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Özsoy F, Taşcı G, Kulu M, Okan F, Yılmaz S, Korkmaz S, Atmaca M. Stigmas and childhood traumas associated with psychological help-seeking in suicide attempted individuals. Perspect Psychiatr Care 2022; 58:2970-2977. [PMID: 35975396 DOI: 10.1111/ppc.13148] [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] [Received: 04/27/2022] [Revised: 06/27/2022] [Accepted: 08/06/2022] [Indexed: 11/30/2022] Open
Abstract
PURPOSE The aim was to investigate the possible associations of suicide attempt with childhood trauma, social support, psychological support seeking, stigmatizations. The study was case-control study and included 100 participants (50 suicide, 50 controls). CONCLUSION BDI, BAI scores were higher in the patient (p < 0.001). While scores of all-subscales of Childhood-Trauma-Questionnaire were higher (p < 0.05) in the patients, scores of Perceived-Social-Support were lower (p < 0.001). Repeating suicide attempts has higher Stigma-Scale-for-Receiving-Psychological-Help scores than the patients who attempted to the first time (p = 0.045). PRACTICE IMPLICATION Suicide is relationship with more childhood traumas, less social support. Repeating suicide attempts, individuals felt public stigma for receiving psychological help.
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Affiliation(s)
- Filiz Özsoy
- Department of Psychiatry, Gaziosmanpaşa University School of Medicine, Tokat, Turkey
| | - Gülay Taşcı
- Department of Psychiatry, Elazig Fethi Sekin City Hospital, Elazig, Turkey
| | - Müberra Kulu
- Department of Psychiatry, Tokat State Hospital, Tokat, Turkey
| | - Fatih Okan
- Public Health Nursing, Gaziosmanpaşa University School of Medicine, Tokat, Turkey
| | - Seda Yılmaz
- Department of Psychiatry, Elazıg Medical Park Hospital, Istınye University, Elazıg, Turkey
| | - Sevda Korkmaz
- Department of Psychiatry, Fırat University School of Medicine, Elazıg, Turkey
| | - Murad Atmaca
- Department of Psychiatry, Fırat University School of Medicine, Elazıg, Turkey
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Siau CS, Chan CMH, Wee LH, Wahab S, Visvalingam U, Chen WS, Yeoh SH, Tee JN, Yeap LLL, Ibrahim N. Depression and Anxiety Predict Healthcare Workers' Understanding of and Willingness to Help Suicide Attempt Patients. OMEGA-JOURNAL OF DEATH AND DYING 2021; 87:469-484. [PMID: 34096373 DOI: 10.1177/00302228211021746] [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: 11/15/2022]
Abstract
We examined whether burnout, depression, anxiety, stress, lifetime suicidal ideation, self-efficacy in preventing suicide and demographic factors predicted the understanding of and willingness to help suicidal patients among hospital healthcare workers. A total of 368 healthcare workers from the major surgical and medical departments in a general hospital setting were recruited. Participants responded to the Depression Anxiety and Stress Scale-21, Self-efficacy in Suicide Prevention, and Understanding Suicide Attempt Patient Scale. Those from the psychiatric department, with higher suicide prevention self-efficacy, and lower personal accomplishment indicated more understanding and helpful attitudes; doctors, depressed and anxious healthcare workers reported less understanding and helpful attitudes. Suicide prevention efforts must be conducted in tandem with equipping and supporting the healthcare workers who manage suicidal patients.
