scholarly journals Emotional Dysregulation, Temperament and Lifetime Suicidal Ideation among Youths with Mood Disorders

2021 ◽  
Vol 11 (9) ◽  
pp. 865
Author(s):  
Delfina Janiri ◽  
Lorenzo Moccia ◽  
Eliana Conte ◽  
Laura Palumbo ◽  
Daniela Pia Rosaria Chieffo ◽  
...  
Keyword(s):  
Suicidal Ideation ◽  
Mood Disorders ◽  
Emotion Dysregulation ◽  
Suicide Risk ◽  
Depressive Disorders ◽  
Suicide Ideation ◽  
Young Patients ◽  
Emotional Dysregulation ◽  
Matched Sample ◽  
Difficulties In Emotion Regulation

Background: Psychopathological dimensions contributing to suicidal ideation in young age are poorly understood. We aimed to investigate the involvement of emotional dysregulation and temperament in suicide risk in a sample of accurately selected young patients with mood disorders and a matched sample of healthy controls (HC). Methods: We assessed 50 young patients (aged 14–25 years) with DSM-5 bipolar or depressive disorders for clinical and psychopathological characteristics and 82 age and sex, educational level, and smoking habits-matched HC. Emotional dysregulation and temperament were assessed using the Difficulties in Emotion Regulation Scale (DERS) and the Temperament Evaluation of Memphis, Pisa, Paris and San Diego-Autoquestionnaire (TEMPS-A-39), respectively. We tested their associations with suicidal ideation, using standard univariate/bivariate methods, preceded by overall multivariate analysis. Results: In the group of patients, 24 (48%) reported lifetime suicide ideation (LSI). Patients with LSI scored higher on emotional dysregulation (p < 0.001) and cyclothymic (p < 0.001), irritable (p = 0.01), and hyperthymic temperaments (p = 0.003) than HC. Patients with LSI specifically presented with more emotional dysregulation (p < 0.001) and cyclothymic temperament (p = 0.001), than patients without LSI (N = 26). Conclusions: Temperamental features, in particular cyclothymic temperament, and emotion dysregulation may represent independent factors for increased vulnerability to lifetime suicidal ideation in young adults with mood disorders.

scholarly journals High Risk of Suicide in Behavioral Variant Frontotemporal Dementia

2018 ◽  
Vol 34 (4) ◽  
pp. 265-271 ◽  
Author(s):  
Milena Zucca ◽  
Elisa Rubino ◽  
Alessandro Vacca ◽  
Flora Govone ◽  
Annalisa Gai ◽  
...  
Keyword(s):  
Suicidal Ideation ◽  
High Risk ◽  
Frontotemporal Dementia ◽  
Suicide Risk ◽  
Attempted Suicide ◽  
Disease Duration ◽  
Suicide Ideation ◽  
Behavioral Variant Frontotemporal Dementia ◽  
High Level ◽  
Anxiety Depression

Aim: The purpose of the study was to determine the prevalence of suicidal ideation and attempts in patients with behavioral variant frontotemporal dementia (bvFTD), evaluating possible risk factors for suicidality. Methods: Risk of suicide was assessed using the Scale for Suicide Ideation (SSI) in 35 patients with bvFTD and 25 controls. Results: According to SSI, 40% of patients with bvFTD had suicidal ideation in comparison to 8% of controls ( P = .009). Four patients with bvFTD have attempted suicide versus none control ( P = .006). Patients with bvFTD with suicide risk showed higher levels of anxiety, depression, stress, and hopelessness than patients without suicide risk ( P < .001). Patients who attempted suicide were younger and had a longer disease duration than those with only suicide ideation. Intriguingly, 40% of patients with parkinsonism presented high level of suicide ideation. Conclusions: Our findings show that patients with bvFTD have a high risk of suicide. Additional studies in larger populations are needed to confirm our results.

