Brazilian Psychiatric Association guidelines for the management of suicidal behavior. Part 1. Risk factors, protective factors, and assessment

Background: Relatively little is known about the role of protective factors in an Arab population in the presence of suicidal risk factors. Aims: To examine the role of protective factors in a subsample of in large Arab Kindred participants in the presence of suicidal risk factors. Methods: We assessed protective and risk factors in a sample of 64 participants (16 suicidal and 48 nonsuicidal) between 15 and 55 years of age, using a comprehensive structured psychiatric interview, the Composite International Diagnostic Interview (CIDI), self-reported depression, anxiety, hopelessness, impulsivity, hostility, and suicidal behavior in first-degree and second-relatives. We also used the Religiosity Questionnaire and suicide attitude (SUIATT) and multidimensional perceived support scale. Results: Suicidal as opposed to nonsuicidal participants were more likely to have a lifetime history of major depressive disorder (MDD) (68.8% vs. 22.9% χ2 = 11.17, p = .001), an anxiety disorder (87.5% vs. 22.9, χ2 = 21.02, p < .001), or posttraumatic stress disorder (PTSD) (25% vs. 0.0%, Fisher’s, p = .003). Individuals who are otherwise at high risk for suicidality have a much lower risk when they experience higher perceived social support (3.31 ± 1.36 vs. 4.96 ± 1.40, t = 4.10, df = 62, p < .001), and they have the view that suicide is somehow unacceptable (1.83 ± .10 vs. 1.89 ± .07, t = 2.76, df = 60, p = .008). Conclusions: Taken together with other studies, these data suggest that the augmentation of protective factors could play a very important role in the prevention of incidental and recurrent suicidal behavior in Arab populations, where suicidal behavior in increasing rapidly.

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What are the risk factors and protective factors of suicidal behavior in adolescents? A systematic review

Journal of Child and Adolescent Psychiatric Nursing ◽

10.1111/jcap.12295 ◽

2020 ◽

Author(s):

Niken A. L. Ati ◽

Mareta D. Paraswati ◽

Heni D. Windarwati

Keyword(s):

Risk Factors ◽

Systematic Review ◽

Protective Factors ◽

Suicidal Behavior

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Suicide and Suicide risk factors: A Literature Review

Asian Journal of Nursing Education and Research ◽

10.52711/2349-2996.2021.00107 ◽

2021 ◽

pp. 441-446

Author(s):

Tushar Kedar

Keyword(s):

Risk Factors ◽

Protective Factors ◽

Suicidal Behavior ◽

Suicide Risk ◽

Suicide Mortality ◽

Low Socioeconomic ◽

Socioeconomic Groups ◽

Suicide Behavior ◽

Surrounding Environment ◽

Developed World

Suicide can be defined as intentional self-inflicted death. It is a serious cause of mortality worldwide. Suicide is considered as a psychiatric emergency and the awareness of the seriousness of suicide in our society should not be overlooked. It is estimated that approximately 1.5% of all deaths worldwide are by suicide in the year 2020. The suicide mortality rate in 2015 was 12% in 100,000, which means about one death every 20 s. Rates of completed suicides are generally higher among men than among women, ranging from 1.5 times as much in the developing world to 3.5 times in the developed world. Suicide is generally most common among those over the age of 70; however, in certain countries, those aged between 15 and 30 are at the highest risk. Suicidal behavior is the second leading cause of death in adolescents in the world. Suicide behavior in adolescents can be prevented by recognizing risk factors and protective factors originating from themselves and the surrounding environment. This study aimed to identify risk factors and protective factors for adolescents who demonstrate suicidal behavior. Prevention programs that target young people, females, and low socioeconomic groups, and aimed to reduce harmful alcohol use can help prevent suicidal behaviours.

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Where is the social in the biopsychosocial model of suicide prevention?

