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Wiglesworth A, White EJ, Bendezú JJ, Roediger DJ, Weiss H, Luciana M, Fiecas MB, Cullen KR, Klimes-Dougan B. A multi-level examination of impulsivity and links to suicide ideation among Native American youth. J Affect Disord 2024; 367:923-933. [PMID: 39243820 DOI: 10.1016/j.jad.2024.08.225] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/19/2024] [Revised: 08/23/2024] [Accepted: 08/31/2024] [Indexed: 09/09/2024]
Abstract
BACKGROUND Despite preliminary evidence that links impulsivity to suicide risk among Native American youth, impulsivity has not been directly studied in relation to suicide ideation (SI) or behaviors in this population. We examined indexes of rapid-response impulsivity (RRI) across multiple levels of analysis (self-report, behavioral, neurobiological) and associations with SI among Native American youth ages 9-10 in the Adolescent Brain Cognitive Development Study. METHODS Data from the sample (n = 284) included self-report (UPPS-P), behavioral (Stop Signal Task), and neurobiological (right inferior frontal gyrus activation) indicators of RRI. RRI indicators were modeled using variable-centered (i.e., traditional multivariable regression) and person-centered (i.e., clustering analyses) approaches in measuring their association with SI. RESULTS Logistic regression analysis demonstrated that higher negative urgency was associated with higher odds of SI (Adjusted Odds Ratio = 1.23, p = 0.015). Latent profile analysis clustered youth into five profiles based on within-individual variation in RRI indicators. Youth with an elevated self-reported negative and positive urgency profile had higher odds of reporting SI than "normative" youth (Adjusted Odds Ratio = 2.38, p = 0.019). LIMITATIONS Limitations of this study include the modest sample size particularly regarding SI (14.1 %), potential bias in estimates of lifetime SI, and generalizability to youth from specific Native American communities. CONCLUSIONS Negative urgency may increase risk for SI among Native American youth in late childhood. Clinical implications, including the potential for person-centered RRI profiles to act as candidate markers of suicide risk and resilience in adolescence and inform safety assessments and planning, are discussed.
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Affiliation(s)
- Andrea Wiglesworth
- University of Minnesota, Department of Psychology, United States of America.
| | - Evan J White
- Laureate Institute for Brain Research, United States of America; University of Tulsa, Oxley College of Health and Natural Sciences, United States of America
| | - Jason José Bendezú
- The Pennsylvania State University, Department of Psychology, United States of America
| | - Donovan J Roediger
- University of Minnesota, Department of Psychiatry and Behavioral Sciences, United States of America
| | - Hannah Weiss
- University of Minnesota, Department of Psychology, United States of America
| | - Monica Luciana
- University of Minnesota, Department of Psychology, United States of America
| | - Mark B Fiecas
- University of Minnesota, Division of Biostatistics, School of Public Health, United States of America
| | - Kathryn R Cullen
- University of Minnesota, Department of Psychiatry and Behavioral Sciences, United States of America
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Bogic M, Hebert LE, Evanson A, Wright B, Fruhbauerova M, Petras A, Jansen K, Shaw J, Bradshaw S, O'Leary M, Zacher T, Smoker K, Comtois KA, Nelson L. Connected for life: How social connectedness can help prevent suicide in American Indian and Alaska Native communities. Arch Psychiatr Nurs 2024; 51:259-267. [PMID: 39034087 PMCID: PMC11376686 DOI: 10.1016/j.apnu.2024.06.006] [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: 09/30/2023] [Accepted: 06/09/2024] [Indexed: 07/23/2024]
Abstract
Enhancing social support and connectedness can reduce suicide risk, yet few studies have examined this effect in American Indian and Alaska Native (AI/AN) adults. We assessed suicidal ideation and behavior, thwarted belongingness, social support, enculturation, historical trauma, and traumatic life events in 709 AI/AN adults at high risk of suicide from five AI/AN communities. Suicidal ideation was associated with thwarted belongingness and protected against by social support and engaging in AI/AN ceremonies. Among those who made lifetime suicide attempts, traumatic life events, symptoms of depression/anxiety due to historical trauma, and thwarted belongingness were linked to more attempts. More engagement in cultural practices was associated with fewer suicide attempts. Higher levels of social support were associated with more suicide attempts, an observation potentially attributable to the cross-sectional nature of the study. Interventions should focus on protective factors and context-specific interventions emphasizing community history, values, and strengths.
