Perceived Stops to Suicidal Thoughts, Plans, and Actions in Persons Experiencing Psychosis

Crisis ◽  
2013 ◽  
Vol 34 (4) ◽  
pp. 273-281 ◽  
Author(s):  
P. A. Gooding ◽  
K. Sheehy ◽  
N. Tarrier
Keyword(s):  
Social Support ◽  
Suicidal Ideation ◽  
Suicide Prevention ◽  
Health Professionals ◽  
Psychotic Symptoms ◽  
Psychological Resources ◽  
Prevention Strategies ◽  
Suicidal Thoughts ◽  
Suicidal Plans ◽  
The Continuum

Background: Suicide has been conceived as involving a continuum, whereby suicidal plans and acts emerge from thoughts about suicide. Suicide prevention strategies need to determine whether different responses are needed at these points on the continuum. Aims: This study investigates factors that were perceived to counter suicidal ideation, plans, and acts. Method: The 36 participants, all of whom had had experiences of psychosis and some level of suicidality, were presented with a vignette describing a protagonist with psychotic symptoms. They were asked to indicate what would counter the suicidal thoughts, plans, and acts of the protagonist described in the vignette. Qualitative techniques were first used to code these free responses into themes/categories. Correspondence analysis was then applied to the frequency of responses in each of these categories. Results: Social support was identified as a strong counter to suicidal ideation but not as a counter to suicidal plans or acts. Help from health professionals was strongly related to the cessation of suicidal plans as were the opinions of the protagonist’s children. Changing cognitions and strengthening psychological resources were more weakly associated with the cessation of suicidal ideation and plans. The protagonist’s children were considered potentially helpful in addressing suicidal acts. Conclusion: These results suggest that both overlapping and nonoverlapping factors need to be considered in understanding suicide prevention, dependent on whether individuals are thinking about, planning, or attempting suicide.

It Gets Better Videos for Suicide Prevention in LGBTIQ+ Adolescents

Crisis ◽  
2020 ◽  
pp. 1-8 ◽  
Author(s):  
Stefanie Kirchner ◽  
Benedikt Till ◽  
Martin Plöderl ◽  
Thomas Niederkrotenthaler
Keyword(s):  
Social Support ◽  
Suicidal Ideation ◽  
Gay Men ◽  
Suicide Prevention ◽  
Coming Out ◽  
German Language ◽  
Professional Help ◽  
Characteristics Method ◽  
Sexual Orientations ◽  
It Gets Better Project

Abstract. Background: The It Gets Better project aims to help prevent suicide among lesbian, gay, bisexual, transgender, intersex, and queer (LGBTIQ+) adolescents. It features personal video narratives portraying how life gets better when struggling with adversities. Research on the contents of messages is scarce. Aims: We aimed to explore the content of videos in the Austrian It Gets Better project regarding the representation of various LGBTIQ+ groups and selected content characteristics. Method: A content analysis of all German-language videos was conducted ( N = 192). Messages related to coming out, stressors experienced, suicidal ideation/behavior, and on how things get better were coded. Results: Representation was strong for gay men ( n = 45; 41.7%). Coming out to others was mainly positively framed ( n = 31; 46.3%) and seen as a tool to make things better ( n = 27; 37.5%). Social support ( n = 42; 62.7%) and self-acceptance ( n = 37; 55.2%) were prevalent topics. Common stressors included a conservative setting ( n = 18, 26.9%), and fear of outing ( n = 17; 25.4%). Suicidality ( n = 9; 4.7%) and options to get professional help ( n = 7; 8.2%) were rarely addressed. Limitations: Only aspects explicitly brought up in the videos were codeable. Conclusion: Videos do not fully represent gender identities and sexual orientations. Messaging on suicidality and professional help require strengthening to tailor them better for suicide prevention.

scholarly journals Suicide Prevention: An Issue of Social Justice

2020 ◽  
Vol 1 (1) ◽  
pp. 58-79
Author(s):  
John S. Westefeld
Keyword(s):  
Social Justice ◽  
Suicide Prevention ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Human Service ◽  
Political Action ◽  
Prevention Programs ◽  
Prevention Strategies ◽  
Major Significance ◽  
Suicide Prevention Programs

The concept of social justice has assumed major significance in the human service professions, as suicide rates have increased. However, social justice remains a difficult concept to define. This article explores definitions of social justice, as well as the intersection of social justice and suicide prevention. A review of suicide prevention programs is presented, including both systemic prevention programs and individual prevention strategies. This evolves into a discussion concerning why suicide prevention is in fact a very significant social justice issue. Finally, implications for mental health professionals, including counseling psychologists, the profession that originated this journal, are examined, and suggestions for future issues of focus related to the intersection of suicide prevention and social justice are presented. To take a social justice approach to suicide prevention, it is suggested that an interdisciplinary structure be utilized to maximize political action.

