be.

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Wein, Simon. "Suicidality." Palliative and Supportive Care 10, no. 3 (April 23, 2012): 229–30. http://dx.doi.org/10.1017/s1478951512000211.

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Rakus, Tomas, Katarina Hubcikova, Lucia Bruncvik, Zuzana Pechanova, and Martin Brunovsky. "ELECTROPHYSIOLOGICAL CORRELATES OF SUICIDALITY." Psychiatria Danubina 33, no. 3 (November 17, 2021): 266–79. http://dx.doi.org/10.24869/psyd.2021.266.

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Lester, David, and Julie Rife. "Predicting Suicidality." Perceptual and Motor Skills 87, no. 2 (October 1998): 498. http://dx.doi.org/10.2466/pms.1998.87.2.498.

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In a sample of 102 college students, prior suicidality was associated with self-reports of depressive tendencies, but not with manic or obsessive-compulsive tendencies, religiosity or irrational thinking.

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BORST, SOPHIE R., GIL G. NOAM, and JOHN A. BARTOK. "Adolescent Suicidality." Journal of the American Academy of Child & Adolescent Psychiatry 30, no. 5 (September 1991): 796–803. http://dx.doi.org/10.1097/00004583-199109000-00016.

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Chima, Felix O. "Elderly suicidality." Journal of Human Behavior in the Social Environment 6, no. 4 (December 2002): 21–45. http://dx.doi.org/10.1300/j137v06n04_02.

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Assari, Shervin, Shanika Boyce, and Mohsen Bazargan. "Feasibility of Race by Sex Intersectionality Research on Suicidality in the Adolescent Brain Cognitive Development (ABCD) Study." Children 8, no. 6 (May 23, 2021): 437. http://dx.doi.org/10.3390/children8060437.

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Intersectional research on childhood suicidality requires studies with a reliable and valid measure of suicidality, as well as a large sample size that shows some variability of suicidality across sex by race intersectional groups. Objectives: We aimed to investigate the feasibility of intersectionality research on childhood suicidality in the Adolescent Brain Cognitive Development (ABCD) study. We specifically explored the reliability and validity of the measure, sample size, and variability of suicidality across sex by race intersectional groups. Methods: We used cross-sectional data (wave 1) from the ABCD study, which sampled 9013 non-Hispanic white (NHW) or non-Hispanic black (NHB) children between the ages of 9 and 10 between years 2016 and 2018. Four intersectional groups were built based on race and sex: NHW males (n = 3554), NHW females (n = 3158), NHB males (n = 1164), and NHB females (n = 1137). Outcome measure was the count of suicidality symptoms, reflecting all positive history and symptoms of suicidal ideas, plans, and attempts. To validate our measure, we tested the correlation between our suicidality measure and depression and Child Behavior Checklist (CBCL) sub-scores. Cronbach alpha was calculated for reliability across each intersectional group. We also compared groups for suicidality. Results: We observed some suicidality history in observed 3.2% (n = 101) of NHW females, 4.9% (n = 175) of NHW males, 5.4% (n = 61) of NHB females, and 5.8% (n = 68) of NHB males. Our measure’s reliability was acceptable in all race by sex groups (Cronbach alpha higher than 0.70+ in all intersectional groups). Our measure was valid in all intersectional groups, documented by a positive correlation with depression and CBCL sub-scores. We could successfully model suicidality across sex by race groups, using multivariable models. Conclusion: Given the high sample size, reliability, and validity of the suicidality measure, variability of suicidality, it is feasible to investigate correlates of suicidality across race by sex intersections in the ABCD study. We also found evidence of higher suicidality in NHB than NHW children in the ABCD study. The ABCD rich data in domains of social context, self-report, schools, parenting, psychopathology, personality, and brain imaging provides a unique opportunity to study intersectional differences in neural circuits associated with youth suicidality.

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Rüsch, Nicolas, Alina Zlati, Georgia Black, and Graham Thornicroft. "Does the stigma of mental illness contribute to suicidality?" British Journal of Psychiatry 205, no. 4 (October 2014): 257–59. http://dx.doi.org/10.1192/bjp.bp.114.145755.

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SummaryMental disorders are associated with suicidality and with stigma. Many consequences of stigma, such as social isolation, unemployment, hopelessness or stress, are risk factors for suicidality. Research is needed on the link between stigma and suicidality as well as on anti-stigma interventions and their effects on suicidality.

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Rukundo, Godfrey Zari, Jonathan Levin, Richard Stephen Mpango, Vikram Patel, and Eugene Kinyanda. "Effect of suicidality on clinical and behavioural outcomes in HIV positive adults in Uganda." PLOS ONE 16, no. 8 (August 20, 2021): e0254830. http://dx.doi.org/10.1371/journal.pone.0254830.

