Psychological Vulnerability and Substance Abuse as Predictors of Suicide Ideation among Adolescents

1992 ◽  
Vol 24 (1) ◽  
pp. 21-33 ◽  
Author(s):  
Joyce Kirkpatrick-Smith ◽  
Alexander R. Rich ◽  
Ronald Bonner ◽  
Frank Jans
Keyword(s):  
Substance Abuse ◽  
Suicidal Ideation ◽  
Life Stress ◽  
Suicide Ideation ◽  
Self Report ◽  
Criterion Variable ◽  
Reasons For Living ◽  
Alcohol And Drug Use ◽  
Stress Vulnerability ◽  
Vulnerability Model

A stress-vulnerability model of suicidal behavior among college students was proposed by Bonner and Rich [1, 2]. The purpose of the current study was to evaluate and extend this model using a younger adolescent (i.e., high school) sample. A total of 613 students (328 females and 285 males) completed the self-report measures of life stress, depression, hopelessness, reasons for living, loneliness, alcohol and drug use, and suicidal ideation. These factors served as predictor variables in stepwise multiple regressions with suicidal ideation serving as the criterion variable. Four variables emerged as significant predictors of suicidal ideation: depression, hopelessness, few reasons for living, and problem substance use. The linear combination of these variables accounted for 52 percent of the variance in suicide ideation scores. The substance abuse variable accounted for variance in ideation scores independent of the other factors.

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.

scholarly journals Impact of Anger on Suicidal Ideation: Mediating Role of Perceived Emotional Distress in Late Adolescents and Emerging Adults with Psychological Problems

2020 ◽  
Vol 35 (2) ◽  
pp. 295-312
Author(s):  
Soulat Khan ◽  
Tahira Mubashar ◽  
Tanvir Akhtar ◽  
Tayyab Ali Butt
Keyword(s):  
Suicidal Ideation ◽  
Emerging Adults ◽  
Emotional Distress ◽  
Suicide Ideation ◽  
Negative Relationship ◽  
Psychological Problems ◽  
Self Report ◽  
Late Adolescents ◽  
Mediating Role

The present study addresses impact of anger on suicidal ideation with the mediating role of perceived emotional distress in 40 late adolescents and emerging adults (Girls = 24, Boys = 16) with psychological problems. Participants’ aged between 18 to 25 years (M = 21.65, SD = 1.84). The sample was recruited from counseling centers of two public sector universities. Positive and Negative Suicide Ideation Inventory (Osman, Gotierrez, Kropper, Barrios, Chiros, 1998), Perceived Emotional Distress inventory (Moscoso, 2011) and Anger Self-Report (Burney, 2001) were used to assess study variables. Findings indicated that anger and emotional distress had significant positive relationship with suicidal ideation and significant negative relationship with protective thoughts and ideation. Mediation Analysis through Process Macro revealed that perceived emotional distress significantly mediates the relationship between anger and suicidal ideations. No gender differences were found between study variables. The study outcomes highlighted that future strategies for prevention of suicidal ideation must focus on managing emotional distress and anger.

Interoceptive deficits, non-suicidal self-injury, and suicide risk: a multi-sample study of indirect effects

2019 ◽  
Vol 49 (16) ◽  
pp. 2789-2800 ◽  
Author(s):  
Christopher R. Hagan ◽  
Megan L. Rogers ◽  
Amy M. Brausch ◽  
Jennifer J. Muehlenkamp ◽  
Thomas E. Joiner
Keyword(s):  
Suicidal Ideation ◽  
Suicidal Behavior ◽  
Indirect Effect ◽  
Indirect Effects ◽  
Suicide Ideation ◽  
Suicide Attempts ◽  
Pain Tolerance ◽  
Self Report ◽  
Self Injury ◽  
Two Samples

AbstractBackgroundInteroceptive deficits (ID) have been associated with non-suicidal self-injury (NSSI) and suicidal behavior in multiple studies. Many of these studies are limited in scope, and have not fully examined possible mechanisms explaining how ID affect suicidal behavior.MethodsThis study assesses how self-reported ID relate to suicide ideation and attempts in six distinct and geographically diverse samples of adults (n = 2706) and one sample of adolescents (n = 436). Participants responded to a variety of self-report questionnaires and interviews.ResultsContrary to our hypothesis, self-reported ID were only associated with suicidal ideation in two samples, one of which was the adolescent sample. Largely consistent with our predictions, self-reported ID exhibited an indirect effect on suicide attempts through versatility of NSSI in four of the five adult samples tested. Finally, the indirect effects of self-reported ID on suicide attempts through NSSI versatility did not act indirectly through behaviorally assessed pain tolerance.ConclusionsWe found that, in adults, self-reported ID are not associated with suicidal ideation, but are connected with a history of suicide attempts, through an indirect effect via NSSI. Our findings also indicate that the mechanism of action leading from self-reported ID to suicidal behavior may differ between adolescents and adults, and relate to suicidal behavior independent of pain tolerance. Clinical implications and future directions are discussed.

