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Suicide & Life-threatening Behavior

Kelly C Cukrowicz, Sarah L Brown, Sean M Mitchell, Jared F Roush, Jameson K Hirsch
Suicide in rural areas has not received significant attention in the research literature to this point, although suicide rates are higher among adults and older adults in rural areas than in urban areas. The aims of the study were as follows: (1) establish the feasibility of assessing suicide ideation and history of suicidal behavior; (2) determine preliminary estimates of the prevalence of suicide ideation, and history of suicide attempts; and (3) examine the effectiveness and acceptability of safety and referral plans for individuals whose responses indicated elevated suicide risk, in rural communities with limited access to referral care...
September 22, 2017: Suicide & Life-threatening Behavior
Sidra Goldman-Mellor, Kristina Allen, Mark S Kaplan
Adolescent suicide rates exhibit stark geographic disparities, with rates highest in rural areas. The causes of this disparity remain unclear. We investigated whether adolescent nonfatal suicidal ideation and attempt-leading risk factors for suicide-demonstrate the same rural/urban disparity. Using adolescent data from the 2011-2014 waves of the population-representative California Health Interview Survey (CHIS; N = 4,616), we estimated associations between residence in a rural area and suicidal ideation and suicide attempt, as well as access to psychological care...
September 21, 2017: Suicide & Life-threatening Behavior
Samantha A Chalker, Katherine Anne Comtois
This study (a) provides descriptive information about the personal technology use of a suicide sample of active-duty military personnel and (b) uses a traditional and a technology-based measure of social connectedness to examine their relation to suicide ideation and behaviors. Higher thwarted belongingness, and therefore lower perceived social connectedness, was associated with higher current and worst suicide ideation and a greater lifetime self-directed violence regardless of intent to die. Higher social connectedness based on personal technology usage was associated with higher current suicide ideation and a higher number of lifetime self-directed violence and suicide attempts...
September 19, 2017: Suicide & Life-threatening Behavior
Alexander J Millner, Robert J Ursano, Irving Hwang, Andrew J King, James A Naifeh, Nancy A Sampson, Alan M Zaslavsky, Murray B Stein, Ronald C Kessler, Matthew K Nock
We report on associations of retrospectively reported temporally prior mental disorders and Army career characteristics with subsequent first onset of suicidal behaviors in a large, representative sample of US Army soldiers who participated in the Consolidated All-Army Survey of the Army Study to Assess Risk and Resilience in Servicemembers (N = 29,982). Results reveal that among men and women, all self-reported lifetime disorders measured (some assessed with screening scales) are associated with subsequent onset of suicide ideation...
September 19, 2017: Suicide & Life-threatening Behavior
Nathan A Kimbrel, Shaun P Thomas, Terrell A Hicks, Michael A Hertzberg, Carolina P Clancy, Eric B Elbogen, Eric C Meyer, Bryann B DeBeer, Georgina M Gross, Paul J Silvia, Sandra B Morissette, Kim L Gratz, Patrick S Calhoun, Jean C Beckham
The present research investigated wall/object punching as a form of nonsuicidal self-injury (NSSI) among 1,143 veterans seeking treatment for posttraumatic stress disorder (PTSD). Wall/object punching was remarkably common in this sample (43%), and its inclusion in the definition of NSSI increased estimated prevalence of recent NSSI by 14%. As expected, wall/object punching was strongly associated with other traditional forms of NSSI, post-NSSI relief, and suicide ideation. Male veterans and veterans with PTSD were significantly more likely to engage in wall/object punching than female veterans and veterans without PTSD...
September 19, 2017: Suicide & Life-threatening Behavior
Kristina Allen, Sidra Goldman-Mellor
Research on the relationship between neighborhood characteristics and adolescents' risk of nonfatal suicidal behavior is scarce. We used California survey data to examine associations between measures of objective neighborhood quality (levels of violent crime, property crime, and socioeconomic disadvantage) and subjective neighborhood quality (perceptions of neighborhood safety and social cohesion) and adolescents' self-reported suicidal ideation and suicide attempt. Objective measures of neighborhood quality were unrelated to adolescents' risk of suicidal behavior...
