scholarly journals Prevalence of Suicidal Behavior and Associated Clinical Correlates in Patients with Behavioral Addictions

2021 ◽  
Vol 18 (21) ◽  
pp. 11085
Author(s):  
Eduardo Valenciano-Mendoza ◽  
Fernando Fernández-Aranda ◽  
Roser Granero ◽  
Mónica Gómez-Peña ◽  
Laura Moragas ◽  
...  
Keyword(s):  
Suicidal Ideation ◽  
Suicidal Behavior ◽  
Gambling Disorder ◽  
Suicide Attempts ◽  
Sex Addiction ◽  
Behavioral Addiction ◽  
Behavioral Addictions ◽  
Gaming Disorder ◽  
Suicidal Risk ◽  
Clinical Correlates

Addictive disorders are characterized by severe consequences, including suicidal events, but most studies investigating the association between addiction and suicidal risk have focused on substance use disorders and gambling disorder at the expense of the rest of behavioral addictions. This study examined the prevalence and the associated clinical correlates of suicidal ideation and suicide attempts in a sample of patients with a diagnosis of behavioral addiction. The total sample consisted of 4404 individuals: 4103 of these patients with gambling disorder, 99 with gaming disorder, 44 with sex addiction, and 158 with buying–shopping disorder. All of them were assessed consecutively at a specialized hospital unit for the treatment of behavioral addictions. Participants attended two clinical interviews and completed self-reported questionnaires to explore clinical features of behavioral addictions, personality traits, psychopathological symptomatology, suicidal behavior, and sociodemographic variables. The highest prevalence of suicidal ideation was found in patients with gambling disorder (22.9%), followed by buying–shopping disorder (18.4%), sex addiction (18.2%), and gaming disorder (6.1%). The highest prevalence of suicide attempts was registered for sex addiction (9.1%), followed by buying–shopping disorder (7.6%), gambling disorder (6.7%), and gaming disorder (3.0%). Female gender and unemployment constituted two relevant sociodemographic factors associated with suicidal risk in gambling disorder, gaming disorder, and buying–shopping disorder. Lack of family support appeared as a relevant risk factor, except for gaming disorder. These results pointed out that suicide is a prevalent behavior in behavioral addictions, and clinicians and researchers need to pay particular attention to the specificities of each behavioral addiction when assessing suicidal risk.

A probe in the connection between inflammation, cognition and suicide

2018 ◽  
Vol 32 (4) ◽  
pp. 482-488 ◽  
Author(s):  
Ricardo Cáceda ◽  
W Sue T Griffin ◽  
Pedro L Delgado
Keyword(s):  
Suicidal Ideation ◽  
Suicidal Behavior ◽  
Linear Models ◽  
Suicide Attempts ◽  
Limited Data ◽  
Physical Pain ◽  
Reactive Protein ◽  
Depressed Patients ◽  
Downstream Effects ◽  
Suicidal Patients

Background: Increased inflammation is linked to suicide risk. However, it is unclear whether increased inflammation drives suicidal crises or is a trait associated with lifetime suicidal behavior. Limited data exist on the sources of increased inflammation observed in suicidal patients and on its downstream effects. Aims: To examine factors associated with inflammation and with suicidal ideation severity in acutely suicidal depressed patients. Methods: Fifty-two adult depressed patients of both sexes hospitalized for severe suicidal ideation were characterized for suicidality, depression, anxiety, medical comorbidity, psychological and physical pain, impulsivity, verbal fluency, C-reactive protein (CRP) and interleukin (IL) 6. Two generalized linear models were performed with either CRP or suicidal ideation severity as dependent variables. Results: CRP levels were positively associated with age, body mass index (BMI), IL6, current physical pain and number of lifetime suicide attempts. Suicidal ideation severity was not significantly correlated with either CRP or IL6. Suicidal ideation severity was positively associated with female sex, presence of an anxiety disorder, current physical pain, number of lifetime suicide attempts and with delay discounting for medium and large losses. Conclusions: Increased inflammation is not associated with acute suicidal risk, but seems to represent a trait associated with lifetime suicidal behavior.

