Coping, meaning in life, and suicidal manifestations: Examining gender differences

Internalizing and Externalizing Symptoms Moderate the Relationship Between Emotion Dysregulation and Suicide Ideation in Adolescents

The relationship between emotion dysregulation and suicide ideation may depend on the level of internalizing and externalizing symptoms. It was expected that both internalizing and externalizing symptoms would moderate the relationship between emotion dysregulation and suicide ideation, such that greater symptoms would strengthen the relationship between emotion dysregulation and suicide ideation. Adolescent participants (n = 559, Mage = 15.40, 85.0% white, 57.2% female) completed self-report measures that assessed emotion dysregulation, internalizing and externalizing symptoms, and recent suicide ideation. Both internalizing and externalizing symptoms moderated the relationship between emotion dysregulation and suicide ideation; this relationship strengthened as internalizing and externalizing symptoms increased. The results of this study indicate that internalizing and externalizing symptoms may both affect the connection between emotion dysregulation and suicide ideation. Future research should focus on targeting both internalizing and externalizing symptoms in treatment to help reduce emotion dysregulation and suicide ideation in adolescents.

Neural Activity Across the Dorsolateral Prefrontal Cortex and Risk for Suicidal Ideation and Self-Injury

The current study investigated the neural correlates of non-suicidal self-injury (NSSI) and suicidal ideation across the dorsolateral prefrontal cortex. Two-hundred ninety-six undergraduates solved anagram tasks while being monitored by a functional near-infrared spectroscopy device, and completed a questionnaire assessing behaviors and symptoms. Repeated measures analysis of variance revealed location-specific changes in neural activity based on NSSI, suicidal ideation, task type, and cognitive demand. The presence of suicidal ideation was associated with specific patterns of neural activity, modified by sex and task type. Interestingly, participants who engaged in NSSI exhibited some deactivation of the dlPFC when faced with more difficult cognitive challenges. Future research on these processes may allow for noninvasive imaging techniques to help screen risk for suicidality and NSSI.

Self-Disgust and Its Relationship With Lifetime Suicidal Ideation and Behavior

Abstract. Background: The emotion disgust is typically directed toward stimuli in the external environment, but sometimes people develop self-directed disgust responses. Aims: The current questionnaire study focused on the role of self-disgust in lifetime suicidal ideation and behavior. Method: A total of 1,167 individuals participated in an Internet-based survey containing self-report measures of self-disgust, externally directed disgust proneness, coping styles, diagnoses of mental disorders, and suicide risk. Hierarchical regression analyses as well as mediation analyses were computed. Results: Self-disgust was the most relevant predictor of suicide risk among the assessed variables. Self-disgust was negatively associated with the use of support by others, and positively associated with evasive coping (self-blame, venting, denial), which in turn was positively associated with suicidality. Limitations: This cross-sectional study provided information on the relationship between self-disgust and suicidality in a self-selected sample. Longitudinal studies are warranted. Conclusion: Future studies are required to replicate these findings. Additionally, stronger research designs are needed in order to investigate whether self-disgust should be targeted in suicide prevention programs and interventions.

Adverse experiences in early childhood and their longitudinal impact on later behavioral problems of children living in poverty

BACKGROUND

Adverse childhood experiences (ACEs) are an identified risk factor for the social and emotional development of children. What is less known is the long-term effects of ACEs when poverty and ACEs coincide.

OBJECTIVE

Using longitudinal cohort-panel data, we examined whether exposure to ACEs by the age of three among poor children would longitudinally result in behavioral problems at ages three, five, nine, and 15, after controlling for mothers' socioeconomic status and their children's characteristics.

PARTICIPANTS AND SETTING

We used a subsample of 2750 children and their parents living in urban poverty from the Fragile Families and Child Wellbeing study.

METHODS

Logistic regression modeling was used to obtain adjusted odds ratios of ACE categories predicting behavioral problems after accounting for family socioeconomic position.

