Journal articles on the topic 'Suicide ideation'
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Keefner, Tamara P., and Thomas Stenvig. "Rethinking Suicide Risk With a New Generation of Suicide Theories." Research and Theory for Nursing Practice 34, no. 4 (November 1, 2020): 389–408. http://dx.doi.org/10.1891/rtnp-d-19-00128.
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BackgroundSuicide is a global concern to nurses and other health-care providers. However, deaths by suicide are only part of the spectrum of suicide, as suicidal thinking and behaviors may precede a suicide attempt. Theoretical models are used infrequently in research to explain how the individual progresses from suicidal ideation to a suicide attempt. Thus, there is a critical need to advance the study of suicide with useful theoretical models to describe and explain processes whereby suicidal thoughts transition to attempts and to suicide.PurposeThis article provides a conceptual discussion and scoping review comparing historical and contemporary ideation-to-action theories of suicide.MethodSystematic reviews and meta-analyses from three databases (CINAHL, JSTOR, and PsychINFO) were reviewed to find literature describing suicide theories.ResultsHistorically, theory applications have limited capacity to differentiate between those individuals with suicidal ideations and those who attempt suicide. Newer theories, grounded in the ideation-to-action framework, propose distinct processes explaining what moves an individual from suicidal ideations toward suicidal behaviors.Implications for PracticeThe ideation-to-action theories can guide health-care providers' assessment of at-risk individuals beyond merely asking about suicidal thinking.ConclusionThe new generation of suicide theories suggest that suicidal ideations are only one component of risk. The common factor in ideation-to-action theories that distinguishes ideators from attempters is the acquired capability for suicide.
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González Gómez, Esther, and María Crespo López. "Revisión sistemática de la relación entre sintomatología postraumática y conductas suicidas." Revista de Psicopatología y Psicología Clínica 27, no. 1 (April 28, 2022): 73–90. http://dx.doi.org/10.5944/rppc.27757.
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Systematic review of the relationship between post-traumatic symptomatology and suicidal behavior Abstract: Evidence has consistently demonstrated the relationship between post-traumatic stress disorder (PTSD) and suicide. However, there is little research related to the differential relationships between the PTSD symptom clusters (avoidance, re-experiencing, hyperarousal and negative alterations in cognitions and mood) and risk and suicidal behavior. The present systematic review studies the relationship between these post-traumatic symptom clusters and suicidal behavior (suicidal ideation and suicide attempts). The review includes 20 articles from the databases PsycINFO, PsycARTICLES and Web of Science. Results indicate that hyperarousal significantly predicts suicidal ideation in 53.33% and suicide attempts in 42.85% of the studies reviewed. Reduction of hyperarousal symptoms should be considered a priority objective in the development of therapeutic interventions to reduce suicide risk in people with post-traumatic conditions or diagnosed with PTSD. Key words: PTSD; hyperarousal symptoms; suicidal ideation; suicide attempt; systematic review. Resumen: Existe evidencia contrastada de la relación entre el trastorno de estrés postraumático (TEPT) y el suicidio. No obstante, existen pocas investigaciones sobre las relaciones diferenciales entre los grupos de síntomas de TEPT (evitación, re-experimentación, hiperactivación y alteraciones negativas cognitivas y del estado de ánimo [ANCE]) y la conducta suicida. La presente revisión sistemática estudia la relación entre estos grupos de síntomas postraumáticos y la conducta suicida (ideación e intentos suicidas). La revisión incluye 20 artículos procedentes de las bases de datos PsycINFO, PsycARTICLES y Web of Science. Los resultados apuntan que la hiperactivación predice de forma significativa la ideación suicida en el 53.33% de los estudios revisados y los intentos de suicidio en el 42.85% de los mismos. La reducción de los síntomas de hiperactivación debe considerarse un objetivo prioritario en la elaboración de intervenciones terapéuticas para reducir el riesgo suicida en personas con cuadros postraumáticos o diagnóstico de TEPT. Palabras clave: TEPT; hiperactivación; ideación suicida; intentos de suicidio; revisión sistemática.
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Sánchez-Teruel, David, José Antonio Muela-Martínez, and Ana García-León. "Variables de riesgo y protección relacionadas con la tentativa de suicidio." Revista de Psicopatología y Psicología Clínica 23, no. 3 (February 5, 2019): 221. http://dx.doi.org/10.5944/rppc.vol.23.num.3.2018.19106.
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Abstract: Risk and protection variables related to suicidal attempt. Suicide is an important public health problem, being the suicidal attempt the most predictive behavior of completed suicide. The aim of this study was to detect if there are differences in psychosocial and emotional variables in people with and without suicidal ideation and attempt. The sample consisted of 166 participants (86.36% women), aged between 20 and 77 years (M= 36, SD= 14.12) with and without suicide attempts, which was in turn divided into three groups through the Scale of Suicidal Ideation. The results show that there are important differences between the three groups in the psychological variables measured. We discuss the role of psychosocial variables, which are at the base of the increased risk or protection towards the ideation or suicidal attempt, to promote public suicide prevention policies more focused on those clinical subpopulations with specific risk profiles.Resumen: El suicidio es un importante problema de salud pública, siendo la tentativa de suicidio la conducta más predictiva del suicidio consumado. Mediante el presente estudio se pretende detectar si existen diferencias en variables psicosociales y emocionales en personas con y sin ideación y tentativa suicida. La muestra estuvo constituida por 166 participantes (86.36 % mujeres), con edades comprendidas entre los 20 y 77 años (M= 36; DT= 14.12) con y sin tentativas suicidas, que fue a su vez dividida en tres grupos a través de la Escala de Ideación Suicida. Los resultados muestran que existen importantes diferencias entre los tres grupos en las variables psicológicas medidas. Se discute el papel de las variables psicosociales, que están en la base del incremento del riesgo o protección hacia la ideación o tentativa suicida, para propiciar políticas públicas de prevención del suicidio más centradas en aquellas subpoblaciones clínicas con perfiles de riesgo concretos.
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V Rahoof, Febina, Anish V. Cherian, Arun Kandasamy, Sinu Ezhumalai, and R. Dhanasekara Pandian. "Suicidal Ideation among Persons with Alcohol Use Disorder: A CrossSectional Study." Journal of Psychosocial Well-being 02, no. 02 (2021): 30–41. http://dx.doi.org/10.55242/jpsw.2021.2206.
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Background: Suicide is a major threat to public health worldwide. Evidence suggests alcohol use disorders (AUD) are associated with suicide ideation. There is a paucity of studies in India regarding suicidal ideation among individuals receiving in-patient treatment for alcohol dependence. Aim: To assess the suicidal ideation and its severity among persons with alcohol use disorder. Methods: Cross-sectional research design was used. Totally 47 persons with alcohol use disorder receiving in-patient treatment were screened for suicidal ideation using a consecutive sampling technique based on inclusion and exclusion criteria at centre for addiction medicine, tertiary care teaching hospital at Bangalore. An interview schedule was used to collect the data. Tools: Mini+ suicidality was used for screening suicidal ideation and Columbia suicide severity rating scale was used to assess the frequency and severity of the suicidal ideation. Descriptive statistics such as frequency, percentage, mean were used for data analysis. Results & Discussion: Out of 47 patients, 29 reported having suicidal ideations (62%). AUD suicidal ideation was more among persons belong to below poverty line, lower education level, unemployed, married, living with family of origin, nuclear family, urban, using tobacco. Their mean age was 35 years (±6.6). Majority (62%) of them had suicidal ideation in the past one month, 43% reported having thought to kill themselves over the past one month. One-third (35%) able to control suicidal thought with lot of difficulty, 83% reported that deterrents stopped them attempting suicide, 82%wanted to end their life to end or stop the pain that they are enduring. Conclusion: The prevalence of suicidal ideations is high among persons with alcohol use disorder. Socio-demographic factors likely to have an influence on suicidal ideation among persons with alcohol use disorder.
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Shah, Ajit K., and Thirunavakarasu Ganesvaran. "Inpatient Suicides in an Australian Mental Hospital." Australian & New Zealand Journal of Psychiatry 31, no. 2 (April 1997): 291–98. http://dx.doi.org/10.3109/00048679709073834.
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Objective: Suicide rates among psychiatric inpatients are higher than in the general population. Mental health professionals are poor at predicting suicide risk. Method: One hundred and three inpatient suicides, over a 21-year period, in a large psychiatric hospital in Melbourne were examined. The characteristics, including demographic and clinical data, for 60 of these suicides were compared with a matched comparison group stratified for the time of admission. Violent methods (including jumping in front of trains, trams and road traffic, jumping off buildings, hanging and drowning) were most frequently used. Results: Over one-third of the suicides occurred during periods of approved leave and a similar number occurred after absconding from the hospital. Suicide was associated with a diagnosis of schizophrenia, increased duration of admission, more frequent prescription of neuroleptics and antidepressants, previous deliberate self-harm, suicidal ideation at the time of admission and during the admission, suicide attempts during the admission, unstable (fluctuating) suicidal ideation during the admission and a greater number of ward transfers. Conclusions: Psychiatric units should be developed away from readily available methods of suicide. Patients with previous or intra-admission suicidal ideation or attempts, or unstable suicidal ideation, should be carefully observed to avoid absconding. Suicide risk should be carefully evaluated in such patients prior to approving periods of leave.
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Buzoianu, A. D., and C. A. Popescu. "Suicidal Ideation Among International Medical Students Studying Medicine in Romania." European Psychiatry 41, S1 (April 2017): S621. http://dx.doi.org/10.1016/j.eurpsy.2017.01.998.
