scholarly journals Repetitive negative thinking about suicide: Associations with lifetime suicide attempts

2021 ◽  
Vol 3 (3) ◽  
Author(s):  
Tobias Teismann ◽  
Thomas Forkmann ◽  
Johannes Michalak ◽  
Julia Brailovskaia
Keyword(s):  
Suicide Attempt ◽  
Suicidal Behavior ◽  
Suicide Ideation ◽  
Suicide Attempts ◽  
Clinical Sample ◽  
Cross Sectional Study ◽  
Repetitive Negative Thinking ◽  
Cross Sectional ◽  
Suicide Attempters ◽  
Negative Thinking

Background Repetitive negative thinking has been identified as an important predictor of suicide ideation and suicidal behavior. Yet, only few studies have investigated the effect of suicide-specific rumination, i.e., repetitive thinking about death and/or suicide on suicide attempt history. On this background, the present study investigated, whether suicide-specific rumination differentiates between suicide attempters and suicide ideators, is predictive of suicide attempt history and mediates the association between suicide ideation and suicide attempts. Method A total of 257 participants with a history of suicide ideation (55.6% female; Age M = 30.56, Age SD = 11.23, range: 18–73 years) completed online measures on suicidality, general and suicide-specific rumination. Results Suicide-specific rumination differentiated suicide attempters from suicide ideators, predicted suicide attempt status (above age, gender, suicide ideation, general rumination) and fully mediated the association between suicide ideation and lifetime suicide attempts. Conclusion Overall, though limited by the use of a non-clinical sample and a cross-sectional study design, the present results suggest that suicide-specific rumination might be a factor of central relevance in understanding transitions to suicidal behavior.

scholarly journals Socio-demographic profile and psychiatric morbidities of suicide attempters: a cross-sectional observation in a tertiary care hospital of Bangladesh

2020 ◽  
Vol 30 (2) ◽  
pp. 36-40 ◽  
Author(s):  
Jotirmoy Roy ◽  
Md Al Fatah Al Adiluzzaman ◽  
Md Tanvir Hasan ◽  
Dibbya Duty Roy ◽  
MMA Shalahuddin Qusar ◽  
...  
Keyword(s):  
Suicide Attempt ◽  
Psychiatric Disorders ◽  
Suicide Attempts ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
College Hospital ◽  
Cross Sectional ◽  
Suicide Attempters ◽  
Demographic Profile

Suicide is a perplexing phenomenon of taking one’s own life. Reasons behind suicide attempts are also unique. Clinical characteristics of these patients have not been adequately studied from a psychosocial and psychiatric point in Bangladesh. This study was aimed to assess the socio- demographic profile and psychiatric morbidities in suicide attempters. This was a descriptive cross sectional study conducted from May 2017 to September 2017. A total of 101 patients were selected purposively who were admitted following suicide attempt in different departments of Rangpur Medical College Hospital (RMCH). Medical officers in the psychiatry department interviewed them by using a semi-structured questionnaire. Diagnosis was made according to DSM-IV. The results showed that the majority of the respondents were socio-economically deprived young persons. Most (42%) of them were <20 years of age with female (53%) preponderance. Among them 51% were unmarried, 73% were rural dwellers 37% were students and 58% attempts were impulsive. Among the respondents 63% had no prior suicidal thoughts, 56% resorted to poisoning, 49% attempted due to domestic quarrel, 65% suffered from psychiatric disorders where major depressive disorder (18%) was found to be one of the commonest diagnosed disorders. Psychiatric disorders and their co- morbidities are common in suicide attempt patients which calls for implementation of hospital guidelines for routine psychiatric and psychosocial assessments. Bang J Psychiatry December 2016; 30(2): 36-40

scholarly journals Prevalence of Psychiatric Comorbidity among Suicide Attempters

2021 ◽  
Vol 10 (38) ◽  
pp. 3370-3373
Author(s):  
Bhuvana Chandrashekarappa Revappala ◽  
Sridhar Mallanaik ◽  
Vibha Konthanur Vijayakumar ◽  
Suresh Krishnappa Kudumallige ◽  
Sarala Nedige Eshwarappa
Keyword(s):  
Suicide Attempt ◽  
Psychiatric Comorbidity ◽  
Suicide Attempts ◽  
Care Center ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Suicide Attempters ◽  
Common Cause ◽  
Co Morbidity

