1
|
Hungerford C, Mulvogue J, Morris C, Bradshaw J. Fostering a Sense of Belonging: Supporting Psychosocial Well-Being. Issues Ment Health Nurs 2024:1-4. [PMID: 39208407 DOI: 10.1080/01612840.2024.2391850] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 09/04/2024]
Affiliation(s)
- Catherine Hungerford
- School of Nursing, Midwifery & Social Sciences, Central Queensland University, Sydney, New South Wales, Australia
| | - Jennifer Mulvogue
- School of Nursing, Midwifery & Social Sciences, Central Queensland University, Brisbane, Queensland, Australia
| | - Craig Morris
- School of Nursing, Midwifery & Social Sciences, Central Queensland University, Townsville, Queensland, Australia
| | - Julie Bradshaw
- School of Nursing, Midwifery & Social Sciences, Central Queensland University, Rockhampton, Queensland, Australia
| |
Collapse
|
2
|
Darvishi N, Poorolajal J, Azmi-Naei B, Farhadi M. The Role of Social Support in Preventing Suicidal Ideations and Behaviors: A Systematic Review and Meta-Analysis. J Res Health Sci 2024; 24:e00609. [PMID: 39072545 PMCID: PMC11264453 DOI: 10.34172/jrhs.2024.144] [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: 03/04/2024] [Revised: 03/13/2024] [Accepted: 04/01/2024] [Indexed: 07/30/2024] Open
Abstract
BACKGROUND Numerous epidemiological studies have explored the relationship between social support and suicidal behaviors; however, the overall impact remains unclear. Therefore, a systematic assessment of the association between social support and suicide is necessary. Study Design: This is a systematic review study. METHODS We conducted a comprehensive search of PubMed, Web of Science, and Scopus databases until March 2023 and screened reference lists for relevant studies. Epidemiological studies that investigated the associations between social support and suicidal behaviors were included. Furthermore, between-study heterogeneity was investigated using I2 statistics. In addition, the likelihood of publication bias was evaluated using the Begg and Egger tests, and a trim-and-fill analysis was conducted. The overall effect size was calculated as an odds ratio (OR) with 95% confidence intervals (CIs) using a random-effects model. RESULTS Out of the 21004 identified studies, 118 studies (involving 692266 participants) met the eligibility criteria. The analysis of data revealed a significant inverse association between social support and suicidal ideation (OR: 0.79, 95% CI: 0.76-0.82), suicide plans (OR: 0.86, 95% CI: 0.79-0.95), suicide attempts (OR: 0.96, 95% CI: 0.94-0.98), and suicide death (OR: 0.85, 95% CI: 0.75-0.96). Moreover, significant heterogeneity was observed across studies, but there was little concern regarding the presence of publication bias. CONCLUSION Our meta-analysis provides clear evidence for a significant inverse association between social support and suicidal behaviors. However, the observational nature of the included studies and the significant heterogeneity observed across studies highlight the need for further research, including prospective studies and intervention trials, to explore the complex relationship between social support and suicidal behaviors.