scholarly journals Gray matter volume alterations associated with suicidal ideation and suicide attempts in patients with mood disorders

2020 ◽  
Vol 19 (1) ◽  
Author(s):  
Pengshuo Wang ◽  
Ran Zhang ◽  
Xiaowei Jiang ◽  
Shengnan Wei ◽  
Fei Wang ◽  
...  
Keyword(s):  
Suicidal Ideation ◽  
Mood Disorders ◽  
Gray Matter ◽  
Suicidal Behavior ◽  
Suicide Attempts ◽  
Gray Matter Volume ◽  
Middle Frontal Gyrus ◽  
Left And Right ◽  
Magnetic Resonance Imaging Mri ◽  
Post Hoc

Abstract Background Mood disorders are severe mental disorders related to increased suicidal behavior. Finding neural features for suicidal behavior, including suicide attempts (SAs) and suicidal ideation (SI), in mood disorders may be helpful in preventing suicidal behavior. Methods Subjects consisted of 70 patients with mood disorders and suicidal behavior, 128 patients with mood disorders without suicidal behavior (mood disorders control, MC), and 145 health control (HC) individuals. All participants underwent structural magnetic resonance imaging (MRI). We used voxel-based morphometry (VBM) techniques to examine gray matter volumes (GMVs). Results Significant differences were found in GMVs of the left and right middle frontal gyrus among the patients with mood disorders and suicidal behavior, MC, and HC. Post hoc comparisons showed significant differences in the GMVs of the above regions across all three groups (P < 0.01): HC > MC > mood disorders with suicidal behavior. However, there were no significant differences in the GMVs of the left and right middle frontal gyrus between the mood disorders with SI and mood disorders with SAs groups. Conclusions These findings provide evidence that abnormal regional GMV in the middle frontal gyrus is associated with suicidal behavior in mood disorders. Further investigation is warranted to determine whether the GMV alterations in mood disorders with SI are different from these in mood disorders with SAs.

Interoceptive deficits, non-suicidal self-injury, and suicide risk: a multi-sample study of indirect effects

2019 ◽  
Vol 49 (16) ◽  
pp. 2789-2800 ◽  
Author(s):  
Christopher R. Hagan ◽  
Megan L. Rogers ◽  
Amy M. Brausch ◽  
Jennifer J. Muehlenkamp ◽  
Thomas E. Joiner
Keyword(s):  
Suicidal Ideation ◽  
Suicidal Behavior ◽  
Indirect Effect ◽  
Indirect Effects ◽  
Suicide Ideation ◽  
Suicide Attempts ◽  
Pain Tolerance ◽  
Self Report ◽  
Self Injury ◽  
Two Samples

AbstractBackgroundInteroceptive deficits (ID) have been associated with non-suicidal self-injury (NSSI) and suicidal behavior in multiple studies. Many of these studies are limited in scope, and have not fully examined possible mechanisms explaining how ID affect suicidal behavior.MethodsThis study assesses how self-reported ID relate to suicide ideation and attempts in six distinct and geographically diverse samples of adults (n = 2706) and one sample of adolescents (n = 436). Participants responded to a variety of self-report questionnaires and interviews.ResultsContrary to our hypothesis, self-reported ID were only associated with suicidal ideation in two samples, one of which was the adolescent sample. Largely consistent with our predictions, self-reported ID exhibited an indirect effect on suicide attempts through versatility of NSSI in four of the five adult samples tested. Finally, the indirect effects of self-reported ID on suicide attempts through NSSI versatility did not act indirectly through behaviorally assessed pain tolerance.ConclusionsWe found that, in adults, self-reported ID are not associated with suicidal ideation, but are connected with a history of suicide attempts, through an indirect effect via NSSI. Our findings also indicate that the mechanism of action leading from self-reported ID to suicidal behavior may differ between adolescents and adults, and relate to suicidal behavior independent of pain tolerance. Clinical implications and future directions are discussed.

