Understanding Suicidal Behavior Using a Comprehensive Approach

2021 ◽  
pp. 105413732110510
Author(s):  
Ahmadreza Kiani Chelmardi ◽  
Sajjad Rashid ◽  
Mahboubeh Dadfar ◽  
David Lester
Keyword(s):  
Risk Factors ◽  
Suicide Attempt ◽  
Attempted Suicide ◽  
Suicide Ideation ◽  
Theoretical Models ◽  
Female Students ◽  
Suicidal Risk ◽  
Clinical Factors ◽  
Self Injury ◽  
Self Harm

A comprehensive understanding of how suicidal risk factors interact with one another to increase the frequency of suicide ideation and attempted suicide is critical for improving theoretical models of suicide and prevention efforts. The aim of the present study was to explore the prediction of suicide ideation formation and its transition to suicide attempt through the interactions of the constructs suggested by the IPTS, IMV and 3ST theories, as well as other clinical factors. The core constructs of several theoretical models were assessed using a battery of scales administered to 909 Iranian college students. The results supported Klonsky's 3ST and O’Connor's IMV models and, in addition, the relevance of non-suicidal self-injury, the acquired capacity for self-harm, sexual abuse, and exposure to family self-harm for the transition from suicide ideation to a suicide attempt. Depression and PTSD were background factors rather than risk factors for suicide ideation or suicide attempt. Limitations were that the information provided by students may have been biased due to the stigma surrounding suicide in Iranian culture, and the proportion of female students was high.

Attachment Organization in Suicide Prevention Research

Crisis ◽  
2014 ◽  
Vol 35 (1) ◽  
pp. 60-66 ◽  
Author(s):  
Amanda Venta ◽  
Carla Sharp
Keyword(s):  
Risk Factors ◽  
Suicidal Ideation ◽  
Suicide Attempt ◽  
Interpersonal Relationships ◽  
Suicide Ideation ◽  
Suicide Attempts ◽  
Critical Role ◽  
Self Report ◽  
Future Research ◽  
Self Harm

Background: Identifying risk factors for suicide-related thoughts and behaviors (SRTB) is essential among adolescents in whom SRTB remain a leading cause of death. Although many risk factors have already been identified, influential theories now suggest that the domain of interpersonal relationships may play a critical role in the emergence of SRTB. Because attachment has long been seen as the foundation of interpersonal functioning, we suggest that attachment insecurity warrants attention as a risk factor for SRTB. Aims: This study sought to explore relations between attachment organization and suicidal ideation, suicide attempts, and self-harm in an inpatient adolescent sample, controlling for demographic and psychopathological covariates. Method: We recruited 194 adolescents from an inpatient unit and assigned them to one of four attachment groups (secure, preoccupied, dismissing, or disorganized attachment). Interview and self-report measures were used to create four variables reflecting the presence or absence of suicidal ideation in the last year, single lifetime suicide attempt, multiple lifetime suicide attempts, and lifetime self-harm. Results: Chi-square and regression analyses did not reveal significant relations between attachment organization and SRTB, although findings did confirm previously established relations between psychopathology and SRTB, such that internalizing disorder was associated with increased self-harm, suicide ideation, and suicide attempt and externalizing disorder was associated with increased self-harm. Conclusion: The severity of this sample and methodological differences from previous studies may explain the nonsignificant findings. Nonsignificant findings may indicate that the relation between attachment organization and SRTB is moderated by other factors that should be explored in future research.

The Voodoo Doll Self-Injury Task: A New Measure of Sub-Clinical Self-Harm Tendencies

2017 ◽  
Author(s):  
David Skylan Chester ◽  
Tchiki Davis ◽  
C. Nathan DeWall
Keyword(s):  
Risk Factors ◽  
Clinical Utility ◽  
Experimental Designs ◽  
Clinical Validity ◽  
Total N ◽  
Self Injury ◽  
Trait Level ◽  
Self Harm ◽  
Initial Support

We introduce a new measure of sub-clinical self-harm tendencies, the Voodoo Doll Self-Injury Task (VDSIT). In this computer task, participants virtually stick a number of sharp pins in a doll that represents themselves. Across five community and undergraduate samples who were not recruited based on their self-harm history or risk (total N = 1,289), VDSIT scores were higher among participants with histories of actual self-injury and were positively correlated with state and trait level motivations to self-harm. VDSIT scores did not correspond to tendencies to harm others, showed sensitivity to experimental manipulations that increase self-harm tendencies, and were positively correlated with established risk factors for self-harm (e.g., depression). The VDSIT did not, on average, elicit significant distress from participants during or after the task, even among participants who had previously engaged in self-harm. Whereas the clinical utility of this measure remains unexamined, these findings provide initial support for the VDSIT’s sub-clinical validity, which can help researchers accurately, economically, and rapidly measure state and trait level self-harm tendencies using both correlational and experimental designs.

scholarly journals Patients with first versus multiple episodes of self-harm: how do their profiles differ?