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Affiliation(s)
- Ching Sin Siau
- Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia
| | - Caryn Mei Hsien Chan
- Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia
| | - Lei Hum Wee
- Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia
| | - Suzaily Wahab
- Department of Psychiatry, Pusat Perubatan Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia
| | - Uma Visvalingam
- Hospital Putrajaya, Kementerian Kesihatan Malaysia, Putrajaya, Malaysia
| | - Won Sun Chen
- Faculty of Health, Arts, and Design, Swinburne University, Hawthorn, Australia
| | - Seen Heng Yeoh
- Faculty of Medicine, Universiti Tunku Abdul Rahman, Kajang, Malaysia
| | - Jing Ni Tee
- Faculty of Social Sciences and Liberal Arts, UCSI University, Kuala Lumpur, Malaysia
| | | | - Norhayati Ibrahim
- Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia
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She R, Wang X, Zhang Z, Li J, Xu J, You H, Li Y, Liang Y, Li S, Ma L, Wang X, Chen X, Zhou P, Lau J, Hao Y, Zhou H, Gu J. Mental Health Help-Seeking and Associated Factors Among Public Health Workers During the COVID-19 Outbreak in China. Front Public Health 2021; 9:622677. [PMID: 34046387 PMCID: PMC8144452 DOI: 10.3389/fpubh.2021.622677] [Citation(s) in RCA: 16] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2020] [Accepted: 04/12/2021] [Indexed: 01/08/2023] Open
Abstract
Background: The COVID-19 outbreak in China has created multiple stressors that threaten individuals' mental health, especially among public health workers (PHW) who are devoted to COVID-19 control and prevention work. This study aimed to investigate the prevalence of mental help-seeking and associated factors among PHW using Andersen's Behavioral Model of Health Services Use (BMHSU). Methods: A cross-sectional survey was conducted among 9,475 PHW in five provinces across China between February 18 and March 1, 2020. The subsample data of those who reported probable mental health problems were analyzed for this report (n = 3,417). Logistic and hierarchical regression analyses were conducted to examine the associations of predisposing, enabling, need, and COVID-19 contextual factors with mental health help-seeking. Results: Only 12.7% of PHW reported professional mental help-seeking during the COVID-19 outbreak. PHW who were older, had more days of overnight work, received psychological training, perceived a higher level of support from the society, had depression and anxiety were more likely to report mental help-seeking (ORm range: 1.02–1.73, all p < 0.05) while those worked in Centers for Disease Control and Prevention were less likely to seek help (ORm = 0.57, p < 0.01). The belief that mental health issues were not the priority (64.4%), lack of time (56.4%), and shortage of psychologists (32.7%) were the most frequently endorsed reasons for not seeking help. Conclusions: The application of BMHSU confirmed associations between some factors and PHW's mental health help-seeking. Effective interventions are warranted to promote mental health help-seeking of PHW to ameliorate the negative impact of mental illness and facilitate personal recovery and routine work.
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Affiliation(s)
- Rui She
- Centre for Health Behaviours Research, Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China
| | - Xiaohui Wang
- School of Public Health, Lanzhou University, Lanzhou, China
| | - Zhoubin Zhang
- Guangzhou Center for Disease Control and Prevention, Guangzhou, China
| | - Jinghua Li
- School of Public Health, Sun Yat-sen University, Guangzhou, China.,Sun Yat-sen University Global Health Institute, School of Public Health and Institute of State Governance, Sun Yat-sen University, Guangzhou, China
| | - Jingdong Xu
- Hubei Province Center for Disease Control and Prevention, Wuhan, China
| | - Hua You
- School of Public Health, Nanjing Medical University, Nanjing, China
| | - Yan Li
- Guangzhou Center for Disease Control and Prevention, Guangzhou, China
| | - Yuan Liang
