Factors Associated with Distinct Patterns of Suicidal Thoughts, Suicide Plans, and Suicide Attempts Among US Adolescents

Author(s):  
Meghan Romanelli ◽  
Arielle H. Sheftall ◽  
Sireen B. Irsheid ◽  
Michael A. Lindsey ◽  
Tracy M. Grogan
Crisis ◽  
2020 ◽  
Vol 41 (3) ◽  
pp. 172-178
Author(s):  
Brooke A. Ammerman ◽  
Martha K. Fahlgren ◽  
Kristen M. Sorgi ◽  
Michael S. McCloskey

Abstract. Background: Despite being a major public health concern, it is unclear how suicidal thoughts and behaviors differentially impact separate racial groups. Aims: The aim of the current study was to examine the occurrence of nonlethal suicide events, in addition to suicide attempt characteristics and factors contributing to suicide attempts. Method: A final sample of 7,094 undergraduates from a large northeastern university, identifying as members of three racial groups (White [67.30%], Black [17.30%], and Asian [15.40%]), completed online questionnaires. Results: White participants reported increased likelihood of endorsing lifetime suicidal ideation and plan, whereas Black participants reported decreased likelihood of these events; no differences were found in rates of lifetime suicide attempts. Black participants' suicidal behavior may involve greater ambivalence of intent. A higher proportion of Asian participants endorsed interpersonal factors as contributing to their suicide attempts, whereas a greater percentage of White participants reported internal contributing factors. Limitations: Findings are limited by the sample size and assessment of lifetime suicidal thoughts and behaviors. Conclusion: The findings present a more nuanced look at attitudes and actions related to suicidal thoughts and behaviors that may inform future research and risk assessment procedures.


1998 ◽  
Vol 49 (10) ◽  
pp. 1353-1355 ◽  
Author(s):  
Sanjay Gupta ◽  
Donald W. Black ◽  
Stephan Arndt ◽  
William C. Hubbard ◽  
Nancy C. Andreasen

Author(s):  
Ya. Yu. Marunkevych

Suicidal behavior is one of the most pressing social and medical problems. At the same time, a number of important issues related to the suicidal behavior of schizophrenic patients, in particular gender features, remain insufficiently studied.The aim of the study – to learn the peculiarities of suicidal behavior of patients with paranoid schizophrenia taking into account the gender factor on the basis of a comparative analysis of medical records and direct clinical research.Materials and Methods. To study the peculiarities of suicidal behavior of patients with paranoid schizophrenia, taking into account the gender factor, a study of suicidal behavior was conducted by studying medical records of 407 men and 409 women and a clinical examination of 53 men and 49 women with paranoid schizophrenia.Results and Discussion. A relatively low prevalence of suicidal phenomena before the onset of schizophrenia: a suicidal ideation was found in 1.0 % of men and 1.5 % of women according to medical records and 5.7 % of men and 4.1 % of women according to the clinical examination, suicidal actions – in 1.5 % of women according to medical records. Installed that after the debut of schizophrenia, the suicidal activity of patients sharply increases: according to the analysis of medical documentation suicidal thoughts were found in 17.2 % of men and 18.8 % of women, according to the clinical survey – in 47.2 % of men and 20.4 % of women, suicide attempts were in 9.3% and 15.6%, respectively, and 26.4 %, respectively, versus 10.2 %. The significant severity of psychopathological symptoms of schizophrenia in patients with suicidal tendencies is established. The most closely associated with the presence of suicidal thoughts are negative symptoms and behavioral disorders (97.3 % among all patients, 95.7 % among men, 98.7 % among women according to the documentation analysis, 100.0 % according to the clinical survey). Suicidal actions are characterized by close association with negative symptoms.Conclusions. Patients with paranoid schizophrenia are characterized by high suicidal activity, both at the level of suicidal thoughts and at the level of suicidal actions.