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Philippe Golay ◽  
Louise Ostertag ◽  
Alessandra Costanza ◽  
Bénédicte Van der Vaeren ◽  
Yves Dorogi ◽  
...  
Keyword(s):  
Emergency Department ◽  
Personality Disorder ◽  
Suicide Attempt ◽  
Professional Activity ◽  
Suicidal Risk ◽  
Factors Influencing ◽  
Several Variables ◽  
French Speaking ◽  
Self Harm ◽  
Multiple Episodes

Abstract Background Self-harm (SH) is among the strongest predictors of further episodes of SH, suicide attempt, and death by suicide. People who repeteadly harm themselves are at even higher risk for suicide. Factors influencing the repetition are important to identify when assessing suicidal risk and thereafter to offer specific interventions. Therefore, this study aimed to compare first versus multiple episodes characteristics in a large sample of patients in french-speaking Switzerland. Method We used the database from the French-speaking Swiss program for monitoring SH. Data of the psychiatric assessment of all adults admitted for SH were collected in the emergency department of four Swiss city hospitals between December 2016 and October 2019. Results 1730 episodes of SH were included. Several variables were significantly associated with multiple episodes, including diagnosis (over representation of personality disorders and under representation of anxiety disorders), professional activity (Invalidity insurance more frequent) and prior psychiatry care. Conclusions Patients suffering from a personality disorder and those with invalidity insurance are at risk for multiple episodes of SH and should be targeted with specific interventions.

scholarly journals Factores contextuales relacionados a las conductas de autolesión no suicidas: una revisión sistemática

2020 ◽  
Vol 31 (1) ◽  
pp. 51-59
Author(s):  
Karen Guadalupe Duarte Tánori ◽  
José Ángel Vera Noriega ◽  
Daniel Fregoso Borrego
Keyword(s):  
Risk Factors ◽  
Self Injury ◽  
Palabras Clave ◽  
Revisión Sistemática ◽  
Factores De Riesgo ◽  
Self Harm

Las conductas autolesivas implican hacerse daño sin la intención de llegar al suicidio, y son comportamientos que se consideran como un problema que va en aumento entre la población adolescente; de hecho, en México los datos estadísticos estiman que 10% de los adolescentes se autolesionan; no obstante, la investigación de los factores de riesgo contextuales que propician tales conductas se ha considerado inadecuada y limitada. Objetivo: Con la finalidad de recabar las variables y teorías actuales para abordar el problema, el propósito de esta revisión fue analizar la bibliografía especializada sobre los factores contextuales relacionados a las conductas de autolesión no suicida en adolescentes. Método: Se realizó una búsqueda exhaustiva en las bases de datos Scopus, EBSCO, Dialnet Plus y SciELO, considerando los artículos publicados de enero de 2015 a abril de 2019, y empleando las palabras clave self-injury, self-harm, adolescents, teenagers, risk factors, autolesión, adolescentes y factores de riesgo, ubicadas tanto en el título como en el resumen. Se seleccionaron diez trabajos que cumplieron los criterios de inclusión en la base bibliográfica. Resultados: Entre las variables estudiadas en los distintos artículos, relacionadas con la familia se encontraron como significativas la muerte de los padres, un historial de abuso y los conflictos familiares, mientras que en las vinculadas a la escuela la variable significativa fue la victimización en el acoso escolar.

scholarly journals The effect of sexual abuse and dissociation on suicide attempt

2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Silje Støle Brokke ◽  
Thomas Bjerregaard Bertelsen ◽  
Nils Inge Landrø ◽  
Vegard Øksendal Haaland
Keyword(s):  
Sexual Abuse ◽  
Risk Factor ◽  
Suicide Attempt ◽  
Indirect Effects ◽  
Suicide Ideation ◽  
Suicide Attempts ◽  
Suicidal Thoughts ◽  
Dissociative Experiences ◽  
Self Harm