Collapse
Affiliation(s)
- Nahid Darvishi
- Department of Psychology, School of Human Sciences, Sanandaj Branch, Islamic Azad University, Sanandaj, Iran
- Consultation Center, Department of Education, Hamadan, Iran
| | - Jalal Poorolajal
- Department of Epidemiology, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran
- Modeling of Noncommunicable Diseases Research Center, Hamadan University of Medical Sciences, Hamadan, Iran
- Research Center for Health Sciences, Hamadan University of Medical Sciences, Hamadan, Iran
| | - Bita Azmi-Naei
- Department of Epidemiology, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran
| | - Mehran Farhadi
- Department of Psychology, Faculty of Economics and Social Sciences, Bu-Ali Sina University, Hamadan, Iran
| |
Collapse
|
3
|
Saulnier KG, King CA, Ilgen MA, Ganoczy D, Jagusch J, Garlick J, Abraham KM, Lapidos A, Kim HM, Vega E, Ahmedani BK, Pfeiffer PN. Do measures of social support and social distress share general factors associated with suicidal ideation and attempts? Suicide Life Threat Behav 2024. [PMID: 38813963 DOI: 10.1111/sltb.13097] [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: 06/30/2023] [Revised: 01/24/2024] [Accepted: 05/22/2024] [Indexed: 05/31/2024]
Abstract
INTRODUCTION Aspects of social relationships have variably been associated with suicidal ideation (SI) and suicide attempts (SAs). This study assessed whether social support and social distress measures have general factors versus measure-specific factors that are associated with suicide risk. METHODS Adults (N = 455, 60.0% female), admitted to psychiatric inpatient units following a recent suicide attempt or active SI, completed assessments of social support (emotional support, instrumental support, friendship, perceived support from significant others, friends, family) and social distress (loneliness, perceived rejection, perceived burdensomeness, thwarted belongingness). Bifactor modeling examined general and specific factors of social support and distress in relation to SI (week prior to hospitalization, via the Beck Scale for SI) and SAs (past 30 days, via the Columbia Suicide Severity Rating Scale). RESULTS SI was significantly associated with the general social support (B = -1.51), the general social distress (B = 1.67), and the specific perceived burdensomeness (B = 1.57) factors. SAs were significantly associated with the specific Perceived Rejection (OR = 1.05) and Thwarted Belongingness (OR = 0.91) factors. CONCLUSION General social support and social distress were associated with SI but not recent SAs. Specific social distress factors were also related to SI and SAs controlling for general social distress, suggesting areas for future interventions.
Collapse
Affiliation(s)
- K G Saulnier
- VA Serious Mental Illness Treatment Resource and Evaluation Center, Ann Arbor, Michigan, USA
- University of Michigan Medical School, Ann Arbor, Michigan, USA
| | - C A King
- University of Michigan Medical School, Ann Arbor, Michigan, USA
| | - M A Ilgen
- University of Michigan Medical School, Ann Arbor, Michigan, USA
- VA Center for Clinical Management Research, VA Ann Arbor Healthcare System, Ann Arbor, Michigan, USA
| | - D Ganoczy
- VA Center for Clinical Management Research, VA Ann Arbor Healthcare System, Ann Arbor, Michigan, USA
| | - J Jagusch
- University of Michigan Medical School, Ann Arbor, Michigan, USA
- VA Center for Clinical Management Research, VA Ann Arbor Healthcare System, Ann Arbor, Michigan, USA
| | - J Garlick
- University of Michigan Medical School, Ann Arbor, Michigan, USA
- VA Center for Clinical Management Research, VA Ann Arbor Healthcare System, Ann Arbor, Michigan, USA
| | - K M Abraham
- University of Detroit Mercy, Department of Psychology, Detroit, Michigan, USA
| | - A Lapidos
- University of Michigan Medical School, Ann Arbor, Michigan, USA
| | - H M Kim
- VA Center for Clinical Management Research, VA Ann Arbor Healthcare System, Ann Arbor, Michigan, USA
- University of Michigan Consulting for Statistics, Computing, and Analytics Research, Ann Arbor, Michigan, USA
| | - E Vega
- Humannovations, California, Los Angeles, USA
| | - B K Ahmedani
- Center for Health Policy & Health Services Research, Henry Ford Health, Detroit, Michigan, USA
| | - P N Pfeiffer
- University of Michigan Medical School, Ann Arbor, Michigan, USA
- VA Center for Clinical Management Research, VA Ann Arbor Healthcare System, Ann Arbor, Michigan, USA
| |
Collapse
|
4
|
Guo L, Ye B, Li B, Liu X. Perceived COVID-19 Stress and Suicidal Ideation Among College Students: Meditation Roles of Family Cohesion and Unmet Interpersonal Needs. OMEGA-JOURNAL OF DEATH AND DYING 2024:302228231225994. [PMID: 38174861 DOI: 10.1177/00302228231225994] [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: 01/05/2024]
Abstract
Purpose: Few studies examined variables that might explain the link between perceived COVID-19 stress and suicidal ideation. The present study tested a multiple-sequence mediation model with family cohesion, thwarted belongingness, and perceived burdensomeness as mediators. Methods: The current study surveyed 1098 college students in China using questionnaires concerning perceived COVID-19 stress, family cohesion, unmet interpersonal needs, and suicide ideation. Results: Perceived COVID-19 stress was significantly associated with family cohesion, thwarted belongingness, perceived burdensomeness, and suicidal ideation. Family cohesion, thwarted belongingness, and perceived burdensomeness mediated the relationship between perceived COVID-19 stress and suicidal ideation separately. These factors also had multiple sequence-mediated effects between perceived COVID-19 stress and suicidal ideation. Conclusion: The study revealed pathways from perceived COVID-19 stress to suicidal ideation and suggested that interventions to increase family cohesion and reduce one's unmet interpersonal needs were beneficial in decreasing individuals' suicidal ideation.