Evaluation of Suicidal Behaviour in a General Psychiatric Consultation

2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1
Author(s):  
C. Silva ◽  
I. Gil ◽  
M.A. Mateus ◽  
Ó. Nogueiro
Keyword(s):  
Suicidal Ideation ◽  
Suicidal Behavior ◽  
Suicide Attempts ◽  
Age Group ◽  
Psychiatric Consultation ◽  
Process Data ◽  
Systematic Screening ◽  
High Prevalence ◽  
History Of ◽  
Religious Aspects

Several studies have been conducted to establish a profile of the suicidal/parasuicidal patient. Also several factors have been identified as possibly influencing the suicidal rates, including the religious practices.Objectives:Characterize the profile of suicidal behavior in a sample of patients followed in a general psychiatric consultation.Methods:It was done an analytical observational study of a random sample of 100 patients followed in a general psychiatric consultation. A survey was conducted with the collection of socio-economic, religious aspects and clinical data, and it was consulted the patient"s clinical process. Data analysis was done in Excel 2003.Results:The sample was consisted mostly by women (74%), being the most representative age group between 40 and 50 years (27%), mostly married (61%), 24% had 2 children and 65% lived in the rural area. The clinical diagnosis (ICD-9) was in 46% of cases, neurotic depression. 52% consider themselves religious not practitioners, being 90% catholics. History of suicide attempts/parasuicide occurred in 32% of patients, in the form of drug intoxication (31%) or with another method (11%). Most of the individuals said to have already thought about suicide at least once in their lifetime (74%). Only 8% had current suicidal ideation. Family history of suicide occurred in 27%, particularly in first degree family members, mainly by drowning (7%) and hanging (7%).Conclusions:Our results suggest that exists a high prevalence of suicidal behavior in this patients. For that reason, it should be done a systematic screening for suicidal ideation in this risk population.

Panic Disorder and Suicidal Behavior

Crisis ◽  
2011 ◽  
Vol 32 (3) ◽  
pp. 169-172 ◽  
Author(s):  
Tamas Zonda ◽  
Gabriella Nagy ◽  
David Lester
Keyword(s):  
Suicidal Ideation ◽  
Panic Disorder ◽  
Cognitive Therapy ◽  
Suicidal Behavior ◽  
Attempted Suicide ◽  
Suicidal Risk ◽  
Comorbid Disorder ◽  
Panic Disorders ◽  
Hungarian Population

Background: Previous research has suggested that patients with panic disorder but no comorbid disorder are not at greater risk for suicidal behavior. Aims: The present study followed up patients with panic disorder in order to assess the frequency of their suicidal behavior. Methods: A sample of 281 outpatients with panic disorder, but without a comorbid psychiatric disorder, was followed up for an average of 5 years. The patients were given 6–8 weeks of cognitive therapy, and 65% were prescribed SSRIs. Results: At the time of first admission, 5 patients (1.7%) reported a previous (lifetime) suicide attempt, and 53 patients (18.2%) reported previous (lifetime) suicidal ideation (both thoughts and plans), not greatly different from the Hungarian population in general. During the follow-up period, no patient committed suicide, 2 patients attempted suicide (0.7%), and 4 patients (1.4%) reported suicidal ideation. Conclusions: This study indicates that people with panic disorders without comorbid disorders have no higher suicidal risk than the general population in Hungary. After treatment with cognitive therapy and SSRIs, 38.5% were symptom-free, and only 7.8% required continued close therapeutic contact after the follow-up period.

scholarly journals Toxoplasma gondii Infection and Suicidal Behavior in People with Alcohol Consumption

