Substance Use Frequency Relates to Suicidal Ideation Through Perceived Burdensomeness and to Suicide Attempts Through Capability for Suicide

Objective: Most previous studies that have investigated the relation between abortion and mental illness have presented mixed findings. We examined the relation between abortion, mental disorders, and suicidality using a US nationally representative sample. Methods: Data came from the National Comorbidity Survey Replication ( n = 3310 women, aged 18 years and older). The World Health Organization-Composite International Diagnostic Interview was used to assess mental disorders based on the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, criteria and lifetime abortion in women. Multiple logistic regression analyses were employed to examine associations between abortion and lifetime mood, anxiety, substance use, eating, and disruptive behaviour disorders, as well as suicidal ideation and suicide attempts. We calculated the percentage of respondents whose mental disorder came after the first abortion. The role of violence was also explored. Population attributable fractions were calculated for significant associations between abortion and mental disorders. Results: After adjusting for sociodemographics, abortion was associated with an increased likelihood of several mental disorders—mood disorders (adjusted odds ratio [AOR] ranging from 1.75 to 1.91), anxiety disorders (AOR ranging from 1.87 to 1.91), substance use disorders (AOR ranging from 3.14 to 4.99), as well as suicidal ideation and suicide attempts (AOR ranging from 1.97 to 2.18). Adjusting for violence weakened some of these associations. Forall disorders examined, less than one-half of women reported that their mental disorder had begun after the first abortion. Population attributable fractions ranged from 5.8% (suicidal ideation) to 24.7% (drug abuse). Conclusions: Our study confirms a strong association between abortion and mental disorders. Possible mechanisms of this relation are discussed.

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Associations of Discrimination, Suicide Ideation Severity and Attempts, and Depressive Symptoms Among Sexual and Gender Minority Youth

Crisis ◽

10.1027/0227-5910/a000718 ◽

2020 ◽

pp. 1-8

Author(s):

Adeline Wyman Battalen ◽

Ethan Mereish ◽

Jennifer Putney ◽

Christina M. Sellers ◽

Melinda Gushwa ◽

...

Keyword(s):

Depressive Symptoms ◽

Suicidal Ideation ◽

Childhood Trauma ◽

Suicide Ideation ◽

Suicide Attempts ◽

Thwarted Belongingness ◽

Perceived Burdensomeness ◽

Sociodemographic Variables ◽

Sexual And Gender Minority ◽

And Gender

Abstract. We examined the unique associations among discrimination, suicidal thoughts, suicide attempts, and depressive symptoms in a sample of sexual and gender minority (SGM) youth as well as interpersonal mediators of these associations. Participants included 94 SGM youth ( Mage = 18; SD = 2.88) recruited from SGM-specific drop-in centers. We used mediation analyses to test the mediating effects of perceived burdensomeness and thwarted belongingness on the associations between discrimination and suicidal ideation, suicide attempts, and depressive symptoms, accounting for childhood trauma and sociodemographic variables (age, gender identity, race, and sexual orientation). Within our nonclinical community sample of SGM youth, 49% reported a lifetime suicide attempt, 84% reported current suicide ideation, and 82% reported current depressive symptoms. Experiencing discrimination was associated with greater likelihood of suicide attempts and depressive symptoms, and greater perceived burdensomeness and thwarted belongingness, over and above the effects of childhood trauma and sociodemographic variables. Discrimination was indirectly associated with greater depressive symptoms through perceived burdensomeness and thwarted belongingness, and with greater severity of suicidal ideation through perceived burdensomeness. Findings suggest clinicians should assess for discrimination and include a focus on perceived burdensomeness and thwarted belongingness as targets of intervention for suicide and depression.

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Suicidal Ideation and Suicide Attempts among Women Seeking Treatment for Substance Use and Trauma Symptoms

Health & Social Work ◽

10.1093/hsw/hly004 ◽

2018 ◽

Vol 43 (2) ◽

pp. 76-83 ◽

Cited By ~ 1

Author(s):

Stella M Resko ◽

Sarah Kruman Mountain ◽

Suzanne Browne ◽

David C Kondrat ◽

Michael Kral

Keyword(s):

Substance Use ◽

Suicidal Ideation ◽

Suicide Attempts ◽

Trauma Symptoms

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Emergency Psychiatric Consultations During and After the COVID-19 Lockdown in Italy. A Multicentre Study

Frontiers in Psychiatry ◽

10.3389/fpsyt.2021.697058 ◽

2021 ◽

Vol 12 ◽

Author(s):

Matteo Balestrieri ◽

Paola Rucci ◽

Davide Amendola ◽

Miki Bonizzoni ◽

Giancarlo Cerveri ◽

...