Collapse
Affiliation(s)
- Lingjing Guo
- Center of Mental Health Education and Research, Preschool Education Research Center, School of Psychology, School of Education, Jiangxi Normal University, Nanchang, China
- Mental Health Education Center, Chengdu University, Chengdu, China
| | - Baojuan Ye
- Center of Mental Health Education and Research, Preschool Education Research Center, School of Psychology, School of Education, Jiangxi Normal University, Nanchang, China
| | - Bingbing Li
- Center of Mental Health Education and Research, Preschool Education Research Center, School of Psychology, School of Education, Jiangxi Normal University, Nanchang, China
- Huai'an Third People's Hospital, Huai'an, China
| | - Xuezhi Liu
- Center of Mental Health Education and Research, Preschool Education Research Center, School of Psychology, School of Education, Jiangxi Normal University, Nanchang, China
- Jiangxi College of Foreign Studies, Nanchang, China
| |
Collapse
|
5
|
Looijmans M, van Bergen D, Popma A, van Eijk N, Mérelle S, van Veen S, Hawton K, Gilissen R. The self-perceived needs of adolescents with suicidal behaviour: a scoping review. Eur Child Adolesc Psychiatry 2023:10.1007/s00787-023-02342-1. [PMID: 38147110 DOI: 10.1007/s00787-023-02342-1] [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: 08/25/2023] [Accepted: 11/28/2023] [Indexed: 12/27/2023]
Abstract
Suicidal behaviour in adolescents is a major public health problem. Much research on this issue has focused on epidemiology and risk factors for suicidal behaviour, paying less attention to the self-perceived needs of adolescents. However, to increase engagement in suicide prevention, it is important to include the views of adolescents. A scoping review was performed to identify the available empirical study findings, of any study design, related to the self-perceived needs of adolescents with suicidal behaviour. The literature databases Medline, Embase, Psycinfo, CINAHL, ERIC, Scopus, and Web of Science were searched. Twenty-nine studies from 14 predominantly Anglo countries were included in the scoping review. The review showed that girls were overrepresented and that studies predominantly used qualitative approaches. The identified needs of adolescents with suicidal behaviour can broadly be grouped into needs related to the following areas: the importance of connecting with other people; adolescents' self-help strategies and personal growth after self-harm; mental healthcare; school or study programs; and needs related to society in relation to taboo on suicidal behaviour. Prevention of suicidal behaviour in adolescents will need to focus on development and strengthening of interventions fitting the needs of adolescents in these areas.
Collapse
Affiliation(s)
- Milou Looijmans
- Research Department, 113 Suicide Prevention, Amsterdam, The Netherlands.
- Child and Adolescent Psychiatry & Psychosocial Care, Amsterdam UMC, Amsterdam, The Netherlands.