The Effects of Suicide Ideation Assessments on Urges to Self-Harm and Suicide

Crisis ◽  
2014 ◽  
Vol 35 (2) ◽  
pp. 123-131 ◽  
Author(s):  
Rahel Eynan ◽  
Yvonne Bergmans ◽  
Jesmin Antony ◽  
John R. Cutcliffe ◽  
Henry G. Harder ◽  
...  
Keyword(s):  
Suicidal Ideation ◽  
Suicide Risk ◽  
Suicide Ideation ◽  
Psychiatric Service ◽  
Exclusion Criterion ◽  
Primary Concern ◽  
Assessment Protocol ◽  
Self Harm ◽  
Study Participants

Background: Participants’ safety is the primary concern when conducting research with suicidal or potentially suicidal participants. The presence of suicide risk is often an exclusion criterion for research participants. Subsequently, few studies have examined the effects of research assessments on study participants’ suicidality. Aims: The purpose of this research was to examine the patterns of postassessment changes in self-harm and suicide urges of study participants who were recently discharged from an inpatient psychiatric service. Method: Study participants (N = 120) were recruited from patients with a lifetime history of suicidal behavior admitted with current suicidal ideation or suicide attempt to an inpatient psychiatric service and/or a crisis stabilization unit. Participants were assessed for suicidal ideation with the Suicide Ideation Scale at 1, 3, and 6 months following their discharge from hospital. The risk assessment protocol was administered at the start and at the end of each of the study follow-up assessments. Results: Changes in self-harm and suicide urges following study assessments were small, infrequent, and were most likely to reflect a decrease in suicidality. Similarly, participants rarely reported worsening self-control over suicidal urges, and when they did, the effect was minimal. By the end of the 6-month follow-up period, increases in self-harm and suicidal urges postassessment were not seen. Conclusion: The inclusion of suicidal participants in research interviews rarely increased suicide risk. Research involving suicidal individuals is possible when study protocols are well planned and executed by trained assessors and clinicians who are able to identify participants at risk and provide intervention if necessary. The few participants that required intervention had high levels of suicide ideation and behavior at baseline and almost all reported symptoms of posttraumatic stress disorder. Further study is needed to better characterize this subgroup of participants.

Differences in Suicide Risk Severity Among Suicidal Youth With Anxiety Disorders

Crisis ◽  
2019 ◽  
Vol 40 (5) ◽  
pp. 333-339 ◽  
Author(s):  
Joanna Herres ◽  
Annie Shearer ◽  
Tamar Kodish ◽  
Barunie Kim ◽  
Shirley B. Wang ◽  
...  
Keyword(s):  
Anxiety Disorder ◽  
Suicidal Ideation ◽  
Social Anxiety ◽  
Anxiety Disorders ◽  
Suicide Risk ◽  
Suicide Ideation ◽  
Self Report ◽  
Health Concern ◽  
Future Research ◽  
Major Depressive

Abstract. Background: Adolescent suicidality is a growing public health concern. Although evidence supports a link between anxiety and suicidality, little is known about risk associated with specific anxiety disorders. Aims: This study examined the prevalence of anxiety disorders in a sample of adolescents with depression and suicidal ideation and the associations between specific anxiety disorders and suicide ideation severity and attempt history. Method: The sample consisted of 115 adolescents ( Mage= 14.96 years; 55.8% African American) entering a clinical trial for suicidal ideation and depressive symptoms. Prior to treatment, adolescents completed self-report and interview measures. Results: In all, 48% of the sample met criteria for an anxiety disorder, 22% met criteria for social anxiety disorder (SAD), and 40% met criteria for major depressive disorder (MDD). SAD was uniquely associated with more severe suicidal ideation. Limitations: Findings may not generalize to all suicidal adolescents, and non-measured variables may account for the observed relationships. Conclusion: Future research should examine whether targeting social anxiety would improve treatment response for suicidal adolescents.