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BackgroundThe burden of mental health impairment in medical students is an important research subjects. Evidence shows that medical students have a higher prevalence of symptoms of depression and anxiety than the general population. A number of studies regarding suicidal ideation among medical students have been carried out, but this topic has largely been ignored in regard to international medical students coming from Western European countries studying medicine in Eastern European countries. Suicidal ideation is the early symptom of suicidal actions. The students are the most vulnerable and easily influenced by cases of suicide, especially in a closed group with little connections with the general population like the international students.ObjectivesFollowing 2 suicides in our university, we aim to measure the prevalence of suicidal ideations in international students.MethodsOverall, 150 medical students from the French section studying at the University of Medicine and Pharmacy “Iuliu Hatieganu”, Romania, were evaluated for symptoms of depression using BDI and for suicide ideation using Beck HS.ResultsSuicidal ideation was present in 28.57% of the French international medical students. Depression and the lack of social support had a significant relationship with suicidal ideation.ConclusionsSuicide is a serious issue that has to be dealt with immediately. It is important to assist medical students who are considering the possibility of committing suicide, so that they overcome their difficulties. There is a need to identify the prevalence of suicidal ideation among medical students and for student counselling.Disclosure of interestThe authors have not supplied their declaration of competing interest.
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Lyu, Shunyan, and Yu Li. "The Roles of Endorsement and Stigma in Suicidal Ideation and Behavior among Chinese College Students." International Journal of Environmental Research and Public Health 20, no. 1 (January 3, 2023): 877. http://dx.doi.org/10.3390/ijerph20010877.
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Previous studies have suggested that stereotypes towards suicide, including endorsement of suicide and stigma toward suicide, may contribute to suicidal ideation and behaviors. However, this has not been examined directly. In this study, we examined whether endorsement of suicide and stigma toward suicide are involved in the pathway from suicidal ideation to suicide attempts among college students. To this end, we used the Suicidal Ideation Attributes Scale (SIDAS), the Suicidal Behaviors Questionnaire-Revised (SBQ-R), and the Stigma of Suicide Scale (SOSS) to assess suicidal ideation, suicide attempts, endorsement of suicide, and stigma toward suicide, respectively, in a sample of 944 Chinese college students (mean age, 20.97 years). Using mediation analysis, we found that suicidal ideation partially mediated the relationship between endorsement of suicide and suicide attempts and between stigma toward suicide and suicide attempts. These findings provide novel evidence that endorsement of suicide and stigma toward suicide are closely associated with suicide attempts, but partially through the influences of suicidal ideation. Future studies should elaborate on their longitudinal relationships. Implications of these findings for clinical practices are discussed with reference to the ideation-to-action framework of suicide, aiming to reduce suicidal behaviors.
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Lepine, JP, JM Chignon, and M. Teherani. "Onset of panic disorder and suicide attempts." Psychiatry and Psychobiology 5, no. 6 (1990): 339–42. http://dx.doi.org/10.1017/s0767399x00003588.
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SummaryIn a study of the general population, Weissman et al (1989), found that panic disorder is associated with an increased risk of suicide attempt. We estimated the lifetime prevalence of suicidal ideations or suicide attempts in 100 consecutive referrals for treatment of panic disorder. Sixty per cent of these patients had had suicidal ideation and 42% had attempted suicide during their lifetime. With regard to the season of onset of panic attack, we found a very skewed distribution of first panic in late spring or summer. Furthermore, patients who had their first attack in spring or summer had a higher rate of suicidal ideation and an increased risk of suicide attempt.
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Zarei, Nooshin, and Hassan Joulaei. "The Impact of Perceived Stigma, Quality of Life, and Spiritual Beliefs on Suicidal Ideations among HIV-Positive Patients." AIDS Research and Treatment 2018 (2018): 1–7. http://dx.doi.org/10.1155/2018/6120127.
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Background. Suicidal ideation is considered a major health problem associated with HIV/AIDS. Suicide rates among people living with HIV/AIDS (PLHA) are more than three times higher in the general population and that is a significant difference. This study aimed at investigating the related factors of suicidal ideations among HIV-positive patients in Southwest Iran. Study Design. A cross-sectional study. Methods. 351 adult volunteer HIV-infected patients that referred to the Voluntary Counseling and Testing (VCT) center in the south of Iran were evaluated based on convenience sampling. Data was collected utilizing a structured questionnaire from March to August 2015. Results. Over the six months prior to the study, 15.4% of the entire sample had been diagnosed with suicidal ideation. There was a significant correlation between the quality of life, spiritual beliefs, perceived stigma, and age with suicidal ideation. Suicidal ideation is significantly different in terms of gender and marital status. Perceived stigma and spiritual beliefs showed the highest effect on suicidal ideations, respectively. Conclusions. Having religious beliefs due to accelerating psychological adaptation can motivate HIV patients to survive and have also been considered effective in preventing women from suicide. Perceived stigma and quality of life are other factors that should be taken into consideration as key elements in suicide preventive programs.
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Kim, Hye Jin, Shin Jung Yoon, Jee Soo Shin, and In Han Song. "자살노출 경험과 고위험 음주의 상호작용이 자살생존자의 자살생각에 미치는 영향." Center for Social Welfare Research Yonsei University 73 (June 30, 2022): 95–122. http://dx.doi.org/10.17997/swry.73.1.4.
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Exposure to suicide in social relationships is known to affect suicide survivors’ suicide ideation, and high-risk drinking is known to be a risk factor in increasing suicidal ideation. By utilizing data from 1,385 Korean adults who responded to “A Longitudinal Study on the Mental Health of Suicide Survivors Who Experienced Suicide in Social Relationships,” we examined the association between experiences exposed to suicide and suicidal ideation and its interaction effect of high-risk drinking on suicide ideation. The study participants who answered that they had been exposed to suicide in social relationships was 22.4%, and the interaction effect between exposure to suicide and high-risk drinking was found to be statistically significant. Therefore, high-risk drinking was confirmed as a risk factor for negatively affecting the relationship between exposure to suicide and suicidal ideation. Based on these results, we suggest clinical and policy interventions to reduce risky behaviors among suicide survivors.
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McAuliffe, Carmel, Paul Corcoran, Helen S. Keeley, and Ivan J. Perry. "Risk of Suicide Ideation Associated with Problem-Solving Ability and Attitudes Toward Suicidal Behavior in University Students." Crisis 24, no. 4 (July 2003): 160–67. http://dx.doi.org/10.1027//0227-5910.24.4.160.
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Summary: The present paper investigates the risk of lifetime suicide ideation associated with problem-solving ability and attitudes toward suicidal behavior in a sample of 328 university students (41% male, 59% female). The response rate was 77% based on the total number of students registered for the relevant courses. A series of questions assessed lifetime suicide ideation, while problem solving and attitudes toward suicide were measured using the Self-Rating Problem Solving scale and four subscales of the Suicide Opinion Questionnaire, respectively ( McLeavey, 1986 ; Domino et al., 1989 ). Almost one-third of the students surveyed had lifetime suicide ideation. Both genders were similar in terms of their suicide ideation history, problem solving, and attitudes toward suicidal behavior with the exception that male students were more in agreement with the attitude that nonfatal suicidal behavior lacks real intent. Compared with 2% of nonideators and ideators, one in four planners reported that they would more than likely attempt suicide at some point in their life. Greater agreement with the attitude that suicidal behavior is normal was associated with significantly increased risk of being an ideator, as was poor problem solving and less agreement with the attitude that suicidal behavior is associated with mental illness.
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Choi, Junggu, Seoyoung Cho, Inhwan Ko, and Sanghoon Han. "Identification of Risk Factors for Suicidal Ideation and Attempt Based on Machine Learning Algorithms: A Longitudinal Survey in Korea (2007–2019)." International Journal of Environmental Research and Public Health 18, no. 23 (December 3, 2021): 12772. http://dx.doi.org/10.3390/ijerph182312772.
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Investigating suicide risk factors is critical for socioeconomic and public health, and many researchers have tried to identify factors associated with suicide. In this study, the risk factors for suicidal ideation were compared, and the contributions of different factors to suicidal ideation and attempt were investigated. To reflect the diverse characteristics of the population, the large-scale and longitudinal dataset used in this study included both socioeconomic and clinical variables collected from the Korean public. Three machine learning algorithms (XGBoost classifier, support vector classifier, and logistic regression) were used to detect the risk factors for both suicidal ideation and attempt. The importance of the variables was determined using the model with the best classification performance. In addition, a novel risk-factor score, calculated from the rank and importance scores of each variable, was proposed. Socioeconomic and sociodemographic factors showed a high correlation with risks for both ideation and attempt. Mental health variables ranked higher than other factors in suicidal attempts, posing a relatively higher suicide risk than ideation. These trends were further validated using the conditions from the integrated and yearly dataset. This study provides novel insights into suicidal risk factors for suicidal ideations and attempts.
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Yeskuatov, Eldar, Sook-Ling Chua, and Lee Kien Foo. "Leveraging Reddit for Suicidal Ideation Detection: A Review of Machine Learning and Natural Language Processing Techniques." International Journal of Environmental Research and Public Health 19, no. 16 (August 19, 2022): 10347. http://dx.doi.org/10.3390/ijerph191610347.
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Suicide is a major public-health problem that exists in virtually every part of the world. Hundreds of thousands of people commit suicide every year. The early detection of suicidal ideation is critical for suicide prevention. However, there are challenges associated with conventional suicide-risk screening methods. At the same time, individuals contemplating suicide are increasingly turning to social media and online forums, such as Reddit, to express their feelings and share their struggles with suicidal thoughts. This prompted research that applies machine learning and natural language processing techniques to detect suicidality among social media and forum users. The objective of this paper is to investigate methods employed to detect suicidal ideations on the Reddit forum. To achieve this objective, we conducted a literature review of the recent articles detailing machine learning and natural language processing techniques applied to Reddit data to detect the presence of suicidal ideations. Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, we selected 26 recent studies, published between 2018 and 2022. The findings of the review outline the prevalent methods of data collection, data annotation, data preprocessing, feature engineering, model development, and evaluation. Furthermore, we present several Reddit-based datasets utilized to construct suicidal ideation detection models. Finally, we conclude by discussing the current limitations and future directions in the research of suicidal ideation detection.