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Affiliation(s)
- Marija Bogic
- Washington State University Health Sciences Spokane, 412 E. Spokane Falls Blvd., Spokane, WA 99202, United States of America.
| | - Luciana E Hebert
- Washington State University Health Sciences Spokane, 412 E. Spokane Falls Blvd., Spokane, WA 99202, United States of America.
| | - Anna Evanson
- University of Washington, Box 359911, Harborview Medical Center, Seattle, WA 98195, United States of America.
| | - Barbara Wright
- University of Washington, Box 359911, Harborview Medical Center, Seattle, WA 98195, United States of America.
| | - Martina Fruhbauerova
- University of Washington, Box 359911, Harborview Medical Center, Seattle, WA 98195, United States of America.
| | - Anthippy Petras
- Washington State University Health Sciences Spokane, 412 E. Spokane Falls Blvd., Spokane, WA 99202, United States of America.
| | - Kelley Jansen
- Southcentral Foundation, 4085 Tudor Centre Drive, Anchorage, AK 99577, United States of America.
| | - Jennifer Shaw
- Southcentral Foundation, 4085 Tudor Centre Drive, Anchorage, AK 99577, United States of America.
| | - Sam Bradshaw
- Cherokee Nation Behavioral Health Prevention, 1510 East Shawnee Circle, Tahlequah, OK 74464, United States of America.
| | - Marcia O'Leary
- Missouri Breaks Industries Research Inc., US Highway 18, P.O. Box 5003, Pine Ridge, SD 57770, United States of America.
| | - Tracy Zacher
- Missouri Breaks Industries Research Inc., US Highway 18, P.O. Box 5003, Pine Ridge, SD 57770, United States of America.
| | - Kenny Smoker
- Fort Peck Tribes HPDP, 417 13th Ave East, Poplar, MT 59255, United States of America
| | - Katherine Anne Comtois
- University of Washington, Box 359911, Harborview Medical Center, Seattle, WA 98195, United States of America.
| | - Lonnie Nelson
- Washington State University Health Sciences Spokane, 412 E. Spokane Falls Blvd., Spokane, WA 99202, United States of America.
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Adoboi F, Mohammed A, Duodu PA, Aboagye RG, Seidu AA, Wongnaah FG, Ahinkorah BO. Sex-related inequalities in crude and age-standardized suicide rates: trends in Ghana from 2000 to 2019. BMC Public Health 2024; 24:1070. [PMID: 38632578 PMCID: PMC11022425 DOI: 10.1186/s12889-024-18516-8] [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] [Received: 09/23/2023] [Accepted: 04/03/2024] [Indexed: 04/19/2024] Open
Abstract
BACKGROUND Suicide represents a major public health concern, affecting a significant portion of individuals. However, there remains a gap in understanding the age and sex disparities in the occurrence of suicide. Therefore, this study aimed to investigate the sex-related inequalities in suicide rates in Ghana from 2000 to 2019. METHODS We utilized data from the WHO Health Equity Assessment Toolkit (HEAT) online software. We analysed sex differences in both crude and age-standardized suicide rates in Ghana spanning from 2000 to 2019. Crude and age-adjusted suicide rates were calculated based on the International Classification of Diseases (ICD) definition and coding of suicide mortality. We measured inequality in terms of sex. Two inequality indicators were used to examine the suicide rates: the difference (D) and the ratio (R). RESULTS Age-standardized and crude suicide rates in Ghana were higher among men from 2000 to 2019. Between 2000 and 2007, the age-standardized suicide rate for women rose steadily and declined slightly between 2008 and 2019. Age-standardized suicide rates for men increased consistently from 2000 to 2010, then declined steadily from 2011 to 2019. The crude suicide rates among men and women followed similar patterns. The widest absolute inequality in crude suicide rates (D) was recorded in 2013 (D=-11.91), while the smallest difference was observed in 2000 (D=-7.16). We also found the greatest disparity in age-standardized rates in 2011 (D=-21.46) and the least in 2000 (D=-14.32). The crude suicide rates increased with age for both men and women aged 15-54 years and 55-85+ years respectively. However, the increased rate was higher in men than in women across all age groups surveyed. A similar pattern was observed for relative inequality in both crude and age-standardized rates of suicide. CONCLUSION The suicide rate in Ghana has declined over time. Suicide is more common among older men. Inequalities in suicide rates, in both absolute and relative terms, are similar. There is a need to monitor suicide trends in Ghana, especially among older men. Moreover, the findings could serve as a basis for future studies on suicide in Ghana.
