scholarly journals The Investigation of The Relationship Between Reasons for Living and Suicidal Behavior in Psychiatric Inpatients: A Systematic Review

Author(s):  
Reyhan Eskiyurt ◽  
Birgül Özkan
1989 ◽  
Vol 3 (3) ◽  
pp. 223-232 ◽  
Author(s):  
Jon B. Ellis ◽  
Lillian M. Range

Adaptive life-maintaining characteristics, which may be present in non-suicidal people and absent in suicidal people, have received little attention. This study examined the relationship between these adaptive characteristics and mood by giving the Reasons for Living Inventory (RFL) to 199 college students, a group that has recently been shown to be at high risk for suicidal behavior. Subjects completed the RFL, experienced a mood induction or served as a control, and then completed the RFL a second time. Analyses of variance of RFL change scores indicated that elated subjects differed from all others in overall RFL and responsibility to family scores, which improved while others remained about the same. Also, depressed subjects differed from all others in their survival and coping beliefs, which dropped while others remained about the same. These results suggest that a brief intervention such as a mood manipulation technique may positively or negatively affect reasons that people have for not committing suicide.


2021 ◽  
Author(s):  
Brooke A. Ammerman ◽  
Taylor A. Burke ◽  
Caitlin M. O'Loughlin ◽  
Rebecca Hammond

Nonsuicidal self-injury (NSSI) is one of the strongest predictors of suicidal behavior. Despite this, the field still has a limited understanding of the mechanisms by which this relationship is conferred. As there has been a proliferation of research in this area over the past decade, an updated systematic review of the empirical research examining potential factors driving the relationship between NSSI and suicide-related outcomes is needed to move the field forward. We identified only 18 studies examining moderators or mediators of the relationship. Research to date does little to improve our understanding of the robust, prospective relationship between NSSI and suicide outcomes, highlighting a foundational gap in both the empirical and theoretical literature. Thus, we propose the Nonsuicidal to Suicidal Self-Injury Pathway Model, an expanded theoretical model of this relationship drawing on extant theory and empirical research, as well as discuss future directions for work in this area.


2007 ◽  
Vol 2 (3) ◽  
pp. 195-204 ◽  
Author(s):  
Mei-Chuan Wang ◽  
Owen Richard Lightsey ◽  
Todd Pietruszka ◽  
Ayse Ciftci Uruk ◽  
Anita G. Wells

1992 ◽  
Vol 75 (2) ◽  
pp. 639-647 ◽  
Author(s):  
Thomas E. Ellis ◽  
Richard A. Berg ◽  
Michael D. Franzen

Although various studies have shown that suicidal persons exhibit greater cognitive deficiencies than both normals and other psychiatric patients, researchers as yet have been unable to account for the source(s) of the differences. Some of these differences (e.g., cognitive rigidity and impaired problem solving) hint of possible organic involvement. This study explored the relationship of neuropsychological functioning to suicidal behavior by comparing 20 suicidal and 27 nonsuicidal psychiatric inpatients on several tests of neuropsychological functioning. Although results showed no significant differences between the two groups on most measures, both groups showed evidence of notably high levels of cortical dysfunction relative to test norms. Thirty-five percent of suicidal patients and 44% of nonsuicidal patients scored in the impaired range. Implications of this high frequency of impairment for the treatment of suicidal and nonsuicidal psychiatric patients are discussed.


Crisis ◽  
2014 ◽  
Vol 35 (6) ◽  
pp. 398-405 ◽  
Author(s):  
Michael R. Nadorff ◽  
Thomas E. Ellis ◽  
Jon G. Allen ◽  
E. Samuel Winer ◽  
Steve Herrera

Background: Although sleep is an important risk factor for suicidal behavior, research has yet to examine the association between sleep problems and suicidality across the course of inpatient treatment. This study examined the relationship among sleep-related symptoms and suicidal ideation across inpatient treatment. Aims: To examine whether poor sleep at admission longitudinally predicts less improvement in suicidal ideation over the course of treatment. Further, to examine whether suicidal ideation is reduced in patients whose sleep does not improve. Method: The study utilized the Beck Depression Inventory (BDI)-II, which contains items measuring depressive symptoms, sleep-related symptoms, and suicidal ideation. The study sample consisted of 1,529 adult psychiatric inpatients. Patients were assessed at admission, biweekly, and at treatment termination. Results: Admission fatigue, loss of energy, and change in sleep pattern were associated with higher levels of suicidal ideation at admission and discharge. Fatigue at admission predicted suicidal ideation at termination independent of admission depression and suicidal ideation. Individuals whose sleep did not improve over the course of treatment had significantly higher suicidal ideation scores at termination relative to those whose sleep symptoms improved, after controlling for sleep, depression, and suicidal ideation scores at admission. Conclusion: These findings suggest that persistence of sleep-related symptoms warrants clinical attention in the treatment of suicidal patients.


Crisis ◽  
2019 ◽  
Vol 40 (6) ◽  
pp. 413-421 ◽  
Author(s):  
Megan L. Rogers ◽  
Thomas E. Joiner

Abstract. Background: Acute suicidal affective disturbance (ASAD) has been proposed as a suicide-specific entity that confers risk for imminent suicidal behavior. Preliminary evidence suggests that ASAD is associated with suicidal behavior beyond a number of factors; however, no study to date has examined potential moderating variables.  Aims: The present study tested the hypotheses that physical pain persistence would moderate the relationship between ASAD and (1) lifetime suicide attempts and (2) attempt lethality. Method: Students ( N = 167) with a history of suicidality completed self-report measures assessing the lifetime worst-point ASAD episode and the presence of a lifetime suicide attempt, a clinical interview about attempt lethality, and a physical pain tolerance task. Results: Physical pain persistence was a significant moderator of the association between ASAD and lifetime suicide attempts ( B = 0.00001, SE = 0.000004, p = .032), such that the relationship between ASAD and suicide attempts strengthened at increasing levels of pain persistence. The interaction between ASAD and pain persistence in relation to attempt lethality was nonsignificant ( B = 0.000004, SE = 0.00001, p = .765). Limitations: This study included a cross-sectional/retrospective analysis of worst-point ASAD symptoms, current physical pain perception, and lifetime suicide attempts. Conclusion: ASAD may confer risk for suicidal behavior most strongly at higher levels of pain persistence, whereas ASAD and pain perception do not influence attempt lethality.


2017 ◽  
Author(s):  
Ahmed M. Abdulla ◽  
Sue Hyeon Paek ◽  
Rodney Dishman ◽  
Bonnie Cramond ◽  
Mark A. Runco

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