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Suicide & Life-threatening Behavior

Glenn A Melvin, Daniel Gresham, Susan Beaton, Jan Coles, Bruce J Tonge, Michael S Gordon, Barbara Stanley
OBJECTIVE: The purpose of this study was to examine the feasibility and effectiveness of a suicide prevention smartphone application. METHOD: Thirty-six non-Aboriginal Australians aged between 16 and 42 years (67% female) were recruited from a tertiary mental health service where they were receiving treatment for suicide risk. Participants were asked to use the BeyondNow safety planning smartphone application to manage their suicide safety plan during a 2-month trial, as an adjunct to treatment as usual...
July 12, 2018: Suicide & Life-threatening Behavior
Nora Kuiper, David Goldston, Lucas Godoy Garraza, Christine Walrath, Madelyn Gould, Richard McKeon
OBJECTIVE: Youth suicide is a public health problem in the United States. Suicide prevention programs have been shown to be beneficial; however, knowledge of unanticipated adverse consequences of programs is limited. The objective of this review is to present what is known about these consequences so informed decisions and appropriate planning can be made prior to implementation of suicide prevention interventions. METHOD: A narrative but systematic review was conducted assessing what is known about adverse consequences utilizing a comprehensive keyword search of EBSCO and PubMed databases...
July 12, 2018: Suicide & Life-threatening Behavior
William Feigelman, Rebecca Sanford, Julie Cerel
OBJECTIVE: Although suicidologists have devoted great interest toward the importance of suicide notes, scant attention has been paid to their impact upon the suicide bereaved. METHOD: To address this issue we conducted on an online survey querying 146 mostly American suicide bereaved adults who indicated severe emotional distress after their losses, 80% of whom had lost first degree-relatives. RESULTS: We found no significant differences in mental health outcomes between those who received suicide notes and those who had not; nor were differences noted between those whose notes contained helpful or unhelpful information and those who had not received such information...
July 5, 2018: Suicide & Life-threatening Behavior
Nicholas P Allan, Daniel F Gros, Cynthia L Lancaster, Kevin G Saulnier, Tracy Stecker
OBJECTIVE: Little is known about suicidal ideation stability, including whether stability is heterogeneous or homogeneous between individuals. Studies of this kind are necessary to understand the progression from suicidal ideation to action. METHOD: This study examined suicidal ideation trajectories, using growth mixture modeling, in a sample of 359 past/current military service members (M age = 32.1 years, SD = 7.7; 88.3% male). Self-reported suicidal ideation information was collected at baseline and follow-up sessions at months 1, 3, 6, and 12...
June 25, 2018: Suicide & Life-threatening Behavior
Tim Bullman, Aaron Schneiderman, Jaimie L Gradus
OBJECTIVE: Research has demonstrated that posttraumatic stress disorder (PTSD) among Vietnam veterans is associated with increased risk of suicide. It is also widely reported that suicide is related to depression. This study examined the effect of PTSD and depression on risk of suicide among a cohort of Vietnam veterans. METHOD: All study subjects were selected from the Department of Veterans Affairs Agent Orange Registry. Suicide risk associated with PTSD was first assessed by comparing the number of suicides among a cohort of 2,874 veterans with PTSD to that of 8,537 veterans not diagnosed with PTSD...
June 21, 2018: Suicide & Life-threatening Behavior
Jason R Randall, Jitender Sareen, Dan Chateau, James M Bolton
OBJECTIVE: To compare the effectiveness of clinician prediction of risk to a standardized assessment of presentation status. METHODS: All adult psychiatry emergency department consults in the two main hospitals in Winnipeg, Canada, were assessed using a standardized form (n = 5,376). This form includes two risk scales for a gestalt physician assessment of risk (Suicide Likelihood scale, suicide Attempt Likelihood scale) and the Columbia Classification Algorithm of Suicide Assessment (C-CASA)...
June 19, 2018: Suicide & Life-threatening Behavior
Alexander R Robertson
OBJECTIVE: Ingestion of sharp foreign bodies is a less frequently encountered method of selfharm. This study aims to follow up patients presenting with foreign body (FB) ingestion requiring urgent endoscopic intervention under general anaesthetic in theatre, characterise each patient and establish whether admission or removal of the FB promotes further self-harm. METHOD: Eleven adult patients, totalling 38 presentations over a 28-month period were identified. Each was followed up from an initial presentation requiring endoscopy...
