scholarly journals Suicidal Ideation of Men with Alcohol Use Disorder in South Korea: A Structural Equation Modeling Analysis

Author(s):  
Hyon Joo Hong ◽  
Sung Hee Shin

South Korea’s suicide rate has been ranked second among OECD countries, and the rate of suicidal ideation is the highest among men with alcohol use disorder. To test a hypothetical model of men with alcohol use disorder based on O’Connor’s integrated motivational-volitional model, a study was conducted at a psychiatric outpatient clinic, a community addiction management center, and an Alcoholics Anonymous meeting in South Korea, comprising 203 men with alcohol use disorder. Data were collected using the Scale for Suicide Ideation, Barratt Impulsiveness Scale-11, Childhood Trauma Questionnaire-Short Form, Survey of Recent Life Experiences-Short Form, Defeat Scale and Entrapment Scale. The final model was a good fit to the data (χ2/df = 1.51, comparative fit index = 0.97, normed fit index = 0.92, incremental fit index = 0.97, Tucker–Lewis index = 0.96, and root mean square error of approximation = 0.05). The structural model explained 34.0% of the variance in suicidal ideation; and it validated that impulsivity, stress, defeat, and entrapment were the key factors affecting suicidal ideation. To prevent suicide among men with alcohol use disorder, it is necessary to develop a suicide prevention program that includes men’s feelings of defeat and entrapment.

1997 ◽  
Vol 14 (1) ◽  
pp. 51-64 ◽  
Author(s):  
Georgios D. Sideridis ◽  
Judy P. Chandler

The Teacher Integration Attitudes Questionnaire (TIAQ) was developed in order to assess the attitudes and beliefs of teachers (n = 110) with regard to the inclusion of students with disabilities in regular education settings. Using Structural Equation Modeling, the final structural model of the TIAQ comprised four constructs, namely, “Skills,” “Benefits,” “Acceptance,” and “Support.” The final model was fully supported by the derivation sample of music education teachers (n = 54) and produced a Comparative Fit Index (CFI = 1.00). The replication sample of physical education teachers (n = 56) partially supported the generality of the TIAQ, (CFI = .844). Further, the internal consistency properties of the TIAQ (Cronbach’s alpha was .77 for both samples) were satisfactory. We conclude that the psychometric properties of the TIAQ were adequate, and it can be used as a valid assessment in evaluating the status of inclusion for students with disabilities as perceived by music education and physical education teachers. However, future research is needed to support its generality with other groups of teachers and professionals.


Crisis ◽  
2021 ◽  
pp. 1-8
Author(s):  
Juliann Li ◽  
Lindsay A. Bornheimer ◽  
Lindsay Fernandez ◽  
Jenna Dagher

Abstract. Risk-taking is associated with suicide among depressed adolescents. In the United States, alcohol is among the most used substances resulting in need for treatment. While alcohol use relates to greater depression and suicidality, less is known about these relationships with risk-taking tendencies, particularly among adult populations. The current study examined suicidal ideation, alcohol use, depression, and risk-taking tendencies among adults 18–65 years old who participated in the 2017 National Survey on Drug Use and Health. Structural equation modeling was used to examine the specific aims in Mplus8. A total of 1,740 (21.4%) participants endorsed suicidal ideation. The model demonstrated good fit and findings indicate increases in alcohol abuse or dependence ( b = 0.094, SE = 0.01, p < .001), depression ( b = 0.036, SE = 0.01, p < .001), and risk-taking ( b = 0.044, SE = 0.01, p < .001) all independently related to increased odds of ideation. Increases in alcohol abuse or dependence ( b = 0.210, SE = 0.02, p < .001) and depression ( b = 0.026, SE = 0.01, p < .05) also related to elevated risk-taking. Based on the joint significance test, risk-taking tendencies served as a partial mediator, functioning as a mechanism in the relationships between alcohol use, depression, and ideation. Risk-taking thus serves as an important treatment target in the prevention of suicide. Implications for practice and future research are discussed.