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Introduction Suicidality is a risk of a person committing suicide often characterized by suicidal ideation, intent or attempts. Despite the high burden of suicidality among individuals living with HIV and HAIDS, there is paucity of data on the impact of suicidality on clinical (such as CD4 counts and HIV disease progression) and behavioural outcomes (such as adherence to HIV Medications). Cross-sectional investigations of these associations are often complicated by bidirectional causal relationships and hence the need for longitudinal study designs. We conducted a cohort study to determine the impact of suicidality on clinical and behavioural outcomes among adults living with HIV/AIDS in Uganda. Materials and methods We conducted the study among 1099 ART naïve adults living with HIV/AIDS in Uganda. Data were collected at three time points: baseline, 6 and 12 months. Multiple regression and discrete time survival models were used to determine the relationship between suicidality and indices of HIV outcomes. Results Majority of the participants were female and the participant mean age was 35 years. Most of them (73%) had primary or no formal education. The proportion of participants with suicidality decreased from 2.9% at baseline to roughly 1% both at month 6 and month 12. Of the investigated clinical and behavioural outcomes, baseline suicidality only had a negative impact on missing a dose of ART where the odds of missing a dose of ART were 8.25 (95% CI 2.45–27.71, p>0.01) times higher for participants with suicidality compared to those without suicidality. The following outcomes were not significantly impacted by baseline suicidality: HIV clinical stage, CD4 count and risky sexual behaviour. Conclusions The fact that baseline suicidality significantly negatively impacted ART adherence calls for the incorporation of psychosocial interventions to target indices of psychological distress such as suicidality to improve HIV related outcomes.

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Trevino, Kelly Marie, Karen Fasciano, and Holly Gwen Prigerson. "Rates and risks of suicidality in young adults (YAs) with advanced cancer." Journal of Clinical Oncology 30, no. 15_suppl (May 20, 2012): 9015. http://dx.doi.org/10.1200/jco.2012.30.15_suppl.9015.

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9015 Background: Suicide rates in YA cancer patients are higher than in the general population. Although cancer is associated with a four-fold increase in the likelihood of a suicide attempt, little is known about suicidality in YAs with cancer. This study examined rates and clinical risk factors associated with suicidality in a sample of YAs with advanced cancer. Methods: Structured interviews were conducted between 4/2010 and 9/2011 with 70 YA advanced cancer patients (range 20-40 yrs, M=33.97, SD=5.61) receiving care at the Dana-Farber Cancer Institute. Validated measures assessed suicidality (i.e., Yale Evaluation of Suicidality), quality of life, major depressive disorder, grief over cancer-related losses, and social support. Scores on the suicidality measure were dichotomized into positive screen = 1 and negative screen = 0. Chi-square, t-test, and logistic regression analyses evaluated the relationship between suicidality and participant characteristics and psychosocial variables, controlling for confounding variables. Results: Over one-fifth (21.4%) of the sample screened positive for suicidality. Female gender χ2(1, N = 70) = 4.95, p = .026), breast compared with other cancer diagnosis χ2(1, N = 70) = 5.66, p = .017), and better performance status (t(68) = 3.13, p < .01) were associated with lower rates of suicidality. Participants who met criteria for current (OR [95% CI] 8.67 [1.78, 42.22]) or lifetime major depressive disorder (5.38 [1.60, 18.12]) endorsed higher rates of suicidality. Better overall (.97 [.94, .99]), psychological (.93 [.87, .94]), and existential quality of life (.91 [.85, .98]) were associated with reduced suicidality risk. More severe grief was associated with greater risk (1.15 [1.04, 1.28]) whereas greater social support was associated with lower suicidality risk (.85 [.74, .97]). Conclusions: YAs with advanced cancer reported higher rates of suicidality than observed in other age groups. Developmentally targeted interventions that promote physical function, effectively treat depression, improve quality of life and reduce grief, and provide opportunities for social support may reduce rates of and risk for suicidality in this population.

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Ehrminger, Mickaël, Mathieu Urbach, Christine Passerieux, Bruno Aouizerate, Fabrice Berna, Anne-Lise Bohec, Delphine Capdevielle, et al. "Modeling the Longitudinal Effects of Insight on Depression, Quality of Life and Suicidality in Schizophrenia Spectrum Disorders: Results from the FACE-SZ Cohort." Journal of Clinical Medicine 8, no. 8 (August 10, 2019): 1196. http://dx.doi.org/10.3390/jcm8081196.

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Background: Up to half of the patients with schizophrenia attempt suicide during their lifetime. Better insight is associated with better functioning but also with increased suicidality. The direction of the relationship between insight and suicidality is not clear, hence we aimed to provide new elements using structural equation modeling. Methods: Insight, quality of life (QoL), depression, and suicidality were measured at baseline and at 12 months in individuals with schizophrenia spectrum disorders. The relationships between these variables were investigated by latent difference score models, controlling for chlorpromazine doses, positive and negative symptoms, and general psychopathology. Results: 738 patients were included, and 370 completed the study. Baseline levels of insight predicted changes in suicidality, whereas baseline levels of suicidality did not predict changes in insight, suggesting that better insight underlies suicidality and predicts its worsening. Our results suggest this temporal sequence: better insight → worse QoL → increased depression → increased suicidality, while insight also affects the three variables in parallel. Conclusion: Better insight predicts a worsening of QoL, depression and suicidality. These findings contribute to our global understanding of the longitudinal influence of insight on suicidality. We advocate that insight-targeted interventions should not be proposed without the monitoring of depression and suicide prevention.