BACKGROUND Psychiatric illness is the most common cause of suicidal attempt which increases the risk further if left untreated. Suicide attempt is one of the forms of suicidal behaviour, which includes suicide ideas, suicide plans and suicide attempts, as these increase the risk further. The purpose of this study was to assess the prevalence and psychiatric comorbidity among suicide attempters. METHODS In this cross-sectional study, samples were collected from patients visited to outpatient department (OPD)/in-patient department (IPD) at a tertiary care center. A total of 50 sample size of both sex with age group of 18 - 65 years are considered. Severity of suicide attempts was assessed by using suicide risks form scale. RESULTS Depression is found to be the most common cause of suicide attempt among mood disorders followed by anxiety disorders, personality disorders and substance use disorders respectively. CONCLUSIONS Our study proved the presence of psychiatric co-morbidity among suicide attempters. Co-morbidity worsens the suicidal risk further as assessed. KEY WORDS Psychiatric Comorbidity, Suicide Attempts.

scholarly journals A cross sectional study of non-medical use of prescription opioids and suicidal behaviors among adolescents

2021 ◽  
Vol 8 (1) ◽  
Author(s):  
Nate Wright ◽  
Marizen R. Ramirez
Keyword(s):  
Suicide Attempt ◽  
Suicide Ideation ◽  
Suicide Attempts ◽  
Fold Increase ◽  
Cross Sectional Study ◽  
Effect Modification ◽  
Prescription Opioids ◽  
Suicidal Behaviors ◽  
Cross Sectional ◽  
Predicted Risk

Abstract Background Non-medical use of prescription opioids (NMUPO), defined as taking an opioid in a manner or dose other than prescribed, taking someone else’s, or for the feelings that it produces, has been reported by 5 to 20% of adolescents, and is associated with a two fold increase in suicidal behaviors among adolescents. Adolescents with long-term health problems (LTHP) have poorer mental health and may seek NMUPO for pain relief that is not obtained through standard care. For this study, we measured the association between NMUPO and suicidal behaviors, and further assessed effect modification by LTHP hypothesizing the association between NMUPO and suicidal behaviors was stronger for adolescents with LTHP. Findings For students with LTHP, 13.5% reported suicide ideation, while 8.0% of students without LTHP reported suicide ideation. For suicide attempt, 4.4% of students with LTHP reported a suicide attempt, while 2.1% of students without LTHP reported a suicide attempt. The proportion of students who reported suicide ideation and attempts increased with higher occasions of NMUPO. Adjusted logistic regression models found increased odds of suicide ideation (OR (95% CI): 1–5 occasions: 2.3 (2.0–2.6); > 6 occasions: 2.7 (2.2–3.8)) and suicide attempts (OR (95% CI): 1–5 occasions: 3.2 (2.7–3.7); > 6 occasions: 4.1 (3.1–5.3)) for students who reported NMUPO. An interaction term for NMUPO and LTHP was then added to the models. Effect modification was not present on the multiplicative scale. On the additive scale, evidence of effect modification was observed: higher risk was indicated for students with LTHP versus no LTHP for both suicide ideation (Predicted risk (95%CI): > 6 occasions NMUPO, LTHP: 0.24 (0.18–0.29); No LTHP: 0.16 (0.13–0.18)) and attempt (Predicted risk (95%CI): 1–5 occasions NMUPO, LTHP: 0.08 (0.07–0.10); No LTHP: 0.05 (0.05–0.06); > 6 occasions NMUPO, LTHP: 0.11 (0.07–0.15); No LTHP: 0.06 (0.05–0.08)). Conclusions The results affirmed that NMUPO is associated with suicidal behaviors among adolescents. A pattern also emerged of higher risk of suicidal behaviors for those with LTHP who reported NMUPO. Areas of further inquiry should explore chronic medical or pain conditions as possible modifying pathways that could exacerbate the effects of NMUPO on suicidal behaviors specific to an adolescent population.