Pathogens ◽  
2021 ◽  
Vol 10 (6) ◽  
pp. 734
Author(s):  
Cosme Alvarado-Esquivel ◽  
Sergio Estrada-Martínez ◽  
Alma Rosa Pérez-Álamos ◽  
Isabel Beristain-García ◽  
Ángel Osvaldo Alvarado-Félix ◽  
...  
Keyword(s):  
Suicidal Ideation ◽  
Toxoplasma Gondii ◽  
Alcohol Consumption ◽  
Suicidal Behavior ◽  
Suicide Attempts ◽  
Igg Antibodies ◽  
Igm Antibodies ◽  
Immunosorbent Assays ◽  
Toxoplasma Gondii Infection

We determined the association between T. gondii infection and suicidal behavior in people with alcohol consumption. One-thousand four-hundred and twenty-three people with alcohol consumption were screened for suicidal behavior and tested for anti-T. gondii IgG and IgM antibodies using commercially available enzyme-linked immunosorbent assays. Anti-T. gondii IgG antibodies were found in 34 of 224 (15.2%) individuals with suicidal ideation and in 118 (9.8%) of 1199 individuals without suicidal ideation (OR: 1.63; 95% CI: 1.08–2.47; p = 0.01). Seropositivity to T. gondii was associated with suicidal ideation in women (OR: 2.24; 95% CI: 1.33–3.78; p = 0.001) and in individuals aged ≤30 years (OR: 2.68; 95% CI: 1.22–5.87; p = 0.01) and >50 years (OR: 2.85; 95% CI: 1.19–6.77; p = 0.01). Anti-T. gondii IgG antibodies were found in 17 of 136 (12.5%) individuals with suicide attempts and in 135 (10.5%) of 1287 individuals without suicide attempts (OR: 1.21; 95% CI: 0.71–2.08; p = 0.47). Seroprevalence of T. gondii infection was associated with suicide attempts in women (OR: 1.88; 95% CI: 0.99–3.55; p = 0.04). No association between anti-T. gondii IgM and suicidal ideation or suicide attempts was found. Results suggest that T. gondii infection is associated with suicidal behavior in people with alcohol consumption.

scholarly journals Association between Toxoplasma gondii Exposure and Suicidal Behavior in Patients Attending Primary Health Care Clinics

Pathogens ◽  
2021 ◽  
Vol 10 (6) ◽  
pp. 677
Author(s):  
Cosme Alvarado-Esquivel ◽  
Sergio Estrada-Martínez ◽  
Agar Ramos-Nevárez ◽  
Alma Rosa Pérez-Álamos ◽  
Isabel Beristain-García ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Suicidal Ideation ◽  
Suicidal Behavior ◽  
Suicide Attempts ◽  
Igg Antibodies ◽  
Primary Care Clinics ◽  
Health Care Clinics ◽  
Primary Health ◽  
History Of

This study aimed to determine the association between suicidal behavior and T. gondii seroreactivity in 2045 patients attending primary care clinics. IgG antibodies against T. gondii were found in 37 (12.1%) out of 306 individuals with a history of suicidal ideation and in 134 (7.7%) of 1739 individuals without this history (OR: 1.64; 95% CI: 1.11–2.42; p = 0.01). Seropositivity to T. gondii was associated with suicidal ideation in women (OR: 1.56; 95% CI: 1.01–2.42; p = 0.03) and individuals aged ≤30 years (OR: 3.25; 95% CI: 1.53–6.88; p = 0.001). No association between the rates of high (>150 IU/mL) levels of anti-T. gondii IgG antibodies and suicidal ideation or suicide attempts was found. IgG antibodies against T. gondii were found in 22 of 185 (11.9%) individuals with a history of suicide attempts and in 149 (8.0%) of 1860 individuals without this history (OR: 1.54; 95% CI: 0.96–2.49; p = 0.06). The seroprevalence of T. gondii infection was associated with suicide attempts in individuals aged 31–50 years (OR: 2.01; 95% CI: 1.09–3.71; p = 0.02), and with more than three suicide attempts (OR: 4.02; 95% CI: 1.34–12.03; p = 0.008). Our results indicate that T. gondii exposure is associated with suicidal behavior among patients attending primary care clinics.

