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Li J, Luo X, Liu H. Dynamic bidirectional relation between state mindfulness and suicidal ideation among female college students: The moderating effect of trait mindfulness. DEATH STUDIES 2024:1-12. [PMID: 38502577 DOI: 10.1080/07481187.2024.2329180] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 03/21/2024]
Abstract
Research has indicated that mindfulness is a protective factor against suicidal ideation. However, the dynamic reciprocal relation between them has been understudied. In this study, 110 female college students with suicidal ideation completed a measure of trait mindfulness and a 28-day diary of suicidal ideation and three-dimensional state mindfulness, including acting with awareness, present-moment attention, and nonjudgmental acceptance. Dynamic structural equation modeling was used to examine the dynamic and bidirectional effects between dimensions of state mindfulness and suicidal ideation and the moderating effect of trait mindfulness. Results showed that suicidal ideation predicted lower levels of present-moment attention the next day. More importantly, there was a dynamic and bidirectional relation between nonjudgmental acceptance and suicidal ideation for people with trait mindfulness higher than the average level (i.e., M + 0.15SD). Our findings suggested that studies and interventions on suicide should pay more attention to specific dimensions of state mindfulness and trait mindfulness.
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Affiliation(s)
- Jingxian Li
- College of Education for the Future, Beijing Normal University, Zhuhai, China
- Beijing Key Laboratory of Applied Experimental Psychology Faculty of Psychology, Beijing Normal University, Beijing, China
- Department of Mental Health Education and Consultation Center, Lingnan Normal University, Zhanjiang, China
| | - Xiaohui Luo
- Beijing Key Laboratory of Applied Experimental Psychology Faculty of Psychology, Beijing Normal University, Beijing, China
| | - Hongyun Liu
- Beijing Key Laboratory of Applied Experimental Psychology Faculty of Psychology, Beijing Normal University, Beijing, China
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Herrmann TS, Nazarenko E, Marchand W, Day A, Merrill J, Neil M, Thatcher J, Garland E, Bryan C. Randomized Controlled Trial of a Brief Mindfulness-Based Intervention for Suicidal Ideation Among Veterans. Mil Med 2024; 189:732-741. [PMID: 36208303 DOI: 10.1093/milmed/usac291] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2022] [Revised: 06/28/2022] [Accepted: 09/20/2022] [Indexed: 11/13/2022] Open
Abstract
INTRODUCTION This study was a preliminary evaluation of a manualized, brief mindfulness-based intervention (MB-SI) for veterans with suicidal ideation (SI), admitted into an inpatient psychiatric unit (IPU). MATERIALS AND METHODS A randomized, controlled pilot study of 20 veterans aged 18-70 years with SI, admitted into a psychiatric unit, assigned to treatment as usual (TAU) or MB-SI groups. Outcome data were collected at three time points: preintervention (beginning of first session), postintervention (end of last session), and 1-month postintervention. Primary outcomes were safety and feasibility. Secondary outcome measures were SI and behavior, mindfulness state and trait, cognitive reappraisal, and emotion regulation. Additionally, psychiatric and emergency department admissions were examined. Data analysis included Generalized Linear Models, Wilcoxon Signed-Rank, Mann-Whitney U, and Fisher's exact tests for secondary outcomes. RESULTS Mindfulness-based intervention for suicidal ideation was feasible to implement on an IPU, and there were no associated adverse effects. Mindfulness-based intervention for suicidal ideation participants experienced statistically significant increase in Toronto Mindfulness Scale curiosity scores 1-month postintervention compared to preintervention and greater Toronto Mindfulness Scale decentering scores 1-month postintervention compared to TAU. Emotion Regulation Questionnaire Reappraisal scores significantly increased for the MB-SI group and significantly decreased for TAU over time. IPU and emergency department admissions were not statistically different between groups or over time. Both TAU and MB-SI participants experienced a significant reduction in Columbia-Suicide Severity Rating Scale-SI scores after the intervention. MB-SI participants experienced a higher increase in Five-Facet Mindfulness Questionnaire scores postintervention compared to TAU. CONCLUSIONS Mindfulness-based intervention for suicidal ideation is feasible and safe to implement among veterans during an inpatient psychiatric admission with SI, as it is not associated with increased SI or adverse effects. Preliminary evidence suggests that MB-SI increases veterans' propensity to view experiences with curiosity while disengaging from experience without emotional overreaction. Further, more rigorous research is warranted to determine efficacy of MB-SI. TRIAL REGISTRATION The clinicaltrials.gov registration number is NCT04099173 and dates are July 16, 2019 (initial release) and February 24, 2022 (most recent update).
