scholarly journals Pre-pandemic suicidal ideation and preventive behavior during COVID-19: A prospective cohort study

2021 ◽  
Author(s):  
Hajime Sueki ◽  
Michiko Ueda

Background: Cross-sectional studies have shown associations between suicide risk factors and COVID-19 preventive behaviors. Aims: We investigated the impact of suicidal ideation on COVID-19 preventive behaviors to augment literature focused on suicide risk factors and COVID-19 preventive health measures. Significant findings may reveal factors that explain dangerous behavior and inspire policy to mitigate negative health outcomes. Method: This study used a prospective observational longitudinal design (n = 6683). A baseline survey (January 24, 2020 = before COVID-19 pandemic, T1) and a follow-up survey (between April 27 and April 30, 2020 = during COVID-19 pandemic, T2) were conducted among the general adult population in Japan. Results: Adjusted for demographic and socioeconomic factors, high suicidal ideation at T1 was associated with significantly low levels of engagement in COVID-19 preventive behaviors at T2. Limitations: As this was an Internet survey and contained selection bias, the sample may not be representative of the general population in Japan. Pandemic severity may impact results in other geographies, reducing the applicability of study findings. Conclusion: Individuals with strong suicidal ideation before the pandemic were less likely to engage in COVID-19 preventive behaviors. These individuals are at risk not only for suicide but also for infectious disease.

2015 ◽  
Vol 46 (3) ◽  
pp. 284-292 ◽  
Author(s):  
Peter M. Gutierrez ◽  
Collin L. Davidson ◽  
Ariel H. Friese ◽  
Jeri E. Forster

Crisis ◽  
2019 ◽  
Vol 40 (1) ◽  
pp. 7-14 ◽  
Author(s):  
Benedikt Till ◽  
Michael Fraissler ◽  
Martin Voracek ◽  
Ulrich S. Tran ◽  
Thomas Niederkrotenthaler

Abstract. Background: For several decades, the question of whether personal suicidality is reflected in individual music preferences has been the subject of debate in suicide research. Despite many studies investigating the relationship between music use and suicidal behavior, it is still unclear whether suicide risk is reflected in individual music preferences. Aims: The present study aimed to assess whether music preferences are reflected in suicide risk factors. Method: We assessed suicidal ideation, depression, and hopelessness among 943 participants in a cross-sectional online survey. Participants provided up to five examples of their favorite music. We conducted a content analysis and coded all reported songs as suicide-related, coping-related, or unrelated to suicide. Results: Multivariate analyses controlling for gender, age, education level, and amount of daily music use indicated associations of preferences for suicide-related songs with suicidal ideation and depression. Limitations: Limitations of the present study include the use of a convenience sample and a cross-sectional design, the small number of participants with preferences for coping-related songs, and the relatively small effect size of the associations found. Conclusion: Music preferences appear to reflect suicide risk factors, with individuals who prefer suicide-related songs scoring higher in terms of suicidal ideation and depression.


Crisis ◽  
2021 ◽  
Author(s):  
Hajime Sueki ◽  
Michiko Ueda

Abstract. Background: Few studies have examined the effect of pandemics on suicide-related outcomes. Aims: We examined whether suicidal ideation levels among the general population changed owing to the COVID-19 pandemic by tracking individuals between January and April 2020. Method: We used a prospective observational longitudinal design ( n = 6,683) and stratified sampling to conduct online surveys of the general adult population in Japan before (baseline) and during the pandemic (follow-up). Results: Suicidal ideation levels were significantly lower during than before the pandemic; however, the effect size was very small. Participants who were younger, with unstable employment, without children, with low income, and receiving psychiatric care were more likely to have higher suicidal ideation levels during the pandemic. Limitations: Because this was an Internet survey and subject to selection bias, the sample was not necessarily representative of the Japanese population. At the time of the survey, COVID-19 cases and deaths in Japan were relatively lower than in other developed countries. The dropout rate may have affected the results. Conclusion: Although the short-term impact of the COVID-19 pandemic on suicidal ideation is limited, relatively young and economically vulnerable individuals are more likely to show exacerbated suicidal ideation during the pandemic.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Sean M. Mitchell ◽  
Nikki L. La Rosa ◽  
Julianne Cary ◽  
Sarah Sparks