Prevalence and Associated Factors for Suicidal Ideation and Behaviors in Obsessive-Compulsive Disorder

CNS Spectrums ◽  
2007 ◽  
Vol 12 (10) ◽  
pp. 771-778 ◽  
Author(s):  
Albina Rodrigues Torres ◽  
Ana Teresa de Abreu Ramos-Cerqueira ◽  
Ricardo Cezar Torresan ◽  
Mariana de Souza Domingues ◽  
Ana Carolina R. Hercos ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Suicidal Ideation ◽  
Obsessive Compulsive Disorder ◽  
Beck Depression Inventory ◽  
Alcohol Problems ◽  
Worth Living ◽  
Obsessive Compulsive ◽  
Suicidal Thoughts ◽  
Compulsive Disorder ◽  
Suicidal Plans

ABSTRACTIntroductionPatients with obsessive-compulsive disorder (OCD) have historically been considered at low risk for suicide, but recent studies are controversial.ObjectiveTo study the prevalence of suicidal thoughts and attempts in OCD patients and to compare those with and without suicidality according to demographic and clinical variables.MethodsFifty outpatients with primary OCD (Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition) from a Brazilian public university were evaluated. The Yale-Brown Obsessive-Compulsive Scale (Y-BOCS) was used to assess OCD severity, the Beck Depression Inventory to evaluate depressive symptoms and the Alcohol Use Disorders Identification Test to assess alcohol problems.ResultsAll patients had obsessions and compulsions, 64% a chronic fluctuating course and 62% a minimum Y-BOCS score of 16. Half of the patients presented relevant depressive symptoms, but only three had a history of alcohol problems. Seventy percent reported having already thought that life was not worth living, 56% had wished to be dead, 46% had suicidal ideation, 20% had made suicidal plans, and 10% had already attempted suicide. Current suicidal ideation occurred in 14% of the sample and was significantly associated with a Y-BOCS score ≥16. Previous suicidal thoughts were associated with a Beck Depression Inventory score ≥19.ConclusionSuicidality has been underestimated in OCD and should be investigated in every patient, so that appropriate preventive measures can be taken.

scholarly journals Factors associated with suicidal thoughts in a large community study of older adults

2012 ◽  
Vol 201 (6) ◽  
pp. 466-472 ◽  
Author(s):  
Osvaldo P. Almeida ◽  
Brian Draper ◽  
John Snowdon ◽  
Nicola T. Lautenschlager ◽  
Jane Pirkis ◽  
...  
Keyword(s):  
Social Support ◽  
Suicidal Ideation ◽  
Mood Disorders ◽  
Population Attributable Fraction ◽  
Later Life ◽  
Religious Practice ◽  
Anxiety And Depression ◽  
Suicidal Thoughts ◽  
Poor Social Support ◽  
History Of

BackgroundThoughts about death and self-harm in old age have been commonly associated with the presence of depression, but other risk factors may also be important.AimsTo determine the independent association between suicidal ideation in later life and demographic, lifestyle, socioeconomic, psychiatric and medical factors.MethodA cross-sectional study was conducted of a community-derived sample of 21290 adults aged 60-101 years enrolled from Australian primary care practices. We considered that participants endorsing any of the four items of the Depressive Symptom Inventory - Suicidality Subscale were experiencing suicidal thoughts. We used standard procedures to collect demographic, lifestyle, psychosocial and clinical data. Anxiety and depressive symptoms were assessed with the Hospital Anxiety and Depression Scale.ResultsThe 2-week prevalence of suicidal ideation was 4.8%. Male gender, higher education, current smoking, living alone, poor social support, no religious practice, financial strain, childhood physical abuse, history of suicide in the family, past depression, current anxiety, depression or comorbid anxiety and depression, past suicide attempt, pain, poor self-perceived health and current use of antidepressants were independently associated with suicidal ideation. Poor social support was associated with a population attributable fraction of 38.0%, followed by history of depression (23.6%), concurrent anxiety and depression (19.7%), prevalent anxiety (15.1%), pain (13.7%) and no religious practice (11.4%).ConclusionsPrevalent and past mood disorders seem to be valid targets for indicated interventions designed to reduce suicidal thoughts and behaviour. However, our data indicate that social disconnectedness and stress account for a larger proportion of cases than mood disorders. Should these associations prove to be causal, then interventions that succeeded in addressing these issues would contribute the most to reducing suicidal ideation and, possibly, suicidal behaviour in later life.

