Suicidal Ideation Among Patients During the Rehabilitation Period After Life-Threatening Physical Illness

Kiyozawa Manshi (1863-1903) is well-known as a Japanese reformer of modern Jōdo Shinshū Buddhism. Kiyozawa's articles and diaries express an evolving religious conviction that emerged both within the context of Meiji Japan and as a result of life-threatening illness. Before he became bedridden with tuberculosis, Kiyozawa's religious orientation exemplified reliance on self-power, jiriki, and the preeminence of reason. Severe physical illness with its attendant limitations led Kiyozawa to repudiate his belief in both the viability and efficacy of jiriki, resulting in a reorientation of his religious conviction to a pronounced emphasis on faith as expressed by absolute trust in other-power, tariki. This case study of crisis and conversion in the life of Kiyozawa Manshi suggests interdependent and transformational connections between bodily illness and religious conviction.

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Disequilibrium and COVID-19: Effectively Applying Crisis Intervention

10.31235/osf.io/scqxw ◽

2020 ◽

Author(s):

Stephen Oby

Keyword(s):

Suicidal Ideation ◽

Crisis Intervention ◽

Physical Violence ◽

The Novel ◽

Coping Capacity ◽

Sudden Loss ◽

Social Work Values ◽

Life Threatening ◽

Novel Coronavirus

Crisis intervention is widely understood as a response to life-threatening emergencies and therefore often limited in its application to natural disasters, severe physical violence, suicidal ideation, and similarly dangerous incidents. While crisis intervention is appropriate for these scenarios, historical definitions of crisis suggest the term and related interventions have much broader application. The ramifications of the novel coronavirus and related cultural fallout increase vulnerability and impair coping capacity in such a way that individuals are significantly more likely to enter crisis states, demanding a prompt reconsideration of the breadth of this practice technique. Successful application of crisis intervention reduces the long-term psychological implications for individuals encountering sudden loss, unexpected traumas, and other hazards that overwhelm traditional coping strategies, outcomes all made more likely by this pandemic. Crisis intervention is a structured, time-limited, problem-oriented treatment modality that is well suited to a remote practice environment because it is directive in its approach and requires few contacts at a time when client access is potentially limited. This paper examines the course of crisis with or without intervention, assessment and intervention tactics, social work values when applying crisis intervention, and the implications of the use of this modality as it relates to COVID-19.

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Major Depression, Physical Illness, and Suicidal Ideation in Primary Care

Psychosomatic Medicine ◽

10.1097/01.psy.0000041544.14277.ec ◽

2003 ◽

Vol 65 (4) ◽

pp. 501-505 ◽

Cited By ~ 100

Author(s):

Renee D. Goodwin ◽

Kurt Kroenke ◽

Christina W. Hoven ◽

Robert L. Spitzer

Keyword(s):

Primary Care ◽

Suicidal Ideation ◽

Major Depression ◽

Physical Illness

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Chronic Physical Illness Burden and Suicidal Ideation Among Dominicans in New York City

Journal of Immigrant and Minority Health ◽

10.1007/s10903-016-0477-0 ◽

2016 ◽

Vol 19 (3) ◽

pp. 616-622 ◽

Cited By ~ 7

Author(s):

Emily Goldmann ◽

Eric T. Roberts ◽

Nina S. Parikh ◽

Bernadette Boden-Albala

Keyword(s):

New York ◽

New York City ◽

Suicidal Ideation ◽

York City ◽

Physical Illness ◽

Chronic Physical Illness ◽

Illness Burden

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Suicidal ideation and organic diseases in acute female psychiatric patients

European Psychiatry ◽

10.1016/j.eurpsy.2016.01.732 ◽

2016 ◽

Vol 33 (S1) ◽

pp. s275-s275

Author(s):

P. Solano ◽

M. Ustulin ◽

R. Vecchio ◽

A. Rreshketa ◽

E. Pizzorno ◽

...

