Openness to Experience and Completed Suicide Across the Second Half of Life

1995 ◽  
Vol 7 (2) ◽  
pp. 183-198 ◽  
Author(s):  
Paul R. Duberstein

Personality data gathered in a psychological autopsy study indicate that completed suicides obtain higher neuroticism scores than age- and gender-matched controls. Older suicide victims obtained lower openness to experience (OTE) scores than both younger suicide victims and normal controls. Although the role of neuroticism and negative affect in psychopathology has been discussed extensively, OTE has been accurded relatively little attention in the psychiatric literature. The apparent role of OTE in completed suicide warrants its closer examination. In this article, I offer the testable hypotheses that persons low in OTE are at risk for taking their own lives because their affective dampening, cognitive certainty, diminished behavioral repertoire, and rigidly defined self-concept have decreased their capacity to adapt to the expectable age-associated changes in role, health, and function that accumulate over time. Concrete thinking and excessive focus on proximal, low-level goals place them at risk for descending into states of suicidal meaninglessness in times of stress or crisis. This state of awareness increases the desirability of suicide as an action oriented solution to the stressors of aging. Other lines of investigation are suggested. These include research on OTE in attempted suicide; OTE and the neurobiology of suicidal behavior; OTE and gender differences in suicidal behavior; and clinical intervention designed to increase the degree to which one is open to experience.

Author(s):  
Leo Sher

Abstract Adolescent suicide research has mostly focused on demographic risk factors. Such studies focus on who is at risk, but do not explain why certain adolescents are at risk for suicide. Studies of the neurobiology of adolescent suicide could clarify why some youths are more suicidal than others and help to find biological markers of suicidal behavior in teenagers. Over the past decade the role of brain-derived neurotrophic factor (BDNF) in the pathophysiology of suicidal behavior has attracted significant attention of scientists. BDNF is involved in the pathophysiology of many psychiatric disorders associated with suicidal behavior including depression, post-traumatic stress disorder, schizophrenia, and obsessive-compulsive disorder. BDNF dysregulation could be associated with increased suicidality independently of psychiatric diagnoses. BDNF plays an important role in the regulation and growth of neurons during childhood and adolescence. Prominent among the brain regions undergoing developmental change during adolescence are stressor-sensitive areas. The serotonin dysfunction found in adolescent and adult suicidal behavior could be related to the low level of BDNF, which impedes the normal development of serotonin neurons during brain development. BDNF dysfunction could play a more significant role in the pathophysiology of psychiatric disorders and suicidal behavior in adolescents than in adults. Treatment-induced enhancement in the BDNF function could reduce suicidal behavior secondary to the improvement in psychiatric pathology or independently of improvement in psychiatric disorders. It is interesting to hypothesize that BDNF could be a biological marker of suicidal behavior in adolescents or in certain adolescent populations.


1991 ◽  
Vol 3 (1) ◽  
pp. 59-66 ◽  
Author(s):  
Yeates Conwell ◽  
Kurt Olsen ◽  
Eric D. Caine ◽  
Catherine Flannery

The authors report preliminary data from a psychological autopsy study of completed suicide in late life. Sixteen of 18 victims had diagnosable psychopathology, most commonly major depression of late onset. Symptoms manifest prior to death are described and directions for future investigation discussed. The psychological autopsy is shown to be a viable method for studying suicide in the elderly.


2006 ◽  
Vol 36 (07) ◽  
pp. 923 ◽  
Author(s):  
KAIRI KÕLVES ◽  
AIRI VÄRNIK ◽  
LIINA-MAI TOODING ◽  
DANUTA WASSERMAN

2005 ◽  
Vol 35 (8) ◽  
pp. 1197-1204 ◽  
Author(s):  
KENNETH R. CONNER ◽  
MICHAEL R. PHILLIPS ◽  
SEAN MELDRUM ◽  
KERRY L. KNOX ◽  
YANPING ZHANG ◽  
...  

Background. Acts of suicide differ widely in the amount of planning preceding the act. Correlates of completed suicide in China identified in a previous investigation were re-examined to identify those that may be especially relevant to low-planned (impulsive) and high-planned suicidal behavior. The association of planning and method in completed suicide was also assessed.Method. A psychological autopsy study of 505 suicide decedents aged [ges ]18 years sampled to be representative of suicides in China was conducted. Multinomial regression analyses compared three levels of suicide planning (low, intermediate, high).Results. Women and younger individuals were more likely to carry out low-planned and intermediate-planned than high-planned acts of suicide. Greater acute stress distinguished low-planned from high-planned suicides. Ingestion of pesticides stored in the home was a more commonly employed method in low-planned than high-planned suicides.Conclusions. Low-planned suicides are more common in women, in younger individuals, and among those who are experiencing acute stress. Prevention strategies targeted at restricting access to pesticides may preferentially lower the rate of low-planned suicides.