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Seo, Jong-Geun, Byun-Kun Kim, Min Kyung Chu, Soo-Jin Cho, Pil-Wook Chung, Heui-Soo Moon, Byung-Su Kim, et al. "Suicidality and Its Risk Factor in Migraine Patients." Journal of the Korean Neurological Association 40, no. 3 (July 28, 2022): 228–34. http://dx.doi.org/10.17340/jkna.2022.3.2.

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Background: Migraine patients have a higher frequency of suicidality than people without migraine. The aim of this study was to identify suicidality and its risk factors in migraine patients.Methods: We enrolled 358 migraine patients from 11 hospitals. We collected data regarding their clinical characteristics and the patients completes the questionnaires. We also interviewed patients with the Mini International Neuropsychiatric Interview (MINI)plus version 5.0.0 to identify their suicidality. The International Classification of Headache Disorders, third edition, beta version was used in headache diagnosis.Results: The frequency of suicidality in migraine patients was 118 (33.0%). Migraine patients with suicidality were more likely to have a major depressive disorder or generalized anxiety disorder than those without suicidality. Among variables, risk factors for suicidality in migraine patients were female (odds ratio [OR], 4.110; 95% confidence interval [CI], 1.55310.878; p=0.004), attack duration (OR, 2.559; 95% CI, 1.2105.413; p=0.011), Patient Health Questionnaire9 (OR, 1.111; 95% CI, 1.0381.189; p=0.002), and Generalized Anxiety Disorder7 (OR, 1.194; 95% CI, 1.1011.294; p<0.001).Conclusions: Suicidality in migraine patients is common. Therefore, clinicians who take care of migraine patients should be concerned about suicidality and its risk factors such as female gender, attack duration, depression or anxiety.

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Ozment, John M., and David Lester. "Suicidality and Helplessness." Psychological Reports 83, no. 2 (October 1998): 718. http://dx.doi.org/10.2466/pr0.1998.83.2.718.

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In a sample of 70 undergraduate men and women, scores on prior suicidal ideation were associated with scores on a helplessness scale based on an internal locus of control but not a helplessness scale based on an external locus of control.

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Wasserman, D. "Suicidality in women." European Psychiatry 64, S1 (April 2021): S12. http://dx.doi.org/10.1192/j.eurpsy.2021.54.

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Every year, around 800,000 people die by suicide globally. Whist suicide mortality rates are higher among men, women typically have higher rates of suicidal ideation and behaviours. Despite this fact, suicidality in women is still of grave concern as 71% of women’s violent deaths is accounted for by suicide – a greater percentage than men’s. Suicide patterns among women differ between countries and regions. For example, there is a greater difference in suicide rates between men and women in high-income countries in comparison to low- and middle-income countries. Furthermore, many theories exist to explain women’s suicidality. Yet many of the dominant theories have been challenged from studies in both low- to middle-income and high-income countries. Further research that focuses on the context and culture, rather than the individual, is warranted and will be important for preventative efforts of women’s suicidal behaviours.DisclosureNo significant relationships.

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Goldney, Robert, and Johan Schioldann. "Tolstoy and Suicidality." Australasian Psychiatry 19, no. 5 (October 2011): 449. http://dx.doi.org/10.3109/10398562.2011.620612.

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Beasley, Charles M. "Suicidality with Fluoxetine." CNS Drugs 9, no. 6 (1998): 513–15. http://dx.doi.org/10.2165/00023210-199809060-00007.

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Bond, Alyson J. "Suicidality with Fluoxetine." CNS Drugs 9, no. 6 (1998): 513–15. http://dx.doi.org/10.2165/00023210-199809060-00008.

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El-Adl, M. "Ethnicity and suicidality." British Journal of Psychiatry 186, no. 4 (April 2005): 355. http://dx.doi.org/10.1192/bjp.186.4.355.

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Holzer, Laurent, and Chin B. Eap. "Aripiprazole and suicidality." International Clinical Psychopharmacology 21, no. 2 (March 2006): 125–26. http://dx.doi.org/10.1097/01.yic.0000185024.33032.86.

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Harper, Gordon. "Suicidality with Clomipramine." Journal of the American Academy of Child & Adolescent Psychiatry 31, no. 2 (March 1992): 369–70. http://dx.doi.org/10.1097/00004583-199203000-00028.

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Stuart, Heather. "Suicidality among police." Current Opinion in Psychiatry 21, no. 5 (September 2008): 505–9. http://dx.doi.org/10.1097/yco.0b013e328305e4c1.

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Atigari, O. V., C. Hogan, and D. Healy. "Doxycycline and suicidality." Case Reports 2013, dec17 1 (December 17, 2013): bcr2013200723. http://dx.doi.org/10.1136/bcr-2013-200723.

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Lader, Malcolm. "Antidepressants and suicidality." Clinical Risk 13, no. 3 (May 2007): 85–88. http://dx.doi.org/10.1258/135626207780559923.