| | - Diana van Bergen
- Faculty of Pedagogical and Educational Sciences, University of Groningen, Groningen, The Netherlands
| | - Arne Popma
- Child and Adolescent Psychiatry & Psychosocial Care, Amsterdam UMC, Amsterdam, The Netherlands
| | - Nikki van Eijk
- Research Department, 113 Suicide Prevention, Amsterdam, The Netherlands
| | - Saskia Mérelle
- Research Department, 113 Suicide Prevention, Amsterdam, The Netherlands
| | - Sisco van Veen
- Research Department, 113 Suicide Prevention, Amsterdam, The Netherlands
- Department of Psychiatry, Amsterdam UMC, Amsterdam, The Netherlands
| | - Keith Hawton
- Centre for Suicide Research, University Department of Psychiatry, Warneford Hospital, Oxford, UK
- Oxford Health NHS Foundation Trust, Warneford Hospital, Oxford, UK
| | - Renske Gilissen
- Research Department, 113 Suicide Prevention, Amsterdam, The Netherlands
| |
Collapse
|
6
|
Yang M, Wei W, Ren L, Pu Z, Zhang Y, Li Y, Li X, Wu S. How loneliness linked to anxiety and depression: a network analysis based on Chinese university students. BMC Public Health 2023; 23:2499. [PMID: 38093295 PMCID: PMC10720215 DOI: 10.1186/s12889-023-17435-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/11/2023] [Accepted: 12/07/2023] [Indexed: 12/17/2023] Open
Abstract
BACKGROUND There is conclusive evidence of a multifaceted and bidirectional relationship between loneliness and depression and anxiety. Nonetheless, more extensive research is needed to examine their relationships at a more granular level. This study employed a network analysis approach to identify the pathological mechanisms underpinning those relationships and to identify important bridge nodes as potential targets for intervention. METHODS 941 University students were included in this study. The ULS-6 (the short-form UCLA Loneliness Scale) was used to assess loneliness, the PHQ-9 (Patient Health questionnaire-9) and GAD-7 (Generalized anxiety disorder 7-item) scales were used to assess the symptoms of depression and anxiety. We constructed two network structures of loneliness-anxiety and loneliness-depression and computed bridge expected influence for each symptom. In addition, we showed a flow network of "Suicide" containing symptoms of depression and loneliness. RESULTS All edges were positive in both networks constructed and the strongest edges were present within disorder communities. The overall connection between loneliness and depression was stronger compared to anxiety. The results demonstrated that the loneliness item "People are around me but not with me" was identified as bridge symptom in both networks. Furthermore, "Suicide" was directly connected to five symptoms of depression and four items of loneliness, with the strongest connections being between it and "Feeling of worthlessness" and "Psychomotor agitation/retardation". CONCLUSIONS Our findings provide a more nuanced explanation of the link between loneliness and depression and anxiety. The results identified the bridge symptom "People are around me but not with me", which had the strongest effect on enhancing symptoms of depression and anxiety. Clinical improvements based on the findings of this study and the impact of the intervention are discussed.
Collapse
Affiliation(s)
- Mengyuan Yang
- Department of Military Medical Psychology, Air Force Medical University, 169 West Changle Road, Xi'an, 710032, Shaanxi, China
| | - Wenwen Wei
- Department of Military Medical Psychology, Air Force Medical University, 169 West Changle Road, Xi'an, 710032, Shaanxi, China
| | - Lei Ren
- Military Psychology Section, Logistics University of PAP, Tianjin, 300309, China
- Military Mental Health Services & Research Center, Tianjin, 300309, China
| | - Zhaojun Pu
- Department of Military Medical Psychology, Air Force Medical University, 169 West Changle Road, Xi'an, 710032, Shaanxi, China
| | - Yuanbei Zhang
- Department of Military Medical Psychology, Air Force Medical University, 169 West Changle Road, Xi'an, 710032, Shaanxi, China
| | - Yu Li
- Academic Affairs Office, Air Force Medical University, 169 West Changle Road, Xi'an, 710032, Shaanxi, China
| | - Xinhong Li
- Department of General Medicine, Tangdu Hospital, Xi'an, 712046, Shaanxi, China.
| | - Shengjun Wu
- Department of Military Medical Psychology, Air Force Medical University, 169 West Changle Road, Xi'an, 710032, Shaanxi, China.