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Affiliation(s)
- Faustina Adoboi
- Cape Coast Nursing and Midwifery Training College, Cape Coast, Ghana
| | - Aliu Mohammed
- Department of Health, Physical Education, and Recreation, University of Cape Coast, Cape Coast, Ghana
| | - Precious Adade Duodu
- Department of Nursing, School of Human and Health Sciences, University of Huddersfield, Queensgate, Huddersfield, England, UK
| | - Richard Gyan Aboagye
- School of Population Health, Faculty of Medicine and Health, University of New South Wales, 2052, Sydney, NSW, Australia.
- Department of Family and Community Health, Fred N. Binka School of Public Health, University of Health and Allied Sciences, Hohoe, Ghana.
| | - Abdul-Aziz Seidu
- College of Public Health, Medical and Veterinary Sciences, James Cook University, Townsville, 4811, Queensland, QLD, Australia
- Centre for Gender and Advocacy, Takoradi Technical University, Takoradi, P.O. Box 256, Ghana
- REMS Consultancy Services Limited, Sekondi-Takoradi, Western Region, Ghana
| | | | - Bright Opoku Ahinkorah
- REMS Consultancy Services Limited, Sekondi-Takoradi, Western Region, Ghana
- School of Clinical Medicine, University of New South Wales Sydney, Sydney, Australia
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Bogic M, Hebert LE, Evanson A, Wright BD, Petras A, Jansen K, Shaw J, Comtois KA, Nelson L. "Keep up the messages, sometimes it was a lifesaver": Effects of cultural adaptation on a suicide prevention clinical trial in American Indian/Alaska Native communities. Behav Res Ther 2023; 166:104333. [PMID: 37224700 PMCID: PMC10354378 DOI: 10.1016/j.brat.2023.104333] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2022] [Revised: 02/28/2023] [Accepted: 05/05/2023] [Indexed: 05/26/2023]
Abstract
Suicide disproportionately affects many American Indian/Alaska Native (AI/AN) communities. Caring Contacts is one of the few suicide prevention interventions with demonstrated success in diverse populations, but its acceptability and effectiveness have not been evaluated in AI/AN communities. Using community-based participatory research (Phase 1), we conducted focus groups and semi-structured interviews with AI/AN adults, healthcare providers, and leaders in four communities to improve study design and maximize intervention acceptability and effectiveness for implementation in a randomized controlled trial (Phase 2). This paper describes how adaptations made during Phase 1 affected the acceptability, fit, and responsiveness of the study features to the communities' needs. Acceptability of the study procedures and materials in this community appears to be high, with 92% of participants indicating the initial assessment interview was a positive experience. Broadening eligibility criteria with regard to age and possession of a cellular device resulted in the recruitment of an additional 48% and 46% of participants, respectively. Inclusion of locally-informed methods of self-harm allowed us to capture a wider range of suicidal behavior than would have otherwise been identified. Clinical trials would benefit from community-engaged, cultural adaptation studies with populations in which the interventions would eventually be applied.
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Affiliation(s)
- Marija Bogic
- Washington State University Health Sciences Spokane, 412 E. Spokane Falls Blvd, Spokane, WA, 99202, USA.
| | - Luciana E Hebert
- Washington State University Health Sciences Spokane, 412 E. Spokane Falls Blvd, Spokane, WA, 99202, USA.
| | - Anna Evanson
- Washington State University Health Sciences Spokane, 412 E. Spokane Falls Blvd, Spokane, WA, 99202, USA.
| | - Barbara D Wright
- Washington State University Health Sciences Spokane, 412 E. Spokane Falls Blvd, Spokane, WA, 99202, USA.
| | - Anthippy Petras
- Washington State University Health Sciences Spokane, 412 E. Spokane Falls Blvd, Spokane, WA, 99202, USA.
| | - Kelley Jansen
- Southcentral Foundation, 4085 Tudor Centre Drive, Anchorage, AK, 99577, USA.
| | - Jennifer Shaw
- Southcentral Foundation, 4085 Tudor Centre Drive, Anchorage, AK, 99577, USA.
| | - Katherine Anne Comtois
- University of Washington, Box 359911, Harborview Medical Center, Seattle, WA, 98195, USA.
| | - Lonnie Nelson
- Washington State University Health Sciences Spokane, 412 E. Spokane Falls Blvd, Spokane, WA, 99202, USA.