scholarly journals Description of suicide ideation among older adults and a psychological profile: a cross-sectional study in Turkey

2019 ◽  
Vol 24 (5) ◽  
pp. 1865-1874 ◽  
Author(s):  
Murat Aslan ◽  
Cicek Hocaoglu ◽  
Bulent Bahceci
Keyword(s):  
Suicidal Ideation ◽  
Suicide Ideation ◽  
Psychiatric Morbidity ◽  
Depression Scale ◽  
The Elderly ◽  
Elderly Subjects ◽  
Reasons For Living ◽  
Low Level ◽  
Significant Difference ◽  
The Mean

Abstract This study investigates the suicidal ideation and the possible causes for suicidal behaviour in the elderly. Subjects were 150 patients aged 65 and older who were evaluated using the sociodemographic data collection forms, Geriatric Depression Scale (GDS), Suicidal Ideation Scale (SIS), Reasons for Living Inventory (RLI), and Beck Hopelessness Scale (BHS). Of 150 patients, 72.7% were women and 27.3% were men, ages ranged from 65 to 88 years. Suicidal ideation was noted in 30.7% of patients. When the mean of BHS total score between patients with and without suicidal ideation and the mean of BHS subscale’s feelings and expectations regarding the future and loss of motivation and hope in terms of subscales were evaluated between the groups with and without suicidal ideation, the scores had a significant difference. When RLI was evaluated in terms of total scores, the suicidal ideation mean score was 243.74 ± 32.28, while the non-suicidal ideation mean score was 267.27 ± 24.36. There was a significant relationship between the two groups. We found low level of education, low level of reasons for living and higher psychiatric morbidity (generalized anxiety disorder and comorbid depressive disorder) in with suicidal ideation in the elderly.

scholarly journals Prevalence of self-injury, suicidal ideation, plans and attempts in adolescents aged 13 to 19 years of age

2015 ◽  
Vol 125 (1) ◽  
pp. 55-59 ◽  
Author(s):  
Beata Pawłowska ◽  
Emilia Potembska ◽  
Maciej Zygo ◽  
Marcin Olajossy
Keyword(s):  
Substance Abuse ◽  
Suicidal Ideation ◽  
Sexual Violence ◽  
Rural Areas ◽  
Urban Areas ◽  
Suicide Ideation ◽  
Suicide Attempts ◽  
Single Parent ◽  
Self Injury ◽  
The Family

Abstract Introduction. Increased suicide rates, both among adults and adolescents, have been seen in Poland over recent years. Aim. The aim of the study was to determine the prevalence of self-injury, suicide ideation, plans and attempts in adolescents aged 13 to 19 years. Material and methods. The study encompassed the total number of 6883 individuals aged 13 to 19 years, 69% of them being girls and 31% - boys. All respondents lived in Lubelskie Province. The research was conducted using a questionnaire designed by the authors. Results. In the group composed of 6883 adolescents living in Lublin Province, suicide ideation was reported by 47.65% of the respondents, suicide plans by 32.35%, suicide attempts were carried out by 10% of adolescents and self-injury by 24.91% of the respondents aged 13 to 19 years. Conclusions. The greatest prevalence of suicide ideation, plans and attempts, as well as self-injuries, were recorded in the group of adolescents aged 17. The adolescents living in the urban areas are more likely to inflict self-injury than those living in rural areas. Furthermore, adolescents with suicidal tendencies, e.g. attempting suicide and self-injury, are more prone to alcohol and substance abuse. It needs emphasizing that many adolescents with suicidal tendencies, compared against those who did not carry them out, have past experience of psychological, physical and sexual violence in the family, have been raised by a single parent or in families, where one of the parents abused alcohol.

Differences in Suicide Risk Severity Among Suicidal Youth With Anxiety Disorders

Crisis ◽  
2019 ◽  
Vol 40 (5) ◽  
pp. 333-339 ◽  
Author(s):  
Joanna Herres ◽  
Annie Shearer ◽  
Tamar Kodish ◽  
Barunie Kim ◽  
Shirley B. Wang ◽  
...  
Keyword(s):  
Anxiety Disorder ◽  
Suicidal Ideation ◽  
Social Anxiety ◽  
Anxiety Disorders ◽  
Suicide Risk ◽  
Suicide Ideation ◽  
Self Report ◽  
Health Concern ◽  
Future Research ◽  
Major Depressive

