Towards an Explanatory Model of Suicidal Ideation: The Effects of Cognitive Emotional Regulation Strategies, Affectivity and Hopelessness

2019 ◽  
Vol 22 ◽  
Author(s):  
Pablo Ezequiel Flores-Kanter ◽  
Zoilo Emilio García-Batista ◽  
Luciana Sofía Moretti ◽  
Leonardo Adrián Medrano
Keyword(s):  
Public Health ◽  
Suicidal Ideation ◽  
Suicide Prevention ◽  
Emotional Regulation ◽  
American Psychological Association ◽  
Psychological Impact ◽  
Public Health Problem ◽  
Explanatory Model ◽  
Cognitive Emotion Regulation ◽  
Regulation Strategies

Abstract Suicide constitutes a public health problem that has a significant economic, social and psychological impact on a global scale. Recently, the American Psychological Association has indicated that suicide prevention should be a public health priority. Suicidal ideation appears as a key variable in suicide prevention. The objective of this research was to verify the adjustment of an explanatory model for suicidal ideation, which considers the effects of cognitive emotion regulation strategies, affectivity and hopelessness. An open mode on-line sample of 2,166 Argentine participants was used and a path analysis was carried out. The results make it possible to conclude that the model presents an optimal fit (χ2 = .10, p = .75, CFI = .99, RMSEA = .01) and predicts 42% of suicidal thoughts. The model proves to be invariant based on age and gender. In conclusion, there is an importance of reducing the use of automatic strategies, such as repetitive negative thoughts of ruminative type, and increasing the use of more controlled strategies, such as reinterpretation or planning.

Substance Abuse and Drug-Related Death, Suicidal Ideation, and Suicide: A Review

Crisis ◽  
1999 ◽  
Vol 20 (1) ◽  
pp. 28-35 ◽  
Author(s):  
Annie Mino ◽  
Arnaud Bousquet ◽  
Barbara Broers
Keyword(s):  
Public Health ◽  
Risk Factors ◽  
Substance Abuse ◽  
Suicidal Ideation ◽  
Family Support ◽  
Drug Users ◽  
Suicide Attempts ◽  
Public Health Problem ◽  
Major Public Health Problem ◽  
Hiv Epidemic

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.

scholarly journals Correctional Work: Reflections Regarding Suicide

2021 ◽  
Vol 18 (8) ◽  
pp. 4280
Author(s):  
Christine Genest ◽  
Rosemary Ricciardelli ◽  
R. Nicholas Carleton
Keyword(s):  
Public Health ◽  
Suicidal Ideation ◽  
Family Doctor ◽  
Public Health Problem ◽  
Health Agency ◽  
Life Time ◽  
Psychological Theory ◽  
Small Sample ◽  
Employee Assistance Program ◽  
Assistance Program

The Public Health Agency of Canada declared suicide a public health problem in Canada (2016). Employees working in correctional services, researchers find, experience high rates of life-time suicidal ideation in comparison to other public safety professionals and the general population. Suicide behaviours (i.e., ideation, planning, attempts, death) are a multifactorial phenomenon, explained in part by the Interpersonal-Psychological Theory of Suicide that suggests attempted suicide is facilitated by perceived burdensomeness, a lost sense of belonging, a feeling of hopelessness, and a progressively reduced fear of death, as well as capacity and planning to engage a lethal attempt. In the current study, we unpack the factors that can influence suicide behaviours as reported by correctional workers. Our intent is to make explicit the experiences of a small sample (n = 25) of correctional workers in relation to suicidal behaviours, highlighting stories of recovery and acknowledging the importance of facilitating psychologically safe workplaces. Analysis entailed an inductive semi-grounded emergent theme approach. Participants identified certain risk factors as being able to induce suicidal ideation, such as marital or family problems as well as difficulties at work (i.e., bullying or difficult working conditions). Having children and a partner may act as factors preventing suicide for those with ideation. Participants sought help from professionals, such as their family doctor, a psychologist, or the Employee Assistance Program (EAP); however, the lack of perceived organisational supports and recognition of the issue of suicide by the employer are two elements that can hinder the search for help.

