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Edwards LM, Torres L, Lewis KD, Loyo K. Hope as a Moderator of Intimate Partner Violence and Suicide Risk Behaviors Among Latinas. Violence Against Women 2023; 29:3143-3157. [PMID: 37710990 DOI: 10.1177/10778012231200476] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/16/2023]
Abstract
The current study investigated the role of hope in the relationship between intimate partner violence (IPV) and suicide risk behaviors among a community sample of Latinas (N = 180). Moderation analyses revealed significant interaction effects demonstrating that both aspects of hope-agency and pathways-were associated with suicide risk behaviors at high levels of IPV. Results suggest hope may be helpful when IPV is at low levels, but it may exacerbate suicide risk when high levels of IPV are experienced among Latinas. Future directions and implications are discussed, including the importance of understanding the unique cultural context in which Latina survivors exist.
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Affiliation(s)
- Lisa M Edwards
- Department of Counselor Education and Counseling Psychology, Marquette University, Milwaukee, WI, USA
| | - Lucas Torres
- Department of Psychology, Marquette University, Milwaukee, WI, USA
| | - Kayla Deanna Lewis
- Department of Counselor Education and Counseling Psychology, Marquette University, Milwaukee, WI, USA
| | - Karina Loyo
- Department of Psychology, Marquette University, Milwaukee, WI, USA
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2
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Ropaj E. Hope and suicidal ideation and behaviour. Curr Opin Psychol 2023; 49:101491. [PMID: 36446315 DOI: 10.1016/j.copsyc.2022.101491] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2022] [Revised: 10/03/2022] [Accepted: 10/07/2022] [Indexed: 12/14/2022]
Abstract
Understanding the factors that protect against suicidal ideation and behaviour may strengthen our ability to identify and support those at risk of death by suicide, above and beyond that which is possible by focusing solely on risk factors. A factor that may confer protection against the development of suicidal ideation and behaviour is hope, a future orientated construct that features within recent theories of suicide. Here, we provide an overview of the literature examining the role of hope in moderating and mediating the relationship between suicide risk factors and suicide ideation and behaviour. Evidence suggests that hope may be important in buffering against suicide ideation and behaviour across different population. Limitations and recommendation for future research are also discussed.
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Affiliation(s)
- Esmira Ropaj
- Division of Psychology and Mental Health, School of Health Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Manchester Academic Health Science Centre, Manchester, UK; Greater Manchester Mental Health NHS Foundation Trust, Manchester, UK.
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Lorenzo-Blanco EI, Zhang M, Cobb C, Meca A, Szapocznik J, Unger JB, Cano MÁ, Schwartz SJ. Longitudinal change in adolescent hope among recent immigrant Latinx adolescents: Links with adolescent and parent cultural stress, family functioning, emotional well-being, and behavioral health. Child Dev 2022; 93:e87-e102. [PMID: 34716916 PMCID: PMC10310494 DOI: 10.1111/cdev.13694] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
Adolescent hope can promote the emotional and behavioral well-being of Latinx families. Positive family functioning may foster adolescent hope, whereas cultural stress may compromise adolescent hope and well-being. We examined how adolescent hope changed over time, and whether cultural stress and family functioning predicted emotional and behavioral health via adolescent hope intercept and slope. Recent Latinx immigrant adolescents (Mage = 14.51) and parents (Mage = 41.09; N = 302; n = 150 from Los Angeles; n = 152 from Miami) completed measures of above constructs over 3 years (Summer 2010 to Spring 2013). Latent growth curve modeling indicated that adolescent hope increased over time. Higher cultural stress predicted lower initial hope. Higher family functioning predicted higher initial levels of and less steep increase in hope. Increase in hope predicted better emotional and behavioral health. Family functioning predicted better health outcomes by way of hope.