scholarly journals Predictors of suicidal ideation among Iranian patients with multiple sclerosis

2021 ◽  
Author(s):  
Fatemeh Sadat Asgarian ◽  
Ali Keyhani ◽  
Abdorreza Naser Moghadasi ◽  
Mohammad Ali Sahraian ◽  
Farnaz Etesam
Keyword(s):  
Multiple Sclerosis ◽  
Social Support ◽  
Suicidal Ideation ◽  
Personal Information ◽  
Depression Scale ◽  
Therapeutic Interventions ◽  
Anxiety And Depression ◽  
Suicidal Thoughts ◽  
Mood Symptoms ◽  
Anticipated Stigma

Background: Considering the high probability of suicidal behaviors in multiple sclerosis (MS) population of other countries and the unlikeliness of its diagnosis in patients with MS by specialists, the current research targets the frequency of suicidal thoughts and mood symptoms in a group of patients with MS in Iran. Also, we investigated the relationships among suicidal thoughts, anxiety, depression, anticipated stigma, social support, some disease characteristics, and sociodemographic factors. Methods: A sample of 276 subjects were selected from community-based MS clinics and referral out-patient MS clinic of Sina Hospital affiliated to Tehran University of Medical Sciences, Tehran, Iran. Participants completed the Patient Health Questionnaire (PHQ), the Hospital Anxiety and Depression Scale (HADS), the Chronic Illness Anticipated Stigma Scale (CIASS), the Multidimensional Scale of Perceived Social Support (MSPSS), and a personal information questionnaire. Results: 36.2% of the participants had suicidal thoughts. Suicidal ideation was significantly more likely among people who reported higher anxiety and depression scores or anticipated stigma from their friends and families. Women and patients with higher education experienced suicidal ideation more frequently than others. Conclusion: Findings regarding the comorbidity of suicidal thoughts with anticipated stigma, depression and anxiety in MS patients emphasizes therapeutic interventions focused on the alleviation of perceived stigma as well as mood symptoms.

scholarly journals Life-History Factors Influence Teenagers’ Suicidal Ideation: A Model Selection Analysis of the Canadian National Longitudinal Survey of Children and Youth

2020 ◽  
Vol 18 (3) ◽  
pp. 147470492093952
Author(s):  
John P. Ziker ◽  
Kristin Snopkowski
Keyword(s):  
Social Support ◽  
Life History ◽  
Suicidal Ideation ◽  
Model Selection ◽  
Early Life ◽  
Longitudinal Survey ◽  
Children And Youth ◽  
National Longitudinal Survey ◽  
Suicidal Thoughts ◽  
Neighborhood Cohesion

Suicidality is an important contributor to disease burden worldwide. We examine the developmental and environmental correlates of reported suicidal ideation at age 15 and develop a new evolutionary model of suicidality based on life history trade-offs and hypothesized accompanying modulations of cognition. Data were derived from the National Longitudinal Survey of Children and Youth (Statistics Canada) which collected information on children’s social, emotional, and behavioral development in eight cycles between 1994 and 2009. We take a model selection approach to understand thoughts of suicide at age 15 ( N ≈ 1,700). The most highly ranked models include social support, early life psychosocial stressors, prenatal stress, and mortality cues. Those reporting consistent early life stress had 2.66 greater odds of reporting thoughts of suicide at age 15 than those who reported no childhood stress. Social support of the primary caregiver, neighborhood cohesion, nonkin social support of the adolescent, and the number of social support sources are all associated with suicidal thoughts, where greater neighborhood cohesion and social support sources are associated with a reduction in experiencing suicidal thoughts. Mother’s prenatal smoking throughout pregnancy is associated with a 1.5 greater odds of suicidal thoughts for adolescents compared to children whose mother’s reported not smoking during pregnancy. We discuss these findings in light of evolutionary models of suicidality. This study identifies both positive and negative associations on suicidal thoughts at age 15 and considers these in light of adaptive response models of human development. Findings are relevant for mental health policy.