Keyword(s):

Substance Use ◽

Suicidal Ideation ◽

Multicentre Study ◽

Suicide Attempts ◽

Gradual Increase ◽

Psychiatric Services ◽

Lower Percentage ◽

Hospital Emergency ◽

Psychiatric Hospitalizations ◽

Hospital Emergency Departments

Aims: The aim was to analyse the psychiatric consultations in nine Italian hospital emergency departments, by comparing the lockdown and post-lockdown periods of 2020 with the equivalent periods of 2019.Methods: Characteristics of psychiatric consultations, patients, and drug prescriptions were analyzed. Joinpoint models were used to identify changes in the weekly trend of consultations.Results: A 37.5% decrease in the number of consultations was seen during the lockdown period and 17.9% after the lockdown. The number of individual patients seen decreased by 34.9% during the lockdown and 11.2% after the lockdown. A significant change in the number of consultations from week 11 to week 18 occurred, followed by a gradual increase. There was a higher percentage of patients with previous psychiatric hospitalizations during the lockdown period (61.1 vs. 56.3%) and a lower percentage after the lockdown (59.7 vs. 64.7%). During the lockdown there was a large increase in psychiatric consultations for substance use disorders, whereas more consultations for manic episodes occurred after the lockdown. A 3.4% decrease was observed in consultations for suicidal ideation and planning during the lockdown, followed by an upward rebound after the lockdown, along with an increase in consultations for suicide attempts. During lockdown antipsychotic and benzodiazepine prescriptions increased by 5.2 and 4.1%, respectively. After the lockdown, the number of compulsory hospitalizations was higher than in 2019.Conclusions: We observed a decrease of psychiatric consultations during and after the lockdown. There was an increase in consultations for manic episodes and suicidality after the lockdown. The focus of psychiatric services must remain high particularly in this latter period.

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Associations of Substance Use Behaviors With Suicidal Ideation and Suicide Attempts Among US and Chinese Adolescents

Frontiers in Psychiatry ◽

10.3389/fpsyt.2020.611579 ◽

2021 ◽

Vol 11 ◽

Author(s):

Lan Guo ◽

Wanxin Wang ◽

Xueying Du ◽

Yangfeng Guo ◽

Wenyan Li ◽

...

Keyword(s):

Substance Use ◽

Suicidal Ideation ◽

Alcohol Use ◽

Suicide Attempts ◽

Chinese Adolescents ◽

Health Policies ◽

Adolescent Group ◽

Public Health Policies ◽

The Us ◽

Adolescent Groups

Background: Adolescence has been described as a period of increased health risk-taking behaviors. Given the variety of cultural contexts, healthcare systems, and public health policies in different regions, the present study aimed to determine whether there are similar or different associations of substance use behaviors with suicidal ideation and suicide attempts among US and Chinese adolescents.Methods: This study included a total of 14,765 US adolescents from the 2017 National Youth Risk Behavior Surveillance System (YRBSS) and 24,345 Chinese adolescents from the 2017 School-based Chinese Adolescents Health Survey (SCAHS).Results: The proportions of suicidal ideation and suicide attempts were 17.4 and 5.7% among US adolescents, which were higher than those among Chinese adolescents (suicidal ideation: 13.7% and suicide attempts: 2.7%). Among Chinese adolescents, the most common substance use behavior was “alcohol use (55.4%),” followed by “cigarette use (11.6%).” Among US adolescents, the most popular substance was alcohol (ever used: 55.9%), followed by marijuana (ever used: 34.6%). Moreover, alcohol use was significantly related to suicidal ideation/suicide attempts only in Chinese adolescents [suicidal ideation: Adjusted odds ratio (AOR) = 1.88, 95% CI = 1.71~2.06; suicide attempts: AOR = 2.12, 95% CI = 1.71~2.63], and marijuana use was associated with suicidal ideation and suicide attempts only in the US adolescent group (suicidal ideation: AOR = 1.23, 95% CI = 1.06~1.44; suicide attempts: AOR = 1.51, 95% CI = 1.21~1.87). Moreover, although the associations of prescription pain medication use with suicide attempts were significant in both Chinese and US adolescent groups, the adjusted associations were stronger in Chinese adolescents than in US adolescents (Chinese adolescents: AOR = 3.97, 95% CI = 2.76~5.72; US adolescents: AOR = 1.76, 95% CI = 1.43~2.16; P < 0.05).Conclusions: The associations of alcohol use with suicidal ideation and suicide attempts were only significant in Chinese adolescents. Marijuana use was associated with suicidal ideation and suicide attempts only in the US adolescent group. Although the associations of prescription pain medication use with suicide attempts were significant in both Chinese and US adolescent groups, the adjusted associations were significantly stronger for Chinese adolescents. These findings might be related to the differences in cultural contexts, healthcare systems, and public health policies in the two different countries.