| |
Collapse
|
7
|
Taniguchi-Dorios E, Thompson CM, Reid T. Testing a Model of Disclosure, Perceived Support Quality, and Well-Being in the College Student Mental Illness Context: A Weekly Diary Study. HEALTH COMMUNICATION 2023; 38:2516-2526. [PMID: 35775202 DOI: 10.1080/10410236.2022.2086841] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
Prominent disclosure models elucidate decisions to disclose health information, yet explanations for disclosure consequences remain underdeveloped. Drawing on Chaudoir and Fisher's disclosure process model, this study aims to advance understandings of how disclosure to a parent contributes to well-being for college students with mental illness. We tested a mediational model in which, at the within-person level, perceived support quality explains the association between on-going disclosure of mental illness-related experiences and well-being. Participants were 163 college students who self-identified as having mental illness and who completed six consecutive, weekly surveys. A multilevel analysis showed that increases in disclosures of mental illness-related experiences, relative to participants' mean level, were associated with enhanced well-being via perceptions of higher quality support, above and beyond between-person differences. This study contributes to the literature by offering an explanation for the effects of disclosure on well-being and underscores the importance of capturing disclosures over time.
Collapse
Affiliation(s)
| | | | - Tingting Reid
- Research Methods and Evaluation Group, University of Hildesheim
| |
Collapse
|
8
|
Hill RM, Hussain Z, Vieyra B, Gallagher A. Reporting Ethical Procedures in Suicide Prevention Research: Current Status and Recommendations. Arch Suicide Res 2023; 27:1373-1390. [PMID: 36415164 DOI: 10.1080/13811118.2022.2131493] [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: 11/25/2022]
Abstract
OBJECTIVE Ethical concerns frequently arise in suicide prevention research regarding participant safety and confidentiality. Despite a substantial literature on managing and navigating ethical concerns in suicide research, little attention has been paid to the reporting of ethical procedures. Furthermore, standard procedures for reporting ethical risk management procedures have not been developed. METHOD A review of the current literature was performed to examine the current state of reporting of ethical procedures within suicide research. Articles published in 2020 (N = 263) from three suicide-focused publications were screened and then coded (n = 131) to identify reporting of procedures for the ethical conduct of research and suicide risk management steps taken by the research teams. RESULTS The majority of articles reported ethical review or approval (84.7%) and reported the use of an informed consent process (77.9%). Only 28.2% included risk mitigation procedures. Of those 29.7% of those articles reported conducting risk evaluation, 66.7% reported resource dissemination, and 51.4% reported an intervention. CONCLUSION As empirical support for brief interventions accrues, suicide prevention researchers should consider establishing standards for the reporting of procedures to ensure the safety of participants with suicidal risk.HighlightsReporting suicide safety protocols helps ensure high ethical standards in research.Fewer than 1/3 of articles reviewed reported risk mitigation procedures in 2020.Standard procedures for reporting safety protocols in suicide research are needed.
Collapse
|
9
|
Wang P, Ouyang M, Yin Y, Li B. Mother phubbing and adolescents' problematic SNS use: the mediating role of perceived burdensomeness and the moderating role of need to belong. Front Psychol 2023; 14:1098707. [PMID: 37359861 PMCID: PMC10289230 DOI: 10.3389/fpsyg.2023.1098707] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2022] [Accepted: 05/24/2023] [Indexed: 06/28/2023] Open
Abstract
There is a rapidly growing academic interest on parental phubbing, however, little research has explored the association between mother phubbing and adolescent problematic social networking sites use (PSNSU), the underlying mediating and moderating effects in this relationship are also in need to be uncovered. The present study examined whether mother phubbing would be positively related to adolescent PSNSU, whether perceived burdensomeness would mediate this relationship, and whether need to belong would moderate the associations between mother phubbing and adolescent PSNSU. The hypothesized research model was examined among 3,915 Chinese adolescents (47% of them were boys, mean age = 16.42 ± 0.77 years). The results showed that mother phubbing was positively associated with adolescent PSNSU and perceived burdensomeness mediated this association. Furthermore, need to belong moderated the relationship between perceived burdensomeness and PSNSU, the relationship between mother phubbing and perceived burdensomeness, and the relationship between mother phubbing and PSNSU.