- School of Public Health, Huazhong University of Science and Technology, Wuhan, China
| | - Shan Li
- Zigong Center for Disease Control and Prevention, Zigong, China
| | - Lina Ma
- Hubei Province Center for Disease Control and Prevention, Wuhan, China
| | - Xinran Wang
- School of Public Health, Sun Yat-sen University, Guangzhou, China
| | - Xiuyuan Chen
- School of Public Health, Sun Yat-sen University, Guangzhou, China
| | - Peien Zhou
- School of Public Health, Sun Yat-sen University, Guangzhou, China
| | - Joseph Lau
- Centre for Health Behaviours Research, Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China
| | - Yuantao Hao
- School of Public Health, Sun Yat-sen University, Guangzhou, China.,Sun Yat-sen University Global Health Institute, School of Public Health and Institute of State Governance, Sun Yat-sen University, Guangzhou, China
| | - Huan Zhou
- West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, China
| | - Jing Gu
- School of Public Health, Sun Yat-sen University, Guangzhou, China.,Sun Yat-sen University Global Health Institute, School of Public Health and Institute of State Governance, Sun Yat-sen University, Guangzhou, China
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Wang M, Wang Y, Xu J, Meng N, Li X, Liu Z, Huang J. Individual-level socioeconomic status and contact or familiarity with people with mental illness: a cross-sectional study in Wuhou District, Chengdu, Southwest China. BMC FAMILY PRACTICE 2021; 22:71. [PMID: 33836653 PMCID: PMC8035729 DOI: 10.1186/s12875-021-01422-y] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/03/2020] [Accepted: 03/19/2021] [Indexed: 02/08/2023]
Abstract
Background People with mental illness (PWMI) often suffer from public stigma, which can make them unwilling to seek help and reduce access to early treatment. The aims of this study were to determine attitudes towards PWMI among the general public in a Chinese sample and to explore the relationships with sociodemographic characteristics. Methods A community-based, cross-sectional study was conducted from March to June 2019. The participants’ attitudes towards PWMI were evaluated by the Chinese version of the Social Distance Scale (SDSC). An independent-sample T-test and one-way ANOVA were used to determine the association of categorical variables with the outcome variable. Multiple linear regression and Spearman correlations were computed to explore the correlation between SDSC scores and individual-level socioeconomic status (SES). Results A total of 1437 participants were recruited, and their total SDSC score was 12.53 (SD: 3.11). Univariate analysis results showed that age, education level, educational attainment, and individual-level SES as well as whether they were caregivers/family members of PWMI were correlated with SDSC scores. The results of regression analysis showed a significant effect caused by contact or familiarity with PWMI (B = -1.134, β = -.190, P < 0.001), as well as for individual-level SES (B = -.339, β = -.110, P < 0.001). Spearman correlation results showed that SDSC scores were negatively correlated with individual-level SES (r = -.078, p < 0.01) and contact or familiarity with PWMI (r = -.168, p < 0.001). Conclusion This study reveals that public stigma towards PWMI is common in Southwest China. Individuals who are not a family member or a caregiver of PWMI or have low education level or low individual-level SES need to be provided more anti-stigma interventions. Contacting with PWMI is also a potentially beneficial measure to reduce social distance. Supplementary Information The online version contains supplementary material available at 10.1186/s12875-021-01422-y.
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Affiliation(s)
- Mengmeng Wang
- West China School of Nursing, Sichuan University/Department of Nursing, West China Hospital, Sichuan University, Chengdu, 610041, China
| | - Ya Wang
- Department of Nursing, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, 610041, China
| | - Jiajun Xu
- Mental Health Center, West China Hospital, Sichuan University, Guoxuexiang No.37, Chengdu, 610041, Sichuan, China.
