Effects of Social Exclusion on Psychological-Well-Being and Suicidal Possibilities Among People With Physical Disabilities

This study aimed to examine the effect of social exclusion on psychological well-being and suicide possibilities among people with physical disabilities. This descriptive and cross-sectional type study was conducted among people with physical disabilities who are members of the Association of Disabled People. Data were collected using the face-to-face interview method with the “Participant Information Form,” “Social Exclusion Scale for the People with Disabilities,” “Psychological Well-Being Scale,” and “Suicide Probability Scale.” It was found that the disabled people participating in the study experienced moderate social exclusion with a score of 72.35 + 31.53, a moderate level of well-being with a score of 34.79 + 16.80, and above a moderate level of suicidal ideation with a score of 78.58 + 9.85. Also, there was a negative moderate and significant relationship between social exclusion and psychological well-being ( p < 0.01; r: −0.492), while there was a positive strong relationship between social exclusion and the possibility of suicide ( p < 0.01; r: 0.518).

Suicidal Ideations and Behaviors in victims of cyberbullying

Background Involvement in bullying as well as cyberbullying has been identified as a risk factor for depression and anxiety symptom as well as suicide ideation/behavior. Results from community samples suggest that youth who are bullied, are at an elevated risk for suicidal thoughts, attempts, and completed suicides. Statistically both victims of cyberbullying as well as offenders proved to be much more likely to have attempted “bullycide,” the act of committing suicide due to the effects of bullying, than youth who had not been affected. The Aim of this study To determine the correlation between being a cyberbullying victim and suicidal ideation and/or behavior in adults and young adult population. Patients and Methods This is a cross-sectional, analytical study that includes 408 subjects of both genders of online social-media above the age of 18. All subjects have been screened using GHQ28 for the exclusion of mental illness at the time of study. Then subjects completed Cyberbullying Self Rated Questionnaire (CBQ) and Suicide Probability Scale (SPS) both in Arabic. Results suicidal probability was found to be increased proportionately in a statistically significant way with the degree of exposure to cyberbullying. Conclusion There is a significant increase in suicidal ideations/behaviors among cyberbullying victims whom have been exposed to higher levels of cyberbullying, even in the absence of major psychiatric disorders.

Characteristics of the schizophrenia suicide attempts in comparison with the suicide attempts with other diagnosed psychiatric disorders: An Egyptian study

Background: There has been much literature on schizophrenia, but little is known about the characteristic features of suicide attempts with schizophrenia in comparison with the suicide attempts with other diagnosed psychiatric disorders. Aims: The objective of this study was to clarify the specific characteristics and risk factors among suicide attempters with schizophrenia that differentiate them from other psychiatric disorders. Methods: Thirty-three suicide attempters diagnosed with schizophrenia and 87 suicide attempters with other psychiatric disorders were included. Suicide attempts seriousness were appraised by the Beck’s Suicide Intent Scale (BSIS). Standardized scales were applied: Suicide Probability Scale (SPS) and Barratt Impulsiveness Scale, Version 11 (BIS-11). The Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I) and The Structured Clinical Interview for DSM-IV Axis II Disorders (SCID-II) based on the Diagnostic and Statistical Manual of Mental Disorders-IV ( DSM-IV) was applied to assess the psychiatric status of individuals. Demographic and clinical characteristics, method of suicide and suicide probability scores and impulsivity were compared among both groups (schizophrenia group and other psychiatric disorders group). Results: In total, 27.5% of suicide attempts suffered from schizophrenia. The current study found that having more past history of medical diseases, longer duration of illness, using more violent suicidal methods, and having less significant suicidal ideations were the significant factors that differentiated schizophrenia suicide attempts from those diagnosed with other psychiatric disorders. The schizophrenia group did not show more impulsivity or hostility than other psychiatric disorders group. Conclusion: These results indicated that each group shows its unique characteristics. They give us new perspectives to prevent suicides in schizophrenia according to their different characteristics.

Validité prédicitive du Suicide Probability Scale auprès d’une population carcérale masculine séjournant en centre psychiatrique

Cette étude porte sur la validité prédictive du Suicide Probability Scale (SPS; 1988) auprès d’une population considérée à haut risque, soit des hommes adultes séjournant dans une unité psychiatrique en milieu carcéral. Dans le cadre d’une mesure de prévention du suicide mise en place au Centre Régional de Santé Mentale (CRSM), un des cinq centres psychiatriques du Service Correctionnel du Canada, le SPS était administré à tous les détenus lors de leur admission, puis ré-administré à un intervalle d’un ou trois mois, dépendamment du résultat. Les dossiers de soixante participants (n= 60) dont la moitié ont posé un geste suicidaire après leur admission au CRSM ont été examinés. Les résultats permettent de confirmer la validité prédictive du SPS. L’analyse ROC effectuée pour le résultat total au SPS de la passation la plus récente s’est avérée significative et a donné un coefficient AUC (aire sous la courbe) de .73, ce qui s’avère très bon en matière de prédiction du suicide. Les autres analyses ROC qui se sont avérées statistiquement significatives ont été celles pour les sous-échelles Désespoir et Idéations suicidaires. Ces données suggèrent donc l’importance de réévaluer le risque régulièrement auprès d’une clientèle qui présente un potentiel important au niveau du risque suicidaire.