Abstract Background Suicide attempt is the most predictive risk factor of suicide. Trauma – especially sexual abuse – is a risk factor for suicide attempt and suicide. A common reaction to sexual abuse is dissociation. Higher levels of dissociation are linked to self-harm, suicide ideation, and suicide attempt, but the role of dissociation in suicidal behavior is unclear. Methods In this naturalistic study, ninety-seven acute psychiatric patients with suicidal ideation, of whom 32 had experienced sexual abuse, were included. Suicidal behaviour was assessed with The Columbia suicide history form (CSHF). The Brief trauma questionnaire (BTQ) was used to identify sexual abuse. Dissociative symptoms were assessed with Dissociative experiences scale (DES). Results Patients who had experienced sexual abuse reported higher levels of dissociation and were younger at onset of suicidal thoughts, more likely to self-harm, and more likely to have attempted suicide; and they had made more suicide attempts. Mediation analysis found dissociative experiences to significantly mediate a substantive proportion of the relationship between sexual abuse and number of suicide attempts (indirect effects = 0.17, 95% CI = 0.05, 0.28, proportion mediated = 68%). Dissociative experiences significantly mediated the role of sexual abuse as a predictor of being in the patient group with more than four suicide attempts (indirect effects = 0.11, 95% CI = 0.02, 0.19, proportion mediated = 34%). Conclusion The results illustrate the importance of assessment and treatment of sexual abuse and trauma-related symptoms such as dissociation in suicide prevention. Dissociation can be a contributing factor to why some people act on their suicidal thoughts.

scholarly journals Risk Factors for Suicidal Ideation and Self-Harm among Undergraduate Students in a Private University in Ogun State, Nigeria

2021 ◽  
Vol 4 (6) ◽  
pp. 29-42
Author(s):  
Johnson F.A. ◽  
Ogunsanmi L. ◽  
Ayokanmi I.
Keyword(s):  
Risk Factors ◽  
Suicidal Ideation ◽  
Young People ◽  
Significant Relationship ◽  
Suicide Ideation ◽  
Rating Scale ◽  
Intrapersonal Factors ◽  
Factors Influencing ◽  
Point Rating Scale ◽  
Self Harm

Background: Today, the most prevalent and the leading cause of death among young people is suicide. Worldwide, suicide accounts for an estimated 6% of all deaths among young people. The study examined the various risk factors for suicidal ideation and self-harm amongst Babcock University undergraduates. Method: Descriptive survey research design was utilized with a multistage sampling technique to select 398 undergraduates. The instrument for data collection was a semi-structured questionnaire that sought information on the environmental, social, and intrapersonal factors influencing suicide ideation and self-harm. Results were presented via means and percentages for descriptive statistics; correlation and regression were used to determine the associations between suicidal ideation and the risk factors. Ethical clearance was sought from Babcock University Health Research Ethics Committee. Results: The distribution of participants showed that 46.0% (183) were males while 54.0% (215) were females. Environmental factors influencing suicidal ideation were computed and measured on a 21-point rating scale with a mean ± SD of 13.38±3.458. The respondents' mean ± SD for the social factors measured on a 27-point rating scale was 17.15±5.772. Correlation analysis showed that suicide ideation had a statistically significant relationship with gender (p<0.01), parents' spousal relationship (p<0.01), environmental (p<0.01), social (p<0.01), and intrapersonal factors (p<0.01). Self-harm had a significant relationship with parents' relationship (p<0.01), environmental (p<0.01), social (p<0.01) and intrapersonal factors (p<0.01). However, the practice of self-harm was not different across the two genders (p = 0.170). Conclusion: Suicidal behaviors have been seen to be a serious public health concern. The prevention and intervention programs of suicide and self-harm should consider the particular characteristics of adolescent suicide and self-harm. This should include social transmission and recognition of mental health disorders.

Suicidal and Nonsuicidal Self-Injury in Borderline Personality Disorder

2017 ◽  
Author(s):  
Margaret S. Andover ◽  
Heather T. Schatten ◽  
Blair W. Morris
Keyword(s):  
Risk Factors ◽  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Attempted Suicide ◽  
Borderline Personality ◽  
Modifiable Risk Factors ◽  
Self Injury ◽  
Increased Risk ◽  
Suicide Attempted ◽  
Nonsuicidal Self Injury

Individuals diagnosed with borderline personality disorder (BPD) are at an elevated risk for engaging in self-injurious behaviors, including suicide, attempted suicide, and nonsuicidal self-injury (NSSI). The purpose of this chapter is to provide an overview of research on self-injurious behaviors among individuals with BPD. Definitions and prevalence rates are provided for NSSI, suicide, and attempted suicide. Clinical correlates of and risk factors for the behaviors, as well as associations between specific BPD criteria and self-injurious behaviors, are discussed, and a brief overview of treatments focused on reducing self-injurious behaviors among BPD patients is provided. By understanding risk factors for attempted suicide and NSSI in BPD, we can better identify patients who are at increased risk and focus treatment efforts on addressing modifiable risk factors.

