scholarly journals Relationship of depersonalization and suicidality in depressed patients

2018 ◽  
Vol 75 (11) ◽  
pp. 1065-1069
Author(s):  
Suzana Tosic-Golubovic ◽  
Olivera Zikic ◽  
Violeta Slavkovic ◽  
Gordana Nikolic ◽  
Maja Simonovic
Keyword(s):  
Suicidal Behaviour ◽  
Protective Factor ◽  
Suicide Ideation ◽  
Suicide Attempts ◽  
Psychiatric Morbidity ◽  
Treatment Procedure ◽  
Depressed Patients ◽  
History Of ◽  
Leading Symptom ◽  
Relationship Of

Background/Aim. Depersonalization is considered to be the third leading symptom in psychiatric morbidity. The aim of this study was to investigate the correlation of depersonalization and different patterns of suicidal behaviour in patients suffering from depresssive disorder. Methods. The study included 119 depressed patients divided into two groups: the first group consisted of depressed patients with clinically manifested depersonalization according to the Cambridge Depresonalisation Scale presented score ? 70, and the second group consisted of the patients whithout clinically manifested depersonalization symptomatology, or, it was on the subsyndromal level. Subsequently, these two groups were compared regarding the suicidality indicators. Results. According to the Scale for Suicide Ideation of Beck, the depressed patients with depersonalization had statistically significantly higher scores regarding suicidal ideation, both active and passive, more often manifested suicidal desire, suicidal planning and overall suicidality (p < 0.000). Positive ideation, as a protective factor, was reduced in this group (p < 0.000). These patients had more previous suicide attempts (p < 0.001) and family history of suicides (p = 0.004). The depressed patients with depersonalization had 8 times more often active suicidal desire, 11 times more often passive suicidal desire and 5 times more often suicidal planning compared to patients without depersonalization. Conclusion. Suicidal potential, manifested in various patterns of suicidal behaviour among the patients suffering from depressive disorder with clinically manifested depersonalization is prominent. It is necessary to pay particular attention to depersonalization level during diagnostic and treatment procedure of the depressed patients having in mind that it may be associated with high suicidal potential.

scholarly journals Repeated Suicide Attempts Among Service Users of An Emergency Service in Northern Colombia: Characteristics, Associated Factors, And Management

2021 ◽  
Vol 30 (2) ◽  
pp. 41-54
Author(s):  
Edith T Aristizabal Diaz-Granados ◽  
Ana M Chamorro Coneo ◽  
Sandra M Rodriguez Acosta
Keyword(s):  
Suicidal Behaviour ◽  
Medical Records ◽  
Associated Factors ◽  
Emergency Service ◽  
Suicide Ideation ◽  
Suicide Attempts ◽  
Service Users ◽  
Outpatient Mental Health ◽  
History Of ◽  
Monitoring Protocols

Suicide has increased close to 60% in the last four decades worldwide. In Colombia, during the year 2019, 10,9% of violent deaths were due to suicide. This study aimed to identify risk factors predicting repeated suicide attempts. It also aimed to describe the management of suicidal behaviour within an emergency department of Northern Colombia. Dataset comprised 336 medical records of individuals seeking medical assistance for intentional selfharm between 2008-2019; 136 medical records were associated with previously reported suicide attempts. Results from a multivariate logistic regression showed that suicide ideation and having a history of psychiatric disorders significantly predicted repeated suicide attempts. Furthermore, repeated attempts were more likely in underaged individuals and young adults. Management of patients engaging in suicidal behaviour involved hospitalization and outpatient mental health services. However, a few patients were sent home with recommendations or were noncompliant. Findings from this study highlight the importance to develop evidence-based screening and monitoring protocols that prevent repeated suicide attempts.   How to cite this article: Aristizabal-Diazgranados, E. T., Chamorro-Coneo, A. M., & Rodriguez-Acosta, S. (2021). Repeated Suicide Attempts Among Service Users of An Emergency Service in Northern Colombia: Characteristics, Associated Factors, And Management. Revista Colombiana de Psicología, 30(2), 41-54. https://doi.org/10.15446/rcp.v30n2.88942

scholarly journals Comportamento Suicidário nos Internos de Psiquiatria em Portugal: Comparação com a Realidade Europeia

2015 ◽  
Vol 28 (5) ◽  
pp. 608
Author(s):  
João Gama Marques ◽  
Alice Roberto ◽  
Cátia Guerra ◽  
Mariana Pinto da Costa ◽  
Anja Podlesek ◽  
...  
Keyword(s):  
Suicidal Ideation ◽  
Suicide Ideation ◽  
Suicide Attempts ◽  
Active Form ◽  
Final Analysis ◽  
Burnout Syndrome ◽  
Completed Suicide ◽  
Anonymous Questionnaire ◽  
Adult Psychiatry ◽  
History Of