RESULTS

Our findings indicate that experiencing ACEs in early childhood was significantly associated with later behavioral outcomes from childhood to adolescence. Exposure to multiple ACEs before the age of three was significantly associated with the top-risk behavior group at age five; the odd ratios were 2.0 (CI = 1.3-3.1) and 2.9 (CI = 1.8-4.6) for two ACEs and three or more ACEs, respectively. At both ages nine and 15, children experiencing two or more ACEs had 1.9 to 3.2 times higher odds to demonstrate more the top 10th percentile of behavioral problems. Among covariates, mothers' race and education, and children's gender and temperament were identified as significant factors to determine behavior problems.

CONCLUSIONS

The findings support policies and programs for families with children who have experienced economic disadvantages and early childhood adversity.

Making Sense of Chinese Employees' Suicidal Ideation: A Psychological Strain-Life Meaning Model

Using the strain theory of suicide, this study examines how psychological strains influence suicide ideation via the mediating mechanism of the meaning in life. To check the hypothesized model, data were drawn from professional employees ( n=687) across six organizations of various business types to increase the variability of respondent perception and the generalizability of the study findings. The results showed significant correlations among psychological strains, meaning in life, and suicide ideation. Furthermore, this study provides evidence for the mediation effect of meaning in life in the relationship between psychological strain and suicide ideation. Implications and future directions are discussed.

The buffer role of meaning in life in hopelessness in women with borderline personality disorders

Meaning in life has been found to be a protective factor against suicidal ideation. The aim of this study was to investigate whether meaning in life can moderate and buffer the association between suicide risk factors and hopelessness in women with borderline personality disorders. One hundred twenty-four women diagnosed with borderline personality disorder completed self-report measures of suicide risk factors, hopelessness, and meaning in life. The main result from this study was that meaning in life moderated the association between suicide risk factors and hopelessness. Meaning in life is an important variable in the prevention and treatment of risk of suicide in women with borderline personality disorder.

Meaning in Life and Suicidal Tendency Among Immigrant (Ethiopian) Youth and Native-Born Israeli Youth

The impact of meaning in life, or lack thereof, on suicidal tendencies among populations at greater risk-youth born to immigrants from developing countries, in this case Ethiopia-in comparison to native-born Israeli youth was examined among 277 adolescents-162 of Israeli origin and 115 of Ethiopian origin-aged 15-18. (1) Overall significant negative correlation between meaning in life and suicidal tendencies was found; (2) no difference was found in meaning in life between immigrant and native-born youth; (3) higher suicidal tendency, anxiety and depression were found among immigrants, with boys displaying more anxiety than girls. No difference in depression was detected between Ethiopian boys and girls. Meaning in life is crucial to minimizing suicidal tendencies among youth, native-born and immigrant alike. Establishment of prevention, intervention and therapy plans in the age range crucial for suicide. Such programs should be based upon finding meaning in life.

Ultimate, Provisional, and Personal Meaning of Life: Differences and Common Ground

Building on Viktor Frankl's clinical approach of Logotherapy and the works of subsequent theoreticians, three types of meaning of life were theoretically derived and empirically investigated, Ultimate, Provisional, and Personal meaning. These types were characterized, first, by the amount of agreement of subjects, second, by sources of Life Meaning, which were assessed by content analyses, third, by correlations, and fourth by prediction with ratings of important life concepts from the domains of Well-being, Religiosity, and Prosocial Behavior. 192 German adults, 45 men and 147 women, whose M age was 31.6 yr. ( SD = 11.9), participated. Analysis indicated different sources for the Ultimate meaning compared with the other meaning types, which seem to display more similarities with each other. Other important life concepts, such as Belief, Harmony, Happiness, and Human Goodness were related to the investigated types of meaning of life. Some implications for clinical applications, research perspectives, and Positive Psychology are discussed.