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Affiliation(s)
- Elma I. Lorenzo-Blanco
- Department of Human Development and Family Sciences, University of Texas at Austin, Austin, Texas, USA
| | - Minyu Zhang
- Department of Human Development and Family Sciences, University of Texas at Austin, Austin, Texas, USA
- Latino Research Institute, University of Texas at Austin, Austin, Texas, USA
| | - Cory Cobb
- College of Education, University of Texas at Austin, Austin, Texas, USA
- Auburn University, Auburn, Alabama, USA
| | - Alan Meca
- Department of Psychology, Old Dominion University, Norfolk, Virginia, USA
- University of Texas at San Antonio, San Antonio, Texas, USA
| | - José Szapocznik
- Department of Public Health Sciences, University of Miami Miller School of Medicine, Miami, Florida, USA
| | - Jennifer B. Unger
- Institute for Health Promotion and Disease Prevention, University of Southern California, Los Angeles, California, USA
| | - Miguel Ángel Cano
- Department of Epidemiology, Florida International University, Miami, Florida, USA
| | - Seth J. Schwartz
- College of Education, University of Texas at Austin, Austin, Texas, USA
- Department of Public Health Sciences, University of Miami, Miami, Florida, USA
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Almaghrebi AH. Risk factors for attempting suicide during the COVID-19 lockdown: Identification of the high-risk groups. J Taibah Univ Med Sci 2021; 16:605-611. [PMID: 34121981 PMCID: PMC8186882 DOI: 10.1016/j.jtumed.2021.04.010] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2021] [Revised: 04/06/2021] [Accepted: 04/12/2021] [Indexed: 12/23/2022] Open
Abstract
Objectives In the wake of the coronavirus disease 2019 (COVID-19) pandemic, we have witnessed a rise in the instances of mental health problems and the suicide-related mortality rates. This study aims to identify the suicide-related risk factors and stressors to determine the groups at a greater risk of attempting suicide during the COVID-19 lockdown. Methods This retrospective study examined 29 cases of attempted suicide during the 3-month COVID-19 lockdown in KSA. The suicide risk factors were evaluated using specific instrument the modified (SAD PERSONS) scale. It is an acronym for sex, age, depression, previous attempt, excess alcohol, rational thinking loss, social status, organized plan, no social supports and stated future intent. Results The lockdown stressors that may have triggered suicidal behaviours were identified as follows: psychological distress, relationship problems, financial difficulties, and extreme fear of the COVID-19 infection. While all age groups carried the risk of attempting suicide during the lockdown, patients with psychiatric disorders and women accounted for 69% and 65.5% of the cohort, respectively. Factors like hopelessness and depression were highly related to suicide attempts, as well as the statement of future intent to repeat the attempt, at 72.4% and 65.5% respectively. Almost two-thirds of the attempts made were serious, and many women felt unsafe in their own homes during the lockdown. Conclusion Patients with pre-existing psychiatric disorders and women carry high risk of attempting suicide during the COVID-19 lockdown. This study offers insights on the greater outreach efforts that can be carried out for these patients by calling for the prioritization of mental health care, improvement of domestic violence services, and strengthening of suicide prevention strategies.
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Muyan M, Chang EC. Hope as a Mediator of the Link Between Intimate Partner Violence and Suicidal Risk in Turkish Women: Further Evidence for the Role of Hope Agency. JOURNAL OF INTERPERSONAL VIOLENCE 2019; 34:4620-4637. [PMID: 27807205 DOI: 10.1177/0886260516675465] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/26/2023]
Abstract
The present study examined hope as a potential mediator of the association between intimate partner violence (IPV) and suicidal risk, namely, depression and suicide ideation, in a sample of 149 Turkish female college students. Results from conducting bootstrapped mediation analyses indicated that hope agency, but not hope pathways, mediated the link between IPV and suicidal risk in Turkish women. Importantly, the associations of IPV with both depression and suicide ideation became nonsignificant once hope was included in the prediction model. Some implications of the present findings for hope theory and practice in the context of IPV victimization among Turkish women are discussed.
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Affiliation(s)
- Mine Muyan
- Middle East Technical University, Ankara, Turkey
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Heidari M, Borujeni MG, Rafiei H. The Assessment Effect of Spiritual Care on Hopelessness and Depression in Suicide Attempts. JOURNAL OF RELIGION AND HEALTH 2019; 58:1453-1461. [PMID: 28932973 DOI: 10.1007/s10943-017-0473-2] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
The purpose of this study was to assess the effect of spiritual care on hopelessness and depression among suicide attempts. This semi-experimental study that 60 suicide attempts and these samples were divided in to two cases and control groups. For case group, service package of spiritual care was designed and conducted during their visits to psychiatrists' offices. Findings showed that there was a significant difference after performing spiritual care in depression in both groups (X2 = 22, P = 0.002) and their hopelessness (X2 = 20, P = 0.001). The use of spiritual intervention is suggested in order to implement holistic nursing care during treatment should be considered as a matter of principle.
