Prediction of Violence, Suicide Behaviors and Suicide Ideation in a Sample of Institutionalized Offenders With Schizophrenia and Other Psychosis

This study aimed to test three different suicide models for adolescents residing in a Turkish City, Batman. A total of 605 adolescents from five different high schools participated in this study (M=411, F=190, sex of 4 participants not recorded). A Psychosocial Variables Form (developed for this study), the Offer Self-Image Questionnaire (Offer, Ostrov, Howard, & Dolan, 1989, adapted by Sahin 1993), the Adolescence Life Events Questionnaire (Kapci & Terzi-Unsal, 2001), the Piers-Harris Self-Worth Scale for Children (Harris & Piers, 1969, adapted by Catakli & Oner, 1996), the Suicide Behaviors Questionnaire (Linehan & Nielsen, 1981, adapted by Bayam, Dilbaz, Bitlis, Holat, & Tuzer, 1995), the Beck Hopelessness Scale (Beck, Weissman, Lester, & Trexler, 1974, adapted by Durak, 1994), the Suicide Ideation Questionnaire (Dilbaz, Holat, Bayam, Tuzer, & Bitlis, 1995), the Brief Symptom Inventory (Derogatis, 1992, adapted by Sabin & Durak, 1994) and the Multidimensional Scale for Perceived Social Support (Zimmet, Dahlen, Zimmet, & Farley, 1998, adapted by Eker & Arkar, 1995) were utilized. The data were analyzed by using Structural Equation Modeling. The findings suggest that adolescent life events, psychosocial variables, social support and self-image are secondary risk factors for adolescent suicides, predicting self-worth, psychological health and hopelessness. These variables, in turn, predicted suicide ideation – identified as a primary risk factor – that predicted suicide behaviors. The results are discussed in the context of primary-secondary risk factors for adolescent suicides.

Download Full-text

Associations between Suicide Behaviors and Religiosity in Young Adults

American Journal of Health Studies ◽

10.47779/ajhs.2020.259 ◽

2021 ◽

Vol 35 (4) ◽

Author(s):

Shannon Gwin ◽

Paul Branscum ◽

E. Laurette Taylor ◽

Marshall Cheney ◽

Sarah B. Maness ◽

...

Keyword(s):

Mental Health ◽

Young Adults ◽

Online Survey ◽

Suicide Ideation ◽

Health Interventions ◽

Inverse Association ◽

Parental Relationships ◽

Mental Health Interventions ◽

Southwestern State ◽

Suicide Behaviors

The purpose of this study was to examine associations between suicide ideation, parental relation- ships, and religiosity among young adults. An online survey was administered to students (n=775) from colleges and universities in a southwestern state measuring suicide ideation, protective assets of parental relationships, and religiosity beliefs. Odds ratios analysis revealed a significant inverse association between religiosity and suicide ideation. Overall, higher rates religiosity appears to be associated with lower bouts of suicide ideation in the last 12 months. Addition of religious/spirituality-oriented tools may be important to incorporate in mental health interventions for those young adults that report having greater religiosity.

Download Full-text

Dimensionality of Suicide Behaviors: Results within Two Samples from Two Different Countries

OMEGA - Journal of Death and Dying ◽

10.1177/0030222819882849 ◽

2019 ◽

pp. 003022281988284 ◽

Cited By ~ 1

Author(s):

Rui C. Campos ◽

Ronald R. Holden ◽

Joana Spínola ◽

Diandra Marques ◽

Christine E. Lambert

Keyword(s):

Suicide Ideation ◽

Life Time ◽

Three Dimensions ◽

Thwarted Belongingness ◽

One Dimensional ◽

Acquired Capability ◽

Psychological Risk Factors ◽

Two Samples ◽

Psychological Risk ◽

Suicide Behaviors

Across two countries and two languages, this research examined the multidimensional associations of suicide behaviors (i.e., life-time attempts, life-time communication of intent to others, life-time self-harming, life-time suicide notes, and current suicide ideation) and empirically relevant psychological risk factors (i.e., different facets of mental pain, perceived burdensomeness, thwarted belongingness, and acquired capability), controlling for depressive symptoms. For the Portuguese sample, two underlying dimensions emerged: an ideation dimension and a behavioral dimension, and for the Canadian sample, three dimensions emerged: an ideation dimension and two behavioral dimensions that can be viewed as a splitting of the Portuguese second dimension. Results highlight possible cultural differences between the two countries and that suicide behaviors should be viewed as a multidimensional phenomenon not as a one-dimensional continuum.