Psychological impact of home confinement due to coronavirus disease on medical students and its relationship with cognitive emotion regulation

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Bochra Nourhene Saguem ◽  
Amel Braham ◽  
Islem Romdhane ◽  
Selma Ben Nasr
Keyword(s):  
Emotion Regulation ◽  
Medical Students ◽  
Psychological Impact ◽  
Cognitive Strategies ◽  
Hierarchical Regression ◽  
Emotion Regulation Strategies ◽  
Cognitive Emotion Regulation ◽  
Online Questionnaire ◽  
Content Type ◽  
Regulation Strategies

Purpose This paper aims to assess the psychological impact of home confinement in Tunisian medical students and analyze the relationship between psychopathology and cognitive emotion regulation strategies. Design/methodology/approach In total, 251 medical students who have been in home confinement accepted to participate in an online questionnaire survey. They completed depression, anxiety and stress scale, beck hopelessness scale and cognitive emotion regulation questionnaire. Findings Moderate to extremely severe levels of depression, anxiety and stress were reported by 57.4%, 51.0% and 31.4% of medical students, respectively. Based on the cut-off value of nine, 31.1% of the participants showed high levels of hopelessness. Hierarchical regression analysis identified four cognitive emotion regulation strategies as significant independent contributors to psychopathology above and beyond home confinement related variables. Self-blame positively predicted stress. Catastrophizing positively predicted anxiety and hopelessness. Refocusing on planning negatively predicted anxiety. Positive reappraisal negatively predicted hopelessness. Practical implications Cognitive emotion regulation strategies may constitute a valuable target of preventive and interventional measures to improve medical students’ mental health. Originality/value A unique feature of this study is the demonstration of the important role played by cognitive emotion regulation strategies in predicting anxiety, stress and hopelessness in medical students. In the context of mandatory home confinement, these cognitive strategies were significant predictors of psychopathology above and beyond home confinement related variables.

scholarly journals Public Health Law Strategies for Suicide Prevention Using the Socioecological Model

2019 ◽  
Vol 47 (S2) ◽  
pp. 31-35 ◽  
Author(s):  
Catherine Cerulli ◽  
Amy Winterfeld ◽  
Monica Younger ◽  
Jill Krueger
Keyword(s):  
Public Health ◽  
Suicide Prevention ◽  
Ecological Model ◽  
Public Awareness ◽  
Public Health Problem ◽  
Linkage To Care ◽  
Community Level ◽  
Public Health Approach ◽  
Awareness Campaigns ◽  
The Individual

Suicide is a public health problem which will require an integrated cross-sector approach to help reduce prevalence rates. One strategy is to include the legal system in a more integrated way with suicide prevention efforts. Caine (2013) explored a public health approach to suicide prevention, depicting risk factors across the socio-ecological model. The purpose of this paper is to examine laws that impact suicide prevention at the individual, relational, community, and societal levels. These levels are fluid, and some interventions will fall between two, such as a community-level approach to training that enhances provider-patient relationships. At the individual level, we will review laws to improve screening requirements across systems. At the relational level, we note interventions with couples having conflict, such as protection orders and access to attorney consultations, which have been known to be injury prevention mechanisms. At the community level, we discuss legislation that recommends suicide prevention efforts for key individuals working as frontline providers in the medical and educational systems. At the societal level, we explore public awareness campaigns that target stigma reduction for those suffering from mental health burden and enhance linkage to care. The article closes with the discussion that laws are good, but their implementation is essential.

scholarly journals Athletes and adversities: athletic identity and emotional regulation in time of COVID-19