<strong>Introduction:</strong> The aim of this paper was to assess the prevalence of suicide ideation and attempts in Portuguese psychiatry trainees (adult and child and adolescence), and compare the data with the general population and other European countries.<br /><strong>Material and Methods:</strong> A structured and anonymous questionnaire was sent by email to 159 portuguese trainees of adult psychiatry and child and adolescence psychiatry with questions about personal history of suicidal ideation and suicide attempts, as well as family history of suicide attempts and completed suicides. This is part of the BoSS Study (Burnout Syndrome Study) performed in 21 countries worldwide. Data was analysed in SPSS v.19.<br /><strong>Results:</strong> From the inquired population, 62 trainees (40,3%) partially responded, and 46 (29%) were complete responders - these entered the final analysis. There was a ratio of 2:1 (female:male) and a mean age of 29 years. The suicidal ideation was present in passive form in 44% and in active form in 33%; also, 4.3% of respondents had previous suicide attempts. In first degree relatives, 22% had attempted suicide and 13% completed suicide.<br /><strong>Discussion:</strong> The results are worriying and may be associated with some factors to which this population is exposed.<br /><strong>Conclusion:</strong> It is necessary further research to better understand this phenomenon, its causes and potential modifiers.

Examining Time Perspective Orientation in Suicide Ideation and Suicide Attempts

2019 ◽  
Vol 38 (8) ◽  
pp. 627-646
Author(s):  
Arezoo Shahnaz ◽  
Boaz Y. Saffer ◽  
E. David Klonsky
Keyword(s):  
Psychological Functioning ◽  
Suicide Risk ◽  
Time Perspective ◽  
Suicide Ideation ◽  
Suicide Attempts ◽  
Time Perspectives ◽  
The Past ◽  
History Of ◽  
Negative Orientation ◽  
Two Measures

Introduction: Time perspective orientation (TPO) refers to the way an individual psychologically and behaviorally connects to temporal concepts of past, present, and future. Previous studies have hypothesized that certain types of time perspectives, such as a negative orientation towards the past, predict negative psychological functioning and outcomes, including suicide risk. The current study examines whether differences in TPOs are linked to suicidal thoughts or suicidal acts using two measures of time perspective. Methods: We recruited a large online U.S.-based sample comprised of three groups: participants with (a) a history of suicide attempts (attempters; n = 107), (b) a history of suicide ideation but no history of attempts (ideators; n = 164), and (c) no history of ideation or attempts (nonsuicidal; n = 194). Results: A Positive Past (d = 0.71) and Negative Past (d = 0.89) orientation yielded large differences between individuals with a history of suicide ideation and nonsuicidal participants, where Positive Past was elevated among nonsuicidal participants and Negative Past among ideators. These differences were not accounted for by depression or anxiety. However, TPO differences between individuals with a history of suicide ideation and individuals with a history of attempts ranged from negligible to small (d range = 0.03—0.33). Discussion: The findings suggest that time perspective may be robustly associated with the development of suicide ideation, but only minimally related to suicide attempts among ideators.

Unemployment and serious suicide attempts

1998 ◽  
Vol 28 (1) ◽  
pp. 209-218 ◽  
Author(s):  
A. L. BEAUTRAIS ◽  
P. R. JOYCE ◽  
R. T. MULDER
Keyword(s):  
Suicide Attempt ◽  
Suicidal Behaviour ◽  
Suicide Attempts ◽  
Psychiatric Morbidity ◽  
Population Attributable Risk ◽  
Community Control ◽  
Large Contribution ◽  
Small Contribution ◽  
Control Subjects ◽  
Correlated Factors

Background. This study used a case–control design to examine the association between unemployment and risk of medically serious suicide attempt.Method. A sample of 302 individuals who made serious suicide attempts was contrasted with 1028 randomly selected community control subjects.Results. Individuals who made serious suicide attempts reported higher rates of current unemployment (OR=4·2) than control subjects. This association was similar for males and females. However, even before adjustment for confounding factors it was evident that exposure to unemployment made only a small contribution to suicide attempt risk. The population attributable risk for exposure to unemployment was 7·3%. After adjustment for antecedent childhood, family and educational factors the association between unemployment and risk of serious suicide attempt was reduced but remained significant (OR=2·1), suggesting that common antecedent factors made a large contribution to risks of both unemployment and serious suicide attempt. When both antecedent family and childhood factors, and psychiatric morbidity were taken into account, unemployment was not significantly related to risks of serious suicide attempt.Conclusion. The results of this study provide support for the contention that much of the association between unemployment and suicidal behaviour is non-causal, and reflects common or correlated factors that contribute to risks of both unemployment and suicidal behaviour. Any remaining association between unemployment and suicide attempt risk appears to arise from the correlation that exists between unemployment and psychiatric disorder.