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Kattimani, Shivanand, Balaji Bharadwaj, Siddharth Sarkar, and Aniruddha Mukherjee. "Interrater Reliability of the Silverman et al. Nomenclature for Suicide-Related Ideations, Behaviors, and Communications." Crisis 36, no. 1 (January 1, 2015): 61–64. http://dx.doi.org/10.1027/0227-5910/a000283.
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Background: There is need for a common and uniform nomenclature for suicide and related behaviors. Many nomenclatures exist to address the same. Aims: Study proposes to assess the inter-rater reliability of Silverman et al. nomenclature on suicide and suicidal behaviors. Method: The present study was conducted at the crisis intervention clinic of a tertiary care centre. Case records of patients referred to the centre were evaluated by two trained psychiatrists and were rated according to the Silverman’s nomenclature in the domains of suicide related ideation, suicide related communication and suicide related behavior. Inter-rater reliability was measured using kappa coefficient. The relationship of suicide intent item of a structured scale with suicide related ideation, communication and behavior were explored. Results: Inter-rater reliability of the two evaluators using the Silverman’s nomenclature on 198 case records was in the moderate range for suicidal related ideation and behavior domains (kappa of 0.476 and 0.502 respectively), but low for communication domain (kappa value of 0.016). The stated intent item of the Pierce Suicide Intent Scale correlated highly with suicide related ideation and behavior as assessed using the Silverman et al. nomenclature (Kendall tau = 0.723 and 0.747 respectively). Conclusions: Based upon the same case record material, evaluators rate suicide related ideations and behaviors with moderate degree of concordance. However, the concordance is poor for suicide related communication.
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Mino, Annie, Arnaud Bousquet, and Barbara Broers. "Substance Abuse and Drug-Related Death, Suicidal Ideation, and Suicide: A Review." Crisis 20, no. 1 (January 1999): 28–35. http://dx.doi.org/10.1027//0227-5910.20.1.28.
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The high mortality rate among drug users, which is partly due to the HIV epidemic and partly due to drug-related accidental deaths and suicides, presents a major public health problem. Knowing more about prevalence, incidence, and risk factors is important for the development of rational preventive and therapeutic programs. This article attempts to give an overview of studies of the relations between substance abuse, suicidal ideation, suicide, and drug-related death. Research in this field is hampered by the absence of clear definitions, and results of studies are rarely comparable. There is, however, consensus about suicidal ideation being a risk factor for suicide attempts and suicide. Suicidal ideation is also a predictor of suicide, especially among drug users. It is correlated with an absence of family support, with the severity of the psychosocial dysfunctioning, and with multi-drug abuse, but also with requests for treatment. Every clinical examination of a drug user, not only of those who are depressed, should address the possible presence of suicidal ideation, as well as its intensity and duration.
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Baik, Kim, Choi, Baek, Park, Kim, Jung, and Lee. "Prefrontal Asymmetry during Cognitive Tasks and its Relationship with Suicide Ideation in Major Depressive Disorder: An fNIRS Study." Diagnostics 9, no. 4 (November 15, 2019): 193. http://dx.doi.org/10.3390/diagnostics9040193.
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Reduced oxygenation changes in the prefrontal cortex during cognitive tasks have been reported in major depressive disorder (MDD). However, prefrontal asymmetry during cognitive tasks and its relation to suicide ideations have been less frequently examined in patients with MDD. This study investigated prefrontal asymmetry and its moderating effect on the relationship between depression severity and suicidal ideation in MDD patients during cognitive tasks. Forty-two patients with MDD and 64 healthy controls (HCs) were assessed for changes in oxygenated and deoxygenated hemoglobin (Hb) in the prefrontal cortex using functional near-infrared spectroscopy (fNIRS) during the verbal fluency task (VFT), Stroop task, and two-back task. Depression, anxiety, and suicide ideation were measured through self-report questionnaires. Relatively smaller left oxy-Hb changes during VFT, but not during the Stroop or two-back tasks, were found in MDD patients compared with HCs. Furthermore, prefrontal asymmetry during VFT moderated the effect of depression severity on suicide ideation, and was significantly and positively correlated with suicide ideation in patients with MDD. Specifically, relatively greater left oxy-Hb changes were associated with greater suicide ideation. These findings suggest fNIRS-measured prefrontal asymmetry as a potential biomarker for MDD and for the assessment of suicidal risk in patients with MDD.
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Jeong, Wonjeong, Yun Kyung Kim, Hyeon Ji Lee, Jieun Jang, Selin Kim, Eun-Cheol Park, and Sung-In Jang. "Association of Bedtime with both Suicidal Ideation and Suicide Planning among Korean Adolescents." International Journal of Environmental Research and Public Health 16, no. 20 (October 10, 2019): 3817. http://dx.doi.org/10.3390/ijerph16203817.
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Study Objectives: In comparison to other countries, the South Korean population has a short average sleep duration, and studies have suggested that insufficient sleep is a risk factor for suicidal behavior. This study aimed to examine the association of bedtime with suicidal ideation and with suicide planning, respectively, among Korean adolescents. Methods: This study included 48,218 participants from the 2017 Korea Youth Risk Behavior Web-based Survey. Participants were divided into three categories: pre-23:00 bedtime, 23:00–01:30 bedtime, and post-01:30 bedtime. Suicidal ideation and suicide planning were the main dependent variables, and multiple logistic regression analysis was performed to examine the target association. Results: For both male and female respondents, compared to those who had a pre-23:00 bedtime, those whose bedtime was after 01:30 were more likely to have suicidal ideation (post-01:30 bedtime for men: OR = 1.29, 95% CI = 1.16–1.45; for women: OR = 1.32, 95% CI = 1.20–1.44). For suicide planning, the results were also significant for both genders (post-01:30 bedtime for men: OR = 1.41, 95% CI = 1.16–1.70; for women: OR = 1.21, 95% CI = 1.03–1.43). Odds of suicidal ideation were higher for those who had a post-01:30 bedtime on weekdays but not weekends. Conclusions: We found that, among adolescents, going to bed after 01:30 is significantly associated with suicidal ideation and suicide planning, after adjusting for demographic, socioeconomic, and health-related characteristics. Therefore, late bedtime should be the timepoint of a suicide intervention for adolescents, in order to prevent developing suicidal ideations and suicide planning.
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Khalkhali, Mohammadrasoul, Roghaye Zare, Hassan Farrahi, and Peyvand Shambayati. "Suicidal Ideations in Patients With Obsessive-Compulsive Disorder." Caspian Journal of Neurological Sciences 8, no. 1 (January 1, 2022): 39–48. http://dx.doi.org/10.32598/cjns.8.28.287.1.
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Background: There are many controversies about the frequency and burden of suicidality in patients with Obsessive-Compulsive Disorder (OCD). Objectives: This study was done to determine the prevalence and risk factors of current suicidal ideations in patients with OCD. Materials & Methods: In this cross-sectional study, 258 outpatients with OCD (Yale-Brawn Obsessive Compulsive Scale, Y-BOCS ≥16) referring to two psychiatry clinics in Guilan, Iran, from March 2018 to September 2019 were evaluated. Suicidality score of the Brief Psychiatric Rating Scale (BPRS) ≥4 was considered for current suicidal ideation at the first visit. Beck Scale for Suicidal Ideation (BSSI) was used to evaluate the intensity of suicidal ideations a week before evaluation. Simple linear and binary logistic regression analyses were used to analyze data by SPSS v. 20. Results: Current suicidal ideation was found in 22.1% of patients. The previous history of suicide attempt (BPRS, P<0.0001 and BSSI, P<0.0001), a history of OCD in first-degree relatives (BPRS: P=0.004 and BSSI: P=0.010), a history of suicide attempts in first-degree relatives (BPRS: P=0.013 and BSSI: P<0.0001), comorbid diagnosis of depressive or body dysmorphic disorder (BPRS, P<0.0001 and BSSI, P<0.0001), and higher Y-BOCS score (BPRS: P=0.043 and BSSI: P<0.0001) were associated with a higher risk of having suicidal ideation. Conclusion: Suicidal thoughts are high in Iranian patients with OCD at their first visit to psychiatry clinics. The previous suicide history, positive history of OCD and suicide attempts in their first-degree relatives, the severity of OCD, and some comorbid psychological disorders are associated with a higher risk of suicidal ideation among OCD patients.
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Schwerdtfeger, Kathrin Angelika, Mahtab Bahramsoltani, Lena Spangenberg, Nina Hallensleben, and Heide Glaesmer. "Depression, suicidal ideation and suicide risk in German veterinarians compared with the general German population." Veterinary Record 186, no. 15 (March 30, 2020): e2-e2. http://dx.doi.org/10.1136/vr.105430.
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BackgroundHigher rates of depression, suicidal ideation and suicide risk have been reported for veterinarians in various studies worldwide. This study investigates whether this is also true for German veterinarians.MethodsA total of 3.118 veterinarians (78.8 per cent female, mean age 41.3 years) between 22 and 69 years were included and compared with two general population samples of the same age range using the Suicide Behaviours Questionnaire-Revised and Patient Health Questionnaire.ResultsCurrent suicidal ideation was found in 19.2 per cent of veterinarians, compared with only 5.7 per cent in the general population. 32.11 per cent of veterinarians were classified with increased suicide risk, compared with 6.62 per cent in the general population. 27.78 per cent of veterinarians screened positive for depression, compared with 3.99 per cent of the general population.ConclusionThe study shows that veterinarians have an increased risk of depression and suicidal ideation and suicide risk compared with the general population in Germany. Similar to previous findings, the level of depression was higher among veterinarians than in the general population. However, this study does not explore causes for higher rates in depression, suicide risk and suicidal ideation. Since other studies strongly suggest specific risk factors lead to higher suicide risk and consequently elevated numbers of completed suicides, future research should focus on identifying and preventing causes.