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5
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Caring Texts, a strength-based, suicide prevention trial in 5 native communities: Research design and methods. Contemp Clin Trials 2022; 123:106966. [PMID: 36252937 PMCID: PMC10395650 DOI: 10.1016/j.cct.2022.106966] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2022] [Revised: 09/20/2022] [Accepted: 10/11/2022] [Indexed: 01/27/2023]
Abstract
BACKGROUND Despite their intrinsic strengths and resilience, some American Indian and Alaska Native (AI/AN) communities experience among the highest rates of suicide of any racial and ethnic group. Caring Contacts is one of the only interventions shown to reduce suicide in clinical trials, but it has not been tested in AI/AN settings. OBJECTIVE To compare the effectiveness of Enhanced Usual Care (control) to Enhanced Usual Care augmented with a culturally adapted version of Caring Contacts (intervention) for reducing suicidal ideation, suicide attempts, and suicide-related hospitalizations. METHODS We are implementing a single blind randomized controlled trial of Caring Contacts in five AI/AN communities across the country (South Dakota, Montana, Oklahoma, and Alaska). Eligible participants have to be (1) actively suicidal or have made a suicide attempt within the past year; (2) at least 18 years of age; (3) AI/AN; (4) able to speak and read English; (5) able to participate voluntarily; (6) willing to be contacted by text, email or postal mail; and (7) able to provide consent. Following consent and baseline assessment, participants are randomized to receive either Enhanced Usual Care alone, or Enhanced Usual Care with 12 months (25 messages) of culturally adapted Caring Contacts. Follow-up assessments are conducted at 12 and 18 months. CONCLUSIONS If effective, this study of Caring Contacts will inform programs to reduce suicide in the study communities as well as inform future research on Caring Contacts in other tribal settings. Modifications to continue the trial during the COVID-19 pandemic are discussed. CLINICAL TRIALS REGISTRATION NCT02825771.
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Rakesh G, Clausen AN, Buckley MN, Clarke-Rubright E, Fairbank JA, Wagner HR, Morey RA. The role of trauma, social support, and demography on veteran resilience. Eur J Psychotraumatol 2022; 13:2058267. [PMID: 35599980 PMCID: PMC9116243 DOI: 10.1080/20008198.2022.2058267] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
BACKGROUND Historically, resilience has often been conceptualized as the sustained lack of symptoms following trauma exposure. In line with a novel conceptualization of resilience as being dynamic over lifespan, determined by interacting biological and environmental factors, we examined the VA Mid-Atlantic Post Deployment Mental Health Repository (PDMH) comprised of 3876 US Military Veterans with and without PTSD diagnoses. METHODS We performed regression modelling to study the relationship between resilience (measured with Connor Davidson Resilience Scale; CD-RISC), posttraumatic stress disorder (PTSD) severity (Davidson Trauma Scale; DTS), social support (Medical Outcome Study Social Support Survey; MOSSS), combat exposure (Combat Exposure Scale; CES), childhood trauma (Trauma Life Events Questionnaire; TLEQ), and demographic factors. CD-RISC was positively correlated with years of education and negatively correlated with DTS, CES and TLEQ scores. RESULTS We found an interaction between CD-RISC and CES in predicting PTSD severity (Davidson Trauma Scale). Specifically, high resilience predicted lower PTSD symptom severity than low resilience, this relationship was amplified with increasing levels of combat exposure. Structural equation modelling (SEM) identified an optimal latent variable that represents resilience and relationships between latent variables for resilience, trauma, and illness. We derived a resilience latent variable composed of age, education level, MOSSS and race. CONCLUSIONS Our results support a conceptualization of resilience as a multifactorial determinant that coexists with PTSD, a state rather than trait variable, and can be quantified by biological and behavioural metrics. HIGHLIGHTS • Historically, resilience has often been conceptualized as the sustained lack of symptoms following trauma exposure.• We examined the VA Mid-Atlantic Post Deployment Mental Health Repository (PDMH) comprised of 3876 US Military Veterans.• We found an interaction effect between CD-RISC and CES in predicting PTSD severity (Davidson Trauma Scale).