Suicide Attempters, Suicide Ideators, and Non-Ideators

Crisis ◽  
2019 ◽  
Vol 40 (4) ◽  
pp. 294-297 ◽  
Author(s):  
Tobias Teismann ◽  
Laura Paashaus ◽  
Paula Siegmann ◽  
Peter Nyhuis ◽  
Marcus Wolter ◽  
...  
Keyword(s):  
Mental Health ◽  
Social Support ◽  
Protective Factors ◽  
Suicide Ideation ◽  
Suicide Attempts ◽  
Self Esteem ◽  
Positive Mental Health ◽  
Cross Sectional ◽  
Reasons For Living ◽  
Suicide Attempters

Abstract. Background: Suicide ideation is a prerequisite for suicide attempts. However, the majority of ideators will never act on their thoughts. It is therefore crucial to understand factors that differentiate those who consider suicide from those who make suicide attempts. Aim: Our aim was to investigate the role of protective factors in differentiating non-ideators, suicide ideators, and suicide attempters. Method: Inpatients without suicide ideation ( n = 32) were compared with inpatients with current suicide ideation ( n = 37) and with inpatients with current suicide ideation and a lifetime history of suicide attempts ( n = 26) regarding positive mental health, self-esteem, trust in higher guidance, social support, and reasons for living. Results: Non-ideators reported more positive mental health, social support, reasons for living, and self-esteem than suicide ideators and suicide attempters did. No group differences were found regarding trust in higher guidance. Suicide ideators and suicide attempters did not differ regarding any of the study variables. Limitations: Results stem from a cross-sectional study of suicide attempts; thus, neither directionality nor generalizability to fatal suicide attempts can be determined. Conclusion: Various protective factors are best characterized to distinguish ideators from nonsuicidal inpatients. However, the same variables seem to offer no information about the difference between ideators and attempters.

scholarly journals The Role of Past Suicidal Behavior on Current Suicidality: A Retrospective Study in the Israeli Military

2021 ◽  
Vol 18 (2) ◽  
pp. 649
Author(s):  
Leah Shelef ◽  
Jessica M Rabbany ◽  
Peter M Gutierrez ◽  
Ron Kedem ◽  
Ariel Ben Yehuda ◽  
...  
Keyword(s):  
Suicide Attempt ◽  
Suicidal Behavior ◽  
Military Service ◽  
Suicide Ideation ◽  
Rating Scale ◽  
Suicide Attempts ◽  
Significant Risk ◽  
Significant Risk Factor ◽  
Severity Rating ◽  
Significant Difference

Past suicide attempts are a significant risk factor for future suicidality. Therefore, the present military-based study examined the past suicidal behavior of soldiers who recently made a severe suicide attempt. Our sample consisted of 65 active-duty soldiers (61.5% males), between the ages of 18 and 28 years old (M = 20.4, SD ± 1.3). The inclusion criterion was a recent severe suicide attempt, requiring at least a 24 h hospitalization. This sample was divided into two groups, according to previous suicidal behavior, namely whether their first suicide attempt was before or after enlistment (n = 25; 38.5% and n = 40; 61.5%, respectively). We then examined the lethality and intent of the recent event in regard to this division. Four measures were used to assess the subjects’ suicidal characteristics: the Columbia Suicide Severity Rating Scale, the Self-Harm Behavior Questionnaire, the Suicidal Behaviors Questionnaire-Revised, and the Beck Scale for Suicide Ideation. No significant difference in the severity of the suicide attempts (either actual or potential severity) were found between those who had suicide attempts before enlistment and those who had their first attempt in the service. As a matter of fact, most of the suicide attempts that occurred for the first time during military service had used a violent method (58.3%, n = 21). Finally, using multivariate analyses, we found that current thoughts and behavior, rather than past suicidality, was the strongest predictor for the lethality of suicide attempts.

characteristics of suicidal behavior in a rural population

2017 ◽  
Vol 41 (S1) ◽  
pp. s885-s885
Author(s):  
G.M. Chauca Chauca ◽  
L. Carrión Expósito ◽  
M.J. Jaén Moreno
Keyword(s):  
Suicide Attempt ◽  
Depressive Disorder ◽  
Suicidal Behavior ◽  
Employment Status ◽  
Cross Sectional Study ◽  
World Health ◽  
Cross Sectional ◽  
Competing Interest ◽  
Health Organization ◽  
Behavior Characteristics