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LEARD-HANSSON, JAN, and Laurence Guttmacher. "Sleep and Suicidality." Clinical Psychiatry News 37, no. 1 (January 2009): 11. http://dx.doi.org/10.1016/s0270-6644(09)70012-8.

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Rizvi, Naveed, Marie Whitty, and Robert Daly. "Absinthe and suicidality." Irish Journal of Psychological Medicine 27, no. 1 (March 2010): 44–45. http://dx.doi.org/10.1017/s0790966700000914.

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AbstractAbsinthe is an alcoholic drink which is becoming more widely consumed after being banned for many decades. An association between absinthe use and psychiatric symptoms, ranging from impairment of concentration to marked hallucinations and seizures, has been suggested, but evidence remains unclear. Thujone, identified as a possible psychoactive ingredient, has recently been implicated in absinthe's putative neuropsychiatric effects. This report presents a case where acute suicidality emerged during absinthe consumption; possible neurobiological aetiological mechanisms and the history of absinthe use and associated adverse effects are reviewed.

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Healy, D. "Antidepressant associated suicidality." European Neuropsychopharmacology 10 (September 2000): 260. http://dx.doi.org/10.1016/s0924-977x(00)80233-3.

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Dittmann, R. W. "Antidepressants and suicidality." Neuropsychiatrie de l'Enfance et de l'Adolescence 60, no. 5 (July 2012): S81. http://dx.doi.org/10.1016/j.neurenf.2012.05.329.

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Brent, David A. "Antidepressants and Suicidality." Psychiatric Clinics of North America 39, no. 3 (September 2016): 503–12. http://dx.doi.org/10.1016/j.psc.2016.04.002.

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Manalai, Partam, Jong-Min Woo, and Teodor T. Postolache. "Suicidality and montelukast." Expert Opinion on Drug Safety 8, no. 3 (May 2009): 273–82. http://dx.doi.org/10.1517/14740330902932688.

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Lewin, Roger A. "On Chronic Suicidality." Psychiatry 55, no. 1 (February 1992): 16–21. http://dx.doi.org/10.1080/00332747.1992.11024573.

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Grunebaum, Michael F., Maria A. Oquendo, Jill M. Harkavy-Friedman, Steven P. Ellis, Shuhua Li, Gretchen L. Haas, Kevin M. Malone, and J. John Mann. "Delusions and Suicidality." American Journal of Psychiatry 158, no. 5 (May 2001): 742–47. http://dx.doi.org/10.1176/appi.ajp.158.5.742.

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OZMENT, JOHN M. "SUICIDALITY AND HELPLESSNESS." Psychological Reports 83, no. 6 (1998): 718. http://dx.doi.org/10.2466/pr0.83.6.718-718.

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Hawkins, David R. "Suicidality and Antidepressants." Psychiatric News 40, no. 10 (May 20, 2005): 52. http://dx.doi.org/10.1176/pn.40.10.00400052a.

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Till, Benedikt, Ulrich S. Tran, Martin Voracek, and Thomas Niederkrotenthaler. "Music and Suicidality." OMEGA - Journal of Death and Dying 72, no. 4 (March 9, 2015): 340–56. http://dx.doi.org/10.1177/0030222815575284.

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In recent years, the question whether personal suicidality is reflected in individual music preferences has been discussed. We assessed associations of preferred music genres and cumulative exposure to and rating of 50 preselected songs, including 25 suicide-related songs, with suicide risk factors in an online survey with 943 participants. Preferences for sad music were associated with high psychoticism, while fanship of music genres with predominantly joyful contents was linked to low psychoticism. There was a dose-response relationship of positive rating of suicide songs with high life satisfaction and low hopelessness. Music preferences partly reflect suicide risk factors, but enjoyment of suicide songs is negatively associated with risk factors of suicide, which may indicate a psychological defense mechanism against suicidal impulses.

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Abraham, G. "Topiramate-Induced Suicidality." Canadian Journal of Psychiatry 48, no. 2 (March 2003): 127–28. http://dx.doi.org/10.1177/070674370304800214.

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Hegerl, Ulrich. "Antidepressants and suicidality." European Archives of Psychiatry and Clinical Neuroscience 256, no. 4 (June 2006): 199–200. http://dx.doi.org/10.1007/s00406-006-0611-4.

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Lund, Emily M., Michael R. Nadorff, Katie B. Thomas, and Kate Galbraith. "Examining the Contributions of Disability to Suicidality in the Context of Depression Symptoms and Other Sociodemographic Factors." OMEGA - Journal of Death and Dying 81, no. 2 (April 17, 2018): 298–318. http://dx.doi.org/10.1177/0030222818768609.

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We examined the contribution of disability status to suicidality when accounting for depression and sociodemographic risk factors in 438 American adults, 82 (18.7%) of whom identified as having disabilities. Participants with disabilities had significantly higher depression scores and were more likely to be unemployed and unpartnered, all of which were also associated with increased suicidality. However, disability remained a significant predictor of suicidality even when depression and sociodemographic risk factors were accounted for in a linear regression. Other significant predictors of suicidality in this regression were female gender, depression symptoms, and family and friend suicide history; identifying as a member of a religion was a significant protective factor against suicidality. Our findings suggest that the contribution of disability to suicidality goes beyond that which can be explained by increased depression symptoms and sociodemographic vulnerability.