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Kim, Yi Jin, Sung Seek Moon, Jang Hyun Lee, and Joon Kyung Kim. "Risk Factors and Mediators of Suicidal Ideation Among Korean Adolescents." Crisis 39, no. 1 (January 2018): 4–12. http://dx.doi.org/10.1027/0227-5910/a000438.
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Abstract. Background: A significant number of Korean adolescents have suicidal ideations and it is more prevalent among adolescents than any other age group in Korea. Aims: This study was conducted to attain a better understanding of the contributing factors to suicidal ideation among Korean adolescents. Method: We recruited 569 high school students in Grades 10 and 11 in Pyeongtaek, Korea. The Beck Scale for Suicidal Ideation was used to measure suicidal ideation as the outcome variable. The Interpersonal Needs Questionnaire, the Beck Hopelessness Scale, the School Related Stress Scale, the Olweus Bully/Victim Questionnaire, and the Youth Risk Behavior Surveillance questions were used to measure thwarted belongingness and perceived burdensomeness, hopelessness, school-related stress, bullying, and previous suicidal behaviors, respectively. Data analyses included descriptive statistics and structural equation modeling. Results: The findings suggest that perceived burdensomeness, hopelessness, school-related stress, and previous suicidal behaviors have significant direct effects on suicidal ideation. Hopelessness fully mediated the relation between thwarted belongingness and suicidal ideation, and partially mediated between perceived burdensomeness, school-related stress, and suicidal ideation. Conclusion: These findings provide more specific directions for a multidimensional suicide prevention program in order to be successful in reducing suicide rates among Korean adolescents.
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Samaraweera, Sudath, Athula Sumathipala, Sisira Siribaddana, S. Sivayogan, and Dinesh Bhugra. "Prevalence of Suicidal Ideation in Sri Lanka." Crisis 31, no. 1 (January 2010): 30–35. http://dx.doi.org/10.1027/0227-5910/a000010.
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Background: Suicidal ideation can often lead to suicide attempts and completed suicide. Studies have shown that Sri Lanka has one of the highest rates of suicide in the world but so far no studies have looked at prevalence of suicidal ideation in a general population in Sri Lanka. Aims: We wanted to determine the prevalence of suicidal ideation by randomly selecting six Divisional Secretariats (Dss) out of 17 in one district. This district is known to have higher than national average rates of suicide. Methods: 808 participants were interviewed using Sinhala versions of GHQ-30 and Beck’s Scale for Suicidal Ideation. Of these, 387 (48%) were males, and 421 (52%) were female. Results: On Beck’s Scale for Suicidal Ideation, 29 individuals (4%) had active suicidal ideation and 23 (3%) had passive suicidal ideation. The active suicidal ideators were young, physically ill and had higher levels of helplessness and hopelessness. Conclusions: The prevalence of suicidal ideation in Sri Lanka is lower than reported from the West and yet suicide rates are higher. Further work must explore cultural and religious factors.
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Klonsky, E. David, Alexis M. May, and Boaz Y. Saffer. "Suicide, Suicide Attempts, and Suicidal Ideation." Annual Review of Clinical Psychology 12, no. 1 (March 28, 2016): 307–30. http://dx.doi.org/10.1146/annurev-clinpsy-021815-093204.
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Hubers, A. A. M., S. Moaddine, S. H. M. Peersmann, T. Stijnen, E. van Duijn, R. C. van der Mast, O. M. Dekkers, and E. J. Giltay. "Suicidal ideation and subsequent completed suicide in both psychiatric and non-psychiatric populations: a meta-analysis." Epidemiology and Psychiatric Sciences 27, no. 2 (December 19, 2016): 186–98. http://dx.doi.org/10.1017/s2045796016001049.
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Aims.Several authors claimed that expression of suicidal ideation is one of the most important predictors of completed suicide. However, the strength of the association between suicidal ideation and subsequent completed suicide has not been firmly established in different populations. Furthermore, the absolute suicide risk after expression of suicidal ideation is unknown. In this meta-analysis, we examined whether the expression of suicidal ideation predicted subsequent completed suicide in various populations, including both psychiatric and non-psychiatric populations.Methods.A meta-analysis of cohort and case–control studies that assessed suicidal ideation as determinant for completed suicide in adults. Two independent reviewers screened 5726 articles for eligibility and extracted data of the 81 included studies. Pooled risk ratios were estimated in a random effects model stratified for different populations. Meta-regression analysis was used to determine suicide risk during the first year of follow-up.Results.The risk for completed suicide was clearly higher in people who had expressed suicidal ideation compared with people who had not, with substantial variation between the different populations: risk ratio ranging from 2.35 (95% confidence interval (CI) 1.43–3.87) in affective disorder populations to 8.00 (95% CI 5.46–11.7) in non-psychiatric populations. In contrast, the suicide risk after expression of suicidal ideation in the first year of follow-up was higher in psychiatric patients (risk 1.40%, 95% CI 0.74–2.64) than in non-psychiatric participants (risk 0.23%, 95% CI 0.10–0.54). Past suicide attempt-adjusted risk ratios were not pooled due to large underreporting.Conclusions.Assessment of suicidal ideation is of priority in psychiatric patients. Expression of suicidal ideation in psychiatric patients should prompt secondary prevention strategies to reduce their substantial increased risk of suicide.
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Ha, Jeongmin, and Dahye Park. "Suicidal ideation and suicide attempts among university students in South Korea during the COVID-19 pandemic: the application of interpersonal-psychological theory and early maladaptive schema." PeerJ 10 (July 27, 2022): e13830. http://dx.doi.org/10.7717/peerj.13830.
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Background This study examined the application of interpersonal-psychological theory and early maladaptive schema of suicidal ideation and suicide attempts in South Korean university students. Methods In this cross-sectional study, data from 367 university students were surveyed using the Interpersonal Needs Questionnaire, Early Maladaptive Schema, Suicide Ideation Scale, and the Acquired Capability for Suicide Scale. Data were collected between June 21 and July 21, 2021. Results University students’ interpersonal needs and early maladaptive schema were significantly associated with suicidal ideation, and influencing suicide attempts. The acquired capability for suicide moderated the relationship between suicidal ideation and attempts. Conclusions In suicide prevention programs for university students, it is critical to consider their interpersonal needs and early maladaptive schema, and the acquired capability for suicide, to prevent suicidal ideation and attempts among them.
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Mohan, Ishvar, Vivian B, Gokul T, and V. D. Swaminathan. "Psychosocial Predictors of Suicidal Ideation among School going Adolescents in Chennai." YMER Digital 21, no. 06 (June 27, 2022): 963–73. http://dx.doi.org/10.37896/ymer21.06/95.
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According to the National Crime Records Bureau (2020), Tamil Nadu ranked second in terms of student suicides in the country after Maharashtra. Student suicides spiked all over the country, contributing to 8.2% of deaths in India. It becomes necessary to understand predictive/risk and protective factors of Suicidal Ideation that might help in preventing adolescents from committing Suicide and empower them and their caregivers. The current study aims at understanding the influence of Emotional Intelligence, Quality of Interpersonal Relationships between parents and adolescents and Social Isolation on Suicidal Ideation among adolescents in Chennai. Furthermore, the study attempts to fill a relative dearth of culturally relevant studies. Earlier studies have suggested that Parenting, Interpersonal Relationships and Isolation were indicative of Suicidal Ideation while other studies posited that Emotional Intelligence was a protective factor against Suicidal Ideation. An ex-post facto research design was used for this research. Convenience sampling method was used to select samples from various schools across Chennai (n=196). The data was subjected to statistical analyses and the findings showed that dimensions of Emotional Intelligence and Quality of Relationships with parents showed strong relationships with Suicidal Ideation among adolescents. Regression analysis showed that Specific dimensions of Emotional Intelligence and Quality of Relationships with parents emerged as significant predictors of Suicidal Ideation. Keywords: Adolescence, Suicide, Parenting, Quality of Interpersonal Relationships, Isolation, Emotional Intelligence, Suicidal Ideation
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Rappaport, L. M., J. Flint, and K. S. Kendler. "Clarifying the role of neuroticism in suicidal ideation and suicide attempt among women with major depressive disorder." Psychological Medicine 47, no. 13 (April 11, 2017): 2334–44. http://dx.doi.org/10.1017/s003329171700085x.
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BackgroundPrior research consistently demonstrates that neuroticism increases risk for suicidal ideation, but the association between neuroticism and suicidal behavior has been inconsistent. Whereas neuroticism is recommended as an endophenotype for suicidality, the association of neuroticism with attempted suicide warrants clarification. In particular, prior research has not distinguished between correlates of attempted suicide, correlates of suicidal ideation, and correlates of comorbid psychopathology.MethodsThe present study used the CONVERGE study, a sample of 5864 women with major depressive disorder (MD) and 5783 women without MD throughout China. Diagnoses, suicidal ideation, and attempted suicide were assessed with the Composite International Diagnostic Interview (CIDI). Neuroticism was assessed with the neuroticism portion of the Eysenck Personality Questionnaire.ResultsResults replicate prior findings on the correlates of suicidal ideation, particularly elevated neuroticism among individuals who report prior suicidal ideation. Moreover, as compared with individuals who reported having experienced only suicidal ideation, neuroticism was associated with decreased likelihood of having attempted suicide.ConclusionsThe association of neuroticism with suicidality is more complicated than has been previously described. Whereas neuroticism increases risk for suicidal ideation, neuroticism may decrease risk for a suicide attempt among individuals with suicidal ideation. These results have implications for the assessment of risk for a suicide attempt among individuals who report suicidal ideation and addresses prior discordant findings by clarifying the association between neuroticism and attempted suicide.
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Palmer, Charles James. "Suicide Attempt History, Self-Esteem, and Suicide Risk in a Sample of 116 Depressed Voluntary Inpatients." Psychological Reports 95, no. 3_suppl (December 2004): 1092–94. http://dx.doi.org/10.2466/pr0.95.3f.1092-1094.