IntroductionSuicidal behavior is defined as any behavior of self-harm with intent and knowledge of what is done. Suicide ranks among the 10 leading causes of death in the statistics of the world health organization.ObjectivesThe main objective of the study is to determine the sociodemographic characteristics of patients who have attempted suicide and the characteristics of this behavior.MethodsIt is a descriptive cross-sectional study.ResultsThe sample consisted of 70 patients, with a mean age of 41.17 years, most of them were women (58.5%). In relation to employment status, 31.4% were working, 21.4% unemployed, 14.3% were retired and 32.9% had other employment status. Among the characteristics of suicidal behavior characteristics, mode, forecasting rescue, previous suicidal behavior, previous outpatient follow-up and consumption of toxic evaluated. The most frequent method chosen was the voluntary intake of drugs (77.1%). The 67.1% were diagnosed with depressive disorder followed by personality disorders (20%).ConclusionsIn total there is a predominance of women in achieving some suicidal behavior, as well as a higher percentage among single, divorced or widowed (60%) versus married (40%). Also a higher percentage of patients unemployed, pensioners and others who do not receive income (68.5%) versus the occupationally active (22%). Another condition that must be evaluated in the suicide risk is having previously made a suicide attempt, in our study 54.3%. Since subjects with previous suicide attempt are four times more likely to try again. The results are also consistent with other studies that the most common disorder associated with suicide attempt is depressive disorder (67.1%).Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Are Different Forms of Repetitive Negative Thinking Associated With Interpretation Bias in Generalized Anxiety Disorder and Depression?

2019 ◽  
Vol 7 (5) ◽  
pp. 969-981 ◽  
Author(s):  
Charlotte Krahé ◽  
Jessica Whyte ◽  
Livia Bridge ◽  
Sofia Loizou ◽  
Colette R. Hirsch
Keyword(s):  
Anxiety Disorder ◽  
Generalized Anxiety Disorder ◽  
Cognitive Processing ◽  
Cross Sectional Study ◽  
Interpretation Bias ◽  
Generalized Anxiety ◽  
Repetitive Negative Thinking ◽  
Cross Sectional ◽  
Negative Thinking ◽  
Negative Thought

Worry and rumination, two forms of repetitive negative thinking (RNT), are prevalent in generalized anxiety disorder (GAD) and depression. Cognitive processing biases, especially the tendency to draw negative conclusions from ambiguous information (interpretation bias), may maintain worry and rumination. Yet the relationship between interpretation bias and both forms of RNT has not been explored in clinical versus nonclinical samples. In this cross-sectional study, participants with GAD ( n = 72), depression ( n = 79), or neither disorder ( n = 71) completed two tasks assessing interpretation bias, measures of worry and rumination, and reported negative thought intrusions during a behavioral task. Interpretation bias was associated with higher levels of worry, rumination, and negative thought intrusions. Both clinical groups generated significantly more negative interpretations than healthy comparison participants. These findings link interpretation bias to worry and rumination and establish the need for research investigating the causal role of interpretation bias in maintaining RNT.

Correlates of Suicidal Ideation and/or Behavior in Bariatric-Surgery-Seeking Individuals With Severe Obesity

Crisis ◽  
2012 ◽  
Vol 33 (3) ◽  
pp. 137-143 ◽  
Author(s):  
E. Y. Chen ◽  
K. C. Fettich ◽  
M. S. McCloskey
Keyword(s):  
Bariatric Surgery ◽  
Suicidal Ideation ◽  
Suicide Attempt ◽  
Severe Obesity ◽  
Suicide Attempts ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Related Stigma ◽  
Severely Obese ◽  
And Control