2020 ◽  
Vol 16 (4) ◽  
pp. 609-618 ◽  
Author(s):  
Sergio Costa ◽  
Giampaolo Santi ◽  
Selenia di Fronso ◽  
Cristina Montesano ◽  
Francesco Di Gruttola ◽  
...  
Keyword(s):  
Emotion Regulation ◽  
Emotional Regulation ◽  
Team Sports ◽  
Athletic Identity ◽  
Measurement Scale ◽  
Cognitive Emotion Regulation ◽  
Theoretical Frameworks ◽  
Italian Language ◽  
Regulation Strategies ◽  
Univariate Analyses

Abstract Background The COVID-19 pandemic impacted on the sporting field, with athletes constrained in home isolation without the possibility to train and compete in their usual environments. This situation has been investigated within the theoretical frameworks of athletic identity and cognitive emotion regulation. Objectives The objectives of our investigation were to: (a) validate the athletic identity measurement scale (AIMS) for use in Italian language; and (b) explore differences by gender, typology of sport (individual vs. team), and competitive level (elite vs. non-elite) in athletic identity and in cognitive emotion regulation during the Covid-19 lockdown period. Methods To achieve these objectives, the reliability and construct validity of the Italian version of the AIMS have been tested in Study 1. Multivariate and univariate analyses were run to evaluate differences between different groups of athletes in Study 2. Results Results from Study 1 suggest a 3-factor higher order model of athletic identity. Results from Study 2 highlight that, during this lockdown period, elite athletes and team sports athletes show higher athletic identity. Cognitive emotion regulation strategies are different for gender and for competitive level. Finally, athletes with higher athletic identity tend to ruminate and catastrophize more. Conclusions The present multi-study paper contributes to the theoretical field with a validated measure of athletic identity in Italian language. It also provides some practical implications that could apply in this situation of isolation and can be extended to cases such as those of injury or illness.

scholarly journals The Effectiveness of Mindfulness-Based Cognitive-Behavioral Strategy Training on Cognitive Emotion Regulation Strategies and Salivary Cortisol Levels in Endurance Runners: A Three-Month Follow-up

2020 ◽  
Vol 7 (4) ◽  
Author(s):  
Hossein Samadi ◽  
Behnam Maleki ◽  
Mohammad Sohbatiha
Keyword(s):  
Emotion Regulation ◽  
Salivary Cortisol ◽  
Emotional Regulation ◽  
Emotion Regulation Strategies ◽  
Cognitive Emotion Regulation ◽  
Regulation Strategies ◽  
Endurance Runners ◽  
Cortisol Levels ◽  
And Control

Background: Exposure of the athlete to stressful situations in addition to physiological effects will cause the person to feel excited in response to those situations and these changes may have dangerous consequences. Objectives: This study aimed to investigate the effectiveness of the mindfulness-based intervention on cognitive-emotional regulation strategies and salivary cortisol levels in endurance runners with a three-month follow-up. Methods: The research method was experimental with a pretest-posttest follow up design with a control group. The study population consisted of all beginner endurance runners with age range 16-18 who were voluntarily invited to participate in this research. Twenty-four male beginner runners (mean aged 17.08 ± 0.64 years and athletic background 7.7 ± 1.6 month) were divided into two groups of Mindfulness-Based Intervention (MBI) and control. The intervention protocol of the experimental group consisted of six sessions of mindfulness training and daily homework assignments that were performed under the researcher's supervision and with the help of a qualified clinical psychologist. Salivary Cortisol Kit (SCK) with sensitivity 0.05 μg/dl was used to measure stress and the Gross and John Emotion Regulation Questionnaire was used to assess cognitive-emotional regulation strategies. Results: The results showed a significant difference in cortisol levels, suppression, and reappraisal, between the MBI and control groups in posttest and follow-up steps. The findings showed that salivary cortisol concentration in the MBI group was reduced from pretest (1.09 ± 0.16) to posttest (0.76 ± 0.15) and follow-up (0.72 ± 0.07). Also, the suppression component in the MBI group was reduced from pretest (21.40 ± 1.64) to posttest (15.10 ± 1) and follow-up (16 ± 1.15) and increased the reappraisal component from pretest (22.40 ± 1.17) to posttest (29.10 ± 2.37) and follow up (27.70 ± 2.21) (P value = 0.0001). Conclusions: The findings showed that MBI reduced salivary cortisol concentration and suppression component, while increased the reappraisal component of emotion regulation. The findings suggest that MBI can be used as a new promising method on cognitive emotion regulation strategies and salivary cortisol levels in endurance runners.