International Journal of Social Psychiatry ◽

10.1177/00207640211027210 ◽

2021 ◽

pp. 002076402110272

Author(s):

José Eduardo Rodríguez-Otero ◽

Xiana Campos-Mouriño ◽

David Meilán-Fernández ◽

Sarai Pintos-Bailón ◽

Graciela Cabo-Escribano

Keyword(s):

Risk Factors ◽

Protective Factors ◽

Suicide Prevention ◽

Suicidal Behavior ◽

Biopsychosocial Model ◽

Risk And Protective Factors ◽

Prevention Strategies ◽

Theoretical Frameworks ◽

Prevention Policies

Background: Each year, around 800,000 people die by suicide. The prevalence of suicidal behaviors is much higher when suicidal attempts and persistent self-injurious ideation are included. Therefore, suicide is a public health concern. Research has been sensitive to this problem, deepening the study of risk factors and the development of theoretical frameworks of suicidal behavior, with the aim of generating effective suicide prevention policies around the biopsychosocial model. Aim: We aimed to explore the role of relational, community, and social factors in current suicide prevention strategies. Method: Studies of risk and protective factors for suicidal behavior and the consequent development of theoretical frameworks were reviewed to verify if this knowledge was really used in suicide prevention policies. Results: Studies of risk and protective factors focus mainly on the individual, while theoretical frameworks emphasize the role of the relational, community, and social. Suicide prevention strategies more closely follow individual models derived from studies of risk factors. Conclusions: Suicide prevention strategies should broaden their individual narrative to include relational, community, and social interventions as anti-suicide measures.

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Factors Related to the Level of Depression and Suicidal Behavior Among Men With Diagnosed Depression, Physically Ill Men, and Healthy Men

Frontiers in Psychiatry ◽

10.3389/fpsyt.2021.644097 ◽

2021 ◽

Vol 12 ◽

Author(s):

Aleksandra Kielan ◽

Mariusz Jaworski ◽

Anna Mosiołek ◽

Jan Chodkiewicz ◽

Łukasz Święcicki ◽

...

Keyword(s):

Risk Factors ◽

Mental Disorders ◽

Social Competence ◽

Protective Factors ◽

Suicidal Behavior ◽

Active Coping ◽

Education Student ◽

Financial Situation ◽

Healthy Men ◽

The Family

Depression is the most common psychiatric disorder in people who die by suicide. Awareness of risk factors for suicide in depression is important for clinicians. The study was aimed at establishing models of factors related to the level of depression and suicidal behavior among men from three different groups—in men with depressive disorder, in comparison to men with physical disorder and healthy men. A total of 598 men were included in the study. The following questionnaires were used in research model: test with sociodemographic variables, AUDIT Test, Fagerström Test, Generalized Self-Efficacy Scale (GSES), Inventory for Measuring Coping with Stress (Mini-COPE), Resilience Evaluation Questionnaire (KOP-26), Suicide Behaviors Questionnaire—Revised (SBQ-R) by Osman, and Gotland Male Depression Scale. In men with depression, the positive factors strongly related to the intensity of depression and suicidal behavior were as follows: vocational education, active coping, turning toward religion, social competence for resilience, and bachelor status. The factors negatively related to the intensity of depression and suicidal behavior in this group were as follows: unemployed status, student status, low satisfaction with the financial situation, having children, history of mental disorders in family, alcohol addiction, and seeking instrumental support. In the group of men with physical disorders, the following protection factors were identified: the medium or small city as a place of living, active coping, venting, and personal competence. The following risk factors were identified in this group: psychiatric treatment in the past. In the group of healthy men, the following protective factors were identified: the medium city as a place of living, positive reappraisal, planning abilities, and personal and social competence for resilience. In this group, the following risk factors were identified: vocational and higher education, student status, satisfaction with the financial situation, having more than one children, the occurrence of mental disorders in the family, the occurrence of alcohol abuse in the family, and use of psychoactive substances as a strategy of dealing with stress. The risk factors identified in this study should be included in the clinical assessment of depression and suicidal behavior risk in male patients. There are some protective factors identified, including productive coping and personal and social competencies, which can be developed and should be especially considered and strengthened in mental health promotion programs aimed at men.

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Risk and protective factors for depressive symptoms and suicidal behavior in the general population

Revista Brasileira de Enfermagem ◽

10.1590/0034-7167-2020-1269 ◽

2021 ◽

Vol 74 (suppl 3) ◽

Author(s):

Giovanna Vallim Jorgetto ◽

João Fernando Marcolan

Keyword(s):