Victims of bullying in childhood and suicide attempts in adulthood

2011 ◽  
Vol 26 (8) ◽  
pp. 498-503 ◽  
Author(s):  
H. Meltzer ◽  
P. Vostanis ◽  
T. Ford ◽  
P Bebbington ◽  
M.S. Dennis
Keyword(s):  
Suicidal Behaviour ◽  
Suicide Attempts ◽  
Psychiatric Morbidity ◽  
Later Life ◽  
Negative Consequences ◽  
Hopelessness Depression ◽  
Being Bullied ◽  
Random Probability ◽  
The Life Course ◽  
Victims Of Bullying

AbstractPurposeTo examine whether self-reported exposure to bullying during childhood is associated with suicide attempts over the life course, and if so, what mechanisms could account for this relationship.Subjects and methodsA random probability sample comprising 7461 respondents was interviewed for the 2007 survey of psychiatric morbidity of adults in Great Britain. Survey respondents were asked about suicidal attempts and whether they were bullied in childhood.ResultsRecall of being bullied in childhood decreased with age from 25% of 16–24-year-olds to 4% among those 75 or over with few differences in the proportions between men and women. Bullying co-occurred with several victimisation experiences including sexual abuse and severe beatings and with running away from home. Even after controlling for lifetime factors known to increase the risk of suicidal behaviour, adults who reported bullying in childhood were still more than twice as likely as other adults to attempt suicide later in life.DiscussionBeing the victim of bullying involves the experience of suffering a defeat and humiliation that in turn could lead to entrapment, hopelessness, depression and suicidal behaviour.ConclusionsBullying is already known to be associated with substantial distress and other negative consequences and this further evidence of a strong correlation with the risk of suicide in later life should increase further the motivation of society, services and citizens to act decisively to reduce bullying in childhood.

Resilience and attempted suicide in depressed patients

2017 ◽  
Vol 41 (S1) ◽  
pp. s887-s887
Author(s):  
E. Gattoni ◽  
C. Gramaglia ◽  
D. Marangon ◽  
A. Feggi ◽  
C. Delicato ◽  
...  
Keyword(s):  
Coping Strategies ◽  
Clinical Characteristics ◽  
Depressive Disorders ◽  
Attempted Suicide ◽  
Suicide Ideation ◽  
Rating Scale ◽  
Suicide Attempts ◽  
Depressed Patients ◽  
Resilience Scale ◽  
Depressive Episodes

IntroductionAmong the patients, 6.6% with past-year major depressive disorders attempt suicide in their life. Resilience (the ability to respond positively to adversity) and coping strategies (the ability to manage living stresses) may be protective factors against suicide ideation and behavior. A study conducted on 100 abstinent substance dependent patients suggested that suicide attempters had significantly lower resilience scale scores. Other authors demonstrated that intrinsic religiosity, resilience, quality of life were associated with previous suicide attempts in depressed patients.AimTo examine the correlation among resilience, coping strategies and sociodemographic and clinical characteristics in depressed patients.MethodsFrom December 1st 2014 to December 31st 2015 we recruited inpatients and outpatients aged > 18 years with a diagnosis of depression (current or past). At baseline, patients were assessed with Montgomery Asberg Depression Rating Scale, Resilience Scale for Adult and Brief-COping with problems experienced; sociodemographic and clinical characteristics were gathered. Follow-up was conducted after 1 year in order to assess the possible presence of further depressive episodes and suicide attempts. Analysis was performed with SPSS.Results and discussionData collection are still ongoing; results and implications will be discussed. We expect to find higher attempted suicide rates in patients with lower resilience and less coping strategies.Disclosure of interestThe authors have not supplied their declaration of competing interest.

The relationship of aggression to suicidal behavior in depressed patients with a history of alcoholism

2005 ◽  
Vol 30 (6) ◽  
pp. 1144-1153 ◽  
Author(s):  
Leo Sher ◽  
Maria A. Oquendo ◽  
Hanga C. Galfalvy ◽  
Michael F. Grunebaum ◽  
Ainsley K. Burke ◽  
...  
Keyword(s):  
Suicidal Behavior ◽  
Depressed Patients ◽  
History Of ◽  
Relationship Of ◽  
The Relationship

Risk-Taking Propensity, Depression and Parasuicide

1976 ◽  
Vol 10 (3) ◽  
pp. 269-273 ◽  
Author(s):  
Bruce Spittles ◽  
Ken Bragan ◽  
Basil James
Keyword(s):  
Risk Taking ◽  
Suicide Attempts ◽  
Psychological Adaptation ◽  
Psychiatric Unit ◽  
Depressed Patients ◽  
History Of ◽  
The Relationship ◽  
Inpatient Psychiatric Unit