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Affiliation(s)
- Gopalkumar Rakesh
- Duke-UNC Brain Imaging and Analysis Center (BIAC), Durham, NC, USA.,Durham VA Health Care System, VISN 6 VA Mid-Atlantic Mental Illness Research Education and Clinical Center (MIRECC), Durham, NC, USA
| | - Ashley N Clausen
- Duke-UNC Brain Imaging and Analysis Center (BIAC), Durham, NC, USA.,Durham VA Health Care System, VISN 6 VA Mid-Atlantic Mental Illness Research Education and Clinical Center (MIRECC), Durham, NC, USA
| | - Mary Nicole Buckley
- Duke-UNC Brain Imaging and Analysis Center (BIAC), Durham, NC, USA.,Durham VA Health Care System, VISN 6 VA Mid-Atlantic Mental Illness Research Education and Clinical Center (MIRECC), Durham, NC, USA
| | - Emily Clarke-Rubright
- Duke-UNC Brain Imaging and Analysis Center (BIAC), Durham, NC, USA.,Durham VA Health Care System, VISN 6 VA Mid-Atlantic Mental Illness Research Education and Clinical Center (MIRECC), Durham, NC, USA
| | - John A Fairbank
- Durham VA Health Care System, VISN 6 VA Mid-Atlantic Mental Illness Research Education and Clinical Center (MIRECC), Durham, NC, USA.,Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, NC, USA
| | - Henry Ryan Wagner
- Durham VA Health Care System, VISN 6 VA Mid-Atlantic Mental Illness Research Education and Clinical Center (MIRECC), Durham, NC, USA.,Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, NC, USA
| | | | - Rajendra A Morey
- Duke-UNC Brain Imaging and Analysis Center (BIAC), Durham, NC, USA.,Durham VA Health Care System, VISN 6 VA Mid-Atlantic Mental Illness Research Education and Clinical Center (MIRECC), Durham, NC, USA.,Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, NC, USA
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7
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Kustov GV, Zinchuk MS, Gersamija AG, Voinova NI, Yakovlev AA, Avedisova AS, Guekht AB. [Psychometric properties of the Russian version of the brief «Reasons for Living Inventory»]. Zh Nevrol Psikhiatr Im S S Korsakova 2021; 121:87-94. [PMID: 34874661 DOI: 10.17116/jnevro202112110187] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
Abstract
OBJECTIVE To investigate psychometric properties of the Russian version of the brief Reasons for Living Inventory (bRFL) in patients with non-psychotic mental disorders (NPMD) and to define its association with current suicide ideation. MATERIAL AND METHODS Six hundred and 15 consecutive patients with NPMD were included. The median age was 27 (19) years; 403 (65.5%) were female. Cronbach's alpha, Cronbach's alpha coefficient if an item is deleted and corrected item-total correlation were used for the internal consistency evaluation. The internal structure assessment was based on the exploratory and confirmatory factor analysis. To identify an association of bRFL with current suicidal ideation, MANCOVA was used. RESULTS An internal consistency of bRFL was good (Cronbach's Alpha-0.856). The exploratory factor analysis revealed a 6-factor model, explaining 80.22% of variance. These factors were: «survival and coping beliefs», «responsibility to family», «child related concerns», «fear of suicide», «fear of social disapproval» and «moral objections». The confirmatory factor analysis indicated a good agreement of the 6-factor model with an empirical data (CMIN/DF - 2.98, CFI - 0.956, SRMR - 0.05, RMSEA - 0.057, PNFI - 0.497). Regardless of gender and age, the total scores of bRFL and its subscales were significantly lower in patients with suicide ideation (p<0.01). CONCLUSION The Russian version of bRFL is a reliable and valid tool for the assessment of the adaptive beliefs and expectations that form an anti-suicidal barrier.
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Affiliation(s)
- G V Kustov
- Solovyov Scientific and Practical Psychoneurological Center DZM, Moscow, Russia
| | - M S Zinchuk
- Solovyov Scientific and Practical Psychoneurological Center DZM, Moscow, Russia
| | - A G Gersamija
- Solovyov Scientific and Practical Psychoneurological Center DZM, Moscow, Russia
| | - N I Voinova
- Solovyov Scientific and Practical Psychoneurological Center DZM, Moscow, Russia
| | - A A Yakovlev
- Solovyov Scientific and Practical Psychoneurological Center DZM, Moscow, Russia.,Institute of Higher Nervous Activity and Neurophysiology, Russian Academy of Sciences, Moscow, Russia
| | - A S Avedisova
- Solovyov Scientific and Practical Psychoneurological Center DZM, Moscow, Russia.,Serbsky National Medical Research Center of Psychiatry and Narcology Ministry of Health of Russia, Moscow, Russia
| | - A B Guekht
- Solovyov Scientific and Practical Psychoneurological Center DZM, Moscow, Russia.,Pirogov Russian National Research Medical University, Moscow, Russia
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8
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Gonzalez MB, Sittner KJ, Saniguq Ullrich J, Walls ML. Spiritual connectedness through prayer as a mediator of the relationship between Indigenous language use and positive mental health. CULTURAL DIVERSITY & ETHNIC MINORITY PSYCHOLOGY 2021; 27:746-757. [PMID: 34291975 PMCID: PMC8497410 DOI: 10.1037/cdp0000466] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
OBJECTIVE The objective of this study is to understand how Indigenous language and spirituality revitalization efforts may affect mental health within Indigenous communities. Although Indigenous communities experience disproportionate rates of mental health problems, research supporting language and spirituality's role in improving mental health is under-researched and poorly understood. METHOD Data for this study are from a Community-based Participatory Research Project involving five Anishinaabe tribes in Minnesota and Wisconsin. Participants were sampled from clinic records of adults with a diagnosis of type 2 diabetes, living on or near the reservation, and self-identifying as American Indian (mean age = 46.3; n = 191). RESULT Structural equation modeling illustrates that language use in the home is associated with positive mental health through spiritual connectedness. CONCLUSION Results support tribal community expressions of the positive effects of cultural involvement for Indigenous wellbeing, and improve what is known about the interconnectedness of language and spirituality. (PsycInfo Database Record (c) 2021 APA, all rights reserved).