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Affiliation(s)
- Mohammad Heidari
- Department of Medical and Surgical, School of Nursing and Midwifery, Shahrekord University of Medical Sciences, Shahrekord, Iran
| | - Mansureh Ghodusi Borujeni
- Department of Nursing, Abadeh Branch, Islamic Azad University, Abadeh, Iran.
- Abadeh Branch, Islamic Azad University, Sahid Chamran Blvd, Abadeh, Fars, Iran.
| | - Hossein Rafiei
- School of Nursing and Midwifery, Qazvin University of Medical Sciences, Qazvin, Iran
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Li W, Dorstyn DS, Jarmon E. Identifying suicide risk among college students: A systematic review. DEATH STUDIES 2019; 44:450-458. [PMID: 30836043 DOI: 10.1080/07481187.2019.1578305] [Citation(s) in RCA: 49] [Impact Index Per Article: 9.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
Mental health research highlights the need to focus on suicide risk in college students. However, evidence for associated risk and protective factors in this cohort is mixed. This review synthesizes data from 29 independent studies (N = 11,557 participants). Self-reported depression, cumulative stressful life events, sleep difficulties, a disconnection from others, and a sense of hopelessness demonstrated significant associations with heightened suicide risk. Reasons to live and hope provided significant protective effects. The findings highlight key intervention targets, pointing to the importance of cognitive-behavioral interventions to ameliorate suicidal thoughts but also build dispositional hope and goal-directed thinking.
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Affiliation(s)
- Wenjing Li
- School of Psychology, University of Adelaide, Adelaide, South Australia, Australia
| | - Diana S Dorstyn
- School of Psychology, University of Adelaide, Adelaide, South Australia, Australia
| | - Eric Jarmon
- Psychiatry Residency Program, Orange Regional Medical Center, Middletown, New York, USA
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Chang OD, Batra MM, Premkumar V, Chang EC, Hirsch JK. Future orientation, depression, suicidality, and interpersonal needs in primary care outpatients. DEATH STUDIES 2018; 44:98-104. [PMID: 30541418 DOI: 10.1080/07481187.2018.1522389] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
Abstract
Based on past research findings with college students, we tested whether perceived burdensomeness and thwarted belongingness represent important mediators of the association between future orientation and suicide risk (namely, depression and suicidality) in primary care patients. We conducted a multiple mediator test in a sample of 97 primary care patients. Our results indicated that perceived burdensomeness and thwarted belongingness accounted for the negative associations present between future orientation and measures of suicide risk. These findings provide evidence for perceived burdensomeness and thwarted belongingness as mechanisms accounting for the association between future orientation and suicide risk in primary care patients.
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Affiliation(s)
- Olivia D Chang
- Department of Psychology, University of Michigan, Ann Arbor, Michigan, USA
| | - Madeleine M Batra
- Department of Psychology, Michigan State University, East Lansing, Michigan, USA
| | - Vidhya Premkumar
- Department of Psychology, University of Michigan, Ann Arbor, Michigan, USA
| | - Edward C Chang
- Department of Psychology, University of Michigan, Ann Arbor, Michigan, USA
| | - Jameson K Hirsch
- Department of Psychology, East Tennessee State University, Johnson City, Tennessee, USA
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Positive Expectancies for the Future as Potential Protective Factors of Suicide Risk in Adults: Does Optimism and Hope Predict Suicidal Behaviors in Primary Care Patients? Int J Ment Health Addict 2018. [DOI: 10.1007/s11469-018-9922-8] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/17/2022] Open
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Chang EC, Chang OD, Martos T, Sallay V. Future orientation and suicide risk in Hungarian college students: Burdensomeness and belongingness as mediators. DEATH STUDIES 2017; 41:284-290. [PMID: 27937969 DOI: 10.1080/07481187.2016.1270371] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
We tested a model consistent with the notion that perceived burdensomeness and thwarted belongingness mediate the association between future orientation and suicide risk (viz., depressive symptoms and suicide ideation) in college students. The sample was comprised of 195 Hungarian college students. Results indicated that the negative associations found between future orientation and suicide risk outcomes were accounted for by both perceived burdensomeness and thwarted belongingness. The present findings highlight the importance of studying positive future cognitions in suicide risk and provide support for perceived burdensomeness and thwarted belongingness as potential proximal mechanisms associated with heighted suicide risk in adults.