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Syed Sheriff, Rebecca, Miranda Van Hooff, Gin Malhi, Blair Grace, and Alexander McFarlane. "Childhood determinants of suicidality: comparing males in military and civilian employed populations." Psychological Medicine 49, no. 14 (November 13, 2018): 2421–31. http://dx.doi.org/10.1017/s0033291718003355.

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AbstractBackgroundTo better understand the associations of childhood trauma and childhood disorder with past-year suicidality (thoughts, plans or attempts), we compared male military and civilian populations aged 18–60 years old.MethodsData derived from the 2010 Australian Defence Force (ADF) Mental Health Prevalence and Wellbeing Study and the 2007 Australian Bureau of Statistics Australian National Survey of Mental Health and Wellbeing were compared using logistic regression and Generalized Structural Equation Modelling (GSEM).ResultsA greater proportion of the ADF experienced suicidality than civilians. Those who experienced childhood trauma that was not interpersonal in nature were not at increased odds of suicidality, in either population. A higher proportion of the ADF experienced three or more types of trauma in childhood and first experienced three or more types of trauma in adulthood. Both were associated with suicidality in the ADF and civilians. Childhood anxiety had a strong and independent association with suicidality in the ADF (controlling for demographics and childhood trauma, adult trauma and adult onset disorder). Childhood anxiety fully mediated the relationship between childhood trauma and suicidality in the ADF, but not in civilians.ConclusionsThese data highlight the need to take a whole life approach to understanding suicidality, and the importance of categorizing the nature of childhood trauma exposure. Importantly, childhood anxiety was not only associated with suicidality, it fully mediated the relationship between childhood trauma and suicidality in the more trauma exposed (military) population only. These findings have the potential to inform the development of strategies for suicide prevention.

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Levinger, Shai, Ronald R. Holden, and David H. Ben-Dor. "Examining the Importance of Mental Pain and Physical Dissociation and the Fluid Nature of Suicidality in Young Suicide Attempters." OMEGA - Journal of Death and Dying 73, no. 2 (March 12, 2015): 159–73. http://dx.doi.org/10.1177/0030222815575899.

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This study evaluated the importance of distress (i.e., mental pain, tolerance of mental pain, and depression) and physical dissociation factors for a group of young suicide attempters. Analyses indicated that those with higher current suicidality also evidenced higher current levels of depression and mental pain, lower mental pain tolerance, and higher physical dissociation. However, no correlations between suicidality and distress or physical dissociation were found when the level of suicidality was based on the time of the suicide attempt. The results demonstrate the importance of mental pain and its tolerance as well as physical dissociation in assessing severity of suicidality. However, analyses suggest there might be a decline in suffering after a suicide attempt and highlight the importance of assessing current suicidality when evaluating relevant variables for suicide. Findings are interpreted with regard to theories relating to the fluctuating nature of suicidality.

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Hoogstoel, Fanny, Sékou Samadoulougou, Vincent Lorant, and Fati Kirakoya-Samadoulougou. "A Latent Class Analysis of Health Lifestyles in Relation to Suicidality among Adolescents in Mauritius." International Journal of Environmental Research and Public Health 18, no. 13 (June 28, 2021): 6934. http://dx.doi.org/10.3390/ijerph18136934.

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Suicidality, which includes suicidal thoughts, planning, and suicide attempts, results mainly from a combination of psychological, sociological, and environmental factors. Despite a high prevalence of suicidality among adolescents in Africa, only a few studies have considered these factors simultaneously. The objective of the study was to identify the prevalence of suicidality, to draw up profiles of concomitant risks, and to examine the associations between these profiles and suicidality in Mauritius. This study used data from the 2017 Mauritian Global School-based Student Health Survey including 3012 adolescents with a mean age of 14.9 ± 1.4 years. Factors related to lifestyle such as consumptions of alcohol and tobacco, physical activity, violence, parental support, anxiety, and loneliness were considered. A latent class analysis was performed to identify the profiles. Finally, a modified Poisson regression analysis with generalized estimating equations, adjusted with sociodemographic characteristics, was used to assess the association between these profiles and suicidality. Overall, more than one in ten adolescents had at least one of the suicidality behaviors. Three profiles were identified: 1 = “low risk group” (63.9%); 2 = “problems with violence” (15.2%); 3 = “problems with violence, alcohol, tobacco and psychological distress” (20.9%). Profiles 2 and 3 were mainly made up of males. Adolescents under 15 represented the majority of individuals in profile 2. Finally, the risk of suicidality was higher in adolescents belonging to profiles 2 and 3 compared to profile 1 for the three suicidality behaviors (profile 3: Prevalence ratio (PR) for suicidal thoughts = 1.26, 95% CI = 1.19–1.34; PR for planning = 1.23, 95% CI = 1.17–1.30; PR for attempt = 1.23, 95% CI = 1.17–1.29). This study highlights the high prevalence of suicidality and a list of concomitant risks, emphasizing this suicidality in Mauritian adolescents. Therefore, these results recommend focusing preventive efforts toward a simultaneous consideration of these factors.