Background: Approximately 10% of severely obese bariatric-surgery-seeking individuals report a lifetime history of suicide attempts, a higher rate than in the general community. Being overweight is associated with weight-related stigma, making an individual more vulnerable to social isolation, a potential risk factor for suicidal ideation and/or behavior. Aims: In this cross-sectional study of surgery-seeking adults with severe obesity, we examined whether weight-related stigma increases (1) the likelihood of suicidal ideation and/or behavior or (2) the degree of loneliness; and whether hypotheses (1) and (2) are supported (3) if loneliness mediates the effect of weight-related stigma on suicidal ideation and/or behavior. Methods: Online questionnaires were administered to 301 women and 95 men seeking bariatric surgery. Results: Approximately 30.3% reported having at least a passing thought of suicide, and 5.55% a suicide attempt during their lifetime. The suicide attempt rate appears lower than other bariatric surgery samples, but possibly higher than community and other surgery sample rates. For severely obese surgery-seeking women, weight-related stigma was associated with suicidal ideation and/or behavior, though this was not mediated by loneliness. Conclusions: Future studies are needed to model and compare suicidal ideation and/or behavior in bariatric-surgery-seeking individuals and control groups.

Hundred psychiatric outpatients presented with attempted suicide

1970 ◽  
Vol 9 (3) ◽  
pp. 162-167 ◽  
Author(s):  
N Sapkota ◽  
AK Pandey ◽  
PM Shyangwa ◽  
DR Shakya ◽  
DK Thapa
Keyword(s):  
Rural Areas ◽  
Attempted Suicide ◽  
Suicide Attempts ◽  
Interpersonal Conflict ◽  
The United States ◽  
Cross Sectional Study ◽  
Demographic Variables ◽  
Health Concern ◽  
Cross Sectional ◽  
Suicide Attempters

Introduction: Suicide is a major public health concern and it is one of the commonest Psychiatric emergencies. Suicide rates are increasing and have become a global concern with more than 600,000 suicidal attempts every year in the United States, alone. There is no national data available for Nepal. This hospital based study may help in understanding about the cause and methods of suicide attempts. Objective: The aim of the present study was to assess the (i) methods and precipitating cause for attempted suicide (ii) to study the relationship between major socio-demographic variables and attempted suicide. This study may be helpful in formulating suicide prevention strategies at different levels. Methods: Cross-sectional study in a tertiary level hospital. Consecutive 100 cases of attempted suicide coming in contact to an investigating team were evaluated for methods opted for attempting suicide and underlying cause was explored. Demographic variables were recorded and analysed. Results: Majority of the suicide attempters (67%) were less than 35 years of age, and female outnumbered male. Sixty one percent of the subject belonged to rural background. Out of 100 suicide attempters 40% of them have completed SLC and majority of them were students. Fifty-four percent of the sample consumed pesticides and 25% of the cases used highly lethal means. Majority of the persons (58%) had psychiatric co morbidities in which depression was the commonest. Interpersonal conflict accounted for 18% of the cases followed by marital problems (13%) as triggering factors of attempted suicide. Conclusion: Majority of the suicide attempters were young and having psychiatric disorders. Most of the attempters were from rural areas. Keywords: Attempted suicide; psychiatric co morbidities; Interpersonal conflict. DOI: http://dx.doi.org/10.3126/hren.v9i3.5584   HR 2011; 9(3): 162-167

Personality Traits, Psychological Needs, and Social Support Among Suicide Attempters

2020 ◽  
pp. 003022282092101
Author(s):  
Sala Khosravi ◽  
Amir Jalali ◽  
Rostam Jalali ◽  
Nader Salari ◽  
Mostafa Alikhani
Keyword(s):  
Social Support ◽  
Personality Traits ◽  
Suicide Attempts ◽  
Perceived Social Support ◽  
Psychological Needs ◽  
Cross Sectional Study ◽  
Basic Psychological Needs ◽  
Satisfaction Scale ◽  
Cross Sectional ◽  
Suicide Attempters

Suicide is a self-destructive behavior and social support can be of utmost importance in preventing it. The aim of this study is to determine the relationship between personality traits, psychological needs, and perceived social support in individuals with self-harm behaviors in 2017. This study was performed as a cross-sectional study with participation of 115 suicide attempters by poisoning selected via convenience sampling method. The NEO Personality Inventory, the Basic Needs Satisfaction Scale, and the Social Support Questionnaire were used to collect the required data, which were then analyzed using SPSS Statistics. The findings revealed a significant relationship between personality traits, psychological needs, and perceived social support in suicide attempters by intentional poisoning. Some of the personality traits, perceived social support status, and satisfaction with basic psychological needs were important risk factors affecting suicide attempts by intentional poisoning.

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