| | - Na Meng
- Mental Health Center, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, 610041, China
| | - Xiaolin Li
- West China School of Nursing, Sichuan University/Department of Nursing, West China Hospital, Sichuan University, Chengdu, 610041, China
| | - Zheng Liu
- Department of Nursing, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, 610041, China
| | - Junqiang Huang
- Chengdu Dekang Hospital, Sichuan University, Chengdu, 610041, China
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The impact of suicidal death of rural older people to their relatives: Results from a national psychological autopsy study in China. J Affect Disord 2019; 257:307-313. [PMID: 31302519 DOI: 10.1016/j.jad.2019.07.053] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/23/2018] [Revised: 05/05/2019] [Accepted: 07/04/2019] [Indexed: 11/22/2022]
Abstract
OBJECTIVE The suicide pattern in China is changing to a predominance of older people. However, little is known about the impact of suicide on the family members of elderly decedents. The aim of this study was to evaluate whether the suicidal death of rural older adults in China increases the odds of depression or suicidal ideation among their relatives and to explore the associated risk factors. METHODS In a national psychological autopsy study in China, consecutive samples of suicide decedents aged 60 or above and matched living controls were enrolled in rural areas of three provinces. Univariate and multivariate analyses were performed to explore the occurrence and correlates of depression and suicidal ideation among relatives of elderly suicide decedents. RESULTS A total of 242 suicide decedents and 242 living controls were identified. We enrolled 245 relatives of suicide decedents and 205 relatives of living controls. No significant differences in depression or suicide ideation were found between the relatives of suicide decedents and living comparisons after controlling for socio-demographic characteristics (depression: 26.5% vs. 21.5%; suicide ideation: 5.7% vs. 2.9%). A mood disorder diagnosis in the suicide decedent (OR = 1.93, 95% CI 1.12-3.52) and a spouse relationship (OR = 3.62, 95% CI 1.40-9.34) were independent risk factors for depression among relatives of suicide decedents. Spouses (OR = 5.91, 95% CI 1.49-23.38) were more likely to have suicidal ideation than other relatives. LIMITATIONS there are methodological limitations in psychological autopsy studies. CONCLUSIONS It seems that the suicide of an older adult 2-6 months ago has no significant impact on depressive symptoms and suicidal ideation in their relatives. Proactive support should be provided for spouses of suicide decedents and those whose relatives have a mood disorder diagnosis.
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De Jaegere E, van Landschoot R, van Heeringen K, van Spijker BAJ, Kerkhof AJFM, Mokkenstorm JK, Portzky G. The online treatment of suicidal ideation: A randomised controlled trial of an unguided web-based intervention. Behav Res Ther 2019; 119:103406. [PMID: 31176889 DOI: 10.1016/j.brat.2019.05.003] [Citation(s) in RCA: 29] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/10/2018] [Revised: 04/24/2019] [Accepted: 05/13/2019] [Indexed: 12/11/2022]
Abstract
Suicide is a major public health issue, and treatment of suicidal thoughts may contribute to its prevention. Provision of online treatment of suicidal ideation may reduce barriers that suicidal individuals experience in face-to-face treatment. We therefore aimed at evaluating the effectiveness of a web-based intervention targeting a reduction of suicidal ideation. We carried out a two-arm, parallel-design, randomised controlled trial in the general population in Flanders (Belgium) (registered as NCT03209544). Participants who were 18 years or older and experienced suicidal ideation were included. The intervention group (n = 365) received access to the unguided web-based intervention, and the control group (n = 359) was placed on a waitlist. Assessments were carried out at baseline and at 6 and 12 weeks. Participants reported high levels of suicidal ideation, depression, hopelessness, worrying, and anxiety at baseline. Compared to the control group, participants in the intervention group experienced a significant decline in suicidal ideation, depression, hopelessness, worrying, and anxiety both at post-test and at follow-up. An important limitation of the study was a high dropout rate, in particular in the intervention group. Our findings suggest that the online self-help intervention was more effective in reducing suicidal ideation and suicide-related symptoms than a waitlist control in a severely affected population. It can help in filling the gap between crisis help and face-to-face treatment.