2019 ◽  
Vol 4 (3) ◽  

Background: Alcohol is one of commonly used psychoactive substances. Harmful use of alcohol results in a cluster of behavioral and physical symptoms known as Alcohol use disorder. WHO suggests that harmful use of alcohol to be an individual risk factor for suicidal behavior, accounting for 25-50% of all suicides linked to alcohol and other substance. Many studies were done on alcohol and suicidal ideation and attempt. Most of these studies suggest that alcohol have association with suicidal ideation and attempt. But there are studies with no association between alcohol use disorder and suicidal ideation and attempt. Objective: To assess the prevalence of suicidal ideation and attempt among alcohol use disorder patients attending addiction clinic at Amanuel Mental Specialized Hospital (AMSH). It also determines the association of alcohol use disorder and suicidal ideation and attempt. Method: This was a hospital based cross-sectional study, that include 120 patients of age above and equal 18 years. Data were collected by using ASSIST 3.1 (Alcohol, Smoking and Substance Involvement Screening Test), to assess alcohol use disorder, CSSRS (Colombia suicide severity rating scale) to assesssuicidal ideation and attempt, and PHQ-9 (patient health questioners-9) to assess the depression and severity of depressive symptoms. Chi square and binary logistic regression was used to assess factor relation. Result: The overall prevalence of suicide ideation and attempt among alcohol use disorder patients was 30.6% for the past month and 31.7% for past year of time of data collection. Suicide attempt was 14.9% and 13.3% respectively. Older age was associated significantly with suicidal ideation and attempt (X2 =6.128, P=0.047). Alcohol use disorder had no association with suicidal ideation and attempt for both past month (OR = 0.827; 95% CI 0.116, 5.914) (P = 0.850) and the past year (OR=1.360; 95% CI 0.122,15.165) (P=0.803) of data collection. Major depressive disorder was significantly associated with alcohol use disorder (P=0.047). Conclusion: Suicide ideation and attempt was significantly associated with advancement of age among alcohol use disorder patients. Alcohol use disorder has no association with suicide ideation and attempt among the respondents. Alcohol use disorder and major depressive disorder was significantly associated with and could lead to suicidal ideation and attempt indirectly. Recommendation: Further researches on alcohol use disorder, depression and suicide are necessary to assess the relationship each character.


Assessment ◽  
2020 ◽  
pp. 107319112097685
Author(s):  
Ted C. T. Fong ◽  
Paul S. F. Yip ◽  
Milton Y. H. Chan ◽  
Rainbow T. H. Ho

Suicide is a global public health concern. The Stigma of Suicide Scale–Short Form (SOSS-SF) is a brief measure on the stigma toward suicide. This study aimed to examine the psychometric properties of the SOSS-SF in a sample of 1,946 adolescents and early adults ( M age = 23.3, 69% females) in Hong Kong. The participants completed the SOSS-SF, measures on suicidal ideation and perceived distress, and binary items on lifetime risk behaviors online. Exploratory structural equation modeling evaluated the factor structure and reliability of the SOSS-SF in split samples and its measurement invariance, convergent validity, and discriminant validity in the overall sample. Contrary to a poor fit for the three-factor structure in the original 16-item SOSS-SF, the four-factor model showed a good fit in the revised 12-item version in both subsamples. The four factors (Glorification, Isolation, Disgrace, and Selfishness) loaded significantly on three items each (λ = .52-.93) and had adequate reliability (ω = .78-.88). The SOSS-SF displayed scalar invariance across age group, gender, and suicidal ideation and significant associations with validating variables. These results demonstrate a valid and reliable four-factor structure for the SOSS-SF and support its use for assessment of multifaceted stigma toward suicide.


2019 ◽  
Vol 4 (2) ◽  
pp. 96-115
Author(s):  
Joamel P. Gellor

The study determined the direction and magnitude of the relationships of academic buoyancy, aptitude and school environment towards mathematics achievement of the pre-service teachers through Structural Equation Modeling. Maximum Likelihood was used to estimate while Chi-square/degrees of freedom, Goodness of Fit Index, Normal Fit Index, Tucker-Lewis Index, Comparative Fit Index, and Root Mean Square Error of Approximation indices were used to evaluate the goodness of fit of the hypothesized models. The best fit model for the mathematics achievement of pre-service teachers is best anchored on aptitude supported by school environment. Academic buoyancy is necessary but insufficient for mathematics achievement.


Crisis ◽  
2020 ◽  
pp. 1-5
Author(s):  
Ruthmarie Hernández-Torres ◽  
Paola Carminelli-Corretjer ◽  
Nelmit Tollinchi-Natali ◽  
Ernesto Rosario-Hernández ◽  
Yovanska Duarté-Vélez ◽  
...  

Abstract. Background: Suicide is a leading cause of death among Spanish-speaking individuals. Suicide stigma can be a risk factor for suicide. A widely used measure is the Stigma of Suicide Scale-Short Form (SOSS-SF; Batterham, Calear, & Christensen, 2013 ). Although the SOSS-SF has established psychometric properties and factor structure in other languages and cultural contexts, no evidence is available from Spanish-speaking populations. Aim: This study aims to validate a Spanish translation of the SOSS-SF among a sample of Spanish-speaking healthcare students ( N = 277). Method: We implemented a cross-sectional design with quantitative techniques. Results: Following a structural equation modeling approach, a confirmatory factor analysis (CFA) supported the three-factor model proposed by Batterham and colleagues (2013) . Limitations: The study was limited by the small sample size and recruitment by availability. Conclusion: Findings suggest that the Spanish version of the SOSS-SF is a valid and reliable tool with which to examine suicide stigma among Spanish-speaking populations.