Racial Differences in Hopelessness as a Risk Factor for a Nearly Lethal Suicide Attempt

Hopelessness is associated with suicide. Hopelessness has been associated with life experiences, social-environmental, and biological factors. Racial differences exist in these factors and in coping behaviors. Better understanding racial differences in hopelessness and suicide may result in more effective interventions to slow the increasing Black American suicide rate. Data from a case-control study of nearly lethal suicide attempters were analyzed. Interaction results from logistic regression suggest that the effect of hopelessness on a nearly lethal suicide attempt may differ for Black and White Americans. Hopelessness was strongly associated with a nearly lethal suicide attempt for Blacks and Whites, but the odds were greater for Blacks than Whites. Interventions may need to be adjusted to address the difference.

Religiosity, Meaning in Life and Suicidal Tendency Among Jews

The study examines the impact that meaning in life, or lack thereof, has on suicidal tendencies among youth, as well as the nexus between level of religiosity, meaning in life and suicidal tendencies. Subjects were 450 students from both Jewish religious and Jewish secular schools aged 15-18.

FINDINGS

a significant and negative correlation was found between a sense of meaning in life and suicidal tendencies, beyond gender or level of religiosity. In addition, no difference was found in level of suicidal tendency between Jewish religious and Jewish secular youth; however, among Jewish religious teens, a lower level of depression was reported in comparison with their secular peers. The study therefore concludes that meaning in life is the dominant variable in minimizing suicidal tendencies among youth. The results of this study may promote the establishment of prevention, intervention and therapy plans, especially in the age range that is crucial for suicide. Such programs should be based upon finding meaning in life.

Meaning in Life Buffers the Association Between Risk Factors for Suicide and Hopelessness in Participants With Mental Disorders

OBJECTIVE

Hopelessness is a proximal risk factor of suicide. Meaning in life has been found to be a protective factor against suicidal ideation; however, the majority of studies that have explored the role of meaning in life in the context of suicidality have been conducted in nonclinical populations. The aim of this study was to investigate whether meaning in life can moderate and buffer the association between suicide risk factors and hopelessness in a clinical sample with a heightened risk of suicide.

METHOD

A total of 224 participants diagnosed with mental disorders completed self-report measures of suicide risk factors, hopelessness, and meaning in life.

RESULTS

The main result from this study was that meaning in life moderated the association between suicide risk factors and hopelessness.

CONCLUSION

Meaning in life is an important variable in the prevention and treatment of people at risk of suicide.

Meaning in life and non-suicidal self-injury: A follow-up study with participants with Borderline Personality Disorder

Non-suicidal self-injury (NSSI) is considered one of the defining features of people diagnosed with Borderline Personality Disorder (BPD). Longitudinal studies are needed to identify factors predicting future NSSI in BPD participants. Several studies have shown that low meaning in life is associated with mental health problems, addiction problems, depression, hopelessness, and suicide. The purpose of this paper is to examine whether meaning in life predicts the frequency of NSSI behaviors during the one-year follow-up. The sample was composed up of 80 participants with a BPD diagnosis. We assessed the frequency of NSSI behaviors over a 12-month follow-up period. The results suggest that the participants who had low meaning in life had more frequency of NSSI, depression, and hopelessness at baseline, and more frequency of NSSI during the follow-up, than participants with high meaning in life. The predictor variables: Frequency of NSSI at base line, depression, hopelessness, and meaning in life, significantly predicted the frequency of NSSI during the one-year follow-up. Therefore, meaning in life was the only predictor of NSSI during the follow-up period.