Risk Factors ◽

Depressive Symptoms ◽

Protective Factors ◽

Suicidal Behavior ◽

Family Relationships ◽

Adult Population ◽

Risk And Protective Factors ◽

Perception Of Risk ◽

Emotional Relationships ◽

General Adult Population

ABSTRACT Objective: To analyze the participants’ perception of risk and protective factors for depressive symptoms and their relationship with suicidal behavior in a general adult population. Method: Exploratory-descriptive, qualitative research, using Content Analysis. Interviews with 200 participants over 18 years old, domiciled in Poços de Caldas/MG, between January 2017 and October 2018. Results: Risk factors were sadness, loneliness, problematic family relationships, losses/difficulties in emotional relationships, unemployment/financial difficulties, depressive symptoms, worsening of the feeling of depression, inability to frustration, problems in experiencing spirituality. Protective factors were family, emotional relationships, and spirituality. Suicidal behavior was related to the severity of depression, feelings of hopelessness, psychiatric comorbidities, and unemployment. Final considerations: Perception of risk factors was linked to family problems, sadness, loss of emotional relationships, unemployment, loneliness, and inability to experience frustrations; and the protective ones perceived were family and spirituality. There was a relationship between depressive symptoms and suicidal behavior.

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A Model for Analyzing Suicide Prevention

Crisis ◽

10.1027//0227-5910.21.2.80 ◽

2000 ◽

Vol 21 (2) ◽

pp. 80-89 ◽

Cited By ~ 3

Author(s):

Maila Upanne

Keyword(s):

Risk Factors ◽

Theoretical Model ◽

Protective Factors ◽

Suicide Prevention ◽

Suicide Risk ◽

Practical Work ◽

Individual Risk ◽

Self Assessment ◽

Prevention Project ◽

Individual Risk Factors

This study monitored the evolution of psychologists' (n = 31) conceptions of suicide prevention over the 9-year course of the National Suicide Prevention Project in Finland and assessed the feasibility of the theoretical model for analyzing suicide prevention developed in earlier studies [ Upanne, 1999a , b ]. The study was formulated as a retrospective self-assessment where participants compared their earlier descriptions of suicide prevention with their current views. The changes in conceptions were analyzed and interpreted using both the model and the explanations given by the subjects themselves. The analysis proved the model to be a useful framework for revealing the essential features of prevention. The results showed that the freely-formulated ideas on prevention were more comprehensive than those evolved in practical work. Compared to the earlier findings, the conceptions among the group had shifted toward emphasizing a curative approach and the significance of individual risk factors. In particular, greater priority was focused on the acute suicide risk phase as a preventive target. Nonetheless, the overall structure of prevention ideology remained comprehensive and multifactorial, stressing multistage influencing. Promotive aims (protective factors) also remained part of the prevention paradigm. Practical working experiences enhanced the psychologists' sense of the difficulties of suicide prevention as well as their criticism and feeling of powerlessness.

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Validity of Proxy-Based Reports of Impulsivity and Aggression in Chinese Research on Suicidal Behavior

Crisis ◽

10.1027/0227-5910/a000019 ◽

2010 ◽

Vol 31 (3) ◽

pp. 137-142 ◽

Cited By ~ 17

Author(s):

Jing An ◽

Michael R. Phillips ◽

Kenneth R. Conner

Keyword(s):

Risk Factors ◽

Suicidal Behavior ◽

Rural China ◽

Suicide Attempters ◽

Barratt Impulsiveness Scale ◽

Single Location ◽

Aggression Questionnaire ◽

Community Controls

Background: In studies about the risk factors for suicidal behavior, the assessment of impulsiveness and aggression often depend on information from proxy informants. Aims: To assess the validity of proxy informants’ reports on impulsiveness and aggression in China. Methods: Modified Chinese versions of the Barratt Impulsiveness Scale (BIS-CV) and the Buss-Perry Aggression Questionnaire (AQ-CV) were administered to 131 suicide attempters treated at a hospital in rural China, to coresident relatives about the attempters, to 131 matched community controls, and to coresident relatives about the controls. Results: BIS-CV and AQ-CV total scores and subscale scores were all significantly higher for suicide attempters than for matched controls. Proxy informants considered subjects slightly more impulsive and aggressive than the subjects reported themselves. Subject-proxy concordance for total BIS-CV and AQ-CV scores were excellent for both attempters and controls (ICCs = 0.76–0.83). Concordance for the three BIS-CV subscales was 0.74–0.81 for attempters and 0.74–0.83 for controls. Concordance for the five AQ-CV subscales was 0.66–0.85 for attempters and 0.56–0.82 for controls. Limitations: Results are based on respondents from a single location in rural China. Conclusions: The results support the validity of the BIS-CV and AQ-CV and of research on suicidal behavior in China that uses proxy-based reports of impulsiveness and aggression.

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