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Affiliation(s)
- Eva De Jaegere
- Flemish Centre of Expertise in Suicide Prevention, Ghent University, Corneel Heymanslaan 10, entr. 17, 9000, Ghent, Belgium.
| | - Renate van Landschoot
- Flemish Centre of Expertise in Suicide Prevention, Ghent University, Corneel Heymanslaan 10, entr. 17, 9000, Ghent, Belgium
| | - Kees van Heeringen
- Flemish Centre of Expertise in Suicide Prevention, Ghent University, Corneel Heymanslaan 10, entr. 17, 9000, Ghent, Belgium
| | - Bregje A J van Spijker
- Centre for Mental Health Research, Research School of Population Health, College of Health and Medicine, Australian National University, 63 Eggleston Road, Acton, ACT, 2601, Australia
| | - Ad J F M Kerkhof
- Department of Clinical Neuro and Developmental Psychology, VU University Amsterdam, Van der Boechorststraat 7, 1081 BT, Amsterdam, Netherlands
| | - Jan K Mokkenstorm
- 113 Suicide Prevention, Paasheuvelweg 25, 1105BP, Amsterdam, Netherlands; Amsterdam Public Health, Department of Psychiatry, Amsterdam UMC, De Boelelaan 1117, 1081 HV, Amsterdam, Netherlands
| | - Gwendolyn Portzky
- Flemish Centre of Expertise in Suicide Prevention, Ghent University, Corneel Heymanslaan 10, entr. 17, 9000, Ghent, Belgium
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Factors associated with help-seeking behavior among medically serious attempters aged 15-54 years in rural China. Psychiatry Res 2019; 274:36-41. [PMID: 30780060 DOI: 10.1016/j.psychres.2019.02.024] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/12/2018] [Revised: 01/01/2019] [Accepted: 02/10/2019] [Indexed: 12/11/2022]
Abstract
Increasing help-seeking behavior was one of the effective methods for suicide prevention. However, help-seeking behavior was less explored in rural China. In this study, we aimed to analyze the factors which were associated with help-seeking behavior among medically serious suicide attempters in rural China. Subjects were 791 medically serious suicide attempters aged 15-54 years in rural China. A face-to-face interview was conducted to evaluate the age, gender, education years, marital status, occupation, religious belief, living alone, physical disease, pesticide at home, family suicide history, negative life events, social support, impulsivity, mental disorder, prior suicide act, suicide intent and suicide method for the attempters. The results supported that there were 29.2% of attempters seek help before suicide behavior, and factors that male (OR = 1.45), experiencing negative life events (OR = 1.12), impulsivity (OR = 1.05), suicide intent (OR = 0.92) and suicide by pesticide (OR = 0.68) were associated with increased help-seeking behavior. It is helpful for us to understanding the features of suicide attempters who do not seek help before suicide behavior, and we also should pay more attention on people with these factors in Chinese suicide prevention.
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Na EJ, Lee H, Myung W, Fava M, Mischoulon D, Paik JW, Hong JP, Choi KW, Kim H, Jeon HJ. Risks of Completed Suicide of Community Individuals with ICD-10 Disorders Across Age Groups: A Nationwide Population-Based Nested Case-Control Study in South Korea. Psychiatry Investig 2019; 16:314-324. [PMID: 31042694 PMCID: PMC6504769 DOI: 10.30773/pi.2019.02.19] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/17/2018] [Accepted: 02/19/2019] [Indexed: 11/27/2022] Open
Abstract
OBJECTIVE Suicide is the leading cause of death in 10-39-year-olds in South Korea, and the second highest rate among the OECD countries. However, few studies have investigated the particularity of completed suicide in South Korea. METHODS Study subjects consisted of 2,838 suicide cases and 56,758 age and sex matched living controls from a national representative sample of 1,025,340 South Koreans. They were obtained from the Korean National Health Insurance Service-National Sample Cohort (NHIS-NSC) with follow-up up to 12 years. We obtained information on primary diagnosis of any ICD-10 disorder along with suicide cases during their lifetime. RESULTS Among ICD-10 disorders, depression was the most common disorder (19.10%, n=542), found in victims of completed suicides except for common medical disorders such as hypertensive crisis, respiratory tract infection or arthropathies. After adjusting for sex, age, economic status, disability, and disorders, schizophrenia showed the strongest association with suicide (AOR: 28.56, 95% CI: 19.58-41.66) among all ICD-10 disorders, followed by psoriasis, multiple body injury, epilepsy, sleep disorder, depression, and bipolar disorder. For age groups, ≤19 years was associated with anxiety disorder (AOR=80.65, 95% CI: 13.33-487.93), 20-34 years with epilepsy (AOR=134.92, 95% CI: 33.69-540.37), both 35-49 years (AOR=108.57, 95% CI: 37.17-317.09) and 50-65 years (AOR=189.41 95% CI: 26.59-1349.31), with schizophrenia, and >65 years (AOR=44.7, 95% CI: 8.93-223.63) with psoriasis. CONCLUSION Psychiatric and physical disorders carried greatly increased risks and numbers of suicides in South Korea. Schizophrenia was the strongest risk factor, especially 35-65 years, and depression was the most common in suicide victims among ICD-10 disorders in South Korea.