2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Silje Støle Brokke ◽  
Thomas Bjerregaard Bertelsen ◽  
Nils Inge Landrø ◽  
Vegard Øksendal Haaland

Abstract Background Suicide attempt is the most predictive risk factor of suicide. Trauma – especially sexual abuse – is a risk factor for suicide attempt and suicide. A common reaction to sexual abuse is dissociation. Higher levels of dissociation are linked to self-harm, suicide ideation, and suicide attempt, but the role of dissociation in suicidal behavior is unclear. Methods In this naturalistic study, ninety-seven acute psychiatric patients with suicidal ideation, of whom 32 had experienced sexual abuse, were included. Suicidal behaviour was assessed with The Columbia suicide history form (CSHF). The Brief trauma questionnaire (BTQ) was used to identify sexual abuse. Dissociative symptoms were assessed with Dissociative experiences scale (DES). Results Patients who had experienced sexual abuse reported higher levels of dissociation and were younger at onset of suicidal thoughts, more likely to self-harm, and more likely to have attempted suicide; and they had made more suicide attempts. Mediation analysis found dissociative experiences to significantly mediate a substantive proportion of the relationship between sexual abuse and number of suicide attempts (indirect effects = 0.17, 95% CI = 0.05, 0.28, proportion mediated = 68%). Dissociative experiences significantly mediated the role of sexual abuse as a predictor of being in the patient group with more than four suicide attempts (indirect effects = 0.11, 95% CI = 0.02, 0.19, proportion mediated = 34%). Conclusion The results illustrate the importance of assessment and treatment of sexual abuse and trauma-related symptoms such as dissociation in suicide prevention. Dissociation can be a contributing factor to why some people act on their suicidal thoughts.


2013 ◽  
Vol 7 (1) ◽  
pp. 16 ◽  
Author(s):  
Terryann C. Clark ◽  
Elizabeth Robinson ◽  
Sue Crengle ◽  
Theresa Fleming ◽  
Shanthi Ameratunga ◽  
...  

The purpose of this study was to (1) describe risk and protective factors associated with a suicide attempt for Māori youth and (2) explore whether family connection moderates the relationship between depressive symptoms and suicide attempts for Māori youth. Secondary analysis was conducted with 1702 Māori young people aged 12–18 years from an anonymous representative national school-based survey of New Zealand (NZ) youth in 2001. A logistic regression and a multivariable model were developed to identify risk and protective factors associated with suicide attempt. An interaction term was used to identify whether family connection acts as a moderator between depressive symptoms and a suicide attempt. Risk factors from the logistic regression for a suicide attempt in the past year were depressive symptoms (OR = 4.3, p < 0.0001), having a close friend or family member commit suicide (OR = 4.2, p < 0.0001), being 12–15 years old (reference group: 16–18 years) (OR = 2.7, p < 0.0001), having anxiety symptoms (OR = 2.3, p = 0.0073), witnessing an adult hit another adult or a child in the home (OR = 1.8, p = 0.001), and being uncomfortable in NZ European social surroundings (OR = 1.7, p = 0.0040). Family connection was associated with fewer suicide attempts (OR = 0.9, p = 0.0002), but this factor did not moderate the relationship between depressive symptoms and suicide attempt (χ2 = 2.84, df = 1, p = 0.09). Family connection acts as a compensatory mechanism to reduce the risk of suicide attempts for Māori students with depressive symptoms, not as a moderating variable.


2003 ◽  
Vol 64 (5) ◽  
pp. 506-515 ◽  
Author(s):  
Gabriele S. Leverich ◽  
Lori L. Altshuler ◽  
Mark A. Frye ◽  
Trisha Suppes ◽  
Paul E. Keck ◽  
...  

2020 ◽  
Vol 54 (8) ◽  
pp. 797-807 ◽  
Author(s):  
Gregory Armstrong ◽  
Tilahun Haregu ◽  
Eric D Caine ◽  
Jesse T Young ◽  
Matthew J Spittal ◽  
...  

Objective: We aimed to examine whether suicidal thoughts and behaviour were independently associated with a wide range of health and social risk behaviours. Methods: We conducted cross-sectional analyses of data collected from 13,763 adult males who participated in The Australian Longitudinal Study on Male Health. We fit generalised linear models to estimate the relative risk of engaging in a range of health and social risk behaviours across several domains by suicidal thoughts and behaviour status. Results: Men with recent suicidal ideation (relative risk range, 1.10–5.25) and lifetime suicide attempts (relative risk range, 1.10–7.65) had a higher risk of engaging in a broad range of health and social risk behaviours. The associations between suicidal thoughts and behaviour and health and social risk behaviours were typically independent of socio-demographics and in many cases were also independent of depressive symptoms. Conclusion: Suicidal thoughts and behaviour overlaps with increased risk of engagement in a wide range of health and social risk behaviours, indicating the need for an alignment of broader public health interventions within clinical and community-based suicide prevention activities. The experience of suicidality may be an important catalyst for a broader psychosocial conversation and assessment of health and social risk behaviours, some of which may be modifiable. These behaviours may not carry an imminent risk of premature death, such as from suicide, but they carry profound health and social consequences if left unaddressed.


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