scholarly journals Clinical and Socio-Demographic Correlates in Depressive Patients with Suicidal Ideas & Suicidal Attempts

2017 ◽  
Vol 4 (2) ◽  
Author(s):  
Dr. Syed Ummer. I ◽  
Dr. Sushith Sugathan. C
Keyword(s):  
Major Depressive Disorder ◽  
Suicidal Ideation ◽  
Depressive Disorder ◽  
Tamil Nadu ◽  
Suicide Attempts ◽  
Suicidal Attempt ◽  
Major Depressive ◽  
Clinical Correlates ◽  
Suicidal Attempts ◽  
Suicidal Ideas

Background: Suicide has a strong association with mental disorder and contributes to the excess mortality of the mentally ill. Suicidal ideation is prevalent and appears to be a precondition for suicide attempts among psychiatric patients with Major Depressive disorder. Though ideas and attempts may overlap there are studies that show the two are separate clinical entities with unique psycho-socio demographic profile. Aim: To study correlates in patients with suicidal ideation and those with suicide attempts in a cohort of major depressive disorder patients. Methodology:  Study was conducted at the Inpatient psychiatry unit at a private medical college in Coimbatore, Tamil Nadu. It was a Cross sectional study design. Patients consecutively admitted with major depressive disorder (DSM IV TR) were recruited. Severity of suicidal ideations and attempts were rated on validated scales and the socio demographic and clinical correlates were analyzed. Results: Clinical correlates like severity of depression, severity of suicidal ideation and history of past suicidal attempt were positively correlated with severity of suicidal ideation as well as severity of current suicidal attempts in the cohort of depressive disorder patients. Conclusion: Assessment of current episode severity of both suicidal ideation as well as suicidal attempt is important in identifying high risk patients with major depressive disorder.

scholarly journals Perfil epidemiológico do suicídio entre estudantes de enfermagem [Epidemiological profile of suicidal behavior among nursing students] [Perfil epidemiológico del suicídio entre estudiantes de enfermería]

2020 ◽  
Vol 27 ◽  
pp. e45607
Author(s):  
Roberto Nascimento de Albuquerque ◽  
Moema Da Silva Borges ◽  
Pedro Sadi Monteiro
Keyword(s):  
Nursing Students ◽  
Suicidal Ideation ◽  
Suicidal Behavior ◽  
Attempted Suicide ◽  
Suicide Attempts ◽  
Education Institution ◽  
Federal District ◽  
Private Higher Education ◽  
Distrito Federal ◽  
Epidemiological Profile