Abstract. Background: Adolescent suicidality is a growing public health concern. Although evidence supports a link between anxiety and suicidality, little is known about risk associated with specific anxiety disorders. Aims: This study examined the prevalence of anxiety disorders in a sample of adolescents with depression and suicidal ideation and the associations between specific anxiety disorders and suicide ideation severity and attempt history. Method: The sample consisted of 115 adolescents ( Mage= 14.96 years; 55.8% African American) entering a clinical trial for suicidal ideation and depressive symptoms. Prior to treatment, adolescents completed self-report and interview measures. Results: In all, 48% of the sample met criteria for an anxiety disorder, 22% met criteria for social anxiety disorder (SAD), and 40% met criteria for major depressive disorder (MDD). SAD was uniquely associated with more severe suicidal ideation. Limitations: Findings may not generalize to all suicidal adolescents, and non-measured variables may account for the observed relationships. Conclusion: Future research should examine whether targeting social anxiety would improve treatment response for suicidal adolescents.

scholarly journals Depression and Prostate Cancer: Examining Comorbidity and Male-Specific Symptoms

2018 ◽  
Vol 12 (6) ◽  
pp. 1864-1872 ◽  
Author(s):  
Simon M. Rice ◽  
John L. Oliffe ◽  
Mary T. Kelly ◽  
Prue Cormie ◽  
Suzanne Chambers ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Suicidal Ideation ◽  
Suicide Ideation ◽  
Self Report ◽  
Depression Symptoms ◽  
Patient Health ◽  
Report Data ◽  
Self Report Data ◽  
Male Specific ◽  
Specific Symptoms

Depression in men with prostate cancer is a significant and complex issue that can challenge clinicians’ diagnostic efforts. The objective of the current study was to evaluate prototypic and male-specific depression symptoms and suicidal ideation in men with a diagnosis of prostate cancer relative to those with and without comorbidity. The Patient Health Questionnaire-9 (PHQ-9) and Male Depression Risk Scale-22 (MDRS-22) were completed online along with demographic and background variables by 100 men with a diagnosis of prostate cancer ( n = 54 prostatectomy, n = 33 receiving active treatment). Hierarchical logistic regression was used to examine recent (past 2 weeks) suicide ideation. Over one-third of the sample (38%) reported a comorbidity, and this group had significantly higher total depression scores on the PHQ-9 (Cohen’s d = 0.65), MDRS-22 emotion suppression ( d = 0.35), and drug use subscales ( d = 0.38) compared to respondents without comorbidity. A total of 14% reported recent suicidal ideation, of which 71.4% of cases were identified by the PHQ-9 “moderate” cut-off, and 85.7% of cases were identified by the MDRS-22 “elevated” cut-off. After control variables, MDRS-22 subscales accounted for 45.1% of variance in recent suicidal ideation. While limited by the exclusive use of self-report data, findings point to the potential benefits of evaluating male-specific symptoms as part of depression and suicide risk screening in men with prostate cancer and the need to be mindful of the heightened risk for depression among men with prostate cancer who have comorbidity.

The association of bullying with suicide ideation and attempt among adolescents with different dimensions of sexual orientation

2016 ◽  
Vol 33 (S1) ◽  
pp. S71-S71 ◽  
Author(s):  
R. Montoro ◽  
K. Igartua ◽  
B.D. Thombs
Keyword(s):  
Sexual Orientation ◽  
Suicidal Ideation ◽  
Suicide Ideation ◽  
Suicide Attempts ◽  
Reference Group ◽  
Two Dimensions ◽  
Self Report ◽  
Same Sex ◽  
Sex Attraction ◽  
Increased Risk

IntroductionSexual minority youth are at increased risk for bullying and suicide, but they are heterogeneous in their sexual orientation dimensions (attraction, behavior and identity).ObjectiveTo compare the association of bullying and suicide parameters between (1) heterosexually identified students without same-sex attractions or behaviors (2) heterosexually identified students with same-sex attractions or behaviors and (3) non-heterosexually identified students.MethodsThe Quebec Youth Risk Behavior Survey was a self-report questionnaire given to 1852 students 14–18 years old.ResultsThe heterosexually identified students without same-sex attraction or behavior, and no bullying, was our reference group. When these students had bullying, the likelihood of suicidal ideation was double, but their likelihood of suicide attempts was the same. For non-heterosexually identified students, those with no bullying were twice as likely, and those with bullying were four times as likely to have suicidal ideation. When these students had no bullying, they were not more likely to have suicide attempts, but they were almost three times as likely when they had bullying. Heterosexually identified students with same-sex attraction or behavior were never more likely on any of the suicide measures.ConclusionThis study was the first to show that adolescents with a non-heterosexual identity will have a disproportionately greater likelihood in their suicide parameters when subject to bullying, than heterosexually identified students with or without same-sex attraction or behavior, suggesting that these latter two dimensions were non-contributory to suicide risk. The significance of identity as a predictor of suicidal ideation and behavior will be discussed.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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