Download Full-text

Cigarette Smoking and Suicidal Behaviors in Colombian High-School Students

Journal of Drug Issues ◽

10.1177/00220426211007090 ◽

2021 ◽

pp. 002204262110070

Author(s):

Adalberto Campo-Arias ◽

Carmen Cecilia Caballero-Domínguez ◽

Yuli Paola Suárez-Colorado

Keyword(s):

High School ◽

High School Students ◽

Cigarette Smoking ◽

Suicide Ideation ◽

Cross Sectional Study ◽

School Students ◽

Cross Sectional ◽

Confounding Variables ◽

Suicide Behaviors ◽

Suicide Plan

The study aimed to quantify the association between last-month cigarette smoking and lifetime suicide behaviors in high-school students at Santa Marta, Colombia. A cross-sectional study was designed in which high-school students participated. They were asked about last-month cigarette smoking and lifetime suicide behaviors (suicide ideation, plan, and attempt). Crude odds ratios (ORs) were calculated and adjusted for confounding variables. A total of 1,462 students participated and they were between 13 and 17 ( M = 14.4, SD = 0.8) years, and 60.3% girls. The last-month prevalence of cigarette smoking was 11.6%, lifetime suicide ideation 10.2%, plan 18.5%, and attempted 15.4%. Cigarette smoking was associated with suicide ideation (OR = 1.67, 95% confidence interval [CI] = [1.17, 2.41]), suicide plan (OR = 1.97, 95% CI = [1.33, 2.93]), and suicide attempt (OR = 2.79, 95% CI = [1.87, 4.17]), after adjusting for gender, family function, and depressive symptoms. In conclusion, cigarette smoking is related to suicide behaviors in high-school students at Santa Marta, Colombia.

Download Full-text

Suicide Ideation and Attempt in a Community Cohort of Urban Aboriginal Youth: A Cross-Sectional Study

Crisis ◽

10.1027/0227-5910/a000187 ◽

2013 ◽

Vol 34 (4) ◽

pp. 251-261 ◽

Cited By ~ 17

Author(s):

Joanne N. Luke ◽

Ian P. Anderson ◽

Graham J. Gee ◽

Reg Thorpe ◽

Kevin G. Rowley ◽

...

Keyword(s):

Health Service ◽

Indigenous People ◽

Suicide Ideation ◽

Aboriginal Health ◽

Cross Sectional ◽

Data Set ◽

Indigenous Youth ◽

Aboriginal Youth ◽

Social Distress ◽

Suicide Behavior

Background: There has been increasing attention over the last decade on the issue of indigenous youth suicide. A number of studies have documented the high prevalence of suicide behavior and mortality in Australia and internationally. However, no studies have focused on documenting the correlates of suicide behavior for indigenous youth in Australia. Aims: To examine the prevalence of suicide ideation and attempt and the associated factors for a community 1 The term ”community” refers specifically to Koori people affiliated with the Victorian Aboriginal Health Service. cohort of Koori 2 The term ”Koori” refers to indigenous people from the south-eastern region of Australia, including Melbourne. The term ”Aboriginal” has been used when referring to indigenous people from Australia. The term ”indigenous” has been used throughout this article when referring to the first people of a nation within an international context. (Aboriginal) youth. Method: Data were obtained from the Victorian Aboriginal Health Service (VAHS) Young People’s Project (YPP), a community initiated cross-sectional data set. In 1997/1998, self-reported data were collected for 172 Koori youth aged 12–26 years living in Melbourne, Australia. The data were analyzed to assess the prevalence of current suicide ideation and lifetime suicide attempt. Principal components analysis (PCA) was used to identify closely associated social, emotional, behavioral, and cultural variables at baseline and Cox regression modeling was then used to identify associations between PCA components and suicide ideation and attempt. Results: Ideation and attempt were reported at 23.3% and 24.4%, respectively. PCA yielded five components: (1) emotional distress, (2) social distress A, (3) social distress B, (4) cultural connection, (5) behavioral. All were positively and independently associated with suicide ideation and attempt, while cultural connection showed a negative association. Conclusions: Suicide ideation and attempt were common in this cross-section of indigenous youth with an unfavorable profile for the emotional, social, cultural, and behavioral factors.