Keyword(s):

Suicidal Ideation ◽

Suicide Risk ◽

Psychiatric Patients ◽

Demographic Data ◽

The Elderly ◽

Physical Illness ◽

Psychiatric Clinic ◽

Medical Illness ◽

Chi Squared ◽

Competing Interest

IntroductionPhysical illness has been recognized as a major risk factor for suicidal behaviours, especially among females. A higher number of physical comorbidities has been associated with higher suicide- risk, thus having a greater burden among the elderly.Objectivesinvestigate this evidence to be able to estimate the load of physical illness on suicidality among psychiatric females of different age.AimsEvaluate the association between suicidal ideation, age, depression and physical comorbidities in a sample of acute females psychiatric in-patients.Methods81 psychiatric female in-patients were evaluated during their first day of hospitalization through MADRS, SSI and the presence of organic comorbidity has been collected together with demographic data. All the evaluations were carried out at the Psychiatric Clinic, University of Genova, Italy.ResultsMean age 48 (age–range value: 74, high variability). Pearson's Chi-squared test showed: significant association between SSI and MADRS (P = 0,027; α = 0,05); no association between SSI and age (P = 0,194; α=0,05); no association between SSI and presence medical illness (P = 0,132; α = 0,05); no association between SSI and number of medical illness (P = 0,186; α = 0,05).ConclusionsOur results show that the levels of suicidal ideation in psychiatric females are independent from age, presence and number of physical comorbidities. Suicidal ideation appears to be associated only with levels of depression. Our results challenge evidence from a large number of current studies and, if confirmed by further research, would lead to reconsider major suicide risk factors. Further research to investigate these associations on larger samples is needed.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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ATTITUDES OF CLINICAL PSYCHOLOGISTS, PSYCHIATRISTS, AND ONCOLOGISTS TOWARD SUICIDE

Social Behavior and Personality An International Journal ◽

10.2224/sbp.1992.20.4.289 ◽

1992 ◽

Vol 20 (4) ◽

pp. 289-292 ◽

Cited By ~ 11

Author(s):

Linda K. Hammond ◽

Robert H. Deluty

Keyword(s):

Chronic Pain ◽

Suicidal Ideation ◽

Psychiatric Illness ◽

Physical Illness ◽

Clinical Psychologists ◽

Societal Values ◽

The Face ◽

Attitudes Toward Suicide

Randomly selected clinical psychologists, psychiatrists, and oncologists were mailed a questionnaire assessing attitudes toward suicide and the personal, professional, and societal values which underlie these attitudes. Suicides in the face of physical illness were judged to be significantly more acceptable than suicides committed in response to chronic psychiatric illness. Psychologists were most accepting, and oncologists least accepting, of suicide in response to chronic pain. There were no significant differences in the acceptability of suicide between those professionals who had experienced suicidal ideation themselves and those who had not.

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Acute and Sustained Reductions in Loss of Meaning and Suicidal Ideation Following Psilocybin-Assisted Psychotherapy for Psychiatric and Existential Distress in Life-Threatening Cancer

ACS Pharmacology & Translational Science ◽

10.1021/acsptsci.1c00020 ◽

2021 ◽

Vol 4 (2) ◽

pp. 553-562 ◽

Cited By ~ 1

Author(s):

Stephen Ross ◽

Gabrielle Agin-Liebes ◽

Sharon Lo ◽

Richard J. Zeifman ◽

Leila Ghazal ◽

...

Keyword(s):

Suicidal Ideation ◽

Existential Distress ◽

Life Threatening

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Gland New Psychosis: New Onset Adult Psychosis with Suicidal Ideation and Attempt in the Setting of Thyroid Storm

Case Reports in Psychiatry ◽

10.1155/2017/7402923 ◽

2017 ◽

Vol 2017 ◽

pp. 1-4

Author(s):

Esteban Cota ◽

Jacob Lentz

Keyword(s):

Suicidal Ideation ◽

Psychiatric Illness ◽

Thyroid Storm ◽

First Episode ◽

Visual Hallucinations ◽

Self Injury ◽

Life Threatening ◽

Psychiatric Sequelae ◽

New Onset

We present a case of new onset psychosis in the setting of thyroid storm in a woman with no previous psychiatric history. The patient presented with ongoing suicidal ideation, a suicide attempt that was interrupted by her husband, and audio and visual hallucinations. The patient was placed on a psychiatric hold and treated for thyrotoxicosis as well as psychosis. Treatment of the thyroid hormone overload resulted in a rapid resolution of her symptoms; she was discharged in excellent condition, and she has had no repeat hallucinations or self-injury ideation or attempts since. Although rare, thyrotoxicosis is a potentially life-threatening cause of psychiatric illness and should always be kept on the differential diagnosis for a patient with a first episode of psychosis. This case highlights how thyroid storm physiology, beyond its well-studied hemodynamic and metabolic instability, can be potentially fatal due to psychiatric sequelae. It also highlights the crucial role of a thorough history and physical exam in all patients.

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