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Dana Alonzo, Claire Moravec, Benjamin Kaufman
BACKGROUND: Individuals experiencing suicidal ideation and/or behaviors are often difficult to engage in treatment. Up to 50% of individuals presenting to an ER for treatment of a suicidal crisis refuse outpatient treatment referrals. This study examined outpatient mental health clinicians' perceptions of the barriers to and facilitators of mental health treatment engagement of individuals at risk for suicide. METHOD: Thirty-six mental health clinicians working with clients with past and/or current suicidality (ideation, behaviors) in outpatient mental health centers participated in four focus groups...
October 12, 2016: Crisis
Jennifer Ness, Keith Hawton, Helen Bergen, Keith Waters, Navneet Kapur, Jayne Cooper, Sarah Steeg, Martin Clarke
BACKGROUND: Repetition of self-harm is common and is strongly associated with suicide. Despite this, there is limited research on high-volume repetition. AIM: To investigate individuals with high-volume repeat self-harm attendances to the emergency department (ED), including their patterns of attendance and mortality. METHOD: Data from the Multicentre Study of Self-Harm in England were used. High-volume repetition was defined as ⩾15 attendances within 4 years...
October 12, 2016: Crisis
Orly Sarid, Richard Isralowitz, Mor Yehudai, Alexander Reznik
BACKGROUND: There is a dearth of information about mothers in methadone maintenance treatment (MMT), their parental stress, and suicidal ideation. AIM: To evaluate parenting stress and suicidal ideation among heroin-dependent mothers in MMT. METHOD: The study was conducted at an MMT center. Inclusion criteria were mothers with at least one child between 6-12 years of age. Mothers (n = 41) were interviewed about their background characteristics, drug use, parenting stress, and suicide ideation...
October 12, 2016: Crisis
Monique Séguin, Marie Robert, Guy Beauchamp
BACKGROUND: Personality and character traits may be a key predisposing factor to consider in the life course of people who are vulnerable to suicide. AIMS: The aim of this study is first to explore the possible presence of different subgroups of suicide decedents based on developmental profiles of adversity, and secondly to examine the association of personality and character dimensions (covariates) with the trajectory outcome. METHOD: A total of 90 cases of suicide decedents were analyzed using growth mixture modeling (GMM)...
October 12, 2016: Crisis
Thomas Niederkrotenthaler, Anna Haider, Benedikt Till, Katherine Mok, Jane Pirkis
BACKGROUND: Studies have shown that suicidal individuals who use the Internet for suicide-related purposes are more suicidal than nonsuicide-related users, but evidence from European countries is lacking. AIMS: We assessed differences between suicidal individuals who go online for suicide-related purposes and other suicidal individuals in Austria. METHOD: Participants were 53 individuals aged between 18 and 24 years who felt suicidal in the past year and completed an anonymous online survey...
October 12, 2016: Crisis
Ingvild M Tøllefsen, Erlend Hem, Øivind Ekeberg, Per-Henrik Zahl, Karin Helweg-Larsen
BACKGROUND: There may be various reasons for differences in suicide rates between countries and over time within a country. One reason can be different registration practices. AIMS: The purpose of this study was to describe and compare the present procedures for mortality and suicide registration in the three Scandinavian countries and to illustrate potential sources of error in the registration of suicide. METHOD: Information about registration practices and classification procedures was obtained from the cause of death registers in Norway, Sweden, and Denmark...
September 23, 2016: Crisis
Kim Gryglewicz, Jason I Chen, Gabriela D Romero, Marc S Karver, Melissa Witmeier
BACKGROUND: Many mental health professionals (MHPs) encounter youth at risk for suicide but lack knowledge and confidence to assist these individuals. Unfortunately, training for MHPs on suicide risk assessment and management is often not adequately accessible. AIMS: The aim of this study was to evaluate whether MHPs' knowledge, attitudes, perceived social norms, and perceived behavioral control in working with at-risk suicidal youth improve following an online training (QPRT: Question, Persuade, Refer, Treat)...
September 23, 2016: Crisis
Sarah E Hetrick, Joanne Goodall, Hok Pan Yuen, Christopher G Davey, Alexandra G Parker, Jo Robinson, Debra J Rickwood, Alison McRoberts, Lena Sanci, Jane Gunn, Simon Rice, Magenta B Simmons
BACKGROUND: Routine monitoring of depression symptoms and suicide risk is essential for appropriate treatment planning and risk management, but not well implemented by clinicians. We developed a brief online monitoring tool to address this issue. AIMS: To investigate whether the online tool can feasibly improve monitoring; whether it is acceptable and useful for young people and their clinicians; and to determine whether a shorter tool could be implemented. METHOD: In a naturalistic longitudinal cohort study, 101 young people with depression completed the online tool on a tablet, prior to their consultation...
September 23, 2016: Crisis
Delaney Michael Skerrett, Kairi Kõlves, Diego De Leo
BACKGROUND: There is evidence of heightened vulnerability to nonfatal suicidal behaviors among LGBT populations yet a paucity of studies into fatal behaviors. AIM: The specific aim of this article was to identify factors related to suicide in LGBT individuals in Australia. METHOD: The psychological autopsy (PA) method with a matched case-control study design was used. PA interviews were conducted with 27 next-of-kin of an LGBT person that had died by suicide...