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Koch, Jessa, Sarah Ward, Bobbie Martin, and Christopher Thomas. "A review of suicidality in nonpsychotropic medications." Mental Health Clinician 5, no. 5 (September 1, 2015): 224–36. http://dx.doi.org/10.9740/mhc.2015.09.224.

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Abstract Introduction The term suicidality describes the multitude of behaviors related to suicide: suicidal ideation, self-injurious behavior, suicide attempt, and completed suicide. Risk factors associated with increased suicidality in individuals include specific demographics, medical and psychologic conditions, socioeconomic status, family history, and major life events. In addition to baseline risk factors, there have been reports of numerous medications associated with increased suicidality in patients. Most of these medications are antiepileptics and antidepressants. Because of the contradictory risk posed by the exact medications prescribed to treat depression and psychologic conditions, the nonpsychotropic medications with reports of suicidality are often overshadowed. Methods Medications with FDA-issued warnings were reviewed for inclusion. Further medications were identified through PubMed literature review. Results Eight medications with various indications were identified and evidence is assessed regarding risk of suicidality. Discussion This review evaluates the current literature for nonpsychotropic medications that have been implicated in treatment-emergent suicidality.

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Stark, Evan, and Anne Flitcraft. "Killing the Beast within: Woman Battering and Female Suicidality." International Journal of Health Services 25, no. 1 (January 1995): 43–64. http://dx.doi.org/10.2190/h6v6-yp3k-qwk1-mk5d.

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This article explores the importance of woman battering for female suicidality, with special attention to the link among black women. Suicidality has classically been framed with a distinctly male bias. As a result, suicide attempts (a predominantly female event) have been defined as “failed suicides” and the distinctive social context of suicidality among women has been missed. The authors propose that suicidality among battered women is evoked by the “entrapment” women experience when they are subjected to “coercive control” by abusive men. A literature review highlights the probable importance of male violence as a cause of female suicidality. Pursuing this possibility, we assess the significance of battering in a sample of women who have attempted suicide, the characteristics of battered women who attempt suicide, and the appropriateness of the medical response. The results indicate that battering may be the single most important cause of female suicidality, particularly among black and pregnant women. The implications of this finding for theory and clinical intervention are discussed.

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Peterson, Debbie H. M., and Sunny C. Collings. ""It's Either Do It or Die"." Crisis 36, no. 3 (May 2015): 173–78. http://dx.doi.org/10.1027/0227-5910/a000308.

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Abstract. Background: The role of self-management of suicidality was investigated as part of a larger qualitative study of suicidality among people with experience of mental illness in New Zealand. Aims: To understand how people self-manage suicidality, why they self-manage, and the effects that self-management may have on suicidal thoughts and behavior. Method: Twenty seven people with experience of mental illness and suicidality were interviewed. A narrative thematic analysis was performed. Results: People had either drifted into self-management (while still using or instead of using mental health services) or chosen self-management because they were unhappy with mental health services, desired independence, or had difficulty accessing services. Self-management of suicidality included: using active ways to reduce, distract, and protect themselves from suicidal thoughts and feelings; practical ways of looking after themselves; reframing thoughts; getting to know themselves better; and peer support. Conclusion: Self-management of suicidality can encourage independence and resilience, a sense of citizenship, mutuality, and achievement.

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Argento, Elena, Steffanie A. Strathdee, Kenneth Tupper, Melissa Braschel, Evan Wood, and Kate Shannon. "Does psychedelic drug use reduce risk of suicidality? Evidence from a longitudinal community-based cohort of marginalised women in a Canadian setting." BMJ Open 7, no. 9 (September 2017): e016025. http://dx.doi.org/10.1136/bmjopen-2017-016025.

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ObjectiveThis study aimed to longitudinally investigate whether ever having used a psychedelic drug can have a protective effect on incidence of suicidality among marginalised women.DesignLongitudinal community-based cohort study.SettingData were drawn from a prospective, community-based cohort of marginalised women in Metro Vancouver, Canada.Participants766 women completed the baseline questionnaire between January 2010 and August 2014. Participants who did not report suicidality at baseline and who completed at least one follow-up visit were included.Main outcome measureExtended Cox regression was used to model predictors of new suicidality (suicide ideation or attempts) over 54-month follow-up.ResultsNearly half (46%; n=355) of participants reported prior suicidality and were thus excluded from the present analyses. Of 290 women eligible at baseline, 11% (n=31) reported recent suicidality during follow-up, with an incidence density of 4.42 per 100 person-years (95% CI 3.10 to 6.30). In multivariable analysis, reported lifetime psychedelic drug use was associated with a 60% reduced hazard for suicidality (adjusted HR (AHR) 0.40; 95% CI 0.17 to 0.94). Crystal methamphetamine use (AHR 3.25; 95% CI 1.47 to 7.21) and childhood abuse (AHR 3.54; 95% CI 1.49 to 8.40) remained independent predictors of suicidality.ConclusionThe high rate of suicidality identified in this study is of major concern. Alongside emerging evidence on the potential of psychedelic-assisted therapy to treat some mental illness and addiction issues, our findings demonstrate that naturalistic psychedelic drug use is independently associated with reduced suicidality, while other illicit drug use and childhood trauma predispose women to suicidality. While observational, this study supports calls for further investigation of the therapeutic utility of psychedelic drugs in treating poor mental health and promoting mental wellness.