Crisis ◽  
2018 ◽  
Vol 39 (1) ◽  
pp. 4-12 ◽  
Author(s):  
Yi Jin Kim ◽  
Sung Seek Moon ◽  
Jang Hyun Lee ◽  
Joon Kyung Kim

Abstract. Background: A significant number of Korean adolescents have suicidal ideations and it is more prevalent among adolescents than any other age group in Korea. Aims: This study was conducted to attain a better understanding of the contributing factors to suicidal ideation among Korean adolescents. Method: We recruited 569 high school students in Grades 10 and 11 in Pyeongtaek, Korea. The Beck Scale for Suicidal Ideation was used to measure suicidal ideation as the outcome variable. The Interpersonal Needs Questionnaire, the Beck Hopelessness Scale, the School Related Stress Scale, the Olweus Bully/Victim Questionnaire, and the Youth Risk Behavior Surveillance questions were used to measure thwarted belongingness and perceived burdensomeness, hopelessness, school-related stress, bullying, and previous suicidal behaviors, respectively. Data analyses included descriptive statistics and structural equation modeling. Results: The findings suggest that perceived burdensomeness, hopelessness, school-related stress, and previous suicidal behaviors have significant direct effects on suicidal ideation. Hopelessness fully mediated the relation between thwarted belongingness and suicidal ideation, and partially mediated between perceived burdensomeness, school-related stress, and suicidal ideation. Conclusion: These findings provide more specific directions for a multidimensional suicide prevention program in order to be successful in reducing suicide rates among Korean adolescents.


2019 ◽  
Vol 35 (6) ◽  
pp. 791-800 ◽  
Author(s):  
Karina Mesarosova ◽  
Alex B. Siegling ◽  
Rachel A. Plouffe ◽  
Donald H. Saklofske ◽  
Martin M. Smith ◽  
...  

Abstract. The study examined the psychometric properties of the Revised NEO Personality Inventory (NEO PI-R, UK edition) in a large European sample of civil airline pilots. The NEO PI-R is a comprehensive and robust measure of personality that has been validated across cultures and contexts. Furthermore, the personality profile of the pilot sample was examined and compared to a normative sample representing the UK working population. Data from 591 pilots (95.1% male) were collected. Analyses include the internal reliability and factorial validity (precisely, Exploratory Structural Equation Modeling) to examine the measurement equivalence of the NEO PI-R with reference to UK norms ( N = 1,301). Internal reliability estimates of the NEO PI-R scores were good at the domain level, but generally weak at the facet level. The structural model in the pilot sample was congruent with the general working population sample. Furthermore, there was convincing evidence for a distinct personality profile of civil pilots, although the stability of this profile will require further validation. The NEO PI-R’s validity in the assessment of general personality in civil airline pilots is discussed, along with implications of the results for the utility of personality assessment in civil aviation contexts.


2020 ◽  
Author(s):  
Timothy Allen ◽  
Michael Hallquist ◽  
Aidan G.C. Wright ◽  
Alexandre Dombrovski

Importance: Clinicians treating borderline personality disorder (BPD) are often faced with the difficult challenge of assessing when, and for whom, risk for suicide is greatest. Addressing this dilemma requires longitudinal, prospective data from high-risk samples with an elevated base rate of suicide attempts.Objective: To test whether dispositional characteristics modulate the pathway from interpersonal dysfunction to suicide in BPD. Design: This longitudinal, observational study was conducted between 1990 and 2020. Data were analyzed between April and July 2020. Participants were assessed annually for up to 30 years (mean number of follow-ups = 7.82). Setting: Participants were recruited from inpatient, outpatient, and community referral sources.Participants: 458 individuals (Mean age = 28.59, 77% female) diagnosed with BPD.Main Outcomes and Measures: Presence or absence of a suicide attempt within one year of each follow-up assessment. Multilevel structural equation modeling was used to 1) examine longitudinal, within-person transitions from interpersonal dysfunction to suicidal ideation to suicide attempts (i.e., the [I]nterpersonal-[I]deation-[A]ttempt pathway); and 2) evaluate whether two maladaptive personality dimensions, negative affect and disinhibition, moderated these transitions.Results: At the within-person level, there was support for the I-I-A pathway: suicidal ideation accounted for the association between interpersonal dysfunction and suicide attempts. Personality further moderated each component of the I-I-A pathway: negative affect was associated with a stronger coupling between interpersonal dysfunction and ideation; and disinhibition was associated with a stronger coupling between ideation and attempts. Conclusions and Relevance: The escalation from interpersonal difficulties to a suicidal crisis in BPD involves two psychologically distinct process. An internalizing process links interpersonal dysfunction to suicidal ideation and is facilitated by trait negative. An additional externalizing process links suicidal ideation to suicide attempts, and is facilitated by trait disinhibition. Assessment of these intra- and interindividual risk factors may inform clinical decisions about when, and for whom, crisis intervention is necessary.


Sign in / Sign up

Export Citation Format

Share Document