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Affiliation(s)
- Miigis B Gonzalez
- Johns Hopkins Bloomberg School of Public Health, Center for American Indian Health, Great Lakes Hub
| | | | | | - Melissa L Walls
- Johns Hopkins Bloomberg School of Public Health, Center for American Indian Health, Great Lakes Hub
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9
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Hochhauser S, Rao S, England-Kennedy E, Roy S. Why social justice matters: a context for suicide prevention efforts. Int J Equity Health 2020; 19:76. [PMID: 32450868 PMCID: PMC7249373 DOI: 10.1186/s12939-020-01173-9] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/31/2019] [Accepted: 04/14/2020] [Indexed: 11/16/2022] Open
Abstract
Suicide is among the 10 leading causes of death in the US and has the potential to suddenly change many lives. It often occurs when people are disproportionately affected by societal conditions, including inequities, discrimination, oppression, and historical trauma. We posit that a social justice framework can improve suicide prevention efforts when incorporated into existing strategies because it mandates that inequities be addressed. It does so through education, engagement, advocacy, and action, and can be especially effective in states and nations with high suicide rates and entrenched societal inequities.
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Affiliation(s)
- Shirley Hochhauser
- College of Health and Social Services Building, 1335 International Mall, Suite 326, P.O. Box 30001 MSC 3HLS, Las Cruces, NM, 88003-8001, USA
| | - Satya Rao
- College of Health and Social Services Building, 1335 International Mall, Suite 326, P.O. Box 30001 MSC 3HLS, Las Cruces, NM, 88003-8001, USA
| | - Elizabeth England-Kennedy
- Department of Health & Physical Education, Rhode Island College, 138 Murray Center, 600 Mt. Pleasant Ave, Providence, RI, 02908, USA.
| | - Sharmistha Roy
- College of Health and Social Services Building, 1335 International Mall, Suite 326, P.O. Box 30001 MSC 3HLS, Las Cruces, NM, 88003-8001, USA
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10
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Zinchuk MS, Avedisova AS, Pashnin EV, Voinova NI, Guekht AB. [Suicidological research in epilepsy: problems of methodology]. Zh Nevrol Psikhiatr Im S S Korsakova 2019; 119:23-28. [PMID: 32207727 DOI: 10.17116/jnevro201911911223] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
The review highlights contemporary views on the problem of suicide in patients with epilepsy. The most relevant theories are presented that describe the emergence of suicidal thoughts and the transition to suicidal attempts. Along with a description of risk factors, protective factors, as well as the possible impact of comorbidity, a description of methodological deficiencies in papers on suicide in patients with epilepsy is given. Recommendations for studies related to suicidal behaviour in patients with epilepsy are discussed.
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Affiliation(s)
- M S Zinchuk
- Research and Clinical Center for Neuropsychiatry, Moscow, Russia
| | - A S Avedisova
- Serbsky National Medical Research Centre for Psychiatry and Narcology, Moscow, Russia
| | - E V Pashnin
- Research and Clinical Center for Neuropsychiatry, Moscow, Russia
| | - N I Voinova
- Research and Clinical Center for Neuropsychiatry, Moscow, Russia
| | - A B Guekht
- Research and Clinical Center for Neuropsychiatry, Moscow, Russia; Pirogov Russian National Research Medical University, Moscow, Russia
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