Meaning in Life in People with Borderline Personality Disorder

Low feelings of meaning in life are associated with depression, hopelessness and suicide, substance abuse and emotional dysregulation. The aim of this study is to offer results about the importance of the construct meaning in life in the psychopathology of BPD. In study 1, the sample was made up of 223 participants, 141 participants with BPD and 82 participants with another mental disorder but without BPD. In study 2, the sample was made up of 80 participants with BPD. Study 1 indicated that the participants with BPD had a lower feeling of meaning in life than the participants with mental disorders but without a BPD. Study 2 indicated that meaning in life was highly negatively correlated with the symptoms of BPD. The model composed of emotional dysregulation, and meaning in life was significantly associated with BPD psychopathology. The present study supports the association between meaning in life with the psychopathology of BPD. Copyright © 2015 John Wiley & Sons, Ltd.

KEY PRACTITIONER MESSAGE

The results of this study suggest that meaning in life is a relevant variable in the psychopathology of BPD The results of this study suggest that meaning in life is associated with non-suicide self injuries This study suggests that current therapies for BPD should focus on increasing the meaning in life in these patients.

Suicidal ideation and drinking to cope among college binge drinkers

Suicidality among college students is associated with binge drinking and alcohol-related problems. Consistent with motivational models of alcohol use, drinking to cope (DTC) is a significant intervening variable in the association between suicidal ideation and alcohol use and problems among students. This study examined whether several factors shown to be associated with both suicidal ideation and DTC (i.e., impulsivity, mood regulation expectancies, and coping skills) account for the relationship between these variables, as well as the associations of depression and hopelessness with DTC. Participants were 109 emerging adult (18- to 25-year-old) college students who reported at least one episode of binge drinking during a typical month in the past year. Hierarchical regression analyses revealed that while greater negative urgency and low negative mood regulation expectancies were significantly associated with DTC, suicidal ideation remained significantly associated with DTC, even when controlling for depression. Suicidal ideation showed a stronger association with DTC than either depression or hopelessness both before and after accounting for other variables. These findings suggest that suicidal ideation has a direct association with DTC, and that negative urgency and mood regulation expectancies may be useful treatments targets for reducing alcohol misuse among emerging adult students who experience suicidal ideation.

Psychache and suicide ideation among men who are homeless: a test of Shneidman's model

Suicide ideation among the homeless is 10 times more common than in the general population. Cognitive theories of depression and hopelessness propose to explain suicidality; however, as yet, none of these fully account for the phenomenon. Shneidman has suggested a theory of psychache or unbearable psychological pain to explain suicidality. This theory has found support among low-risk populations but has not been extensively tested within a high-risk population. The current research assessed the utility of psychache among men who are homeless (N = 97). In support of Shneidman's theory, analyses revealed that psychache was a stronger predictor of suicide ideation than was depression, hopelessness, or life meaning.

The Evaluation of Suicide Letters in Turkey From a Cognitive Perspective

Background: Different methods are used to understand the suicidal mind. Suicide note analysis may be most direct way to do this. Aims: To study the content of suicide letters under forensic evaluation in terms of psychological and cognitive aspects. Methods: A total of 51 letters were referred to The Council of Forensic Medicine from different cities of Turkey and analyzed by a research group with ten members including forensic medicine specialists and psychiatrists. The Questionnaire of Content Analysis of Suicide Letters (The Q-CAS), developed by researchers, was used to analyze the cognitive and cultural themes of suicide letters. The cognitive distortions about the self, the world, and the future as well as cultural phenomena were evaluated including sociodemographic features. Results: Financial problems in males and relationship problems in females were the most frequent life events related to suicide. Hopelessness, weakness, loneliness – in decreasing order – were the most predominant cognitions and emotions. The total score of females were higher than that of males (p = .002). Conclusions: These negative cognitions should be taken into consideration when therapeutic interventions are planned on individuals with suicidal thoughts.