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Affiliation(s)
- Tracy S Herrmann
- Whole Health Service, VA Salt Lake City Health Care System, Salt Lake City, UT 84148, USA
- Department of Nutrition and Integrative Physiology, University of Utah, Salt Lake City, UT 84108, USA
| | - Elena Nazarenko
- Whole Health Service, VA Salt Lake City Health Care System, Salt Lake City, UT 84148, USA
| | - William Marchand
- Whole Health Service, VA Salt Lake City Health Care System, Salt Lake City, UT 84148, USA
- Department of Psychiatry, University of Utah School of Medicine, Salt Lake City, UT 84108, USA
| | - Anna Day
- Mental Health Service, VA Salt Lake City Health Care System, Salt Lake City, UT 84148, USA
| | - Jo Merrill
- Mental Health Service, VA Salt Lake City Health Care System, Salt Lake City, UT 84148, USA
| | - Michael Neil
- Mental Health Service, VA Salt Lake City Health Care System, Salt Lake City, UT 84148, USA
| | - John Thatcher
- Mental Health Service, VA Salt Lake City Health Care System, Salt Lake City, UT 84148, USA
| | - Eric Garland
- Whole Health Service, VA Salt Lake City Health Care System, Salt Lake City, UT 84148, USA
- College of Social Work, University of Utah, Salt Lake City, UT 84108, USA
| | - Craig Bryan
- Department of Psychiatry and Behavioral Health, Ohio State University, Columbus, OH 43110, USA
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De Jaegere E, Dumon E, van Heeringen K, van Landschoot R, Stas P, Portzky G. Mindfulness-Based Cognitive Therapy for Individuals Who Are Suicidal: A Randomized Controlled Trial. Arch Suicide Res 2023:1-21. [PMID: 37994872 DOI: 10.1080/13811118.2023.2282663] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/24/2023]
Abstract
There is a need for well-described treatments targeting individuals at risk for suicidal behaviors. The present study aims to investigate the effectiveness of MBCT adapted to individuals who are suicidal (MBCT-S) in a randomized controlled trial, comparing an intervention group receiving MBCT-S and treatment as usual (TAU) with a control group receiving TAU only. Participants who were 18 years or older and experienced suicidal ideation were included. Assessments on suicidal ideation and symptoms associated with suicidal behavior were carried out at baseline, post-treatment, and 12 weeks after the end of the training. When comparing the intervention group with the control group, a significant reduction was found at follow-up in suicidal ideation and depressive symptoms. When focusing on the intervention group only, a significant reduction was found in suicidal ideation, depressive symptoms, hopelessness, worrying, defeat, and entrapment, and a significant increase in mindfulness both at post-treatment and at follow-up. The findings suggest that MBCT-S is a promising suicide-specific intervention as it may have the potential to reduce suicidal ideation and suicide-related components.
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Xie Q. Are Mindfulness and Self-Compassion Related to Peace of Mind? The Mediating Role of Nonattachment. Psychol Rep 2023:332941231198511. [PMID: 37658758 DOI: 10.1177/00332941231198511] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/05/2023]
Abstract
Peace of mind is an important affective well-being valued in Chinese culture. Mindfulness and self-compassion could potentially promote peace of mind. However, the mechanisms underlying these effects were not well understood. The current cross-sectional study aimed to investigate whether nonattachment explained the effects of mindfulness and self-compassion on peace of mind. A sample of 364 Chinese adults was recruited from WeChat, a popular Chinese social media platform. Participants filled out an online survey including measures of dispositional mindfulness, self-compassion, nonattachment, and peace of mind. The results of correlation analyses revealed significant and positive associations among mindfulness, self-compassion, nonattachment, and peace of mind. Furthermore, nonattachment significantly mediated the associations between mindfulness and self-compassion with peace of mind. Moderated mediation analyses indicated that the relationships between mindfulness and self-compassion with nonattachment were stronger for women than for men. Gender did not moderate the direct effects of mindfulness and self-compassion on peace of mind, the relationship between nonattachment and peace of mind, and the mediating effects of mindfulness and self-compassion on peace of mind through nonattachment. These findings suggest that nonattachment may be a potential mechanism through which mindfulness and self-compassion promote peace of mind among Chinese adults. If the mediating effects are confirmed in future longitudinal and experimental studies, mindfulness and self-compassion interventions can emphasize nonattachment to optimize their effects on peace of mind. It may also be important to tailor mindfulness and self-compassion training for men and women given the gender differences in the relationships between mindfulness and self-compassion with nonattachment.