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Affiliation(s)
- Edward C Chang
- a Department of Psychology , University of Michigan , Ann Arbor , Michigan , USA
| | - Olivia D Chang
- b Research in Action Academy™ , Ann Arbor , Michigan , USA
| | - Tamás Martos
- c Department of Personality, Clinical and Health Psychology , University of Szeged , Szeged , Hungary
| | - Viola Sallay
- c Department of Personality, Clinical and Health Psychology , University of Szeged , Szeged , Hungary
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Chang EC, Martos T, Sallay V, Chang OD, Wright KM, Najarian ASM, Lee J. Examining Optimism and Hope as Protective Factors of Suicide Risk in Hungarian College Students: Is Risk Highest Among Those Lacking Positive Psychological Protection? COGNITIVE THERAPY AND RESEARCH 2016. [DOI: 10.1007/s10608-016-9810-0] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Hope and trauma: Examining a diathesis-stress model in predicting depressive and anxious symptoms in college students. PERSONALITY AND INDIVIDUAL DIFFERENCES 2016. [DOI: 10.1016/j.paid.2016.02.060] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
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Chesin MS, Jeglic EL. Factors Associated with Recurrent Suicidal Ideation among Racially and Ethnically Diverse College Students with a History of Suicide Attempt: The Role of Mindfulness. Arch Suicide Res 2016. [PMID: 26212484 DOI: 10.1080/13811118.2015.1004488] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
Although one-third of enrolled U.S. undergraduate college students are non-White, little is known about risk factors for suicidal behavior among racial and ethnic minority students. Thus, we set out to determine psychosocial factors associated with recurrent suicidal ideation among racially and ethnically diverse college students with a history of suicide attempt. From 2012-2013, 1,734 racially and ethnically diverse college students completed an on-line survey of suicidal behavior and associated factors. Depression, hopelessness, rejection sensitivity, and mindfulness, as well as past-year discrimination, ethnic identification, and acculturative stress were measured using well-validated self-report instruments. The Beck Scale for Suicide Ideation was used to assess current suicidal ideation. A subsample of 118 college students who self-reported a past suicide attempt were selected for the current analysis. Logistic regression analysis was used to test associations between risk factors and the presence of suicidal ideation, and linear regression analysis was used to test factors associated with suicidal ideation severity among those who reported current suicidal ideation. Depression was significantly related to both the presence and severity of current suicidal ideation. Mindfulness, and in particular awareness of present moment experience, was also inversely associated with ideation severity. We found depression and mindlessness were associated with suicidal ideation severity among a sample of diverse college students at high risk for suicidal behavior due to a past suicide attempt. Factors unique to the minority experience, such as acculturative stress, were not associated with current suicidal ideation. Implications for suicide prevention are discussed.
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Chang EC, Yu T, Jilani Z, Fowler EE, Yu EA, Lin J, Hirsch JK. Hope Under Assault: Understanding the Impact of Sexual Assault on the Relation Between Hope and Suicidal Risk in College Students. JOURNAL OF SOCIAL AND CLINICAL PSYCHOLOGY 2015. [DOI: 10.1521/jscp.2015.34.3.221] [Citation(s) in RCA: 29] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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Chang EC, Hirsch JK. Social Problem Solving Under Assault: Understanding the Impact of Sexual Assault on the Relation Between Social Problem Solving and Suicidal Risk in Female College Students. COGNITIVE THERAPY AND RESEARCH 2014. [DOI: 10.1007/s10608-014-9664-2] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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