Download Full-text

Efficacy of Crisis Intervention

Crisis ◽

10.1027//0227-5910.20.2.78 ◽

1999 ◽

Vol 20 (2) ◽

pp. 78-85 ◽

Cited By ~ 6

Author(s):

Thomas Reisch ◽

Petra Schlatter ◽

Wolfgang Tschacher

Keyword(s):

Crisis Intervention ◽

Intervention Program ◽

Suicide Ideation ◽

Indirect Evidence ◽

Well Being ◽

Term Therapy ◽

Contributing Factors ◽

Step Therapy ◽

Long Term Therapy ◽

The Impact

This study assesses the efficacy of the treatment approach implemented in the Bern Crisis Intervention Program, where particular emphasis is placed on the remediation of suicide ideation and suicidal behavior, and depression, fear, and phobia are generally considered to be contributing factors. Four questionnaires addressing psychopathology, emotional well-being, social anxiety, and personality were administered prior to and after the treatment of 51 patients over a period of 2 to 3 weeks. The reduction of symptoms contributing to suicidal ideation and behavior was interpreted as indirect evidence of an antisuicidal effect of the program. Significant improvements were found in the psychopathology ratings, with depression and anxiety showing the largest reductions. The impact on personality and social phobia, however, was only moderate, and on average patients still exhibited symptoms after attending the program. This residual symptomatology points to the necessity of introducing a two-step therapy approach of intensive intervention targeted at the precipitating causes of the crisis, augmented by long-term therapy to treat underlying problems.

Download Full-text

A Pilot Study on the Efficacy of Volunteer Mentorship for Young Adults With Self-Harm Behaviors Using a Quasi-Experimental Design

Crisis ◽

10.1027/0227-5910/a000393 ◽

2016 ◽

Vol 37 (6) ◽

pp. 415-426 ◽

Cited By ~ 4

Author(s):

Yik-Wa Law ◽

Paul S. F. Yip ◽

Carmen C. S. Lai ◽

Chi Leung Kwok ◽

Paul W. C. Wong ◽

...

Keyword(s):

Experimental Design ◽

Suicide Ideation ◽

Intervention Group ◽

Well Being ◽

Control Group ◽

Treatment As Usual ◽

Prevention Services ◽

Quasi Experimental ◽

Self Harm ◽

Volunteer Support

Abstract. Background: Studies have shown that postdischarge care for self-harm patients is effective in reducing repeated suicidal behaviors. Little is known about whether volunteer support can help reduce self-harm repetition and improve psychosocial well-being. Aim: This study investigated the efficacy of volunteer support in preventing repetition of self-harm. Method: This study used a quasi-experimental design by assigning self-harm patients admitted to the emergency departments to an intervention group with volunteer support and treatment as usual (TAU) for 9 months and to a control group of TAU. Outcome measures include repetition of self-harm, suicidal ideation, hopelessness, and level of depressive and anxiety symptoms. Results: A total of 74 cases were recruited (38 participants; 36 controls). There were no significant differences in age, gender, and clinical condition between the two groups at the baseline. The intervention group showed significant improvements in hopelessness and depressive symptoms. However, the number of cases of suicide ideation and of repetition of self-harm episodes was similar for both groups at the postintervention period. Conclusion: Postdischarge care provided by volunteers showed significant improvement in hopelessness and depression. Volunteers have been commonly involved in suicide prevention services. Further research using rigorous methods is recommended for improving service quality in the long term.