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Affiliation(s)
- Qiang Xie
- Department of Counseling Psychology, University of Wisconsin-Madison, Madison, WI, USA; Center for Healthy Minds, University of Wisconsin-Madison, Madison, WI, USA
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O'Brien E, Whitman K, Buerke M, Galfalvy H, Szanto K. Life-Satisfaction, Engagement, Mindfulness, Flourishing, and Social Support: Do they Predict Depression, Suicide Ideation, and History of Suicide Attempt in Late Life? Am J Geriatr Psychiatry 2023; 31:415-424. [PMID: 36682987 PMCID: PMC10164675 DOI: 10.1016/j.jagp.2022.12.192] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/27/2022] [Revised: 12/12/2022] [Accepted: 12/26/2022] [Indexed: 12/31/2022]
Abstract
OBJECTIVE Suicide is an outcome arising from a combination of risk and protective factors. Examining psychological resilience traits associated with successful aging may help to better understand late-life suicide and depression. We examined self-reported protective factors including mindfulness, life satisfaction and engagement, flourishing, and subjective and objective social support in a high suicide-risk sample of depressed older adults. METHODS Participants were 297 individuals aged 55+ (mean age: 64.2): 92 depressed suicide attempters, 138 depressed individuals who never attempted suicide, and 67 non-psychiatric comparisons. Using linear and binomial logistic regression, we examined the effects of a combined Protective Factor value on presence and severity of depression and suicidal ideation, and history of suicide attempt. RESULTS Relative to the non-psychiatric comparison group, all depressed participants had significantly lower Protective Factor values. Higher Protective Factor value was associated with lower likelihood of depression, depression severity, and likelihood of ideation, but was not associated with ideation severity or history of suicide attempt. Participants with one standard deviation higher Protective Factor had lower odds of ideation incidence by a factor of OR=0.68 (95%CI=0.48-0.96). CONCLUSION Resiliency characteristics relevant to psychological wellbeing and successful aging may mitigate the emergence of depression and suicidal ideation, as well as the severity of depression in late-life. The Resilience Factor used in this study can help clinicians nuance their appraisal of depression and suicide risk.
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Affiliation(s)
- Emma O'Brien
- Department of Psychiatry (OBE, WK, SK), University of Pittsburgh School of Medicine, Pittsburgh, PA
| | - Kathrine Whitman
- Department of Psychiatry (OBE, WK, SK), University of Pittsburgh School of Medicine, Pittsburgh, PA
| | - Morgan Buerke
- Department of Psychology (BM), University of Southern Mississippi, Hattiesburg, MS
| | - Hanga Galfalvy
- Department of Psychiatry (GH), Columbia University College of Physicians and Surgeons, New York, NY; Department of Molecular Imaging and Neuropathology (GH), New York State Psychiatric Institute, New York, NY
| | - Katalin Szanto
- Department of Psychiatry (OBE, WK, SK), University of Pittsburgh School of Medicine, Pittsburgh, PA.
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Su Y, Sun W, Gan Y, Zhu Q, Liu G, Hui L, Tang H, Liu Z. Mindfulness mediates the relationship between positive parenting and aggression, depression, and suicidal ideation: A longitudinal study in middle school students. Front Psychol 2022; 13:1007983. [DOI: 10.3389/fpsyg.2022.1007983] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2022] [Accepted: 10/12/2022] [Indexed: 11/06/2022] Open
Abstract
Previous research has indicated that parenting factors affect the risk of maladaptive psychological outcomes (e.g., aggression, depression, or suicidal ideation), and that positive parenting is a prospective risk factor for maladaptive psychological outcomes. However, the mechanisms underlying the relationships between positive parenting, mindfulness, and maladaptive psychological outcomes remain unknown, as do the processes that mediate the effect of positive parenting on maladaptive psychological outcomes in adolescents. The objective of the present study was to investigate the longitudinal relationship between positive parenting, mindfulness, and maladaptive psychological outcomes in middle school students, as well as the mediating effect of mindfulness in the relationships between positive parenting and depression, aggression, and suicidal ideation. In this study, 386 middle school children (aged 12–16) were tested three times over a period of 6 months. Positive parenting was assessed at Time 1, mindfulness at Time 2, and depression, aggression, and suicidal ideation at Time 3. Using structural equation modeling, positive parenting was revealed to be longitudinally associated with mindfulness and negatively associated with maladaptive psychological outcomes. More crucially, mindfulness mediated the relationship between positive parenting and maladaptive psychological outcomes. This research provides important insights into how to effectively decrease adolescent maladaptive psychological outcomes and highlights the importance of teaching mindfulness to youths.