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Reciprocal relationships between substance use and disorders and suicidal ideation and suicide attempts in the Collaborative Study of the Genetics of Alcoholism

Journal of Affective Disorders ◽

10.1016/j.jad.2016.12.060 ◽

2017 ◽

Vol 213 ◽

pp. 96-104 ◽

Cited By ~ 9

Author(s):

Arpana Agrawal ◽

Rebecca Tillman ◽

Richard A. Grucza ◽

Elliot C. Nelson ◽

Vivia V. McCutcheon ◽

...

Keyword(s):

Substance Use ◽

Suicidal Ideation ◽

Suicide Attempts ◽

Collaborative Study ◽

Reciprocal Relationships

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Relationship of sexual orientation to substance use, suicidal ideation, suicide attempts, and other factors in a population of homeless adolescents

Journal of Adolescent Health ◽

10.1016/s1054-139x(01)00205-1 ◽

2001 ◽

Vol 29 (1) ◽

pp. 31-36 ◽

Cited By ~ 90

Author(s):

John W Noell ◽

Linda M Ochs

Keyword(s):

Substance Use ◽

Sexual Orientation ◽

Suicidal Ideation ◽

Suicide Attempts ◽

Homeless Adolescents ◽

Relationship Of

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Differential Predictors of Suicidal Ideation and Suicide Attempts: Internalizing Disorders and Substance Use in a Clinical Sample of Adolescents

Journal of Dual Diagnosis ◽

10.1080/15504263.2021.2016343 ◽

2022 ◽

pp. 1-11

Author(s):

Lauren M. Berny ◽

Emily E. Tanner-Smith

Keyword(s):

Substance Use ◽

Suicidal Ideation ◽

Suicide Attempts ◽

Clinical Sample ◽

Internalizing Disorders

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Interpersonal theory of suicide: prospective examination

BJPsych Open ◽

10.1192/bjo.2020.93 ◽

2020 ◽

Vol 6 (5) ◽

Author(s):

Thomas Forkmann ◽

Heide Glaesmer ◽

Laura Paashaus ◽

Dajana Rath ◽

Antje Schönfelder ◽

...

Keyword(s):

Suicidal Ideation ◽

Suicide Attempts ◽

Area Under The Curve ◽

Self Report ◽

Interpersonal Theory ◽

Operating Characteristics ◽

Thwarted Belongingness ◽

Perceived Burdensomeness ◽

Interpersonal Theory Of Suicide ◽

Suicide Intent

Background The interpersonal theory of suicide (IPTS) is one of the most intensively researched contemporary theories on the development of suicidal ideation and behaviour. However, there is a lack of carefully conducted prospective studies. Aims To evaluate the main predictions of the IPTS regarding the importance of perceived burdensomeness, thwarted belongingness and capability for suicide in predicting future suicide attempts in a prospective design. Method Psychiatric in-patients (n = 308; 53.6% (n = 165) female; mean age 36.82 years, s.d. = 14.30, range 18–81) admitted for severe suicidal ideation (n = 145, 47.1%) or a suicide attempt completed self-report measures of thwarted belongingness, perceived burdensomeness, capability for suicide, hopelessness, depression and suicidal ideation as well as interviews on suicide intent and suicide attempts and were followed up for 12 months. Logistic regression and receiver operating characteristics (ROC) analysis were conducted. Results The interaction of perceived burdensomeness, thwarted belongingness and capability for suicide was not predictive of future suicide attempts, but perceived burdensomeness showed a significant main effect (z = 3.49, P < 0.01; OR = 2.34, 95% CI 1.59–3.58) and moderate performance in screening for future suicide attempts (area under the curve AUC = 0.729, P < 0.01). Conclusions The results challenge the theoretical validity of the IPTS and its clinical utility – at least within the methodological limitations of the current study. Yet, findings underscore the importance of perceived burdensomeness in understanding suicidal ideation and behaviour.

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