An integrative theoretical framework of acculturation and salutogenesis

During the last two decades, the number of international migrants worldwide has constantly risen. In this context, cross-cultural dimensions of psychological disorders receive increased attention, especially depression, anxiety and post-traumatic stress disorders among the migrant population. In this paper we propose a theoretical framework for the understanding of migrant mental health. This framework combines elements from Berry's acculturation model and Antonovsky's salutogenic theory. The former illustrates the main factors that affect an individual's adaptation in a new cultural context. The term acculturative stress denotes unresolved problems resulting from intercultural contact that cannot be overcome easily by simply adjusting or assimilating. The latter specifies the relationship between culturally associated stress and mental health more distinctive, introducing the concepts of generalized resistance resources and sense of coherence that determine mental health outcomes of migrants during acculturative stress periods. Specifically, we provide an integrative framework of acculturation and salutogenesis that helps to integrate inconsistent findings in the migrant mental health literature. The current paper focuses on the effect of resource factors for positive mental health outcomes in the migrant population and summarises some implications for future research activities.

Relationships among dispositional coping strategies, suicidal ideation, and protective factors against suicide in older adults

Older adults have a disproportionally high rate of completed suicide as compared to the general population. Whereas a large literature has focused on risk factors related to elder suicide, limited research exists on relationships between coping strategies with protective factors against suicide and suicidal ideation in this population. Community-dwelling older adults (N = 108, mean age = 71.5 years, age range = 60-95 years) completed the Coping Orientations to Problems Experienced scale, Reasons for Living inventory, and Geriatric Suicide Ideation Scale (GSIS). Problem- and emotion-focused coping were associated positively with reasons for living and negatively with suicide ideation. Dysfunctional coping was associated positively with suicide ideation, but results did not support the hypothesized negative relationship with reasons for living. Thus, problem- and emotion-focused coping appear to be adaptive, whereas dysfunctional coping appears to be somewhat less related to resilience to suicidal ideation among community-dwelling older adults. Implications of the study are that some coping strategies may serve as protective factors against suicide and that coping strategies should be evaluated as part of a thorough assessment of suicidal risk among older adults. The results also provide some evidence of convergent validity for the recently developed GSIS.

The essence of life purpose

Life purpose is an important thread of critical care nursing. However, no consensus exists for a definition of life purpose. In addition, ambiguity prevails regarding the manner in which life purpose is incorporated into nursing practice and research. Therefore, through a conceptual synthesis process, this article aims to clarify the essence of life purpose with relevance to health and critical care nursing today. The outcome of the conceptual synthesis is an operational definition to be used in future nursing research. Information was obtained from a literature search of scholarly articles using (1) searches of electronic databases of literature about life purpose and (2) research studies addressing conceptual, substantive, and methodological domains. Topics consisted of the philosophical underpinnings of life purpose, its attributes, definitions, and theoretical frameworks, along with differences in theories and empirical support. Finally, emerging from this process, the article culminates with a proposed conceptual definition of life purpose, which may be applied broadly to older adults in various critical care settings.

Adaptive characteristics and suicidal behavior: a gender comparison of young adults

Differences in suicidal behavior and adaptive characteristics were examined in college students with a particular emphasis on gender differences. Participants consisted of 344 undergraduate students who were administered a revised version of the Suicide Behaviors Questionnaire (SBQ), the Expanded Reasons for Living Inventory (RFL), and a demographic questionnaire. Results of this study suggest that there are significant differences between levels of adaptive characteristics in women and men. Women consistently scored higher on the Survival and Coping Beliefs, Responsibility to Family, Child-Related Concerns, and Fear of Suicide subscales of the RFL. No difference between genders was found for suicidal behavior. The current study provides insight into the similarities as well as the differences in adaptive characteristics and suicidal behavior between genders. The results of this study should be useful in preparing more specific target interventions for preventing suicide and strengthening coping skills among young adults.

Evaluating the stress-buffering function of meaning in life among older people

OBJECTIVES

The purpose of this study is to see if a strong sense of meaning in life helps older adults cope more effectively with the effects of lifetime trauma.

METHODS

The data were obtained from a nationwide longitudinal survey of older adults (N = 1,093). Questions were asked about traumatic events arising at any point in an individual's life and depressive symptoms.