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de Aguiar KR, Bilhalva JB, Cabelleira MD, Guimarães GO, Madureira T, Agako A, de Souza MS, Souza LDDM. The impact of mindfulness on suicidal behavior: a systematic review. TRENDS IN PSYCHIATRY AND PSYCHOTHERAPY 2021; 44:e20210316. [PMID: 34551465 PMCID: PMC9907375 DOI: 10.47626/2237-6089-2021-0316] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 11/24/2020] [Accepted: 06/26/2021] [Indexed: 11/20/2022]
Abstract
INTRODUCTION Mindfulness-based interventions (MBI) have been growing progressively as treatment options in the field of mental health. Aim: To assess the impact of mindfulness-based interventions for reducing suicidal thoughts and behaviors. METHODS A systematic review was performed in December 2020 using PubMed, PsycINFO, EMBASE, SciELO, Pepsic, and LILACS databases with no year restrictions. The search strategy included the terms ('mindfulness' OR 'mindfulness-based') AND ('suicide' OR 'suicidal' OR 'suicide risk' OR 'suicide attempt' OR 'suicide ideation' OR 'suicide behavior'). The protocol was registered in the International Prospective Register of Systematic Reviews (PROSPERO), CRD42020219514. RESULTS A total of 14 studies met all inclusion criteria and were included in this review. Most of the studies presented Mindfulness-Based Cognitive Therapy as the MBI assessed (n=10). An emerging and rapidly growing literature on MBI presents promising results in reduction of suicide risk, particularly in patients with MDD. Four studies assessing other MBI treatment protocols (Mindfulness-Based Stress Reduction; Daily Mindfulness Meditation Practice; Mind Body Awareness and Mindfulness-Based Cognitive Behavior Therapy) all demonstrated that MBI reduces factors associated with suicide risk. CONCLUSION MBI might target specific processes and contribute to suicide risk reduction.
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Affiliation(s)
- Kyara Rodrigues de Aguiar
- Programa de Pós-Graduação em Psiquiatria e Ciências do ComportamentoUFRGSPorto AlegreRSBrazilPrograma de Pós-Graduação em Psiquiatria e Ciências do Comportamento, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brazil.
| | - Júlia Bierhals Bilhalva
- Programa de Pós-Graduação em Saúde e ComportamentoUniversidade Católica de PelotasPelotasRSBrazilPrograma de Pós-Graduação em Saúde e Comportamento, Universidade Católica de Pelotas (UCPel), Pelotas, RS, Brazil.
| | - Mariana Dias Cabelleira
- Programa de Pós-Graduação em Saúde e ComportamentoUniversidade Católica de PelotasPelotasRSBrazilPrograma de Pós-Graduação em Saúde e Comportamento, Universidade Católica de Pelotas (UCPel), Pelotas, RS, Brazil.
| | - Giovanna Oliveira Guimarães
- Programa de Pós-Graduação em Saúde e ComportamentoUniversidade Católica de PelotasPelotasRSBrazilPrograma de Pós-Graduação em Saúde e Comportamento, Universidade Católica de Pelotas (UCPel), Pelotas, RS, Brazil.
| | - Thiago Madureira
- Departamento de PsicologiaUniversidade Federal do Rio GrandeRio GrandeRSBrazilDepartamento de Psicologia, Universidade Federal do Rio Grande (FURG), Rio Grande, RS, Brazil.
| | - Arela Agako
- Department of Psychology, Neuroscience & BehaviourMcMaster UniversityHamiltonONCanadaDepartment of Psychology, Neuroscience & Behaviour, McMaster University, Hamilton, ON, Canada.
| | - Marília Silva de Souza
- Programa de Pós-Graduação em Saúde e ComportamentoUniversidade Católica de PelotasPelotasRSBrazilPrograma de Pós-Graduação em Saúde e Comportamento, Universidade Católica de Pelotas (UCPel), Pelotas, RS, Brazil.
| | - Luciano Dias de Mattos Souza
- Programa de Pós-Graduação em Saúde e ComportamentoUniversidade Católica de PelotasPelotasRSBrazilPrograma de Pós-Graduação em Saúde e Comportamento, Universidade Católica de Pelotas (UCPel), Pelotas, RS, Brazil.
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