scholarly journals Suicidal ideation, plans, and attempts and the use of psychoactive substances by adolescents

2022 ◽  
Vol 0 (0) ◽  
Author(s):  
Beata Pawłowska ◽  
Jolanta Szymańska

Abstract Introduction: Suicidal behavior and substance abuse constitute a serious public health problem. Aim: The study was to analyze the relationships between suicidal behaviors (ideation, plans, attempts) and substance abuse in adolescents. The authors also took into account the respondents’ motivation to attempt suicide and use psychoactive substances, as well as some demographic variables. Participants: The study involved 3493 secondary school students aged 16-17 years. The group included 69.41% girls and 30.59% boys. Methods: The participants were surveyed with a self-report questionnaire designed by one of the authors. Results: Statistically significant relationships were found between the respondents’ suicidal behaviors and the risky use of alcohol, cannabis, amphetamine, and designer drugs. Conclusions: 1. The use of psychoactive substances increases the risk of suicidal ideation and plans, as well as suicidal attempts in adolescents and young adults. 2. Significantly more respondents who report suicidal ideation, plans and attempts, in comparison to those who do not report such thoughts and behaviours, abuse alcohol and consumer cannabis, amphetamine and designer drugs to cope with problems and olster self-confidence. 3. In the group of respondents who report suicidal behaviour, psychoactive substances are consumed by significantly more men than women and by significantly more city inhabitants than people living in the country. 4. Young people, who report suicidal thoughts, plans, and attempts, are initiated into alcohol consumption at an earlier age than their non-suicidal peers.

Crisis ◽  
1999 ◽  
Vol 20 (1) ◽  
pp. 28-35 ◽  
Author(s):  
Annie Mino ◽  
Arnaud Bousquet ◽  
Barbara Broers

The high mortality rate among drug users, which is partly due to the HIV epidemic and partly due to drug-related accidental deaths and suicides, presents a major public health problem. Knowing more about prevalence, incidence, and risk factors is important for the development of rational preventive and therapeutic programs. This article attempts to give an overview of studies of the relations between substance abuse, suicidal ideation, suicide, and drug-related death. Research in this field is hampered by the absence of clear definitions, and results of studies are rarely comparable. There is, however, consensus about suicidal ideation being a risk factor for suicide attempts and suicide. Suicidal ideation is also a predictor of suicide, especially among drug users. It is correlated with an absence of family support, with the severity of the psychosocial dysfunctioning, and with multi-drug abuse, but also with requests for treatment. Every clinical examination of a drug user, not only of those who are depressed, should address the possible presence of suicidal ideation, as well as its intensity and duration.


2020 ◽  
pp. 074193252094120
Author(s):  
Anjali J. Forber-Pratt ◽  
Gabriel J. Merrin ◽  
Dorothy L. Espelage

This study explored the intersections of disability, race, sexual orientation, and gender on peer victimization, suicidal ideation, and school connectedness. Participants were 11,353 high school students aged 14 to 18 years ( MD =15.88, SD = 1.20). Of these individuals, 1,640 students self-identified as either having an Individualized Education Program (IEP) or as having a disability. Students completed online self-report measures. Results indicated that having a disability or identifying as lesbian, gay, bisexual, or questioning (LGBQ) was associated with higher odds of suicidal ideation, higher levels of peer victimization, and lower levels of school connectedness across several racial categories. Moderation analyses examined the intersection of various identities. Findings indicate that differences exist among the intersection of disability, race, sexual orientation, and gender identities in relation to the outcomes of interest.


2020 ◽  
pp. 1-7
Author(s):  
Mira Lutzman ◽  
Eliane Sommerfeld ◽  
Sarah Ben-David

Abstract Objectives: Suicide in the elderly is a complex and significant public health problem. The purpose of our study was to examine the role of loneliness and social integration as potential mediators in the relationship between physical pain and suicidal ideation in the elderly. Design: Descriptive, bivariate correlations, and moderated mediation analyses were performed. Setting: Personal meetings were held with participants in their homes. Participants: A total of 198 elderly men aged 65 and over. Measurements: Self-report measures: Beck Scale for Suicidal Ideation, Physical pain subscale, Multidimensional Social Integration in Later Life Scale, and University of California, Los Angeles (UCLA) Loneliness Scale (Version 3). Results: Our findings showed that the association between physical pain and suicidal ideation was mediated by loneliness and social integration. Further analyses revealed that this mediation model was significant among single, but not married, men. Conclusions: Physical pain and social factors are both important in understanding suicidality in late life. Elderly single men who experience physical pain may be lonelier and less socially integrated, and these factors may contribute to higher risk of suicidal ideation.


2021 ◽  
Vol 9 ◽  
Author(s):  
Claudia Carmassi ◽  
Carlo Antonio Bertelloni ◽  
Valerio Dell'Oste ◽  
Chiara Luperini ◽  
Donatella Marazziti ◽  
...  