One hundred patients admitted consecutively to an inpatient psychiatric unit were given questionnaires to measure risk-taking propensity and depression. The purpose was to study the relationship between risk-taking, depression, and recent suicide attempts. It was found that depressed patients showed a bimodal clustering towards the extremes of risk-taking. There was a history of suicide attempts only when a certain threshold of risk-taking was exceeded. These findings are discussed with relation to defensive styles of psychological adaptation and to arousal thresholds.

scholarly journals Suicidal behaviour: an epidemiological and genetic study

1998 ◽  
Vol 28 (4) ◽  
pp. 839-855 ◽  
Author(s):  
D. J. STATHAM ◽  
A. C. HEATH ◽  
P. A. F. MADDEN ◽  
K. K. BUCHOLZ ◽  
L. BIERUT ◽  
...  
Keyword(s):  
Suicidal Behaviour ◽  
Suicide Attempts ◽  
Religious Affiliation ◽  
Physical Assault ◽  
Psychiatric History ◽  
Birth Cohorts ◽  
Suicidal Thoughts ◽  
Logistic Regression Models ◽  
Childhood Conduct Problems ◽  
History Of

Background. Psychiatric history, familial history of suicide attempts, and certain traumatic life events are important predictors of suicidal thoughts and behaviour. We examined the epidemiology and genetics of suicidality (i.e. reporting persistent suicidal thoughts or a plan or suicide attempt) in a large community-based sample of MZ and DZ twin pairs.Method. Diagnostic telephone interviews were conducted in 1992–3 with twins from an Australian twin panel first surveyed in 1980–82 (N=5995 respondents). Data were analysed using logistic regression models, taking into account twin pair zygosity and the history of suicidality in the respondent's co-twin.Results. Lifetime prevalence of suicidal thoughts and attempts was remarkably constant across birth cohorts 1930–1964, and across gender. Major psychiatric correlates were history of major depression, panic disorder, social phobia in women, alcohol dependence and childhood conduct problems. Traumatic events involving assault (childhood sexual abuse, rape or physical assault) or status-loss (job loss, loss of property or home, divorce), and the personality trait neuroticism, were also significantly associated with suicide measures. Prevalence of serious suicide attempts varied as a function of religious affiliation. After controlling for these variables, however, history of suicide attempts or persistent thoughts in the respondent's co-twin remained a powerful predictor in MZ pairs (odds ratio=3·9), but was not consistently predictive in DZ pairs. Overall, genetic factors accounted for approximately 45% of the variance in suicidal thoughts and behaviour (95% confidence interval 33–51%).Conclusions. Risk of persistent suicidal thoughts and suicide attempts is determined by a complex interplay of psychiatric history, neuroticism, traumatic life experiences, genetic vulnerability specific for suicidal behaviour and sociocultural risk or protective factors.

Financial Strain, Suicidal Thoughts, and Suicidal Behavior Among US Military Personnel in the National Guard

Crisis ◽  
2019 ◽  
Vol 40 (6) ◽  
pp. 437-445
Author(s):  
Craig J. Bryan ◽  
AnnaBelle O. Bryan
Keyword(s):  
Military Personnel ◽  
Suicide Ideation ◽  
Suicide Attempts ◽  
National Guard ◽  
Self Report ◽  
Financial Strain ◽  
Multiple Indicators ◽  
Lifetime History ◽  
Us Military ◽  
History Of

Abstract. Background: Although financial strain is an identified risk factor for suicide among US military personnel, research is limited regarding the specific dimensions of financial strain that confer the greatest risk. Aims: The present study examined the associations among multiple indicators of financial strain, suicide ideation, and suicide attempts in a sample of US National Guard personnel, a high-risk subgroup of the US military. Method: National Guard personnel from Utah and Idaho ( n = 997) completed an anonymous online self-report survey. Weighted univariate and multivariate logistic regression was used to test hypothesized associations. Results: Lifetime history of suicide ideation was significantly more common among participants reporting recent income decrease, credit problems, and difficulty making ends meet, even when adjusting for other covariates. Lifetime history of suicide attempt was significantly associated with recent foreclosure or loan default, credit problems, and difficulty making ends meet, but only in univariate analyses. Recent credit problems were the only financial strain indicator that significantly predicted a history of suicide attempt among participants with a history of suicide ideation. Limitations: The present study includes self-report methodology and cross-sectional design. Conclusion: Although multiple indicators of financial strain are associated with increased risk for suicidal thinking among National Guard military personnel, credit problems had the strongest association with suicide attempts.

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