scholarly journals Quantifying Suicidal Ideation on Social Media using Machine Learning: A Critical Review

2021 ◽  
pp. 4092-4100
Author(s):  
Syed Tanzeel Rabani ◽  
Qamar Rayees Khan ◽  
Akib Mohi Ud Din Khanday
Keyword(s):  
Mental Health ◽  
Machine Learning ◽  
Social Media ◽  
Suicidal Ideation ◽  
Social Isolation ◽  
Suicide Prevention ◽  
Online Social Networks ◽  
Public Information ◽  
Machine Learning Techniques ◽  
Suicidal Thoughts

Suicidal ideation is one of the severe mental health issues and a serious social problem faced by our society. This problem has been usually dealt with through the psychological point of view, using clinical face to face settings. There are various risk factors associated with suicides, including social isolation, anxiety, depression, etc., that decrease the threshold for suicide. The COVID-19 pandemic further increases social isolation, posing a great threat to the human population. Posting suicidal thoughts on social media is gaining much attention due to the social stigma associated with the mental health. Online Social Networks (OSN) are increasingly used to express the suicidal thoughts. Recently, a top Indian actor industry took the harsh step of suicide. The last Instagram posts revealed signs of depression, which if anticipated could have saved the precious life. Recent research indicated that the public information on social media provides valuable insights on detecting the users with the suicidal ideation. The motive of this study is to provide a systematic review of the work done already in the use of social media for suicide prevention and propose a novel classification approach that classifies the suicide related tweets/ posts into three levels of distress. Moreover, our proposed classification task which was implemented through various machine learning techniques revealed high accuracy in classifying the suicidal posts. Among all algorithms, the best performing algorithm was that of the decision tree, with an F1 score ranging 0.95-0.97. After thoroughly studying the work achieved by different researchers in the area of suicide prevention, our study critically analyses those works and finds various research gaps and solves some of them. We believe that our work will motivate research community to look into other gaps that will in turn help psychiatrists, psychologists, and counsellors to protect individuals suffering from suicidal ideation.

scholarly journals Hope and attitudes related to suicidal behavior among nursing students

2021 ◽  
Vol 10 (10) ◽  
pp. e72101018571
Author(s):  
Bruna Marques Chiarelo ◽  
Amanda Heloisa Santana da Silva ◽  
Isabelle Wengler Silva ◽  
Ana Carolina Guidorizzi Zanetti ◽  
Maria Betânia Tinti de Andrade ◽  
...  
Keyword(s):  
Social Support ◽  
Suicide Prevention ◽  
Suicidal Behavior ◽  
Mental Health Treatment ◽  
Professional Competence ◽  
Psychiatric Diagnoses ◽  
Suicidal Thoughts ◽  
Cross Sectional ◽  
Received Social Support ◽  
Negative Feelings

Objective: to investigate, among nursing undergraduate students, the predictors of hope, suicidal thoughts and attitudes related to suicidal behavior. Methodology: Cross-sectional study, with a quantitative approach, developed in 2018 with 337 undergraduates from a Brazilian public university. We applied a sociodemographic, clinical and psychosocial questionnaire; the Suicide Behavior Attitude Questionnaire and the Herth Hope Scale. We used mean comparison tests, Pearson’s correlation test and binary logistic regression. Results: Predictors of hopelessness were psychiatric diagnoses, mental health treatment, absence of religious beliefs and dissatisfaction with the received social support. The chances of suicidal thoughts were higher among people with psychiatric diagnoses, dissatisfaction with the received social support, more understanding of the right to suicide and hopelessness. Predictors of more negative feelings about suicidal behavior were less professional competence and non participation in scientific events. Older students and those with less suicidal thoughts increased the chances of condemnatory attitudes. Predictors of fewer self-perceived competence were negative feelings about suicidal behavior, dissatisfaction with social support and less educational exposure (previous reading of suicide prevention materials or participation in events) and not having friends/relatives at suicide risk. Conclusion: it is important to develop and evaluate undergraduate support and educational strategies that consider the factors investigated in this study, in order to promote hope and training for suicide prevention.