September 23, 2016: Crisis
Hanan El-Sayed Badr
AIM: This study aimed to determine the prevalence of suicidal behaviors (ideation, planning, and attempts) among adolescents aged 13-16, and to identify psychosocial correlates of suicidal behaviors. METHOD: The 2010 Kuwait Global School-Based Student Health Survey (GSHS) cross-sectional study employed a two-stage cluster sample design targeting a representative sample of 2,672 students. A weighting factor was applied to make inferences to all students of the same age...
September 23, 2016: Crisis
Stephanie M Jarvi, Lance P Swenson
BACKGROUND: Alcohol use and nonsuicidal self-injury (NSSI) appear to share a conceptual overlap in functions (e.g., tension reduction). Alcohol use has been identified as a risk factor for NSSI, and higher rates of alcohol use have been documented among those with NSSI history. AIMS: This study examined whether NSSI-related alcohol expectancies affect relations between NSSI and alcohol use. METHOD: Participants were 367 college students (73% female) asked to complete an online survey about their drinking behavior and lifetime NSSI...
August 26, 2016: Crisis
Elizabeth Karras, Naiji Lu, Heather Elder, Xin Tu, Caitlin Thompson, Wendy Tenhula, Sonja V Batten, Robert M Bossarte
BACKGROUND: Few studies have considered different messaging strategies that may augment campaign efficacy to generate help-seeking behaviors among populations at increased risk for suicide, mainly US military veterans. AIMS: Findings are presented from the pilot evaluation of the It's Your Call campaign implemented by the Department of Veterans Affairs (VA). Three messaging strategies (with varying intensity and mix of messages) were compared to explore which best promote use of the Veterans Crisis Line (VCL) among veteran populations...
August 26, 2016: Crisis
Lindsay L Sheehan, Patrick W Corrigan, Maya A Al-Khouja
BACKGROUND: Past scholarly efforts to describe and measure the stigma surrounding suicide have largely viewed suicide stigma from the perspective of the general public. AIMS: In the spirit of community-based participatory research (CBPR), the current study brought together a diverse stakeholder team to qualitatively investigate the suicide stigma as experienced by those most intimately affected by suicide. METHOD: Seven focus groups (n = 62) were conducted with suicide attempt survivors, family members of those who died by suicide, and suicide loss therapists...
August 26, 2016: Crisis
Dorian A Lamis, Maureen Underwood, Nicole D'Amore
BACKGROUND: Gatekeeper suicide prevention programs train staff to increase the identification and referral of suicidal individuals to the appropriate resources. AIMS: We evaluated Act on FACTS: Making Educators Partners in Youth Suicide Prevention (MEP), which is an online training program designed to enhance the knowledge of suicide risk factors and warning signs as well as improve participants' attitudes and self-efficacy/confidence. METHOD: School personnel (N = 700) completed a survey administered before and immediately after the training to assess gains in training outcomes and to evaluate participants' satisfaction with the training...
August 26, 2016: Crisis
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August 26, 2016: Crisis
Melanie A Hom, Matthew C Podlogar, Ian H Stanley, Thomas E Joiner
BACKGROUND: Research with human subjects represents a critical avenue for suicide prevention efforts; however, such research is not without its ethical and practical challenges. Specifically, given the nature of research with individuals at elevated risk for suicide (e.g., increased concerns regarding participant safety, adverse events, liability, difficulties often arise during the institutional review board (IRB) evaluation and approval process. AIMS: This paper aims to discuss IRB-related issues associated with suicide prevention research, including researcher and IRB panel member responsibilities, suicide risk assessment and management ethics and procedures, informed consent considerations, preparation of study protocols, and education and training...
August 26, 2016: Crisis
C Brendan Clark, Ye Li, Karen L Cropsey
BACKGROUND: When comparted with the general population, the suicide rate in correctional populations is elevated. While predictors of suicide are well researched in jail and prison populations, much less work has been done to examine predictors of suicide in community corrections samples where 80% of the US correctional population is currently supervised. AIMS: The goal of this study was to determine factors associated with suicide risk in a community corrections sample...
July 22, 2016: Crisis
Benedikt Till, Ulrich S Tran, Thomas Niederkrotenthaler
BACKGROUND: Previous studies suggest that troubled romantic relationships are associated with higher risk factors for mental health. However, studies examining the role of relationship satisfaction in suicide risk factors are scarce. AIMS: We investigated differences in risk factors for suicide between individuals with high relationship satisfaction, individuals with low relationship satisfaction, and singles. Furthermore, we explored patterns of experiencing, and dealing with, conflicts in the relationship and examined associations with suicide risk factors...
July 22, 2016: Crisis
Todd M Bishop, Stephen A Maisto, Peter C Britton, Wilfred R Pigeon
BACKGROUND: A greater understanding of the temporal variation of suicidal ideation and suicidal behavior is needed to inform more effective prevention efforts. Interactive voice recording (IVR) allows for the study of temporal relationships that cannot be captured with most traditional methodologies. AIMS: To examine the feasibility of implementing IVR for the assessment of suicidal ideation. METHOD: Participants (n = 4) receiving a brief intervention based on dialectical behavior therapy were asked to respond to three phone-based surveys each day over 6 weeks that assessed suicidal ideation and alcohol consumption...
July 22, 2016: Crisis
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