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116 consecutively admitted depressed inpatients were divided into three groups based on self-reported history of suicidal ideation and history of suicide attempt. Participants in Group 1 ( M age 34.0, SD = 14.0), 13 men and 24 women, reported no history of suicidal ideation or history of suicide attempt. Group 2 ( M age 34.0, SD = 8.6), 14 men and 25 women, reported having a history of suicidal ideation but no history of suicide attempt. Group 3 ( M age 34.0 yr., SD = 6.3), 14 men and 26 women, reported a history of suicidal ideation and at least one suicide attempt. Each participant completed the Suicide Risk Scale and the Self-esteem Scale. Analysis of variance with Tukey post hoc comparisons yielded a significant difference between Groups 1 and 2, between Groups 1 and 3, and between Groups 2 and 3 on the Suicide Risk Scale. There was a significant difference between Group 1 and Group 2 and between Group 1 and Group 3 on the Self-esteem Scale. These data indicated that suicide ideation and suicide attempt history significantly elevated suicide risk. Self-esteem was significantly decreased by suicide ideation and suicide attempt history.
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Amare, Tadele, Solomon Meseret Woldeyhannes, Kelemua Haile, and Tebikew Yeneabat. "Prevalence and Associated Factors of Suicide Ideation and Attempt among Adolescent High School Students in Dangila Town, Northwest Ethiopia." Psychiatry Journal 2018 (June 11, 2018): 1–9. http://dx.doi.org/10.1155/2018/7631453.
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Background. Suicide is a major public health problem and is common among adolescents worldwide. The true extent of the problem in Ethiopia is difficult to ascertain as suicides and suicidal behavior are significantly underreported and understudied. Objective. We assessed the prevalence and factors associated with suicide ideation and suicide attempt among adolescent high school students in Dangila Town, Ethiopia. Methods. This school-based cross-sectional study was conducted from April to May 2015 in Dangila Town. Data were collected from adolescent high school students using pretested, self-administered Amharic-language questionnaire. We conducted bivariable and multivariable logistic regression to identify the independent factors associated with suicide ideation and attempt. Results. A total of 573 of 603 sampled students participated in the study (95% response rate). The mean (±SD) age of the respondents was 17.52 (±0.97) years. The minimum and maximum ages were 15 and 19 years, respectively. The prevalence of suicide ideation and attempt was 22.5% and 16.2%, respectively. School absenteeism [AOR 4.30, 95% CI (2.03, 9.10)] and poor social support [AOR 5.58, 95% CI (2.25, 13.84)] were positively associated with suicide ideation. Poor social support [AOR 4.55, 95% CI (1.40, 14.77)] and being physically hurt [AOR 4.25, 95% CI (1.77, 10.20)] were positively associated with suicide attempt. Unlike previous studies of adolescents in low-income countries, we find no association between gender or alcohol use and suicidal thoughts or attempts. Conclusion. This study revealed that at least one in five of the adolescents in our sample had experienced suicide ideation and one in six had attempted suicide. School absenteeism, poor social support, and experience of violence were identified as independent contributors to suicide ideation and attempt. These findings suggest a need for education policymakers to implement school-based behavioral therapy programs in collaboration with health institutions and programs to provide social support for vulnerable students.
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Pedreira, Jose Luis. "Conductas suicidas en la adolescencia: Una guía práctica para la intervención y la prevención." Revista de Psicopatología y Psicología Clínica 24, no. 3 (January 29, 2020): 217. http://dx.doi.org/10.5944/rppc.26280.
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Abstract: Suicidal behavior in adolescence: A practical guide for intervention and prevention. In Spain, suicide rates have increased over the last ten years. The increase has been particularly significant among adolescents. This paper realizes a conceptual update of suicidal behavior, following WHO criteria. A review is carried out of the risk factors for suicidal behavior in adolescence, both biological, psychological and social, differentiating between concurrent causes, precipitating causes and underlying psychopathological process. In particular, a review of the concept of suicidal ideation in adolescence is carried out, as an entry key to develop early intervention and preventive intervention activities. Finally, a protocol is created for intervention and prevention from social, media, school, family and health systems, including intervention by hospital emergency services. Keywords: Suicide; adolescence; suicidal ideation; early intervention; prevention.Resumen: En España las tasas de suicidio han tenido un incremento durante los últimos diez años. Ese incremento ha sido particularmente significativo en la etapa de la adolescencia. En el presente trabajo se realiza una actualización conceptual de las conductas suicidas, siguiendo los criterios de OMS. Se realiza una revisión de los factores de riesgo hacia la conducta suicida en la adolescencia, tanto los biológicos, como los psicológicos y sociales, diferenciando entre causas concurrentes, causas precipitantes, causas desencadenantes y proceso psicopatológico subyacente. De forma particular se realiza una revisión del concepto de ideación suicida en la adolescencia, como llave de entrada para desarrollar actividades de intervención precoz y de tipo preventivo. Finalmente se realiza un protocolo para la intervención y la prevención desde los sistemas social, mediático, escolar, familiar y sanitario, incluyendo la intervención desde los servicios de urgencia hospitalaria. Palabras clave: Suicidio; adolescencia; ideación suicida; intervención precoz; prevención
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Park, Sang-Mi. "Effects of work conditions on suicidal ideation among middle-aged adults in South Korea." International Journal of Social Psychiatry 65, no. 2 (February 18, 2019): 144–50. http://dx.doi.org/10.1177/0020764019831327.
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Background: Korea has the highest rate of suicide in the world and has held this rank for the last decade. Suicide has risen especially sharply among 45- to 54-year-old Koreans; there were about 32.1 suicides per 100,000 individuals in 2015, and this contributed significantly to the rising suicide rate in Korea. Recently, adverse work conditions, including insecure employment and shift work, have been suggested as a suicide risk factor. However, little is known about the influence of insecure employment on suicidal ideation among middle-aged adults. Furthermore, prior research has examined the association between shift work and suicidal ideation only among individuals engaged in specific jobs, such as police work or firefighting, and those investigations have not focused on middle-aged adults. Aim: This study investigated the influence of employment status and shift work on suicidal ideation among middle-aged adults. Methods: The sample comprised waged, middle-aged adult employees ( n = 2,364) aged 45–64 years who had participated in the cross-sectional Korea National Health and Nutrition Examination Survey 2015. Using multivariate logistic regression analyses, this study evaluated the associations of employment status and shift work with suicidal ideation among middle-aged adults. Results: The major finding was that insecure employment status was independently associated with suicidal ideation in middle-aged adults (odds ratio (OR) = 2.50, 95% confidence interval (CI) = [1.27, 4.94]) and that shift work was significantly associated with suicidal ideation among middle-aged adults (OR = 2.30, 95% CI = [1.14, 4.66]). Conclusions: The findings of this study highlight the need for multidimensional interventions regarding suicide, especially for middle-aged adults engaged in insecure jobs and shift work. Multidimensional interventions, including early screening for suicidal thoughts during routine medical check-ups, readily available work-based counselling programmes and regular monitoring, are likely to be useful.
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Li, Jun, Xinhong Chen, Zehang Lin, Kaiqi Yang, Hong Va Leong, Nancy Xiaonan Yu, and Qing Li. "Suicide risk level prediction and suicide trigger detection: a benchmark dataset." Special Issue with Awarded and Shortlisted Papers from the HKIE Outstanding Paper Award for Young Engineers/Researchers 2022 29, no. 4 (December 12, 2022): 268–82. http://dx.doi.org/10.33430/v29n4thie-2022-0031.
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The increasing number of suicide events in recent years has set off an alarm in society. To prevent suicides, it is important to develop platforms with associated intelligent algorithms, such as those for early suicide ideation detection (SID). In general, entering people’s lives to obtain indicative information for effective SID is prohibitive due to the possible risk of privacy invasion. Social media posts provide valuable information about users’ activities, indicating important hints toward SID in a non-intrusive manner. Although multiple datasets have been collected from social media platforms for efficient SID, they either neglect many suicidal posts by searching for pre-defined keywords, or contain limited information about suicide ideation. In this paper, a newly collected dataset, which expands the coverage of suicidal posts with more fine-grained annotations of suicide risk levels and suicide triggers compared with existing datasets, is presented. Benchmarking results by a popular deep-learning model are analysed to validate the reliability and potential of the collected dataset. Furthermore, multiple application scenarios of the dataset are discussed. The proposed dataset is expected to enhance the research on suicide ideation and behaviours, and have a strong impact on SID and more importantly, suicide prevention to save invaluable lives.
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Islam, Md Ashraful, and Zinnatul Borak. "A Study on Suicidal Ideation and Suicide Attempts Among Substance Abusers." Dhaka University Journal of Biological Sciences 29, no. 2 (August 26, 2020): 175–82. http://dx.doi.org/10.3329/dujbs.v29i2.48737.
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The present study was conducted to investigate the suicidal ideation and attempts to suicide among the substance abusers. The study sample was comprised of 100 substance abusers (70 males and 30 females among them 18 were adolescent males, 7 were adolescent females, 52 were adult males and 23 were adult females) and selection was made by using purposive sampling technique. The instruments used for collecting data were: (1) Personal information questionnaire and (2) Bangla version of the Beck scale for suicide ideation. The data were analyzed by one-way ANOVA and independent sample t test. Results indicated that there were significant differences among the substance abuser’s suicidal ideation and suicide attempts. Yaba abusers had more suicidal ideation and took more suicide attempts than other substance abusers; adult abusers had more suicidal ideation and suicide attempts than adolescent abusers. Moreover, suicidal ideation was higher in males than females.
Dhaka Univ. J. Biol. Sci. 29(2): 175-182, 2020 (July)
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Kim, Sujin, and Myoungsoon You. "An Empirical Analysis of Delayed Monthly Bill Payments as an Early Risk Factor of Increased Suicidal Behavior." International Journal of Environmental Research and Public Health 16, no. 16 (August 15, 2019): 2929. http://dx.doi.org/10.3390/ijerph16162929.