Az alacsony szérumkoleszterin-szint mint lehetséges öngyilkossági rizikótényező

2021 ◽  
Vol 162 (43) ◽  
pp. 1732-1739
Author(s):  
Edina Dimény ◽  
Erika Bán ◽  
László Gyula Fekete ◽  
Attila Brassai
Keyword(s):  
Suicidal Ideation ◽  
Total Cholesterol ◽  
Suicide Risk ◽  
Suicide Ideation ◽  
Psychiatric Patients ◽  
Total Cholesterol Level ◽  
Risk Category ◽  
Moderate Risk ◽  
Cholesterol Levels ◽  
Hospital Referral

Összefoglaló. Bevezetés: A koleszterinszint a köztudatban elsősorban mint cardiovascularis rizikófaktor van jelen. Nem mellékes azonban, hogy akár a magas, akár az alacsony koleszterinszint direkt összefüggésbe hozható számos pszichiátriai kórképpel. Célkitűzés: A jelen tanulmány célja felhívni a figyelmet a holisztikus nézőpont kialakítására, hisz a hypercholesterinaemia korai cardiovascularis elhalálozáshoz vezethet, viszont alacsony koleszterinszint esetén megnövekedhet a hangulatzavarra és főleg az öngyilkosságra való hajlam. Módszer: Kutatásunkban 200 olyan pszichiátriai beteg összkoleszterinszintjét vizsgáltuk meg, akik öngyilkossági gondolatokkal küszködtek. Az öngyilkossági veszélyt a Modified Scale for Suicide Ideation (Miller és mtsai) segítségével mértük. Eredmények: Az elért pontszámok alapján 3 kategóriába soroltuk a betegeket: 52 minimális suicid késztetésű, 49 középsúlyos és 99 súlyos rizikójú beteg. A legsúlyosabb kategóriába tartozó betegek nagy többségének (83 páciens, 84%) összkoleszterinje 4,5 mmol/l alatti volt. A másik két kategóriában ezen arány jelentősen kisebbnek bizonyult: a minimális suicid késztetésű kategóriában ez az érték csak 3 betegre (6%) volt vonatkoztatható, és a középsúlyosak esetén is csak 13 betegre (29%). Megbeszélés: Ezen tanulmányunk hátrányát képezheti a relatíve kis betegszám és a longitudinális utánkövetés megvalósításának hiánya. Következtetés: Jelen eredményeink alapján jogosan vetődhet fel a koleszterinszint mérésének rutinszerű bevezetése mint hatásos, szűrésre alkalmas öngyilkossági rizikófaktor biomarker. Orv Hetil. 2021; 162(43): 1732–1739. Summary. Introduction: High cholesterol levels are widely recognized as cardiovascular risk factors. However, lower or higher cholesterol levels can be in a solid relationship with several mental disorders, too. Objective: Our study aims to raise awareness about the fact that hypocholesterolemia is involved in various mood disorders and even suicidal behavior looks to be much more frequent. Method: Our current study implicates 200 psychiatric patients. These subjects had suicidal ideation upon hospital referral. In the first 24 hours, their total cholesterol levels were measured and the severity of self-harm intentions was evaluated with the Modified Scale for Suicide Ideation by Miller et al. Results: By the obtained evaluation score we differentiated 3 groups: 52 patients with low suicide risk, 49 with moderate risk and 99 with high suicide risk. In this last group, 83 patients had their serum total cholesterol level under 4,5 mmol/L (84%). By comparison, in the low-risk category only 3 patients (6%) and in the moderate-risk 13 patients (29%) were with such levels. Discussion: Clear conclusion cannot be drawn due to the reduced number of our patients, due to the absence of long-term consequent monitorization, and due to the heterogeneity of the studied population. Conclusion: Considering these data, a possible usefulness of total cholesterol levels in psychiatric patients may be suggested as a screening tool for the severity of suicidal ideation. Orv Hetil. 2021; 162(43): 1732–1739.