Psychosocial factors that distinguish between men and women who have suicidal thoughts and attempt suicide: findings from a national probability sample of adults

2022 ◽  
pp. 1-9
Author(s):  
Cara Richardson ◽  
Kathryn A. Robb ◽  
Sally McManus ◽  
Rory C. O'Connor
Keyword(s):  
Social Support ◽  
Mental Illness ◽  
Sex Differences ◽  
Suicidal Ideation ◽  
Psychosocial Factors ◽  
Suicide Risk ◽  
Suicide Attempts ◽  
Childhood Adversity ◽  
Suicidal Thoughts ◽  
Men And Women

Abstract Background Previous research has highlighted the importance of understanding which psychosocial factors distinguish between those with suicide thoughts compared to those who attempt suicide. This study aims to investigate these distinguishing factors further within an ideation-to-action framework and to explore sex differences in suicide risk. Methods Participants (n = 7546, aged 16+) were from the cross-sectional Adult Psychiatric Morbidity Survey (APMS; 2014) of England. Face-to-face and self-completion questionnaires assessed lifetime suicidal ideation, lifetime suicide attempts, demographic characteristics, life experiences, social support, health and mental illness. Multinomial logistic regression examined factors differentiating between those with suicidal ideation only and suicide attempt histories (with or without suicidal ideation) in men and women. Results Overall men were less likely to report suicidal thoughts and attempts, compared to females. More factors differentiated between suicidal thoughts and attempts in women compared to in men; these included hospital admission for mental illness, below degree level qualifications, being single and childhood adversity. In men, factors which significantly differentiated between suicidal thoughts and attempts included self-report of professional diagnosis of mental illness and childhood adversity. Higher levels of social support were associated with being in the suicidal thoughts group v. in the attempts group in men. Conclusion This study identified some key differences between men and women in factors associated with suicide attempts compared to suicidal thoughts. The findings support the use of the ideation-to-action framework to investigate sex differences in suicidal behaviour. Future research should examine the extent to which these factors are associated with suicide risk over time.

scholarly journals Autistic traits and suicidal thoughts, plans and self-harm in late adolescence: population based cohort study

2017 ◽  
Author(s):  
Iryna Culpin ◽  
Becky Mars ◽  
Rebecca M. Pearson ◽  
Jean Golding ◽  
Jon Heron ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Suicidal Ideation ◽  
Early Adolescence ◽  
Social Communication ◽  
Autistic Traits ◽  
Suicidal Thoughts ◽  
Suicidal Intent ◽  
Self Harm ◽  
Suicidal Plans ◽  
Autism Trait

AbstractImportanceThere have been recent concerns about a higher incidence of mortality by suicide in people with autism spectrum disorder (ASD). To our knowledge, no large cohort studies have examined which features of autism may lead to suicidal ideation and behaviour, and whether there are any potential modifiable mechanisms.ObjectiveTo examine the hypothesis that ASD diagnosis and traits in childhood are associated with suicidal thoughts, plans and self-harm at 16 years, and that any of the observed associations are explained by depression in adolescence at 12 years.Design, setting and participantsProspective investigation of associations between ASD diagnosis and autistic traits with suicidal ideation and behaviour and a potential risk pathway via depression in early adolescence in 5,031 members of the Avon Longitudinal Study of Parents and Children.Main outcomes and measuresHistory of self-harm with and without suicidal intent, suicidal thoughts and plans at 16 years assessed using a detailed self-report questionnaire. Exposures were ASD diagnosis and four measures (the coherence subscale of the Children’s Communication Checklist, the Social and Communication Disorders Checklist, a repetitive behaviour measure, and the sociability temperament subscale of the Emotionality, Activity and Sociability scale) dichotomised to represent the autism trait groups. Depressive symptoms in early adolescence were measured by the Short Moods and Feelings Questionnaire at 12 years.ResultsChildren with impaired social communication had a higher risk of self-harm with suicidal intent (RR 2.10, 95% CI 1.28, 3.34), suicidal thoughts (1.42 times (95% CI 1.06, 1.91) and suicidal plans (RR 1.95, 95% CI 1.09, 3.47) by the age of 16 years as compared to those without. There was no evidence for an association between ASD diagnosis and the outcomes although these analyses were imprecise due to small numbers. There was also no evidence of an association between other autism trait measures and the outcomes. Approximately 32% of the total estimated association between social communication impairment and self-harm was explained by depressive symptoms at age 12 years.ConclusionsImpairments in social communication are important in relation to suicidality. Early identification and management of depression may be a preventative mechanism and future research identifying other modifiable mechanisms may lead to preventative action or interventions against suicidal behaviour in this high-risk group.

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