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Schlimme, Jan E. "Zur Phänomenologie der Suizidalität." Phänomenologische Forschungen 2005, no. 1 (2005): 269–84. http://dx.doi.org/10.28937/1000107921.

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The borderlines of the current psychiatric and psychological discourses concerning suicidality are ascertained when asked: What is it like to be suicidal? A phenomenological understanding concerning this question presents to us the paradox of suicidality. The suicidal person lives in a contradiction with himself. On the one hand there is the basal feeling of despair and inevitable helpless insufferability, showing life itself as a destructive force. On the other hand the extinguishing of ones own life appears as a salvation, showing death itself as a release not found in life. Indeed the paradox of suicidality – the contradictory meanings of annihilation and salvation – appears incontrovertible and cannot be solved in suicidality, for this requires either the experience of overcoming suicidality or the act of suicide itself.

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Rioux, Charlie, Anne-Sophie Huet, Natalie Castellanos-Ryan, Laurianne Fortier, Myriam Le Blanc, Stéphanie Hamaoui, Marie-Claude Geoffroy, Johanne Renaud, and Jean R. Séguin. "Substance use disorders and suicidality in youth: A systematic review and meta-analysis with a focus on the direction of the association." PLOS ONE 16, no. 8 (August 6, 2021): e0255799. http://dx.doi.org/10.1371/journal.pone.0255799.

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Background Reviews and meta-analyses suggest that substance use and suicidality (i.e., suicidal ideations and attempts) are associated in youth, but the direction of this association remains unclear. Theoretically, the secondary psychiatric disorder hypothesis (SPDH) posits that substance use leads to suicidality, while the secondary substance use disorder hypothesis (SSUDH) posits that suicidality leads to substance use. To clarify these associations, this meta-analysis systematically reviewed studies that examined the prospective associations between SUDs and suicidality in youth (age 25 and younger) and compared results according to the direction of the association. Methods Web of Science, Embase, PsycINFO, PubMed, Medline and ProQuest Dissertations & Theses Global were searched from inception to March 8, 2020, and 55 effect sizes from 23 samples were included and analyzed using a three-level meta-analysis. Results SUDs significantly predicted subsequent suicidality (OR = 2.16, 95%CI 1.57–2.97), suicidality significantly predicted subsequent SUDs (OR = 2.16, 95%CI 1.53–3.04), and these effect sizes did not differ (p = 0.49). Conclusions Considering that 65% of reviewed studies only examined the SPDH, this review highlights that more attention should be given to the SSUDH, and that studies should examine bidirectional associations between SUDs and suicidality across time. Clinically, because SUDs and suicidality were found to influence each other, results suggest that mental health and SUDs should ideally be detected and treated early, and that co-occurring disorders should be assessed and treated concomitantly.

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Renemane, Lubova, Anda Kivite-Urtane, and Elmars Rancans. "Suicidality and Its Relation with Physical and Mental Conditions: Results from a Cross-Sectional Study of the Nationwide Primary Care Population Sample in Latvia." Medicina 57, no. 9 (September 16, 2021): 970. http://dx.doi.org/10.3390/medicina57090970.

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Background and Objectives: Physical and mental conditions are important risk factors for suicidality. However, there is no clear understanding of these relationships and the effect of co-occurrence on suicidality. We aimed to investigate the associations between current suicidality and mental disorders, physical conditions, and health-related factors in the nationwide primary care population in Latvia. Materials and Methods: A cross-sectional study was performed within the framework of the National Research Program BIOMEDICINE 2014–2017 at 24 primary care settings across Latvia in 2015. Adult patients were evaluated over one week at each facility. Socio-demographic variables, physical condition, and health-related factors were assessed on-site by trained psychiatrists. Mental disorders and suicidality were determined using the Mini International Neuropsychiatric Interview, and assessments were conducted over the telephone within two weeks after the visit to the general practitioner. Results: Of the 1485 cases, 18.6% reported suicidality. Only current depression, any anxiety disorder, any alcohol use disorder, and physical-mental multimorbidity were significantly associated with suicidality in the multivariate logistic regression analysis. Gastrointestinal diseases were associated with current depression alone (odds ratio (OR) 10.36; 95% confidence interval (CI) 2.34–45.76) and comorbid depression with any anxiety disorder (OR 7.55; 95% CI 2.15–26.49) among persons with current suicidality. Conclusions: Screening for depression, anxiety, and alcohol use disorders regularly among patients with physical illness may be important to help recognise suicidality in primary care that could improve the quality of life of patients and prevent suicides.