Download Full-text

Symptoms of Alcohol Dependence Predict Suicide Ideation Among Alaskan Undergraduates

Crisis ◽

10.1027/0227-5910/a000373 ◽

2016 ◽

Vol 37 (3) ◽

pp. 232-235 ◽

Cited By ~ 3

Author(s):

Christopher R. DeCou ◽

Monica C. Skewes

Keyword(s):

Depressive Symptoms ◽

Alcohol Consumption ◽

Alcohol Dependence ◽

Suicide Ideation ◽

Alcohol Problems ◽

Future Research ◽

Causal Mechanism ◽

Students At Risk ◽

The Relationship ◽

Alcohol Related Problems

Abstract. Background: Previous research has demonstrated an association between alcohol-related problems and suicidal ideation (SI). Aims: The present study evaluated, simultaneously, alcohol consequences and symptoms of alcohol dependence as predictors of SI after adjusting for depressive symptoms and alcohol consumption. Method: A sample of 298 Alaskan undergraduates completed survey measures, including the Young Adult Alcohol Consequences Questionnaire, the Short Alcohol Dependence Data Questionnaire, and the Beck Depression Inventory – II. The association between alcohol problems and SI status was evaluated using sequential logistic regression. Results: Symptoms of alcohol dependence (OR = 1.88, p < .05), but not alcohol-related consequences (OR = 1.01, p = .95), emerged as an independent predictor of SI status above and beyond depressive symptoms (OR = 2.39, p < .001) and alcohol consumption (OR = 1.08, p = .39). Conclusion: Alcohol dependence symptoms represented a unique risk for SI relative to alcohol-related consequences and alcohol consumption. Future research should examine the causal mechanism behind the relationship between alcohol dependence and suicidality among university students. Assessing the presence of dependence symptoms may improve the accuracy of identifying students at risk of SI.

Download Full-text

Attachment Organization in Suicide Prevention Research

Crisis ◽

10.1027/0227-5910/a000231 ◽

2014 ◽

Vol 35 (1) ◽

pp. 60-66 ◽

Cited By ~ 10

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.

Download Full-text

Crisis Occurrence and Resolution in Patients with Severe and Persistent Mental Illness

Crisis ◽

10.1027/0227-5910.26.4.160 ◽

2005 ◽

Vol 26 (4) ◽

pp. 160-169 ◽

Cited By ~ 4

Author(s):

Paul S. Links ◽

Rahel Eynan ◽

Jeffrey S. Ball ◽

Aiala Barr ◽

Sean Rourke

Keyword(s):

Mental Illness ◽

Suicide Ideation ◽

Rating Scale ◽

Psychiatric Symptoms ◽

Self Report ◽

Community Treatment ◽

Persistent Mental Illness ◽

Crisis Events ◽

Symptom Distress Scale ◽

Distress Scale

Abstract. Assertive community treatment appears to have limited impact on the risk of suicide in persons with severe and persistent mental illness (SPMI). This exploratory prospective study attempts to understand this observation by studying the contribution of suicidality to the occurrence of crisis events in patients with SPMI. Specifically, an observer-rated measure of the need for hospitalization, the Crisis Triage Rating Scale, was completed at baseline, crisis occurrence, and resolution to determine how much the level of suicidality contributed to the deemed level of crisis. Second, observer-ratings of suicidal ideation, the Modified Scale for Suicide Ideation, and psychopathology and suicidality, Brief Psychiatric Rating Scale, were measured at baseline, crisis occurrence, and resolution. A self-report measure of distress, the Symptom Distress Scale, was completed at baseline, crisis occurrence, and resolution. Finally, the patients' crisis experiences were recorded qualitatively to compare with quantitative measures of suicidality. Almost 40% of the subjects experienced crisis events and more than a quarter of these events were judged to be severe enough to warrant the need for hospitalization. Our findings suggest that elevation of psychiatric symptoms is a major contributor to the crisis occurrences of individuals with SPMI; although the risk of suicide may have to be conceived as somewhat separate from crisis occurrence.

Download Full-text