September 15, 2017: Suicide & Life-threatening Behavior
Bryann B DeBeer, Eric C Meyer, Nathan A Kimbrel, Julie A Kittel, Suzy B Gulliver, Sandra B Morissette
Psychological inflexibility, or how individuals respond to distressing internal experiences, may be a modifiable risk factor for suicide in veterans. It was hypothesized that psychological inflexibility would predict suicidal ideation after accounting for established risk factors at baseline and 1 year later. Post-9/11 veterans (N = 309) completed clinical interview and self-report measures at baseline and 1-year follow-up. Results indicated that psychological inflexibility predicted severity of suicidal ideation at both baseline and 1 year later, after accounting for established risk factors...
September 11, 2017: Suicide & Life-threatening Behavior
Michael D Anestis, Daniel W Capron
Firearms account for half of all U.S. suicide deaths, but research on mechanisms through which firearms confer risk is limited. Although research has indicated firearm ownership and the unsafe storage of firearms are associated with an elevated risk of suicide, such research cannot provide insight into the extent to which a history of using a gun plays a role. We recruited a community sample (N = 100; 76% female; 44% Black) oversampled for prior suicidal behavior in a high gun ownership state (Mississippi)...
September 4, 2017: Suicide & Life-threatening Behavior
Yin-Ju Lien, Hsin-An Chang, Yu-Chen Kao, Nian-Sheng Tzeng, Chin-Bin Yeh, Ching-Hui Loh
This study examined the relationships among insight, self-stigma, self-esteem, hope, quality of life, and suicidal behavior in individuals diagnosed as having schizophrenia. Hypotheses concerning mediating and moderating effects were examined. A total of 170 community-dwelling patients with schizophrenia participated in the study. The results revealed a negative association between insight and suicide ideation, which was partially mediated by self-stigma. Moreover, this indirect link was stronger among patients with suicide attempts than among those without attempts...
September 4, 2017: Suicide & Life-threatening Behavior
Raymond P Tucker, LaRicka R Wingate, Melissa Burkley, Tony T Wells
The identification of indirect markers of suicide that do not rely on explicit self-report of suicide ideation is vital, as research indicates that a significant number of individuals who die by suicide do not discuss or explicitly deny thoughts of suicide with a provider in their last health care interaction. The current study tests whether a new measure of implicit association with suicide, a modified version of the Affect Misattribution Procedure (AMP), predicts suicide ideation in participants oversampled for the experience of suicide ideation...
September 1, 2017: Suicide & Life-threatening Behavior
Kelly Wester, Heather Trepal, Kelly King
While some suggest nonsuicidal self-injury (NSSI) is increasing, very little has been done systematically to explore this possibility. The current study employed three cohorts of freshman (total N = 949) from the same university across a period of 7 years to explore engagement in NSSI. Related intrapersonal factors were also examined. NSSI lifetime and current engagement use drastically increased across the three cohorts. Anxiety followed a similar trajectory as NSSI behaviors as increasing in reported levels, while depression and coping behaviors did not...
August 28, 2017: Suicide & Life-threatening Behavior
Brooks R Keeshin, Doug Gray, Chong Zhang, Angela P Presson, Hilary Coon
Death by suicide is a significant cause of mortality among youth. However, there is limited information on the demographic and clinical factors associated with youth suicide deaths. The objective of this study was to link large statewide databases to describe demographic, clinical, and cause of death characteristics among youth who died by suicide. We examined 1,218 decedents under age 26 who died by suicie between 2000 and 2014. Eighteen died before age 12, 53 died between ages 12 and 14, 292 died between ages 15 and 18, and 855 died between ages 19 and 25...
August 22, 2017: Suicide & Life-threatening Behavior
Dorian R Dodd, April R Smith, Lauren N Forrest, Tracy K Witte, Lindsay Bodell, Mary Bartlett, Nicole Siegfried, Natalie Goodwin
People with eating disorders (EDs) have an elevated risk for both nonsuicidal self-injury (NSSI) and suicide compared to the general population. This study tests two theoretically derived models examining interoceptive deficits as a risk factor for NSSI, and examining interoceptive deficits, NSSI, fearlessness about death, and pain tolerance as risk factors for suicide. Ninety-six adult, treatment-seeking women with EDs completed self-report questionnaires at a single time point. Interoceptive deficits were significantly associated with NSSI, and NSSI was in turn associated with both pain tolerance and fearlessness about death...