Suicide Attempt History, Self-Esteem, and Suicide Risk in a Sample of 116 Depressed Voluntary Inpatients

2004 ◽  
Vol 95 (3_suppl) ◽  
pp. 1092-1094 ◽  
Author(s):  
Charles James Palmer
Keyword(s):  
Suicidal Ideation ◽  
Suicide Attempt ◽  
Suicide Risk ◽  
Suicide Ideation ◽  
Self Esteem ◽  
Significant Difference ◽  
History Of ◽  
Group 3 ◽  
Group 2 ◽  
Group 1

116 consecutively admitted depressed inpatients were divided into three groups based on self-reported history of suicidal ideation and history of suicide attempt. Participants in Group 1 ( M age 34.0, SD = 14.0), 13 men and 24 women, reported no history of suicidal ideation or history of suicide attempt. Group 2 ( M age 34.0, SD = 8.6), 14 men and 25 women, reported having a history of suicidal ideation but no history of suicide attempt. Group 3 ( M age 34.0 yr., SD = 6.3), 14 men and 26 women, reported a history of suicidal ideation and at least one suicide attempt. Each participant completed the Suicide Risk Scale and the Self-esteem Scale. Analysis of variance with Tukey post hoc comparisons yielded a significant difference between Groups 1 and 2, between Groups 1 and 3, and between Groups 2 and 3 on the Suicide Risk Scale. There was a significant difference between Group 1 and Group 2 and between Group 1 and Group 3 on the Self-esteem Scale. These data indicated that suicide ideation and suicide attempt history significantly elevated suicide risk. Self-esteem was significantly decreased by suicide ideation and suicide attempt history.

Alexithymia and Suicide Risk among Patients with Obsessive-compulsive Disorder

2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1
Author(s):  
D. De Berardis ◽  
N. Serroni ◽  
A.M. Pizzorno ◽  
F.S. Moschetta ◽  
G. Sepede ◽  
...  
Keyword(s):  
Suicidal Ideation ◽  
Obsessive Compulsive Disorder ◽  
Suicide Risk ◽  
Rating Scales ◽  
Suicide Ideation ◽  
Rating Scale ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Chronic Course ◽  
Tas 20

Objective:The aim of our study was to evaluate relationships between alexithymia and suicidal ideation a sample of adult outpatients with obsessive-compulsive disorder (OCD).Methods:A sample of 86 adult outpatients with OCD (44 females and 42 males), was evaluated with a series of rating scales such as the Yale-Brown Obsessive Compulsive Scale (Y-BOCS), the Toronto Alexithymia Scale (TAS-20), the Scale for Suicide Ideation (SSI) and Montgomery-Åsberg Depression Rating Scale (MADRS). the score of item #11 on the Y-BOCS was considered as a measure of insight.Results:Alexithymics showed a more early onset, a longer duration of illness and were more suitable to have a chronic course than nonalexithymics; they also reported higher MADRS and SSI scores. Alexithymics without insight (n=21) reported higher SSI scores than alexithymics with insight, nonalexythimics without insight and nonalexithymics with insight. A linear regression showed that chronic OCD course together with DIF dimension of TAS-20 and higher MADRS scores were significantly associated with higher suicide risk.Conclusions:Alexithymia and depressive symptoms were highly correlated in OCD patients and were significantly associated with higher suicide risk. DIF dimension of TAS-20 seems to be significantly associated with presence of suicidal ideation as well as chronic course of disorder. However, further longitudinal studies on larger samples are needed to definitely clarify this topic.

Features of Formation and System of Psychoprophylaxis of Suicidal Behavior in Young Patients with Depression

2017 ◽  
Vol 41 (S1) ◽  
pp. s239-s239
Author(s):  
H. Kozhyna ◽  
V. Mykhaylov ◽  
K. Zelenskay
Keyword(s):  
Family Therapy ◽  
Suicidal Behavior ◽  
Depressive Episode ◽  
Suicide Risk ◽  
Depressive Disorders ◽  
Rating Scale ◽  
Young Patients ◽  
Clinical Manifestations ◽  
Cognitive Behavioral ◽  
Anxiety And Depression