Background: Post-traumatic stress disorder (PTSD) is one of the most frequent and severe psychiatric consequences of natural disasters, frequently associated with suicidality. The aim of this study was at examining the possible relationships between suicidal behaviors and full-blown or partial PTSD, in a sample of young earthquake survivors. The second aim was at investigating the specific role of PTSD symptoms on suicidality.Methods: A total of 475 young adults who survived the L'Aquila 2009 earthquake, one of the most severe Italian disasters of the last decades, were recruited and assessed after 21 months from the catastrophe. Participants were evaluated by two questionnaires assessing subthreshold psychopathology, the Trauma and Loss Spectrum Self-Report (TALS-SR) to investigate both full and partial PTSD, and two specific Mood Spectrum Self-Report (MOODS-SR) sub-domains exploring suicidality, namely suicidal ideation and suicide attempts.Results: The ensuing findings showed that suicidal ideation and suicide attempts were present, respectively, in 40 (8.4%) and 11 (2.3%) survivors. Rates of suicidal ideation were significantly more elevated in full-blown PTSD subjects (group 1), as compared with those suffering from partial (group 2) or no PTSD (group 3). Interestingly, group 2 subjects showed significantly more suicidal ideation than healthy individuals, and less than those of group 1, while the frequency of suicide attempts was similar across the three groups. Suicidal ideation was associated with higher scores in the following TALS-SR domains: grief-reactions, re-experiencing, avoidance and numbing, maladaptive coping, and personal characteristics/risk factor.Conclusions: The results of the present study support and extend previous findings on the role of PTSD symptoms in suicidality after a severe earthquake. However, as compared with available literature, they also highlight the significant impact of sub-threshold PTSD manifestations in increasing the suicide risk in survivors of a mass disaster.


Crisis ◽  
2020 ◽  
pp. 1-9
Author(s):  
R. Andrew Yockey ◽  
Keith King ◽  
Rebecca Vidourek

Abstract. Background: Suicide remains a major public health problem in the United States. The purpose of this study was to examine trends in suicide ideation, planning, and attempts among a national sample of US adults. Method: We used aggregated 2015–2018 data from the National Survey Drug Use and Health Survey. We utilized demographic and substance use questions with each suicide behavior. We assessed weighted absolute and relative changes in a national sample of 7,654 adults. Results: Results revealed that from 2015 to 2018, there was a 16.0% increase in suicide ideation, 18.6% increase in suicide planning, and 11.6% increase in suicide attempts. Significant increases in each behavior were found in African Americans, younger adults, sexual minorities, and individuals who reported past-year drug use. Limitations: Limitations include self-report of suicidal behaviors and desirability of answers. Conclusion: We believe our findings can inform harm reduction efforts and health messages surrounding suicide prevention.


1992 ◽  
Vol 24 (1) ◽  
pp. 21-33 ◽  
Author(s):  
Joyce Kirkpatrick-Smith ◽  
Alexander R. Rich ◽  
Ronald Bonner ◽  
Frank Jans

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.


1998 ◽  
Vol 15 (1) ◽  
pp. 45-61 ◽  
Author(s):  
Ken Rigby

AbstractBully-victim problems at school may have negative effects on students' mental health. Adolescents (N = 845) attending schools in South Australia anonymously answered questionnaires that included a measure of suicidal ideation. Student involvement in bully-victim problems at school and the emotional reaction to being viaimised by peers were also examined. Self-report but not peer nomination indicated that high levels of peer victimisation and relatively ineffective coping responses were independently and significantly associated with suicidal ideation. Implications for school policies and practices to address the issue of youth suicide are discussed.


Author(s):  
Jeoung Mi Kim

Purpose: This study developed and examined a structural model and influencing factors of suicidal ideation by path analysis of family violence exposure, school violence exposure, anger, aggression, depression, hopelessness, and ego resilience among adolescents. Methods: A hypothetical model was constructed on the basis of general strain theory developed by Agnew, as well as a review of studies in the literature related to suicidal ideation in adolescents in terms of violence exposure. The subjects were 1150 middle school students located in P city and K province. The model included 8 concepts and 24 paths. Data were collected using self-report questionnaires from September 2 to 20, 2013, and analyzed using the IBM SPSS and AMOS 21.0 programs. Results: Family violence exposure, school violence exposure, anger, depression, hopelessness, and ego resilience showed a direct effect, while aggression showed an indirect effect on suicidal ideation in adolescents. These factors accounted for 45% of the variance of suicidal ideation in middle school students in terms of violence exposure. Conclusions: The results suggest that suicidal ideation of adolescents who are exposed to violence could be decreased by increasing ego resilience and reducing family violence exposure. It is necessary to develop an intervention strategy to prevent suicidal ideation.


Author(s):  
Grazia Maria Giovanna Pastorino ◽  
◽  
Francesca Felicia Operto ◽  
Roberto Buonaiuto ◽  
Giuseppe Diaspro ◽  
...  

Objective: The aim of our observational study was to evaluate depressive symptoms in adolescent population, focusing on suicidal ideation and intentionality, and to establish the relationship between depressive symptoms/self-harm and the average time spent in social media. Methods: Our study was an observational cross-sectional study that involved three Middle Schools and three High Schools in the Campania region of Italy. One thousand three hundred sixty-five students 11-19 years of age were recruited (mean age=15 years; female=51%, male=49%). Percentage of adhesion was 95%. All the subjects were administered three self-report questionnaires, filled out anonymously and in the presence of the teachers after illustrating their validity and purpose. Results: In 23% females and 18% males, depressive symptoms were above the norm, with a slight increase in the prevalence of depressive symptoms in high school students compared to middle school ones. Suicidal intentionality was expressed in 4% of the total sample, with no differences between males and females. Suicidal ideation was present in 14% of the total sample, with a higher prevalence in females than in males (17% vs 10%). We found a significant positive relationship between the depressive symptoms and the hours spent on Social Media, in both males and females. A significant relationship was also found between hours on Social Media and suicidal ideation/intentionality. Conclusions: Our study showed a high prevalence of depressive symptoms in adolescents, in keeping with previous studies. Our study also showed a significant association between the use of social networks and the development of depressive symptoms, as well as suicidal ideation and intentionality. Further studies are needed to investigate the nature of this relationship.


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