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Affiliation(s)
- Eun Jin Na
- Korea Psychological Autopsy Center (KPAC), Seoul, Republic of Korea.,Department of Psychiatry, Depression Center, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea
| | - Hyewon Lee
- Institute of Health and Environment, Seoul National University, Seoul, Republic of Korea.,Department of Neuropsychiatry, Seoul National University Bundang Hospital, Seongnam, Republic of Korea
| | - Woojae Myung
- Department of Neuropsychiatry, Seoul National University Bundang Hospital, Seongnam, Republic of Korea
| | - Maurizio Fava
- Depression Clinical and Research Program, Massachusetts General Hospital, Harvard Medical School, Boston, USA
| | - David Mischoulon
- Depression Clinical and Research Program, Massachusetts General Hospital, Harvard Medical School, Boston, USA
| | - Jong-Woo Paik
- Department of Psychiatry, Kyung Hee University College of Medicine, Seoul, Republic of Korea
| | - Jin Pyo Hong
- Department of Psychiatry, Depression Center, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea
| | - Kwan Woo Choi
- Department of Psychiatry, Anam Hospital, Korea University College of Medicine and School of Medicine, Seoul, Republic of Korea
| | - Ho Kim
- Institute of Health and Environment, Seoul National University, Seoul, Republic of Korea.,Department of Public Health Science Graduate School of Public Health, Seoul National University, Seoul, Republic of Korea
| | - Hong Jin Jeon
- Korea Psychological Autopsy Center (KPAC), Seoul, Republic of Korea.,Department of Psychiatry, Depression Center, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.,Department of Health Sciences & Technology, Department of Medical Device Management & Research, and Department of Clinical Research Design & Evaluation, Samsung Advanced Institute for Health Sciences & Technology (SAIHST), Sungkyunkwan University, Seoul, Republic of Korea
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10
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Stecz P. Psychometric evaluation of the Questionnaire on Attitudes Towards Suicide (ATTS) in Poland. CURRENT PSYCHOLOGY 2019. [DOI: 10.1007/s12144-019-00185-1] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Abstract
AbstractThe Questionnaire on Attitudes Towards Suicide (ATTS) is widely used to evaluate the views of an individual regarding acceptability of suicide and orientation towards suicide prevention. However, recent findings suggest that it requires some revision. The present study examines the factor structure of the ATTS questionnaire in two Polish samples, consisting of 239 students (sample one) and 128 students (sample two) of the helping professions. The previously-established 10-factor model was not supported by confirmatory factor analysis (CFA). Theoretical revaluation of the scale followed by factor analysis suggested that the best fit was provided by a five-factor model accounting for 48.2% of the variance. The adapted Polish ATTS questionnaire showed satisfactory reliability and validity; however, the factor loading patterns and factor structure varied from earlier studies. These improvements in the ATTS theoretical base and construct validity may enhance the utility of the revised scale.