Purpose This paper mains to bring attention to the potential impact COVID-19 could have on suicide risk among individuals who are incarcerated and those reentering the community after incarceration (i.e. reentry), with particular emphasis on the USA, as well as provide possible solutions to mitigate suicide risk. Design/methodology/approach This paper provides an overview of the association between the COVID-19 pandemic policies and suicide, the vulnerabilities specific to prisoners during the COVID-19 pandemic, relevant suicide risk factors among prisoners, the possible impact of COVID-19 on suicide risk during reentry and proposed solutions for moving forward to mitigate both risks for COVID-19 and suicide. Findings This paper highlights that prisoners and individuals reentering the community are particularly vulnerable to COVID-19 and suicide risk and COVID-19-related stressors may further exacerbate known suicide risk factors (e.g. psychiatric symptoms, lack of positive social ties, low feelings of belonging, feelings of burden, economic problems) and suicidal thoughts and behaviors. This paper also discusses barriers (e.g. lack of funds, access to health and mental health care, COVID-19 testing and personal protective equipment) to managing COVID-19 and suicide risk within prisons and during reentry. Originality/value This paper provides a review of scalable solutions that could mitigate the impact of COVID-19 and suicide risk during this pandemic among prisoners and those reentering the community, such as psychoeducation, self-help stress management, telehealth services, increased access and reduced cost of phone calls, reduced or eliminated cost of soap and sanitization supplies in prisons and early release programs.


Crisis ◽  
2020 ◽  
pp. 1-7
Author(s):  
Emilie H. Picard ◽  
Barry Rosenfeld

Abstract. Background: The literature has focused on explicit communications of suicidal ideation, although such communications are infrequent and less overt symptoms are comparable indicators of suicide risk. Aims: Our aim was to understand how clinicians consider inexplicit suicide risk factors in assessments of risk. Method: A national sample of 75 psychiatric crisis clinicians were provided with three vignettes, which varied in nine variables related to suicide risk. Clinicians rated imminent suicide risk and identified an appropriate level of care for each hypothetical patient. Results: Prior suicide attempt, intent to die, presence of a suicide plan, desire to die, hopelessness, burdensomeness, and passive suicidal ideation (defined as a combination of hopelessness, burdensomeness, desire to die, and anhedonia) significantly impacted risk perception while depression and anhedonia did not. Level of care was significantly associated with passive suicidal ideation, suicide plan, desire to die, and hopelessness. Limitations: Limitations of the study include its small sample size, experienced clinicians, and reliance on hypothetical patients. The study design did not allow for all variables to be compared against one another. Conclusion: Clinicians considered less overt risk factors for suicide when assessing risk. Future research should examine whether this knowledge is applied in real-life scenarios and if less experienced clinicians equally consider these risk factors.


Crisis ◽  
2014 ◽  
Vol 35 (3) ◽  
pp. 193-201 ◽  
Author(s):  
Ciska Wittouck ◽  
Sara Van Autreve ◽  
Gwendolyn Portzky ◽  
Kees van Heeringen

Background: Bereavement following suicide is associated with an increased vulnerability for depression, complicated grief, suicidal ideation, and suicide. There is, however, a paucity of studies of the effects of interventions in suicide survivors. Aims: This study therefore examined the effects of a cognitive behavioral therapy (CBT)-based psychoeducational intervention on depression, complicated grief, and suicide risk factors in suicide survivors. Method: In total, 83 suicide survivors were randomized to the intervention or the control condition in a cluster randomized controlled trial. Primary outcome measures included maladaptive grief reactions, depression, suicidal ideation, and hopelessness. Secondary outcome measures included grief-related cognitions and coping styles. Results: There was no significant effect of the intervention on the outcome measures. However, the intensity of symptoms of grief, depressive symptoms, and passive coping styles decreased significantly in the intervention group but not in the control group. Conclusion: The CBT-based psychoeducational intervention has no significant effect on the development of complicated grief reactions, depression, and suicide risk factors among suicide survivors. The intervention may, however, serve as supportive counseling for suicide survivors.


Crisis ◽  
2017 ◽  
Vol 38 (1) ◽  
pp. 7-16 ◽  
Author(s):  
Benedikt Till ◽  
Ulrich S. Tran ◽  
Thomas Niederkrotenthaler

Abstract. Background: Previous studies suggest that troubled romantic relationships are associated with higher risk factors for mental health. However, studies examining the role of relationship satisfaction in suicide risk factors are scarce. Aims: We investigated differences in risk factors for suicide between individuals with high relationship satisfaction, individuals with low relationship satisfaction, and singles. Furthermore, we explored patterns of experiencing, and dealing with, conflicts in the relationship and examined associations with suicide risk factors. Method: In this cross-sectional study, we assessed relationship status, relationship satisfaction, specific types of relationship conflicts, and suicide risk factors (i.e., suicidal ideation, hopelessness, depression) with questionnaires among 382 individuals in Austria. Results: Risk factors for suicide were higher among singles than among individuals in happy relationships, but lower among those with low relationship satisfaction. Participants reporting a high number of unsolved conflicts in their relationship had higher levels of suicidal ideation, hopelessness, and depression than individuals who tend to solve issues with their partner amicably or report no conflicts. Conclusion: Relationship satisfaction and relationship conflicts reflect risk factors for suicide, with higher levels of suicidal ideation, hopelessness, and depression reported by individuals who mentioned unsolved conflicts with their partner and experienced low satisfaction with their relationship.


Sign in / Sign up

Export Citation Format

Share Document