Collapse
Affiliation(s)
| | - Mingkun Ouyang
- School of Education Science, Guangxi University for Nationalities, Nanning, Guangxi, China
| | - Yulong Yin
- School of Psychology, Northwest Normal University, Lanzhou, Gansu, China
| | - Biao Li
- School of Journalism and Communication, Faculty of Social Sciences, Renmin University of China, Beijing, China
| |
Collapse
|
10
|
Hallford D, Rusanov D, Winestone B, Kaplan R, Fuller-Tyszkiewicz M, Melvin G. Disclosure of suicidal ideation and behaviours: A systematic review and meta-analysis of prevalence. Clin Psychol Rev 2023; 101:102272. [PMID: 37001469 DOI: 10.1016/j.cpr.2023.102272] [Citation(s) in RCA: 15] [Impact Index Per Article: 15.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2022] [Revised: 01/30/2023] [Accepted: 03/24/2023] [Indexed: 03/28/2023]
Abstract
Disclosure of suicidal ideation and behaviours, defined as thoughts, plans, or attempts, to other people provides opportunity for intervention and prevention. This study is the first to meta-analyze all available studies to estimate the prevalence of disclosure, to whom people disclose, and examine factors that influence disclosure. Databases were searched for studies reporting samples of people who had experienced suicidal ideation or behaviours (including those who had died by suicide) and whether they had disclosed this. Almost 100 studies (k = 94, N participants = 1,044,629) were included in the overall prevalance analysis. The results showed less than half of people disclosed suicidal ideation or behaviour: 45.9% (95%CI 41.9-49.9%, PI 12.3-81.8%; k = 94). High heterogeneity, common to prevalence studies, was found (Q[93] = 130,584, p < .001; I2 = 99.9%). No publication bias was detected. Removing outliers did not change the prevalence estimate, but provided tighter prediction intervals: 45.6% (95%CI 43.4-47.9%, PI 35.8-55.7%; k = 33). Disclosure was related to higher prevalence of psychiatric disorders, female gender, and a longer timeframe of suicidal ideation or behaviour. Prevalence of disclosure was lower among people who died by suicide, relative to community samples, and lower when reported verbally rather than written online. Disclosure, and proportions of disclosures, to family members, was numerically higher than to friends or professionals, but could not be directly compared. In conclusion, between 50 and 60% of people do not disclose their suicidal ideation and behaviours to other people, and therefore remain unidentified and potentially untreated.
Collapse
|
11
|
Uhl E, Raybin HB, Liu NH, Garza M, Barakat S, Muñoz RF, Leykin Y. Discrepancies in suicide screenings: Results from an international study. J Affect Disord 2023; 320:18-21. [PMID: 36179775 DOI: 10.1016/j.jad.2022.09.122] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/14/2022] [Revised: 08/06/2022] [Accepted: 09/20/2022] [Indexed: 02/02/2023]
Abstract
BACKGROUND When screening for suicidality, clinicians usually ask questions in ascending order of severity. Clinicians often discontinue questioning after negative responses to the first question or questions, presuming that these individuals are unlikely to endorse any further suicidality. In this study, the accuracy of this presumption is evaluated in a large international sample. METHODS Participants were 21,385 individuals reporting a suicide attempt in the past two weeks. Participants were recruited, primarily via Google Ads, to a quintilingual (English, Spanish, Chinese, Arabic, and Russian) multinational depression and suicide screening study. RESULTS Examining three initial screening questions (i.e., thoughts of death, wanting to die, and thinking about committing suicide), 14.8 % (n = 3179) of participants denied one or more question, 3.96 % (n = 847) denied two, and 1.95 % (n = 416) denied all three questions. The proportions of individuals with discrepant responses differed between linguistic-geographical groups, with Chinese and South Asian groups being more likely to be discrepant across all questions (all ps < .001). LIMITATIONS Suicidality was assessed using an internet-based self-report measure, and linguistic-geographical groups explored in this study are very broad, which may limit generalizability. CONCLUSIONS Results suggest that prematurely discontinuing suicide screening may fail to capture some individuals who made a recent attempt, and that in some groups, this discrepancy may be more pronounced. Clinicians should assess all individuals as thoroughly as possible regardless of initial responses, inquire about other significant risk factors, and be culturally sensitive.