June 14, 2018: Suicide & Life-threatening Behavior
Amy M Brausch, Sherry E Woods
BACKGROUND: The relationship between emotion regulation deficits and nonsuicidal self-injury (NSSI) is well established. Many studies have documented the strong relationship between NSSI and suicidal thoughts and behaviors. The relationship between emotion regulation deficits and suicide is less understood, but recent studies indicate a moderate association. This study aimed to examine the relationship between emotion regulation deficits, NSSI behavior, and suicide ideation in an unselected community sample of adolescents...
June 14, 2018: Suicide & Life-threatening Behavior
Colette Ramsey, Edel Ennis, Siobhan O'Neill
OBJECTIVE: Despite their widespread use, there is limited evidence on whether crisis lines are effective, how to identify callers at risk or the best ways of supporting callers to prevent suicide. This study compared the features of callers and call patterns in service users who had died by suicide with those who were currently alive from 2008 to 2011. METHODS: Using information contained on Contact's (Northern Ireland's "Lifeline" service) Client Information Management System (CIMS), 118 deaths by suicide from 2008 to 2011 were compared with a matched control group (matched on age, gender, and main presenting issue on first contact) who had not died by suicide...
June 14, 2018: Suicide & Life-threatening Behavior
Erika A Crawford, Taylor A Burke, David Siegel, Shari Jager-Hyman, Lauren B Alloy, Philip C Kendall
OBJECTIVE: The severity of anxiety, in general, has been associated with suicide ideation (SI) among youth, but research has yet to examine the specific anxiety symptoms that may contribute to SI among youth. This study examined the severity of specific anxiety symptom clusters (i.e., tense/restless, somatic/autonomic symptoms, humiliation/rejection, performing in public, separation anxiety, perfectionism, and anxious coping) and SI in youth who met diagnostic criteria for an anxiety disorder...
June 14, 2018: Suicide & Life-threatening Behavior
Jaeun Ahn, Jung-Hyun Lee, Young-Chul Jung
OBJECTIVE: Although suicide is a major cause of mortality for individuals with eating disorders (EDs), researches about potential factors predicting suicide attempts in ED are insufficient. We sought to identify factors associated with suicide attempts in ED. METHOD: A total of 899 patients with ED were assessed via structured interviews. To compare demographic and clinical characteristics of those who had attempted suicide with those who had not, we used chi-square tests and independent t tests for categorical and continuous variables, respectively...
June 8, 2018: Suicide & Life-threatening Behavior
Yossi Levi-Belz, Timor Gavish-Marom, Shira Barzilay, Alan Apter, Vladimir Carli, Cristina Hoven, Mario Sarchiapone, Dnuta Wasserman
OBJECTIVE: Suicide attempt (SA) is recognized as one of the risk factors for completed suicides. The concealment of this behavior often hinders detection and management of suicide risk. Thus, in this study, we sought to shed light on adolescents' psychosocial processes that could facilitate disclosure of SAs. Specifically, we sought to identify antecedents of adolescent SAs that had not been revealed to significant others. METHOD: A high school sample) N = 990 (completed a self-report questionnaire tapping psychiatric, personal, and interpersonal characteristics, as well as suicidality, as part of the SEYLE project...
May 31, 2018: Suicide & Life-threatening Behavior
Yeonsoo Park, Hyang Sook Kim
OBJECTIVE: The Interpersonal Psychological Theory of Suicide posits thwarted belongingness and perceived burdensomeness as the constructs of suicidal desire. This study examined the psychometric properties of the Interpersonal Needs Questionnaire (INQ), which measures thwarted belongingness and perceived burdensomeness, in Korean university students. METHOD: A series of exploratory and confirmatory factor analyses were conducted to identify the latent structure of the 15-item INQ...
May 27, 2018: Suicide & Life-threatening Behavior
Manuel Canal-Rivero, Javier-David Lopez-Moriñigo, Maria-Luisa Barrigón, Rosa Ayesa-Arriola, Benedicto Crespo-Facorro, Miguel Ruiz-Veguilla, Jordi E Obiols-Llandrich
BACKGROUND: Disability encompasses impairments, activity limitations, and restrictions on participation. Improvement in functioning has therefore become a crucial outcome of treatment in psychosis. OBJECTIVE: The main aim of this study was to analyze the potential relationship between suicidal behavior after first episode of psychosis (FEP) and family disability. The second aim was to find out whether personality traits are associated with disability dimensions...