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Sher, Leo. "Low testosterone levels may be associated with suicidal behavior in older men while high testosterone levels may be related to suicidal behavior in adolescents and young adults: a hypothesis." International Journal of Adolescent Medicine and Health 25, no. 3 (September 1, 2013): 263–68. http://dx.doi.org/10.1515/ijamh-2013-0060.

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Abstract Several lines of evidence suggest that there is an association between testosterone and suicidal behavior. A link between testosterone and the neurobiology of suicidal behavior may be related to: a) a direct effect of testosterone on suicidality via certain brain mechanisms; and/or b) a testosterone influence on aggression and, consequently, suicidality; and/or c) a testosterone effect on mood and, consequently, suicidality; and/or d) a testosterone effect on cognition and, consequently, suicidality. At least one study has demonstrated a relation between high levels of testosterone and suicide in young people. A significant number of studies suggest that high testosterone levels are associated with aggression in adolescents and adults. Multiple lines of evidence indicate that aggression is associated with suicidal behavior. The effect of high testosterone levels on suicidality in adolescents and young adults may be mediated by testosterone-related elevated aggression. It is also possible that, in young people, high testosterone levels are directly linked to suicidality via certain brain mechanisms. In older men, decreased testosterone levels are associated with depressive symptoms and reduced cognitive function, whereas higher blood levels of testosterone are associated with better mood and cognitive functioning. Depression and reduced cognition are associated with suicidal behavior and may mediate the effect of decreased testosterone levels on suicidality. Therefore, it is reasonable to propose that suicidal behavior in adolescents and young adults is associated with high testosterone levels, whereas suicidality in older men is associated with decreased testosterone secretion.

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Hom, Melanie A., Mary E. Duffy, Megan L. Rogers, Jetta E. Hanson, Peter M. Gutierrez, and Thomas E. Joiner. "Examining the link between prior suicidality and subsequent suicidal ideation among high-risk US military service members." Psychological Medicine 49, no. 13 (October 25, 2018): 2237–46. http://dx.doi.org/10.1017/s0033291718003124.

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AbstractBackgroundResearch is needed to identify the factors that explain the link between prior and future suicidality. This study evaluated possible mediators of the relationship between: (1) the severity of prior suicidality and (2) suicidal ideation severity at 3-month follow-up among a sample of high-risk military personnel.MethodsUS military service members referred to or seeking care for suicide risk (N = 624) completed self-report psychiatric domain measures and a clinician interview assessing prior suicidality severity at baseline. Three months later, participants completed a self-report measure of suicidal ideation severity. Three separate percentile bootstrap mediation models were used to examine psychiatric factors (i.e. alcohol abuse, anxiety sensitivity, hopelessness, insomnia, posttraumatic stress symptoms, suicidal ideation, and thwarted belongingness) as parallel mediators of the relationship between prior suicidality severity (specifically, suicidal ideation, suicide attempt, and overall suicidality – i.e. ideation/attempt severity combined) at baseline and suicidal ideation severity at follow-up.ResultsHopelessness, specifically, and the total effect of all mediators, each significantly accounted for the relationship between prior suicidality severity and subsequent ideation severity across models. In the models with attempt severity and overall suicidality severity as predictors, thwarted belongingness was also a significant mediator.ConclusionsHopelessness, thwarted belongingness, and overall severity of psychiatric indices may explain the relationship between prior suicidality severity and future suicidal ideation severity among service members at elevated suicide risk. Research is needed to replicate these findings and examine other possible mediators.

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Lewis, Yael Doreen, Shirley Kapon, Adi Enoch-Levy, Amit Yaroslavsky, Eliezer Witztum, and Daniel Stein. "Dissociation and Suicidality in Eating Disorders: The Mediating Function of Body Image Disturbances, and the Moderating Role of Depression and Anxiety." Journal of Clinical Medicine 10, no. 17 (September 6, 2021): 4027. http://dx.doi.org/10.3390/jcm10174027.

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In patients with eating disorders (EDs), elevated dissociation may increase the risk of suicide. Bodily related disturbances, depression, and anxiety may intervene in the association between dissociation and suicidality. In this study we aimed to examine the influence of bodily related disturbances, depression, anxiety, severity of ED symptoms, body mass index (BMI), and type and duration of the ED on the relationship between elevated dissociation and elevated suicidality. The study included 172 inpatients: 65 with anorexia nervosa restricting type, 60 with anorexia nervosa binge/purge type, and 37 with bulimia nervosa. Participants were assessed using self-rating questionnaires for dissociation, suicidality, bodily related parameters, and severity of ED symptomatology, depression, and anxiety. We found that dissociation and suicidality were directly associated. In addition, depression and anxiety moderated the mediating role of body image parameters in the association between increased dissociation and increased suicidality. Thus, only in inpatients with high depression and anxiety, i.e., above the median range, body image disturbances were found to mediate the association between dissociation and suicidality. ED-related parameters did not moderate these relationships. Our study demonstrates that in inpatients with EDs, increased dissociation may be significantly associated with increased suicidality, both directly and via the intervening influence of body image, depression, and anxiety.

Journal articles on the topic 'Suicidality'

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