RESULTS

The findings suggest that meaning tends to offset the deleterious impact of traumatic life events on depressive symptoms. However, these effects were observed only when the cross-sectional data were examined. In contrast, statistically significant stress-buffering effects were not present when the impact of trauma and meaning on change in depressive symptoms over time was evaluated.

DISCUSSION

The findings from this study provide a basis for devising interventions to help older people cope more effectively with the effects of traumatic events that have arisen in their lives.

Meaning and coherence of self and health: an approach based on narratives of life events

Using contributions from the fields of interactionist sociology and narrative studies and the results of an empirical study, in this article we examine the subject's mediation between life events and state of health. Examining narratives focusing on significant life events from 26 men and women aged between 51 and 73 from the administrative region of Ile de France, we suggest that dimensions of meaning and coherence of self need not be taken as internal dispositions, but rather as the product of sociocognitive work on self-narration. The characterisation of the types of causal relationships that the narrators establish between significant events and other events, situations or periods in their lives, opens up avenues for the development of a methodological tool to replace traditional ways of measuring sense of coherence and meaning/purpose in life using psychometric methods. This alternative perspective based on a conception of the self as narrative might provide a remedy for certain conceptual and methodological difficulties that are found within the field of coping research.

Understanding suicide in Australian farmers

OBJECTIVE

Male farmers in Australia have an elevated risk of suicide. The aims of this study were to investigate the rate of mental health problems amongst farmers compared with non-farmer rural residents and to investigate what additional factors might contribute to an increased risk of suicide amongst farmers.

METHOD

This study used a combination of quantitative and qualitative approaches. First, using self-report questionnaire data, we compared rates of mental health problems (a common correlate of suicide) and a number of personality measures between farmers (n=371) and non-farming rural residents (n=380). In addition, semi-structured interviews with farmers (n=32) were used to gain a richer understanding of how the context of farming and mental health interact.

RESULTS

Five key findings emerged from the study. First, in the quantitative study, we found no support for the proposition that farmers experience higher rates of mental health problems than do non-farmer rural residents, but we identified potentially important personality differences between farmers and non-farmers, with levels of conscientiousness being significantly higher amongst farmers and levels of neuroticism being significantly lower. A strong association between maleness and farming was also found. In the qualitative study, participants indicated that farming is an environment in which individuals experienced a range of stressors but have limited capacity to acknowledge or express these. In addition, there appeared to be significant attitudinal barriers to seeking help for those who may have mental health problems, particularly male farmers.

CONCLUSION

The elevated rate of suicide amongst farmers does not seem to be simply explained by an elevated rate of mental health problems. Individual personality, gender and community attitudes that limit a person's ability to acknowledge or express mental health problems and seek help for these may be significant risk factors for suicide in farmers.

Suicide among patients with schizophrenia: a consideration of risk and protective factors

BACKGROUND

The elevated rate of suicide among patients with schizophrenia is well documented and thus frequently researched. The majority of research has focused solely on the identification of risk factors that predispose patients to attempt or commit suicide. This review serves to expand on the literature pertaining to suicide risk factors by additionally outlining how protective factors may shield against suicide within this unique patient population.

METHODS

A literature review of English-language publications pertaining to suicide among people with schizophrenia was completed using PsychINFO and MEDLINE databases between the years of 1960-2004 and 1950-2004 respectively. Special emphasis was given to studies of risk factors and protective factors for suicide.

RESULTS

Commonly supported risk factors for suicide were identified: previous attempts, severity of illness, comorbidity, social isolation, temporal relationships, and demographic characteristics. Risk factors such as a history of violence, the presence of command hallucinations, and recent tragic loss were found to warrant future study. Social support, positive coping skills, life satisfaction, and resiliency emerged as protective factors that may mitigate suicide.

CONCLUSIONS

Understanding why some patients wish to end their lives but also why some desire to live allows for more comprehensive suicide prevention.