The work covers the study of the formation of suicidal behavior in young adults with depressive disorders and developing of pathogenetic based system of its prevention. There were clinical and psychopathological signs of depressive disorders in young patients analyzed. Anxiety, asthenia, asthenic-apathetic and melancholy variants of depressive disorders in young patients with suicidal behavior were highlighted. In this study, there were the markers of suicide risk for young patients with depressive disorders determined: high suicide risk, low death self-consciousness, high anhedonia level, clinical manifestations of anxiety and depression by the hospital anxiety and depression scale, severe anxiety and depression by the Hamilton anxiety rating scale, major depressive episode by the Montgomery-Asberg depression rating scale. It has been proved that in observed young patients with depressive disorders with suicide behavior increased concentrations of serotonin, cortisol, noradrenaline and decreased levels of adrenaline and melatonine in plasma were observed. These changes were determined as neurohormonal background for depletion of adaptation resource in stress situations. There were approaches to differentiated prevention of suicidal behavior in depressive disorders in young people validated that include pharmacotherapy (selective SSRI, melatonin, serotonin and norepinephrine), psychotherapy and psychoeducation. Psychotherapeutic complexin patients with depressive episode must include personality-oriented psychotherapy, cognitive behavioral therapy, family therapy and autogenous training; in disorders of adaptation – rational psychotherapy, cognitive-behavioral analytic psychotherapy, family therapy, autogenic training. Psychoeducation should be carried out using information modules, training a positive self-image, improved compliance; formation of communication skills, problem solving, interpersonal interaction and problem-oriented discussions.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Depression and Suicide in Early Onset Schizophrenia

2011 ◽  
Vol 26 (S2) ◽  
pp. 2012-2012
Author(s):  
G. Zalsman
Keyword(s):  
Suicidal Ideation ◽  
Suicidal Behavior ◽  
Criminal Behavior ◽  
Suicide Risk ◽  
Suicide Ideation ◽  
First Episode ◽  
Control Group ◽  
Gender And Age ◽  
Actual Suicide ◽  
First Episode Schizophrenia

PurposeSuicide is a major cause of death in adolescents with first-episode schizophrenia (FES). We compared suicide-related traits between subjects with FES and with other psychopathologies in order to evaluate risk factors for suicidal behavior.Subjects and methodsTwenty-five inpatient adolescents with FES and a control group of 28 psychiatric inpatients matched for gender and age were assessed for depression, anger, criminal behavior, aggression, and suicidal ideation, risk and potential.ResultsThe adolescents with FES had significantly lower depression (p=0.003) anger (p=0.025) and criminal behavior (p=0.022) than did the controls. However, while suicide ideation was greater in the subjects with FES (p=0.003), suicide risk was significantly lower than controls (p=0.004).DiscussionDecreased levels of both depression and anger as part of affective constriction in the schizophrenia group could explain why the increased suicide ideation did not lead to a higher suicide risk in these inpatients.ConclusionThis study highlights the importance of distinguishing between suicidal ideation and actual suicide risk. We demonstrated that thoughts of suicide do not necessarily translate into an actual risk of suicidal behavior in adolescents with schizophrenia.

scholarly journals Exploring Suicidal Ideation Using an Innovative Mobile App-Strength Within Me: The Usability and Acceptability of Setting up a Trial Involving Mobile Technology and Mental Health Service Users (Preprint)

2020 ◽  
Author(s):  
Ashley Jane Bruen ◽  
Abbie Wall ◽  
Alina Haines-Delmont ◽  
Elizabeth Perkins
Keyword(s):  
Mental Health ◽  
Suicidal Ideation ◽  
Real Time ◽  
Suicide Risk ◽  
Suicide Ideation ◽  
Public Health Problem ◽  
Mobile App ◽  
Inpatient Setting ◽  
Service Users ◽  
Risk Of Death