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Keller S, McNeill V, Honea J, Paulson Miller L. A Look at Culture and Stigma of Suicide: Textual Analysis of Community Theatre Performances. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2019; 16:ijerph16030352. [PMID: 30691183 PMCID: PMC6388390 DOI: 10.3390/ijerph16030352] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 12/05/2018] [Revised: 01/15/2019] [Accepted: 01/19/2019] [Indexed: 11/16/2022]
Abstract
Stigma against suicidal ideation and help-seeking is a significant barrier to prevention. Little detail is provided on what types of stigma interfere with help-seeking, how stigma is expressed, and how to reduce it. Five groups of two ethnically diverse community theatre programs were formed to analyze differences in Eastern Montana Caucasian and Native American adolescents and young adults’ experiences with stigma about mental illness and mental health treatment that affect help-seeking for suicidal thoughts and experiences. Over a ten-week period, a grassroots theatre project was used to recruit members from the same population as the audience to write and perform a play on suicide and depression (n = 33; 10 males, 23 females; 12 Native American, 21 Caucasian, ages 14–24). Using textual analysis, the community- and campus-based performance scripts were coded for themes related to stigma. Both ethnic groups reported that stigma is a barrier to expressing emotional vulnerability, seeking help, and acknowledging mental illness. We found that Caucasians’ experiences were more individually oriented and Native Americans’ experiences were more collectively oriented. Understanding the cultural bases of experiences with stigma related to mental health treatment for suicide is necessary to create educational programs to reduce stigma for diverse groups of adolescents and young adults.
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Affiliation(s)
- Sarah Keller
- Department of Communication & Theatre, Montana State University Billings, Billings, MT 59102, USA.
| | - Vanessa McNeill
- Department of Psychology, Montana State University Billings, Billings, MT 59102, USA.
| | - Joy Honea
- Department of Social Sciences & Cultural Studies, Montana State University Billings, Billings, MT 59102, USA.
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Wee LH, Ibrahim N, Wahab S, Visvalingam U, Yeoh SH, Siau CS. Health-Care Workers’ Perception of Patients’ Suicide Intention and Factors Leading to It: A Qualitative Study. OMEGA-JOURNAL OF DEATH AND DYING 2018; 82:323-345. [DOI: 10.1177/0030222818814331] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/16/2023]
Abstract
This study explored health-care workers’ perception of patients’ suicide intention and their understanding of factors leading to particular interpretations. Semistructured face-to-face in-depth interviews were conducted with 32 health-care workers from a general hospital in Klang Valley, Malaysia. Interview data were transcribed verbatim and analyzed using the interpretative phenomenological analysis. The health-care workers were found to have four types of perceptions: to end life, not to end life, ambivalence about intention, and an evolving understanding of intention. Factors leading to their perceptions of patients’ suicide intention were patient demographics, health status, severity of ideation/attempt, suicide method, history of treatment, moral character, communication of suicide intention, affective/cognitive status, availability of social support, and health-care workers’ limited knowledge of patients’ condition/situation. Insufficient knowledge and negative attitudes toward suicidal patients led to risk minimization and empathic failure, although most health-care workers used the correct parameters in determining suicide intention.