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This study examines the potential of delayed monthly bill payments as a predictor of suicidal behavior in South Korea with the highest suicide rate among developed countries. Using the Korea Welfare Panel Study, multivariable logistic regressions examined the association between suicide ideation/attempts and the frequency of late payments on utility bills or National Health Insurance premium during last three years. Confounding factors such as past depression and suicide ideation/attempts history were adjusted for. Among 10,988 individuals, 2.7% reported suicide ideation and 0.11% attempted suicide in the past year, while 7.1% reported they paid late once or more during the last three years. Adults with two or more delayed payment had 2.32 times increased odds of suicidal ideation and 10.99 times increased odds of suicide attempts, compared to having no late payments. Adjusting for other socio-economic characteristics rarely changed the relationship between late payments and suicide ideation/attempts (for suicidal ideation, OR = 2.11; for suicide attempts: OR = 7.44), suggesting the independent effect of late payments on suicide behavior. With these findings, it can be suggested that late payment is an important factor, preemptively signaling suicide behavior with serious consequences in health and life.
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Lee, Kounseok, Hyesun Kim, and YoungHo Kim. "Gambling Disorder Symptoms, Suicidal Ideation, and Suicide Attempts." Psychiatry Investigation 18, no. 1 (January 25, 2021): 88–93. http://dx.doi.org/10.30773/pi.2020.0035.
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Objective Gambling disorder (GD) patients have a higher suicide risk compared to the general population. The present study investigates the suicide-related risk factors of GD patients by analyzing GD diagnosis-related symptoms and suicide-related behaviors of subjects.Methods This study investigated which symptoms among GD diagnosis criteria are related to suicide risk in 142 patients diagnosed with GD. To analyze the relationship between GD symptoms and suicidal ideation and suicide attempt, the odds ratio (OR) was determined through multivariate logistic regression.Results The number of symptoms was significantly higher in the subjects who had suicidal ideation group and attempt group. In the cases of past suicide attempts, responses to withdrawal and escape questions were significantly higher; in the cases of ongoing suicidal ideation, responses to negative consequences and bailout questions were significantly higher. When depression was corrected, the ‘bailout’ item was, indicating that ‘bailout’ increased suicidal ideation (OR=4.937, 95% CI=1.009–24.164). In the suicide attempt group, ‘relieve’ item may increase suicide attempt (OR=6.978, 95% CI=1.300–35.562).Conclusion Past suicide attempts in GD patients correlated with withdrawal symptoms, and financial problem correlated with suicidal ideation. This suggests that evaluating suicide risk is important when evaluating GD patients, and evaluation of financial problems is important for GD patients with suicide risks.
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Liu, Xingyun, Jiasheng Huang, Nancy Xiaonan Yu, Qing Li, and Tingshao Zhu. "Mediation Effect of Suicide-Related Social Media Use Behaviors on the Association Between Suicidal Ideation and Suicide Attempt: Cross-Sectional Questionnaire Study." Journal of Medical Internet Research 22, no. 4 (April 28, 2020): e14940. http://dx.doi.org/10.2196/14940.
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Background A limited number of studies have examined the differences in suicide-related social media use behaviors between suicide ideators and suicide attempters or have sought to elucidate how these social media usage behaviors contributed to the transition from suicidal ideation to suicide attempt. Objective Suicide attempts can be acquired through suicide-related social media use behaviors. This study aimed to propose 3 suicide-related social media use behaviors (ie, attending to suicide information, commenting on or reposting suicide information, or talking about suicide) based on social cognitive theory, which proposes that successive processes governing behavior transition include attentional, retention, production, and motivational processes. Methods We aimed to examine the mediating role of suicide-related social media use behaviors in Chinese social media users with suicidal risks. A sample of 569 Chinese social media users with suicidal ideation completed measures on suicidal ideation, suicide attempt, and suicide-related social media use behaviors. Results The results demonstrated that suicide attempters showed a significantly higher level of suicidal ideation (t563.64=5.04; P<.001; two-tailed) and more suicide-related social media use behaviors, which included attending to suicide information (t567=1.94; P=.05; two-tailed), commenting on or reposting suicide information (t567=2.12; P=.03; two-tailed), or talking about suicide (t542.22=5.12; P<.001; two-tailed). Suicidal ideation also affected suicide attempts through the mediational chains. Conclusions Our findings thus support the social cognitive theory, and there are implications for population-based suicide prevention that can be achieved by identifying behavioral signals.
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Aaltonen, K. I., T. Rosenström, I. Baryshnikov, B. Karpov, T. Melartin, K. Suominen, M. Heikkinen, et al. "Mediating role of borderline personality disorder traits in the effects of childhood maltreatment on suicidal behaviour among mood disorder patients." European Psychiatry 44 (July 2017): 53–60. http://dx.doi.org/10.1016/j.eurpsy.2017.03.011.
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AbstractBackground:Substantial evidence supports an association between childhood maltreatment and suicidal behaviour. However, few studies have examined factors mediating this relationship among patients with unipolar or bipolar mood disorders.Methods:Depressive disorder and bipolar disorder (ICD-10-DCR) patients (n = 287) from the Helsinki University Psychiatric Consortium (HUPC) Study were surveyed on self-reported childhood experiences, current depressive symptoms, borderline personality disorder traits, and lifetime suicidal behaviour. Psychiatric records served to complement the information on suicide attempts. We examined by formal mediation analyses whether (1) the effect of childhood maltreatment on suicidal behaviour is mediated through borderline personality disorder traits and (2) the mediation effect differs between lifetime suicidal ideation and lifetime suicide attempts.Results:The impact of childhood maltreatment in multivariate models on either lifetime suicidal ideation or lifetime suicide attempts showed comparable total effects. In formal mediation analyses, borderline personality disorder traits mediated all of the total effect of childhood maltreatment on lifetime suicide attempts, but only one fifth of the total effect on lifetime suicidal ideation. The mediation effect was stronger for lifetime suicide attempts than for lifetime suicidal ideation (P = 0.002) and independent of current depressive symptoms.Conclusions:The mechanisms of the effect of childhood maltreatment on suicidal ideation versus suicide attempts may diverge among psychiatric patients with mood disorders. Borderline personality disorder traits may contribute to these mechanisms, although the influence appears considerably stronger for suicide attempts than for suicidal ideation.
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Brådvik, Louise, and Mats Berglund. "Antidepressant Therapy in Severe Depression May Have Different Effects on Ego-Dystonic and Ego-Syntonic Suicidal Ideation." Depression Research and Treatment 2011 (2011): 1–6. http://dx.doi.org/10.1155/2011/896395.
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The objective of the present study was to investigate whether ego-dystonic and ego-syntonic suicidal ideation occurred at different frequencies during antidepressant therapy. A blind evaluation has been performed on records of 100 suicides with a primary severe depression and 100 matched controls, admitted to the Department of Psychiatry, Lund, Sweden. Ego-dystonic suicidal ideation was more commonly reported during adequate treatment as compared to ego-syntonic ideation (P=.004). Men who committed suicide during adequate antidepressant therapy more often reported ego-dystonic suicidal ideation earlier in their lives compared with those who were not treated (P=.0377). This may indicate that treatment failure for ego-dystonic ideation was a precursor of their suicides. Consequently, ego-dystonic ideation seems to show a poorer response to antidepressant therapy as compared to ego-syntonic ideation, which may be more directly related to depression. Ego-dystonic ideation is proposed to be related to depressive psychosis.
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Zucca, Milena, Elisa Rubino, Alessandro Vacca, Flora Govone, Annalisa Gai, Paola De Martino, Silvia Boschi, Salvatore Gentile, Maria Teresa Giordana, and Innocenzo Rainero. "High Risk of Suicide in Behavioral Variant Frontotemporal Dementia." American Journal of Alzheimer's Disease & Other Dementiasr 34, no. 4 (December 17, 2018): 265–71. http://dx.doi.org/10.1177/1533317518817609.
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Aim: The purpose of the study was to determine the prevalence of suicidal ideation and attempts in patients with behavioral variant frontotemporal dementia (bvFTD), evaluating possible risk factors for suicidality. Methods: Risk of suicide was assessed using the Scale for Suicide Ideation (SSI) in 35 patients with bvFTD and 25 controls. Results: According to SSI, 40% of patients with bvFTD had suicidal ideation in comparison to 8% of controls ( P = .009). Four patients with bvFTD have attempted suicide versus none control ( P = .006). Patients with bvFTD with suicide risk showed higher levels of anxiety, depression, stress, and hopelessness than patients without suicide risk ( P < .001). Patients who attempted suicide were younger and had a longer disease duration than those with only suicide ideation. Intriguingly, 40% of patients with parkinsonism presented high level of suicide ideation. Conclusions: Our findings show that patients with bvFTD have a high risk of suicide. Additional studies in larger populations are needed to confirm our results.
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Bahamón, Marly Johana, Yolima Alarcón-Vásquez, Ana María Trejos-Herrera, Stefano Vinaccia Alpi, Andres Cabezas, and Joaquín Sepúlveda. "Efectos del programa CIPRES sobre el riesgo suicida en adolescentes." Revista de Psicopatología y Psicología Clínica 24, no. 2 (August 30, 2019): 83. http://dx.doi.org/10.5944/rppc.23667.