BACKGROUND Suicide is a growing global public health problem that has resulted in an increase in the demand for psychological services to address mental health issues. It is expected that 1 in 6 people on a waiting list for mental health services will attempt suicide. Although suicidal ideation has been shown to be linked to a higher risk of death by suicide, not everybody openly discloses their suicidal thoughts or plans to friends and family or seeks professional help before suicide. Therefore, new methods are needed to track suicide risk in real time together with a better understanding of the ways in which people communicate or express their suicidality. Considering the dynamic nature and challenges in understanding suicide ideation and suicide risk, mobile apps could be better suited to prevent suicide as they have the ability to collect real-time data. OBJECTIVE This study aims to report the practicalities and acceptability of setting up and trialing digital technologies within an inpatient mental health setting in the United Kingdom and highlight their implications for future studies. METHODS Service users were recruited from 6 inpatient wards in the north west of England. Service users who were eligible to participate and provided consent were given an iPhone and Fitbit for 7 days and were asked to interact with a novel phone app, Strength Within Me (SWiM). Interaction with the app involved journaling (recording daily activities, how this made them feel, and rating their mood) and the option to create safety plans for emotions causing difficulties (identifying strategies that helped with these emotions). Participants also had the option to allow the study to access their personal Facebook account to monitor their social media use and activity. In addition, clinical data (ie, assessments conducted by trained researchers targeting suicidality, depression, and sleep) were also collected. RESULTS Overall, 43.0% (80/186 response rate) of eligible participants were recruited for the study. Of the total sample, 67 participants engaged in journaling, with the average number of entries per user being 8.2 (SD 8.7). Overall, only 24 participants created safety plans and the most common <i>difficult emotion</i> to be selected was feeling sad (n=21). This study reports on the engagement with the SWiM app, the technical difficulties the research team faced, the importance of building key relationships, and the implications of using Facebook as a source to detect suicidality. CONCLUSIONS To develop interventions that can be delivered in a timely manner, prediction of suicidality must be given priority. This paper has raised important issues and highlighted lessons learned from implementing a novel mobile app to detect the risk of suicidality for service users in an inpatient setting.

scholarly journals Weight Stigma, Suicide Risk, and the Interpersonal Theory of Suicide: The Roles of Emotion Dysregulation and Eating Pathology

2019 ◽  
Author(s):  
Valerie Jane Douglas ◽  
Mun Yee Kwan ◽  
Kathryn H. Gordon
Keyword(s):  
Indirect Effect ◽  
Emotion Dysregulation ◽  
Suicide Risk ◽  
Weight Stigma ◽  
Emotional Dysregulation ◽  
Interpersonal Theory ◽  
Thwarted Belongingness ◽  
Perceived Burdensomeness ◽  
Interpersonal Theory Of Suicide ◽  
Weight Stigmatization

Objective: Using an interpersonal theory of suicide framework, we investigated the relationships between perceived burdensomeness, thwarted belongingness, weight stigmatization, emotion dysregulation, eating disorder symptoms, and suicide risk. Three hypotheses were investigated. First, we predicted a positive linear relationship between stigmatization and risk. Second, an indirect effect of stigmatization on risk via thwarted belongingness and perceived burdensomeness was posited. Third, we hypothesized that weight stigmatization would indirectly affect suicide risk via emotion dysregulation as conditional upon disordered eating. Method: Undergraduates (N = 156) completed surveys online. Linear regressions, indirect effect analyses, and conditional process modeling were conducted to test our hypotheses. Results: Weight stigmatization was associated with suicide risk, where higher levels of stigmatization were associated with higher levels of suicide risk. Weight stigmatization indirectly affected suicide risk via perceived burdensomeness but not thwarted belongingness. Higher stigmatization was associated with higher levels of perceived burdensomeness, which was associated with higher risk. An indirect effect of weight stigmatization on suicide risk through emotional dysregulation emerged. Higher weight stigmatization was associated with higher emotional dysregulation, which was associated with higher suicide risk. Conclusions: Our findings may have clinical and public health implications for suicide prevention efforts targeting weight stigma-related risk factors.

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