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Affiliation(s)
- Lei-Hum Wee
- National University of Malaysia, Kuala Lumpur, Malaysia
| | | | - Suzaily Wahab
- National University of Malaysia Medical Centre, Kuala Lumpur, Malaysia
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Gros DF, Allan NP, Silva C, Lancaster CL, Conner KR, Stecker T. Relations Between Thwarted Belongingness, Perceived Burdensomeness, and History of Suicide Attempts and Readiness for Mental Health Treatment in High-Risk Veterans, Reserves, and Active Duty Service Members. MILITARY BEHAVIORAL HEALTH 2018; 6:326-333. [PMID: 38264674 PMCID: PMC10805456 DOI: 10.1080/21635781.2018.1486760] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/22/2017] [Revised: 03/29/2018] [Accepted: 05/29/2018] [Indexed: 01/25/2024]
Abstract
Suicide rates for service members and veterans are growing rapidly in the United States. Despite availability of evidence-based approaches, a large number of high-risk individuals are reluctant to seek out treatment. The present study used the interpersonal theory of suicide, involving 3 primary predictors of death by suicide to investigate treatment readiness in high-risk U. S. veterans, reserves, and active duty service members. Four hundred and two service members were recruited. Inclusion criteria involved (a) reporting active suicidal ideation and (b) denying active behavioral health treatment. All participants completed a self-report battery that assessed burdensomeness, thwarted belongingness, lifetime suicide attempts, and perceptions about treatment. Regression analyses revealed that thwarted belongingness was significantly predictive of treatment perceptions and readiness, in that higher or more severe scores on the thwarted belongingness scale were significantly related to lower or less likely treatment perceptions and readiness scores. The findings suggested that, in high-risk service members, thwarted belongingness is predictive of lower treatment readiness, and contributes to the growing literature on perceived stigmas, treatment barriers and readiness, and suicidal behaviors and risk factors.
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Affiliation(s)
- Daniel F. Gros
- Ralph H. Johnson Veterans Affairs Medical Center, Charleston, South Carolina
- Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, South Carolina
| | | | - Caroline Silva
- Department of Emergency Medicine and Psychiatry, University of Rochester Medical Center, Rochester, New York
| | | | - Kenneth R. Conner
- Department of Emergency Medicine and Psychiatry, University of Rochester Medical Center, Rochester, New York
| | - Tracy Stecker
- College of Nursing, Medical University of South Carolina, Charleston, South Carolina
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Abstract
Abstract. Background: The Mountain West region of the United States consistently reports the highest rates of suicide in the country. This pattern could reflect a regional culture-of-suicide script in support of suicide that implicitly influences individual's behavior. Aims: The primary aim of this study was to investigate whether suicide rates are elevated in the Mountain West across a wide range of demographic groups, thereby supporting a regional cultural script. Method: Suicide rates in the Mountain West between 1999 and 2014 were compared to the rest of the country across a wide range of demographic categories and levels of population density using the Center for Disease Control Multiple Causes of Death dataset published on the WONDER online database. Results: Suicide rates are elevated in the Mountain West for men and women, all racial groups, all age groups, and at every level of population density compared to the rest of the country. Limitations: Missing and suppressed data, the use of coroner reports, and the arbitrary nature of state and regional boundaries are all discussed as possible limitations to this study. Conclusion: These findings support a broad culture-of-suicide script that is pervasive in this region across demographic groups and all levels of population density.
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Siau CS, Wee LH, Ibrahim N, Visvalingam U, Wahab S. Cross-Cultural Adaptation and Validation of the Attitudes Toward Suicide Questionnaire Among Healthcare personnel in Malaysia. INQUIRY: The Journal of Health Care Organization, Provision, and Financing 2017; 54:46958017707295. [PMID: 28486042 PMCID: PMC5798749 DOI: 10.1177/0046958017707295] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Understanding attitudes toward suicide, especially among healthcare personnel, is an important step in both suicide prevention and treatment. We document the adaptation process and establish the validity and reliability of the Attitudes Toward Suicide (ATTS) questionnaire among 262 healthcare personnel in 2 major public hospitals in the Klang Valley, Malaysia. The findings indicate that healthcare personnel in Malaysia have unique constructs on suicide attitude, compared with the original study on a Western European sample. The adapted Malay ATTS questionnaire demonstrates adequate reliability and validity for use among healthcare personnel in Malaysia.
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Affiliation(s)
- Ching Sin Siau
- 1 The National University of Malaysia, Kuala Lumpur, Malaysia
| | - Lei-Hum Wee
- 1 The National University of Malaysia, Kuala Lumpur, Malaysia
| | | | | | - Suzaily Wahab
- 1 The National University of Malaysia, Kuala Lumpur, Malaysia
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