May 16, 2018: Suicide & Life-threatening Behavior
Melinda Westlund Schreiner, Bonnie Klimes-Dougan, Kathryn R Cullen
OBJECTIVE: Major depressive disorder (MDD) is associated with suicidal thoughts and behaviors ("suicidality"). Of the three components of Joiner's interpersonal theory of suicide, two involve negatively valenced, self-related beliefs: perceived burdensomeness and thwarted belongingness. However, the neurocircuitry underlying self-processing and suicidality has not been fully explored. This study examined the association between suicidality and the neurocircuitry of regions relevant to self-referential processing in adolescents with depression...
May 13, 2018: Suicide & Life-threatening Behavior
Michael Eaddy, Lucas Zullo, Sarah E Horton, Jennifer L Hughes, Betsy Kennard, Andrew Diederich, Graham J Emslie, Lisa Schuster, Sunita M Stewart
OBJECTIVE: Emotion dysregulation has been consistently linked to suicide ideation and attempt, but an explanatory model for this relationship has not been adequately investigated in adolescents. This study examined the concurrent relationship among emotion dysregulation, variables from the Interpersonal-Psychological Theory of Suicide (IPTS), and suicide risk (operationalized as a continuous variable that increases in intensity from nonspecific to active suicide ideation to suicide ideation with a plan) in a clinical adolescent sample...
May 10, 2018: Suicide & Life-threatening Behavior
Soumia Cheref, David Talavera, Rheeda L Walker
Suicide is a leading cause of death for vulnerable ethnic minority emerging adults in the United States (Web-based injury statistics query and reporting system [WISQARS], 2015). Perceived discrimination (Journal of Youth and Adolescence, 40, 2011, 1465) and anxiety symptoms (Asian American Journal of Psychology, 1, 2010, 18) are two predictors that are theoretically and conceptually related, but have yet to be examined in a simultaneous model for suicide ideation. Existing theory and research suggest that these variables activate similar pathways (American Behavioral Scientist, 51, 2007, 551)...
May 3, 2018: Suicide & Life-threatening Behavior
Darren B Courtney, Stephanie Duda, Peter Szatmari, Joanna Henderson, Kathryn Bennett
This study aimed to systematically identify and appraise clinical practice guidelines (CPGs) relating to the assessment and management of suicide risk and self-harm in children and adolescents. Our research question is as follows: For young people (under 18 years old) presenting to clinical care with suicide ideation or a history of self-harm, what is the quality of up-to-date CPGs? Using the PRISMA format, we systematically identified CPGs meeting our inclusion and exclusion criteria. Subsequently, two independent raters conducted appraisals of the eligible CPGs using the Appraisal of Guidelines for Research and Evaluation II instrument...
May 2, 2018: Suicide & Life-threatening Behavior
Kenneth R Conner, Timothy J Wiegand, Rachel Gorodetsky, Rachel F Schult, Kimberly Kaukeinen
There are limited data on the medical severity of suicide attempts by intentional self-poisoning (ISP) associated with ingestion of differing classes of medications and meager data on specific agents. The purpose of the study was to address these gaps. This was an analysis of a consecutive series of ISP cases ages 13 to 65 treated at a U.S. university medical center (N = 671). The outcome, poisoning severity, was dichotomized as "moderate-severe" and "low" (reference) based on a standard measure...
April 25, 2018: Suicide & Life-threatening Behavior
Emma Elliott-Groves
Explanations for suicide are theorized primarily in terms of the individual, seldom considering the interdependent orientation of Indigenous communities. Drawing on the interpersonal theory of suicide and settler colonial theory, this study addresses Indigenous suicide on two levels: the individual and the collective. Twenty-one interviews were conducted with members of the Cowichan Tribes to understand reasons for suicide in one community. Qualitative analysis identified explanatory constructs proposed by the interpersonal theory as well as negative conditions stemming from colonialism, as proposed by settler colonial theory...
June 2018: Suicide & Life-threatening Behavior
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