Objetivo: identificar o perfil do comportamento suicida entre estudantes de enfermagem de instituição privada de ensino superior do Distrito Federal. Métodos: estudo descritivo, mediante análise estatística, realizado com 1567 estudantes de enfermagem, em 2017. Foram utilizados um questionário sociodemográfico e acadêmico, a Escala de Ideação Suicida de Beck e Mini-Rastreamento de Transtornos Mentais. A pesquisa foi aprovada por Comitê de Ética em Pesquisa. Resultados: a maioria era adulto jovem, do sexo feminino e estudava no período noturno. Verificou-se que 181 (11,55%) estudantes já tinham tentado suicídio e os maiores índices foram apresentados no primeiro, terceiro e quarto semestres do curso. Destes, 36,5% apresentaram pensamentos depressivos, 33,7% sinais de depressão e desesperança e 56,4% permaneciam com ideação suicida. Conclusão: as tentativas de suicídio têm sua maior magnitude entre estudantes mais jovens, dos primeiros dois anos do curso, os quais revelaram índices expressivos para depressão, desesperança e ideação suicida.ABSTRACT Objective: to identify the profile of suicidal behavior among nursing students at a private higher education institution in the Federal District, Brazil. Methods: descriptive study, through statistical analysis, conducted with 1567 nursing students, in 2017. It was used a sociodemographic and academic questionnaire, Beck's Suicidal Ideation Scale and Mini-Screening of Mental Disorders. The research was approved by the Research Ethics Committee. Results: most respondents were young adults, female and night students One hundred and eithy-one students (11,55%) had already attempted suicide and the highest rates were presented in de first, third and fourth semesters of the course. Among them, 36,5% had depressive thoughts, 33,7% showed signs of depression and hopelessness and 56,4% remained with suicidal ideation. Conclusion: suicide attempts have their greatest magnitude among younger students, from the first two years of the course, which revealed expressive rates for depression, hopelessness and suicidal ideation.RESUMEN Objetivo: identificar el perfil de comportamiento suicida entre estudiantes de enfermería en una institución privada de educación superior en Brasil. Métodos: estudio descriptivo, mediante análisis estadístico, realizado con 1567 estudiantes de enfermería, en 2017. Se utilizó cuestionario sociodemográfico y académico, Escala de ideación suicida de Beck y mini-detección de trastornos mentales. La investigación fue aprobada por el Comité de Ética de Investigación. Resultados: la mayoría eran adultos jóvenes, mujeres y estudiavan por la noche; 181 (11,55%) estudiantes ya habían intentado suicidarse y las tasas más altas se presentaron en el primer, tercer y cuarto semestre del curso. De estos, 36,5% tenía pensamientos depresivos, 33,7% mostró signos de depresión y desesperanza y 56,4% permaneció con ideación suicida. Conclusión: los intentos de suicidio tienen su mayor magnitud entre los estudiantes más jóvenes, desde los primeros años del curso, que revelaron tasas expresivas de depresión, desesperanza e ideación suicida.

scholarly journals The Impact of Infectious Disease-Related Public Health Emergencies on Suicide, Suicidal Behavior, and Suicidal Thoughts

Crisis ◽  
2020 ◽  
pp. 1-14 ◽  
Author(s):  
Tiago C. Zortea ◽  
Connor T. A. Brenna ◽  
Mary Joyce ◽  
Heather McClelland ◽  
Marisa Tippett ◽  
...  
Keyword(s):  
Public Health ◽  
Infectious Disease ◽  
Suicidal Ideation ◽  
Suicidal Behavior ◽  
Suicide Attempts ◽  
Data Extraction ◽  
Public Health Emergencies ◽  
Increased Risk ◽  
Meta Analyses ◽  
The Impact

Abstract. Background: Infectious disease-related public health emergencies (epidemics) may increase suicide risk, and high-quality evidence is needed to guide an international response. Aims: We investigated the potential impacts of epidemics on suicide-related outcomes. Method: We searched MEDLINE, EMBASE, PsycInfo, CINAHL, Scopus, Web of Science, PsyArXiv, medRxiv, and bioRxiv from inception to May 13–16, 2020. Inclusion criteria: primary studies, reviews, and meta-analyses; reporting the impact of epidemics; with a primary outcome of suicide, suicidal behavior, suicidal ideation, and/or self-harm. Exclusion criteria: not concerned with suicide-related outcomes; not suitable for data extraction. PROSPERO registration: #CRD42020187013. Results: Eight primary papers were included, examining the effects of five epidemics on suicide-related outcomes. There was evidence of increased suicide rates among older adults during SARS and in the year following the epidemic (possibly motivated by social disconnectedness, fears of virus infection, and concern about burdening others) and associations between SARS/Ebola exposure and increased suicide attempts. A preprint study reported associations between COVID-19 distress and past-month suicidal ideation. Limitations: Few studies have investigated the topic; these are of relatively low methodological quality. Conclusion: Findings support an association between previous epidemics and increased risk of suicide-related outcomes. Research is needed to investigate the impact of COVID-19 on suicide outcomes.

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