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Abstract: Effects of the CIPRES program on suicidal risk in adolescents. The objective of the study was to evaluate the specific changes generated by the CIPRES program on suicidal risk in adolescents. The sample comprised 106 adolescents aged between 13 and 18 years old (53 in the experimental group, 53 in the control group), of which 54.7% were women (n = 58). The study used a quasi-experimental design of repeated pretest-posttest measures with a control group. Two assessment instruments were administered before and after the program: The Scale of the Suicide Risk (ERS) and the Inventory of Positive and Negative Suicidal Ideation (PANSI). The pretest-posttest ANCOVAs showed that the program significantly reduced (p < .05) the scores of suicidal ideation, planning, self-harm, isolation/social support, lack of family support, and global suicide risk. In addition, it significantly increased positive ideation scores. The results support the relevance of this program to reduce suicidal risk in adolescents.Keywords: CIPRES; suicide risk; adolescents; psychological intervention; quasi-experiment.Resumen: El estudio tuvo por objetivo evaluar los cambios específicos generados por el programa CIPRES sobre el riesgo suicida en adolescentes. La muestra se configuró con 106 adolescentes entre los 13 y 18 años (53 experimentales, 53 controles), de los cuales el 54.7% eran mujeres (n = 58). El estudio utilizó un diseño cuasi-experimental de medidas repetidas pretest-postest con grupo de control. Se administraron dos instrumentos de evaluación antes y después de la aplicación del programa: la Escala de Riesgo Suicida (ERS) y el Inventario de Ideación Suicida Positiva y Negativa (PANSI). Los ANCOVAs pretest-postest evidenciaron que el programa redujo significativamente (p < .05) las puntuaciones en ideación suicida, planificación, autolesión, aislamiento/soporte social, falta de apoyo familiar, y riesgo suicida global. Además, aumentó significativamente las puntuaciones en ideación positiva. Los resultados apuntan a la relevancia de este programa para reducir el riesgo suicida en adolescentes.Palabras clave: CIPRES; riesgo de suicidio; adolescentes; intervención psicológica; cuasiexperimento.
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Schweitzer, Robert, John McLean, and Michael Klayich. "Suicidal Ideation and Behaviours among University Students in Australia." Australian & New Zealand Journal of Psychiatry 29, no. 3 (September 1995): 473–79. http://dx.doi.org/10.3109/00048679509064956.
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Objective: The aim of the study was to investigate the prevalence and demographic correlates of suicidal ideation and behaviours among university students in Australia and the utilisation of mental health services by this population. Method: Suicidal ideation and behaviours and demographic variables were assessed in a population of 1,678 undergraduate students by use of a modified Suicide Ideation Scale (SIS) and questionnaire. Results: Sixty two percent of students surveyed showed some suicidal ideation and 6.6% reported one or more suicide attempts. Over half of the group who reported suicide attempts did not use any type of mental health services. Suicidal ideation was found to be highly correlated with previous use of mental health services. In examining the relationship between suicidal ideation (SI) and demographic variables, SI was not significantly different for gender or parental marital status but was related to living arrangements, racial groups, religious affiliation and father's education. Conclusions: The results suggest that a higher proportion of students reported suicidal ideation and behaviours than that documented in related studies undertaken in the USA. While these findings draw attention to a higher level of suicidal ideation in students who utilise mental health assistance, more than half of those who reported suicide attempts did not use any kind of mental health service. The study has particular implications for detecting and assisting young people with a high suicide risk within the university environment.
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Adam-Troian, Jais, and Thomas Arciszewski. "Absolutist Words From Search Volume Data Predict State-Level Suicide Rates in the United States." Clinical Psychological Science 8, no. 4 (May 28, 2020): 788–93. http://dx.doi.org/10.1177/2167702620916925.
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Suicide continues to be a major public health issue, especially in the United States. It is a well-established fact that depression and suicidal ideation are risk factors for suicide. Drawing on recent research that shows that absolutist words (e.g., “completely,” “totally”) constitute linguistic markers of suicidal ideation, we created an online index of absolutist thinking (ATI) using search query data (i.e., Google Trends time series). Mixed-model analyses of age-adjusted suicide rates in the United States from 2004 to 2017 revealed that ATI is linked with suicides, β = 0.22, 95% CI = [0.12, 0.31], p < .001, and predicts suicides within 1 year, β = 0.16, 95% CI = [0.05, 0.28], p = .006, independently of state characteristics and historical trends. It is the first time that a collective measure of absolutist thinking is used to predict real-world suicide outcomes. Therefore, the present study paves the way for novel research avenues in clinical psychological research.
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Meireles Campos, Victor, and Ieda Aleluia. "Preditores de idealização suicida entre estudantes de medicina: uma revisão sistemática." International Journal of Health Education 3, no. 1 (October 23, 2019): 78. http://dx.doi.org/10.17267/2594-7907ijhe.v3i1.2413.
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BACKGROUND: Suicidal ideation is one of the main symptoms indicative of suicide attempts and suicide. According to the WHO, about 800,000 cases of suicide were reported around the world in 2014, which translates to an index of 1 suicide every 40 seconds. Medical students constitute a population at risk for the development of suicidal ideation. Several life factors may influence the risk of suicidal ideation, those being personality traits, social factors and mental health. OBJECTIVE: Identify the indicators of suicidal ideation among medical students during their academic training. METHODS: This is a systematic review carried out in the electronic databases Pubmed and BVS. Articles that addressed the subject of suicidal ideation among medical students in Portuguese, English and Spanish from 2008 to 2018 were included. RESULTS: We found 263 articles, of which 12 articles met the inclusion and exclusion criteria. After the application of the STROBE statement, 6 articles were selected for the creation of this systematic review. The prevalence of suicidal ideation varied from 3.7% to 35.6% around the world and several factors were linked to the increase of suicidal ideation risk. CONCLUSION: A suicidal ideation is a frequent and multifactorial phenomenon that involves several realms of a medical student's life. The risk factors identified in this review were linked to the increased risk of suicidal ideation development.
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Kheibari, Athena, Julie Cerel, and Rebecca Sanford. "Attitudes About Suicide Ideation Among Suicide Loss Survivors: A Vignette Study." Psychological Reports 122, no. 5 (September 4, 2018): 1707–19. http://dx.doi.org/10.1177/0033294118795882.
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This study aimed to examine the attitudes of college students toward suicide and nonsuicide loss survivors’ future suicide intent—specifically the degree to which each is believed to be suicidal based on the characteristics of the loss and relationship to the deceased. Participants were asked to read a descriptive vignette about a bereaved individual and assess their judgment about the survivor’s current state of suicide-related ideation. The results revealed that the likelihood of indicating suicide-related ideation was decreased by 5.9% for each year that the participant aged. This study provides useful knowledge about the perception of suicidal ideation among bereaved individuals.
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Sueki, Hajime. "The Effect of Suicide-Related Internet Use on Users’ Mental Health." Crisis 34, no. 5 (September 1, 2013): 348–53. http://dx.doi.org/10.1027/0227-5910/a000201.
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Background: Previous studies have shown that suicide-related Internet use can have both negative and positive psychological effects. Aims: This study examined the effect of suicide-related Internet use on users’ suicidal ideation, depression/anxiety tendency, and loneliness. Method: A two-wave panel study of 850 Internet users was conducted via the Internet. Results: Suicide-related Internet use (e.g., browsing websites about suicide methods) had negative effects on suicidal ideation and depression/anxiety tendency. No forms of suicide-related Internet use, even those that would generally be considered positive, were found to decrease users’ suicidal ideation. In addition, our results suggest that the greater the suicidal ideation and feelings of depression and loneliness of Internet users, the more they used the Internet. Conclusion: Since suicide-related Internet use can adversely influence the mental health of young adults, it is necessary to take measures to reduce their exposure to such information.
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Spiers, N., P. E. Bebbington, M. S. Dennis, T. S. Brugha, S. McManus, R. Jenkins, and H. Meltzer. "Trends in suicidal ideation in England: the National Psychiatric Morbidity Surveys of 2000 and 2007." Psychological Medicine 44, no. 1 (March 28, 2013): 175–83. http://dx.doi.org/10.1017/s0033291713000317.
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BackgroundRecent falls in suicide rates should be accompanied by a decline in the prevalence of suicidal ideation.MethodWe used a pseudo-cohort analytic strategy to examine trends in suicidal ideation measured identically in 2000 and 2007, in nationally representative English probability samples of adults aged ⩾ 16 years. Suicidal ideation included tiredness of life, death wishes and thoughts of suicide. Logistic regression models were fitted to estimate trends in age-specific prevalence of suicidal ideation in the past year and past week between 2000 and 2007.ResultsThere were 6799 participants aged 16–71 years in 2000, and 6815 participants aged 16–78 years in 2007. There was little evidence of trends in prevalence of suicidal ideation, with the exception of women aged 44–50 years in 2007, whose prevalence was unusually high. Prevalence of suicidal ideation in the past year followed a W-shaped profile with age, with peaks at the transition to adulthood, in the forties, and in the oldest participants.ConclusionsDespite falling suicide rates, suicidal ideation did not decline overall between 2000 and 2007. This may indicate the success of the National Suicide Prevention Strategy. Women aged 44–50 years in 2007 were, however, particularly prone to suicidal ideation. As they also have the highest age-adjusted prevalence of common mental disorders and the highest female suicide rate, there are clear implications for treatment access, availability and delivery in primary care.
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Amaral, Ana Paula, Josiane Uchoa Sampaio, Fátima Regina Ney Matos, Margarida Tenente Santos Pocinho, Rafael Fernandes de Mesquita, and Laelson Rochelle Milanês Sousa. "Depressão e ideação suicida na adolescência: implementação e avaliação de um programa de intervenção." Enfermería Global 19, no. 3 (June 17, 2020): 1–35. http://dx.doi.org/10.6018/eglobal.402951.