scholarly journals Features of Emotional Regulation in Adolescence (With the Example of Students of Cadet Boarding School)

2017 ◽  
Vol 9 (2) ◽  
pp. 70-83 ◽  
Author(s):  
N.V. Vlasova
Keyword(s):  
Emotion Regulation ◽  
Statistical Analysis ◽  
Emotional Regulation ◽  
Boarding School ◽  
Questionnaire Study ◽  
Emotion Regulation Strategies ◽  
Cognitive Emotion Regulation ◽  
Research Techniques ◽  
Regulation Strategies

The article discusses the problem of cognitive emotion regulation and self-injurious behavior in adolescents enrolled in the Cadet boarding school. A review of current research studied the problem, analyzes the characteristics of emotion regulation in adolescence. It presupposes the fact that the use of effective cognitive emotion regulation strategies are reduced acts of selfinjurious behavior. The research sample of 39 students of the Cadet boarding school at the age of 13 to 16 years. As research techniques used and the reasons for the scale of acts of self-injurious behavior and a questionnaire study of cognitive emotion regulation (OKRE). On the basis of statistical analysis substantiates the link between emotional regulation strategies used, causes and acts of self-injurious behavior. It was found that the use of destructive policies cognitive emotion regulation leads to the manifestation of the nature of self-injurious acts.

Difference in cognitive emotional regulation strategies used by mothers with conflict and barrier personal meaning of child's illness

2017 ◽  
Vol 41 (S1) ◽  
pp. S182-S182
Author(s):  
E. Pervichko ◽  
D. Dovbysh
Keyword(s):  
Emotion Regulation ◽  
Emotional Regulation ◽  
Burn Injury ◽  
Personal Meaning ◽  
Cognitive Emotion Regulation ◽  
Medical Specialties ◽  
Self Blame ◽  
Regulation Strategies ◽  
Competing Interest ◽  
High Level

IntroductionA number of studies have noted a high level of symptoms of depression and anxiety in mothers bringing up children with burn injury. The emergence of such symptoms show high importance of child's disease situation to mother and suggests the formation of a special personal meaning of child's illness for mother (conflict or barrier). The aim of this study is to describe specific patterns of mothers responding on the situation of the child burn injuries : special cognitive emotion regulation strategies and personal meaning of illness.MethodsClinical interview to assess personal meaning of illness, State Trait Anxiety Inventor, Cognitive Emotion Regulation Questionnaire.ParticipantsTwenty-eight mothers (aged between 22 to 43 years), children received burn 5-7 days ago ; 2 mothers (aged between 24 to 37 years), children had burns over a year ago.ResultsWe found a strong correlation between using certain strategies of cognitive emotion regulation and different personal meaning of child's illness : mothers with a conflict meaning characterized by using of « Rumination » and « Self-Blame » strategies ; mothers with barrier meaning – « Refocus on planning ». This connection is maintained throughout the child's illness and does not depend on medical specialties. A number of strategies of cognitive emotion regulation are used by all mothers at different stages of the child's illness, regardless of the mother's personal meaning of illness : immediately after injury the most popular strategies are “Catastrophizing” and « Self-Blame » ; in the long-term rehabilitation – « Putting into perspective » is the most common one.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Best Practices for Suicide Prevention Messaging and Evaluating California's "Know the Signs" Media Campaign