2019 ◽  
pp. 088626051988100 ◽  
Author(s):  
Jillian R. Scheer ◽  
Ethan H. Mereish

Sexual and gender minority youth (SGMY) disproportionately experience intimate partner violence (IPV) and report illicit substance use compared with cisgender heterosexual youth. Cognitive reappraisal strategies have been shown to decrease trauma-exposed individuals’ likelihood of engaging in substance use. However, virtually no research has examined the relationship between various forms of IPV, including identity abuse, and illicit substance use, as well as the protective role of cognitive reappraisal among IPV-exposed SGMY. The current study addressed these limitations and examined cognitive reappraisal as a moderator of the associations between various IPV forms and illicit substance use among 149 SGMY (ages 18-25; 28.9% bisexual, 42.3% transgender or gender nonbinary, 45.0% racial and ethnic minority) between 2016 and 2017. Results indicated that many SGMY used cocaine in the past 6 months (24.8%), followed by hallucinogens (24.8%), stimulants (22.8%), and heroin (20.8%). More than half (62.4%) of SGMY experienced psychological abuse, 44.3% physical abuse, and 43.6% identity abuse in the past year. Cognitive reappraisal buffered the associations between two forms of IPV, identity abuse and physical abuse, and illicit substance use among SGMY, underscoring its importance for clinical intervention. Specifically, past year identity abuse and physical abuse were associated with greater illicit substance use only for SGMY with lower cognitive reappraisal, not for youth with higher cognitive reappraisal. This study adds to the burgeoning literature on identity, physical, and psychological forms of IPV and illicit substance use among SGMY. Our findings provide evidence that cognitive reappraisal strategies buffer the effect of identity abuse and physical abuse on illicit drug use among SGMY. These findings shed light on new avenues for clinical intervention that may help to reduce the prevalence of illicit substance use among IPV-exposed SGMY.


2013 ◽  
Vol 2013 ◽  
pp. 1-22 ◽  
Author(s):  
Gianluca Serafini ◽  
Maurizio Pompili ◽  
Daniel Lindqvist ◽  
Yogesh Dwivedi ◽  
Paolo Girardi

There is a growing evidence that neuropeptides may be involved in the pathophysiology of suicidal behavior. A critical review of the literature was conducted to investigate the association between neuropeptides and suicidal behavior. Only articles from peer-reviewed journals were selected for the inclusion in the present review. Twenty-six articles were assessed for eligibility but only 22 studies were included. Most studies have documented an association between suicidality and some neuropeptides such as corticotropin-releasing factor (CRF), VGF, cholecystokinin, substance P, and neuropeptide Y (NPY), which have been demonstrated to act as key neuromodulators of emotional processing. Significant differences in neuropeptides levels have been found in those who have attempted or completed suicide compared with healthy controls or those dying from other causes. Despite cross-sectional associations between neuropeptides levels and suicidal behavior, causality may not be inferred. The implications of the mentioned studies were discussed in this review paper.


2001 ◽  
Vol 17 (2) ◽  
pp. 130-136 ◽  
Author(s):  
J.M. Carrillo ◽  
N. Rojo ◽  
M.L. Sánchez-Bernardos ◽  
M.D. Avia

Summary: The present study examines, in the context of the Five Factor Model, the contradictory role played by the Openness to Fantasy and Openness to Actions facets (of the Openness to Experience factor) in the prediction of depression. The fact that our data are taken from a sample of the Spanish general population is also a cross-cultural contribution that must be emphasized. 112 participants - 50% females and 50% males - filled out the NEO-PI and the BDI depression questionnaires. A stepwise regression shows that the Fantasy facet of Openness to Experience makes a different - though still contradictory - contribution to the prediction of depression than the Actions facet. Both facets are statistically significant in the prediction of depression, but they apparently go in opposite directions. Whereas Openness to Actions predicts a lack of depression, Openness to Fantasy seems to be a predictor of depression. In order to clarify the possible role of gender in this “crossed prediction,” a univariate ANOVA was performed, taking depression from the BDI as a dependent variable and Gender, Fantasy and Actions as fixed factors. From this analysis we have seen that the contradictory role played by Fantasy in the prediction of depression is linked to gender: Women scored high in Fantasy and are thus statistically more susceptible to depression. These results are discussed from the point of view of the PB theory of depression.


2014 ◽  
Vol 29 ◽  
pp. 1
Author(s):  
C. Ruiz ◽  
D. De la Vega ◽  
E. Barranco ◽  
J. Guija ◽  
M. Blanco ◽  
...  

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