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Objetivo: Desarrollar, implementar y evaluar un programa de prevención del suicidio dirigido a adolescentes.Materiales y Métodos: Estudio cuasi experimental, del tipo antes y después, con adolescentes de una institución educativa en São Luís, Maranhão, Brasil. El estudio siguió las etapas de desarrollo, implementación y evaluación de un programa de intervención para la prevención del suicidio. Se administraron tres instrumentos de evaluación antes y después de la intervención: la escala de ideación suicida de Beck; el Inventario de Depresión de Beck y la Escala de Desesperanza de Beck.Resultados: Antes de la intervención, participaron 102 adolescentes, 30 (29.4%) tenían ideación suicida y síntomas depresivos. Después de la intervención, los instrumentos se aplicaron a los 30 adolescentes seleccionados, 12 (40.0%) continuaron con la ideación. Antes de la intervención, el Inventario de depresión promedio fue de 23.83 y luego de 7.17 (p <0.0001). En cuanto a la desesperanza, el promedio obtenido antes fue 7.23 y luego 2.17 (p <0.0001); Con respecto a la ideación suicida, el promedio obtenido antes fue de 10.50 y luego de 2.57 (p <0.0001).Conclusión: Hubo una disminución en los síntomas depresivos, la desesperanza y la ideación suicida después de la implementación del elaborado programa de intervención. Objective: To develop, implement and evaluate a suicide prevention program aimed at adolescents.Material and Methods: A quasi-experimental study, before and after, with adolescents from an educational institution in São Luís, Maranhão, Brazil. The study followed the stages of development, implementation and evaluation of a suicide prevention intervention program. Three assessment instruments were administered before and after the intervention: Beck's Suicidal Ideation Scale; Beck's Depression Inventory and Beck's Hopelessness Scale. Results: Before the intervention, 102 adolescents participated, 30 (29.4%) had suicidal ideation and depressive symptoms. After the intervention the instruments were applied to the 30 selected adolescents, 12 (40.0%) continued with ideation. Prior to intervention, the average Depression Inventory was 23.83 and then 7.17 (p <0.0001). As for hopelessness, the average obtained before was 7.23 and then 2.17 (p <0.0001); Regarding suicidal ideation, the average obtained before was 10.50 and then 2.57 (p <0.0001). Conclusion: There was a decrease in depressive symptoms, hopelessness and suicidal ideation after the implementation of the elaborated intervention program.
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Atti, A. R., A. Modenese, M. Bellini, F. Moretti, S. Cesano, V. Bernabei, B. Ferrari, E. Dalmonte, and D. De Ronchi. "Suicidal Ideation in Italian Elderly. Preliminar data from the “Faenza Project”." European Psychiatry 24, S1 (January 2009): 1. http://dx.doi.org/10.1016/s0924-9338(09)71321-5.
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Aims:To evaluate prevalence rate of suicidal ideation among Italian elderly and to investigate possible socio-demographic and psychopathological features of suicide attempters in a population-based study.Methods:461 subjects (mean age 85 years; 52.9% women; 49.2% widow) were interviewed using the Revised Cambridge Examination for Mental Disorders in the Elderly. the presence of suicidal ideation was assessed by the Scale for Suicide Ideation. the association between suicidal ideation and its correlates was analysed by Logistic Regression Model estimating Odds Ratios and 95% Confidence Intervals (OR, 95%CI).Results:Eighteen (3,8%) persons refused to answer to questions concerning suicide thoughts. Only one participant declared to have attempted suicide (a 92 years-old men, widow, living on his own and complaining about depressive feelings). Overall suicidal ideation prevalence was 7.3%: wish to die (3.8%) and not worth living (13%). Gender, age, education, marital and socio-economic status were similar in subjects with and without suicidal ideation. Subjects with suicidal ideation had fewer family contacts, were less satisfied of their general health status and had a higher number of depressive and anxiety symptoms. However, when all these conditions were tested in the same model, only depressive symptoms were still significantly associated with suicidal ideation (OR, 95%CI=9.6, 3.3-27.9).Conclusion:The worldwide aging of the population deserves attention to psycho-geriatric medicine. Study on suicide in late-life are of interest to detect elderly at risk and to emphasize this increasing phenomenon.
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Aulia, Nur, Yulastri Yulastri, and Heppi Sasmita. "Faktor Psikologi Sebagai Risiko Utama Ide Bunuh Diri pada Remaja di Kota Rengat Kabupaten Indragiri Hulu." Jurnal Penelitian Kesehatan "SUARA FORIKES" (Journal of Health Research "Forikes Voice") 11 (January 5, 2020): 48. http://dx.doi.org/10.33846/sf11nk110.
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The high incidence of suicide, especially in this age group in which the teen years may be one time the vulnerability to suicidal ideation. Data from the National Commission for Child Protection in Indonesia of suicides that occurred with the youngest is 13 years old. This can occur due to various risk factors for teen suicide include psychological factors. This study aims to identify suicidal ideation relationship with risk factors for suicide in adolescents. Analytical research design was correlation with cross-sectional approach. Sample 365 adolescents with proportional random sampling. Data were analyzed using logistic regression test. The results showed the number of adolescent suicidal ideation is high. There was a relationship of psychological factors with suicidal ideation (p<0.005).. Psychological factors is most dominant contributing factor that trigger suicidal ideation. Parents and school should improve the counseling in order to identify the presence of suicidal ideation in adolescents earlier.
Keywords: adolescent; suicide idea; suicide risk factors; psychological factor
ABSTRAK
Tingginya angka kejadian bunuh diri khususnya pada kelompok usia remaja dimana masa remaja dapat menjadi salah satu waktu kerentanan terhadap ide bunuh diri. Data dari Komisi Nasional Perlindungan Anak di Indonesia dari kasus bunuh diri yang diterjadi dengan usia termuda adalah 13 tahun. Hal ini dapat terjadi karena berbagai faktor risiko bunuh diri pada remaja diantaranya adalah faktor psikologis. Penelitian ini bertujuan mengetahaui hubungan ide bunuh diri dengan faktor psikologi diantaranya depresi, kecemasa dan stres pada remaja. Desain penelitian analitik korelasi, pendekatan crosssection. Sampel 365 remaja dengan proposional random sampling. Data dianalisis menggunakan analisis regresi logistik. Hasil penelitian adalah sebagian besar remaja memiliki ide bunuh diri yang tinggi. Terdaoat hubungan signifikan antara faktor psikologis dengan ide bunuh diri (p<0,005). Setelah dilakukan analisis multivariate ditemukan bahwa faktor psikologis merupakan faktor yang dominan terhadap ide bunuh diri. Pencegahan kemunculan ide bunuh diri dapat dilakukan dengan peningkatan bimbingan konseling oleh orangtua dan sekolah sehingga ide bunuh diri dapat terdeteksi sejak dini.
Kata kunci: remaja; ide bunuh diri; faktor risiko bunuh diri; faktor psikologis
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SIMPSON, GRAHAME, and ROBYN TATE. "Suicidality after traumatic brain injury: demographic, injury and clinical correlates." Psychological Medicine 32, no. 4 (May 2002): 687–97. http://dx.doi.org/10.1017/s0033291702005561.
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Background. In spite of the high frequency of emotional distress after traumatic brain injury (TBI), few investigations have examined the extreme of such distress, namely, suicidality, and no large scale surveys have been conducted. The current study examined both the prevalence and demographic, injury, and clinical correlates of hopelessness, suicidal ideation and suicide attempts after TBI.Methods. Out-patients (N = 172) with TBI were screened for suicidal ideation and hopelessness using the Beck Scale for Suicide Ideation and the Beck Hopelessness Scale. Data were also collected on demographic, injury, pre-morbid and post-injury psychosocial variables and included known risk factors for suicide.Results. A substantial proportion of participants had clinically significant levels of hopelessness (35%) and suicide ideation (23%), and 18% had made a suicide attempt post-injury. There was a high degree of co-morbidity between suicide attempts and emotional/psychiatric disturbance. Results from regression analyses indicated that a high level of hopelessness was the most significant association of suicide ideation and a high level of suicide ideation, along with occurrence of post-injury emotional/psychiatric disturbance, were the most significant associations of post-injury suicide attempts. Neither injury severity nor the presence of pre-morbid suicide risk factors contributed to elevated levels of suicidality post-injury.Conclusions. Suicidality is a common psychological reaction to TBI among out-patient populations. Management should involve careful history taking of previous post-injury suicidal behaviour, assessment of post-injury adjustment to TBI with particular focus on the degree of emotional/psychiatric disturbance, and close monitoring of those individuals with high levels of hopelessness and suicide ideation.
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Roncero, Carlos, Joselín Pérez, Jesús Molina, José Antonio Quintano, Ana Isabel Campuzano, Javier Pérez, and Marc Miravitlles. "Frequency and Associated Factors of Suicidal Ideation in Patients with Chronic Obstructive Pulmonary Disease." Journal of Clinical Medicine 11, no. 9 (May 2, 2022): 2558. http://dx.doi.org/10.3390/jcm11092558.
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We aimed to examine the prevalence of suicidal ideation in patients with chronic obstructive pulmonary disease (COPD) and the association between demographic and clinical variables and the occurrence of suicidal thoughts. This was a cross-sectional study. Sociodemographic and clinical data were recorded, and questionnaires were used to assess depressive symptoms (Beck Depression Inventory), comorbidities (Charlson Index), cognitive performance (Mini Mental State Examination), and quality of life (EuroQoL-5 dimensions and CAT). Specific questions about suicide-related behavior were included. Multivariate logistic regression analysis identified the significant factors associated with previous suicidal ideation and suicide attempts. The analysis included 1190 subjects. The prevalence of suicidal ideation and suicide attempts were 12.1% and 2.5%, respectively. Severely depressed patients had the highest prevalence of suicide-related behavior. The adjusted logistic model identified factors significantly associated with suicidal ideation: sex (odds ratio (OR) for women vs. men = 2.722 (95% confidence interval (CI) = 1.771–4.183)), depression score (OR = 1.163 (95% IC = 1.127–1.200)), and Charlson Index (OR 1.228 (95% IC 1.082–1.394)). Suicidal ideation is common in COPD patients, especially in women. While addressing suicidal ideation and suicide prevention, clinicians should first consider the management of depressive symptomatology and the improvement of coping strategies.