scholarly journals Mapping non suicidal self-injury in adolescence: Development and confirmatory factor analysis of the Impulse, Self-harm and Suicide Ideation Questionnaire for Adolescents (ISSIQ-A)

2015 ◽  
Vol 227 (2-3) ◽  
pp. 238-245 ◽  
Author(s):  
Célia Barreto Carvalho ◽  
Carolina Nunes ◽  
Paula Castilho ◽  
Carolina da Motta ◽  
Suzana Caldeira ◽  
...  
Keyword(s):  
Factor Analysis ◽  
Confirmatory Factor Analysis ◽  
Suicide Ideation ◽  
Self Injury ◽  
Confirmatory Factor ◽  
Self Harm

Suicide

2014 ◽  
Author(s):  
Kelly C. Cukrowicz ◽  
Erin K. Poindexter
Keyword(s):  
Risk Factors ◽  
Major Depressive Disorder ◽  
Depressive Disorder ◽  
Suicidal Behavior ◽  
Depressive Disorders ◽  
Suicide Ideation ◽  
Time Of Death ◽  
Major Depressive ◽  
Self Injury ◽  
Recent Treatment

Suicide is a significant concern for clinicians working with clients experiencing major depressive disorder (MDD). Previous research has indicated that MDD is the diagnosis more frequently associated with suicide, with approximately two-thirds of those who die by suicide suffering from depression at the time of death by suicide. This chapter reviews data regarding the prevalence of suicidal behavior among those with depressive disorders. It then reviews risk factors for suicide ideation, self-injury, and death by suicide. Finally, the chapter provides an empirical overview of treatment studies aimed at decreasing risk for suicide, as well as an overview of several recent treatment approaches showing promise in the reduction of suicidal behavior.

scholarly journals Predicting suicide following self-harm: systematic review of risk factors and risk scales

2016 ◽  
Vol 209 (4) ◽  
pp. 277-283 ◽  
Author(s):  
Melissa K. Y. Chan ◽  
Henna Bhatti ◽  
Nick Meader ◽  
Sarah Stockton ◽  
Jonathan Evans ◽  
...  
Keyword(s):  
Risk Factors ◽  
Systematic Review ◽  
Suicide Ideation ◽  
Predictive Accuracy ◽  
Meta Analysis ◽  
Mental Healthcare ◽  
Sufficient Evidence ◽  
Predictive Values ◽  
Self Harm ◽  
The Individual

BackgroundPeople with a history of self-harm are at a far greater risk of suicide than the general population. However, the relationship between self-harm and suicide is complex.AimsTo undertake the first systematic review and meta-analysis of prospective studies of risk factors and risk assessment scales to predict suicide following self-harm.MethodWe conducted a search for prospective cohort studies of populations who had self-harmed. For the review of risk scales we also included studies examining the risk of suicide in people under specialist mental healthcare, in order to broaden the scope of the review and increase the number of studies considered. Differences in predictive accuracy between populations were examined where applicable.ResultsTwelve studies on risk factors and 7 studies on risk scales were included. Four risk factors emerged from the metaanalysis, with robust effect sizes that showed little change when adjusted for important potential confounders. These included: previous episodes of self-harm (hazard ratio (HR) = 1.68, 95% CI 1.38–2.05, K = 4), suicidal intent (HR = 2.7, 95% CI 1.91–3.81, K = 3), physical health problems (HR = 1.99, 95% CI 1.16–3.43, K = 3) and male gender (HR = 2.05, 95% CI 1.70–2.46, K = 5). The included studies evaluated only three risk scales (Beck Hopelessness Scale (BHS), Suicide Intent Scale (SIS) and Scale for Suicide Ideation). Where meta-analyses were possible (BHS, SIS), the analysis was based on sparse data and a high heterogeneity was observed. The positive predictive values ranged from 1.3 to 16.7%.ConclusionsThe four risk factors that emerged, although of interest, are unlikely to be of much practical use because they are comparatively common in clinical populations. No scales have sufficient evidence to support their use. The use of these scales, or an over-reliance on the identification of risk factors in clinical practice, may provide false reassurance and is, therefore, potentially dangerous. Comprehensive psychosocial assessments of the risks and needs that are specific to the individual should be central to the management of people who have self-harmed.

Sign in / Sign up

Export Citation Format

Share Document