August 22, 2017: Suicide & Life-threatening Behavior
Lisa Janet Cohen, Firouz Ardalan, Zimri Yaseen, Igor Galynker
In recent years, there has been growing attention to the distinction between acute and long-term suicidal risk factors. We have previously characterized an acute, negative affect state, termed the suicide crisis syndrome (SCS), as a marker of near-term suicidal risk. Here, we test whether documented long-term risk factors (i.e., trait vulnerabilities), including perfectionism, impulsivity, chronic substance abuse, insecure attachment, poor social support, and childhood trauma, associate to suicidal phenomena through a pathway of the SCS...
August 22, 2017: Suicide & Life-threatening Behavior
Min-Pei Lin, Jianing You, Yung Wei Wu, Yongqiang Jiang
Through a one-year follow-up design, this study examined whether distress tolerance would increase the risk for nonsuicidal self-injury (NSSI), mediated through depression in a representative sample of adolescents. Participants (N = 2,170) were recruited from senior high schools throughout Taiwan using both stratified and cluster sampling in time 1 (T1), and 1,832 students were followed-up one year later (T2). Structure equation modeling results revealed that after controlling NSSI measured at T1, NSSI (T2) was significantly predicted by distress tolerance (T1) and fully mediated through depression (T2)...
August 22, 2017: Suicide & Life-threatening Behavior
Victor Buitron, Chelsey M Hartley, Jeremy W Pettit, Claire Hatkevich, Carla Sharp
The present study examined a conceptual model in which the association between aggressive behaviors and suicide ideation is moderated by internalizing symptoms and ongoing stress. Participants were 304 psychiatric inpatient adolescents (65.8% girls) ranging in age from 12 to 17 years (Mean age = 14.69). The association between aggressive behaviors and suicide ideation was significantly moderated by internalizing symptoms and ongoing stress; the association was positive in adolescents low in internalizing symptoms or high in ongoing stress, but negative in adolescents high in internalizing symptoms or low in ongoing stress...
August 22, 2017: Suicide & Life-threatening Behavior
Ian Cero, Kelly L Zuromski, Tracy K Witte, Rebecca L Fix, Barry Burkhart
This study evaluated the synergy hypothesis of the Interpersonal-Psychological Theory of Suicide (IPTS), which argues thwarted belongingness and perceived burdensomeness are positively interactive in their association with suicide ideation, in a group of juvenile offenders. It also examined whether this prediction is differentially applicable across race/ethnicity or offense type. Participants included 590 adjudicated and confined male juveniles. Regression was used to test the association between suicide ideation and thwarted belongingness, perceived burdensomeness, and their interaction term...
August 22, 2017: Suicide & Life-threatening Behavior
Jeffrey A Bridge, Mark Olfson, Cynthia A Fontanella, Steven C Marcus
Previous studies of adults have shown protective associations between clinical recognition of a mental disorder in the emergency department and short-term risk of repeat self-harm. Similar studies of young self-harm patients are lacking. We conducted a retrospective longitudinal cohort analysis of national Medicaid claims data in patients aged 10-19 years with self-harm who were discharged from emergency departments to the community (N = 2,703). Emergency department mental disorder recognition was not associated with a significant change in repeat self-harm visits during the 30-day follow-up period...
August 22, 2017: Suicide & Life-threatening Behavior
Emily A Boren, Johanna B Folk, Jennifer M Loya, June P Tangney, Sharen E Barboza, John S Wilson
The aim of this study was to identify risk factors distinguishing inmates who attempt suicide from inmates who complete suicide. Compared with attempters, completers tended to be older, male, more educated, and married or separated/divorced; pretrial, committed for a violent crime, incarcerated in jail, housed in an inpatient mental health unit or protective custody setting, living in a single cell, not on suicide precautions, not previously under close observation; and more likely to act during overnight hours and die by hanging/self-strangulation...
August 17, 2017: Suicide & Life-threatening Behavior
Barbara L Pitts, Julia M Whealin, Jackson Kato
We examined whether risk factors for suicidal behavior depend on age among military veterans in the Pacific Islands (N = 29,595). For veterans under 54 years old, having a diagnosis of posttraumatic stress disorder, borderline personality disorder, a drug use disorder, and having a service-related disability predicted suicidal behavior. For veterans 54 years old or older, having a mood disorder predicted suicidal behavior. Having a history of suicidal behavior and a high number of VA health care visits were associated with suicidal behavior for both age groups...
August 7, 2017: Suicide & Life-threatening Behavior
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