Crisis ◽  
2017 ◽  
Vol 38 (5) ◽  
pp. 287-299 ◽  
Author(s):  
Joie Acosta ◽  
Rajeev Ramchand ◽  
Amariah Becker
Keyword(s):  
Public Health ◽  
Literature Review ◽  
Best Practices ◽  
Suicide Prevention ◽  
Public Health Problem ◽  
Mass Media Campaign ◽  
Media Campaign ◽  
Media Campaigns ◽  
Prevention Message ◽  
Expert Input

Abstract. Background: Although communication is a key component of US strategies to prevent suicide and there are a number of marketing campaigns promoting messages that suicide is a preventable public health problem, there has been little evaluation of these campaigns. Aims: The study describes the development of a checklist of best practices for suicide prevention communication campaigns and the use of the checklist to evaluate California's investment in "Know the Signs" (KTS-M), a suicide prevention mass media campaign. Method: We conducted a literature review and solicited expert feedback to identify best practices and then used the RAND/UCLA appropriateness method to assess whether KTS-M was consistent with the identified best practices. Results: Overall, experts agreed that KTS-M adhered to most of the 46 checklist items and suggested that the campaign was among the best suicide prevention media campaigns they had observed. Limitations: The checklist was developed through expert input and literature review and focuses only on media campaigns. Conclusion: Given the nascent state of the evidence about what makes an effective suicide prevention message and the growing number of campaigns, the checklist of best practices reflects one way of promoting quality in this evolving field. The consistency between the experts' comments and their ratings of KTS-M suggests that the checklist may provide important guidance to inform the development of future campaigns and the evaluation of ongoing campaigns.

Cognitive emotional regulation in Romanian general medicine students

2017 ◽  
Vol 41 (S1) ◽  
pp. S701-S701
Author(s):  
R.S. Romosan ◽  
A.M. Romosan ◽  
V.R. Enatescu ◽  
I. Papava ◽  
C. Giurgi-Oncu
Keyword(s):  
Emotion Regulation ◽  
Emotional Regulation ◽  
General Medicine ◽  
Female Students ◽  
Cognitive Coping ◽  
Emotion Regulation Strategies ◽  
Cognitive Emotion Regulation ◽  
School Students ◽  
Regulation Strategies ◽  
Competing Interest

IntroductionDuring medical school, students experience significant amounts of stress. Since certain emotion regulatory strategies are known to be maladaptive, the way in which students are capable to regulate their emotions becomes very important, because it can affect their physical and mental welfare.ObjectivesThe purpose of this study was to assess cognitive emotion regulation strategies in Romanian general medicine (GM) students.MethodsThe study was conducted between 2015–2016 on 86 sixth-year Romanian GM undergraduates from the Timisoara “Victor Babes” university of medicine and pharmacy. In order to identify the cognitive emotion regulation strategies (or cognitive coping strategies) that students use after experiencing negative situations or life events we used the Romanian version of the cognitive emotion regulation questionnaire (CERQ).ResultsThe sample consisted of 30 (34.9%) males and 56 (65.1%) females, with ages ranging between 24 and 31 years (mean age = 24.97 years, SD = 1.74). Compared to female students, males obtained significantly lower mean scores in “umination” (t = -2.84, P = 0.005, 95% CI = -1.64; -0.29), “positive refocusing” (t = -2.09, P = 0.037, 95% CI = -1.42; -0.04) and “catastrophizing” (t = -3.17, P = 0.002, 95% CI = -1.31; -0.3). Both male and female GM students had significantly higher mean scores in “blaming others” than their respectively gender-related general population.ConclusionsResults of this study suggest that GM students, when facing stressful or negative events, are more inclined in using “blaming others” as a coping strategy. Female students seem to be more inclined than males to use “rumination”, “catastrophizing” and “positive refocusing” as cognitive coping mechanisms.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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