The relationship between grief process and attachment styles in the cases with the treatment of complicated grief: A prospective study

The attachment style is one of the significant factors affecting the grief process and complicated grief. This study aims to research the relation between the factors determining the sociodemographic features, the reactions of grief, the suicidal behaviour and the grief process on the patients who are followed and treated with the complicated grief diagnosis and the features of attachment. The study includes 45 patients directed to a therapy unit and meet the criterions of complicated grief diagnosis. 33 of those patients have completed their treatment. Sociodemographic and clinical data form applied to the patients at the beginning, to evaluate for comorbid psychiatric disorders structured clinical interview for DSM-IV axis I disorders, adult attachment style questionnaire (AASQ), grief scale, hamilton rating scale for depression (HDRS), suicide behaviors questionnaire (SBQ), suicide probability scale (SPS), experiences in close relationships inventory (ECRI) are applied on the participants and compared the results of the scales prior to and following the treatment. In the dimensional evaluation of attachment, ECRI avoidance score is high over the patients diagnosed with comorbid psychiatric disorders with complicated grief. During the first application of the treatment, while evaluating the attachment categorically, in the complicated grief patients attached with avoidance grief scale, behavioural base scale and SPS negative self base scale are higher compared to the group whose HDRS scores attached with secure. The results show that in complicated grief cases the avoidance attachment is both dimensionally and categorically related with the strength of grief reaction and additional psychiatric problems.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Internalisierende Symptome bei depressiven Jugendlichen

Fragestellung: Um die Effektivität von Lehrerausbildungsprogrammen zu verbessern, ist es wichtig die unterschiedlichen Manifestationsformen der Depression bei jugendlichen Schüler und Schülerinnen gründlicher zu analysieren. Diese Studie untersucht die Ausprägung und Häufigkeit internalisierender Auffälligkeiten bei Jugendlichen mit depressiver Symptomatik und deren Zusammenhang zu einem erhöhten Suizidrisiko. Methodik: Mit dem Reynolds Adolescent Depression Scale-2, dem Youth Self-Report und dem Suicide Probability Scale wurden 403 Jugendliche an österreichischen allgemeinbildenden höheren Schulen (212 Mädchen und 191 Buben) im Alter zwischen 16 und 18 Jahren untersucht. Ergebnisse: 35 %, also über ein Drittel der Jugendlichen mit depressiven Symptomen, liegen zwar im internalisierend auffälligen Bereich, jedoch zeigen sie keine Auffälligkeiten im externalisierenden Bereich. Anhand der Regressionsanalyse zeigte sich, dass im internalisierenden Bereich insbesondere körperliche Beschwerden, Angst und Depressivität ausgeprägt sind. Neben diesen deuten aber auch Aufmerksamkeitsprobleme und schizoid zwanghaftes Verhalten auf eine depressive Symptomatik hin. Hinsichtlich des Suizidrisikos sind Depressivität, Angst, schizoid zwanghaftes Verhalten, soziale Probleme und aggressives Verhalten prädiktiv. Schlussfolgerungen: Diese Studienergebnisse werden im Zusammenhang mit bereits bestehenden Studien zur Erkennung von Verhaltensauffälligkeiten im schulischen Kontext diskutiert. Durch die Integration der Ergebnisse in Aus- und Fortbildung von Lehrpersonen soll eine Sensibilisierung auf den Bereich depressiver Jugendlicher mit internalisierenden Symptomen ermöglicht und die Identifikation erleichtert werden.

Relationship Between the Stress-Coping Levels of University Students and their Probability of Committing Suicide

The relationship between the stress-coping levels of students studying at Muğla University Health School, and their likelihood of committing crime to help them cope more effectively with stress generators and the number of suicide attempts reduced was explored. Participants were 350 students studying to be nurses and health officers and they completed the information form developed by the researcher. The questionnaire consisted of a Personal Information Form, Stress-Coping Styles Scale (SCSS), and Suicide Probability Scale (SPS). A significant relationship was found to exist between gender, department at the school, class, education level of the mother, existence of a person among the family members with a suicidal history, place of residence in Muğla, sources of stress, level of satisfaction about the students' department, and stress-coping levels and probability of committing suicide.

Risk Factors for and Protective Factors Against Adolescent Suicidal Behavior in Turkey

This study investigated the possible role of depression, self-esteem, problem solving, assertiveness, social support, and some socioeconomic factors on adolescent suicidal behavior in youth in a small city located in the southwestern part of Turkey. Participants in the study were 805 (367 girls) first-year high school students between the ages of 13-18 years. Some 23% of participants reported having thought of killing themselves during the past 12 months or their lifetime. The percentage of students who said that they had attempted to kill themselves was 2.5. Suicidal ideation during one's lifetime or during the past 12 months was more frequent among girls than among boys but suicidal attempts were equally common in girls and boys. Girls scored significantly higher on depression and the Suicide Probability Scale (SPS) but also on assertiveness and perceived social support from friends than boys. Boys tended to score higher on self-esteem than girls. Depression and low self-esteem were the most consistent and independent predictors of suicidal thoughts, attempts, and SPS scores in both girls and boys. The results are discussed in terms of relevant literature with special reference to developmental and sociocultural issues. The implications of findings for the assessment and treatment of suicidal youths are highlighted.