Collapse
Affiliation(s)
- Eric Uhl
- Palo Alto University, United States of America
| | | | - Nancy H Liu
- University of California, Berkeley, United States of America
| | - Monica Garza
- Legacy Community Health, United States of America
| | - Suzanne Barakat
- University of California, San Francisco, United States of America
| | - Ricardo F Muñoz
- Palo Alto University, United States of America; University of California, San Francisco, United States of America; Institute for International Internet Interventions for Health, United States of America
| | - Yan Leykin
- Palo Alto University, United States of America; University of California, San Francisco, United States of America; Institute for International Internet Interventions for Health, United States of America.
| |
Collapse
|
12
|
Zou S, Song X, Tan W, Deng F, Zhang H, Xu H, Tao Y, Tang X, Tang X, Xiong P, Huang H, Huang Y, Li L, Yang W, Zeng H, Liu G, Shen X, Zhao H, Chen Y, Yao K, Zhao J, Han W, Zhou J, Hou J, Peng S, Wang Y, Yang Y, Feng Y, Chen L, Yang X, Li S, Luo X, Wang Y, Yin L. Core self-evaluation as mediator between depressive symptoms and suicidal ideation in adolescents. J Affect Disord 2022; 302:361-366. [PMID: 35104465 DOI: 10.1016/j.jad.2022.01.093] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/21/2021] [Revised: 01/18/2022] [Accepted: 01/22/2022] [Indexed: 12/11/2022]
Abstract
OBJECTIVES To explore the role of core self-evaluation in mediating between depressive symptoms and suicidal ideation in Chinese adolescents. METHODS We used the cluster sampling method to analyze 11,563 students from five primary and secondary schools in China for depressive symptoms, core self-evaluation, and suicidal ideation using the following scoring scales: Core Self-Evaluation Scale (CSES), Center for Epidemiologic Survey Depression Scale (CES-D), the Second Edition of the Beck Depression Inventory (BDI- II), Screen for Child Anxiety Related Emotional Disorders (SCARED), and Adolescent Self-Rating Life Events Checklist (ASLEC). RESULTS The incidence of depression was 29.7%; anxiety, 34.2%; and suicidal ideation, 28.0%. Core self-evaluation was a protective factor for suicidal ideation [OR 0.947, 95% CI 0.937-0.959, p<0.001]. Conversely, depression as measured by the CSES score was a risk factor for suicidal ideation (OR 1.084, 95% CI 1.073-1.096, p<0.001), as were anxiety as measured by the SCARED score (OR 1.011, 95% CI 1.006-1.016, p<0.001) and adolescent life events according to ASLEC score groups (OR 1.524, 95% CI 1.434-1.621, p<0.001). Core self-evaluation mediated the relationship between depression and suicidal ideation with an effect size of 13.9%. CONCLUSIONS Better core self-evaluation is a protective factor against suicidal ideation and mediates the relationship between depression and suicidal ideation. We may be able to reduce the risk of suicidal ideation and therefore suicide among adolescents by improving their core self-evaluation.
Collapse
Affiliation(s)
- Shoukang Zou
- Mental Health Center, West China Hospital of Sichuan University, Chengdu, Sichuan 610041, China; The Fourth People's Hospital of Chengdu, Chengdu, Sichuan 610036, China
| | - Xiaozhen Song
- Mental Health Center, West China Hospital of Sichuan University, Chengdu, Sichuan 610041, China
| | - Wenli Tan
- Chengdu Research Institute of Education Science, Chengdu, Sichuan 610036, China
| | - Fang Deng
- Mental Health Center, West China Hospital of Sichuan University, Chengdu, Sichuan 610041, China; The Fourth People's Hospital of Chengdu, Chengdu, Sichuan 610036, China
| | - Hang Zhang
- Mental Health Center, West China Hospital of Sichuan University, Chengdu, Sichuan 610041, China
| | - Hanmei Xu
- Mental Health Center, West China Hospital of Sichuan University, Chengdu, Sichuan 610041, China
| | - Yuanmei Tao
- Mental Health Center, West China Hospital of Sichuan University, Chengdu, Sichuan 610041, China
| | - Xian Tang
- Center for Disease Control and Prevention, Wuhou District, Chengdu, Sichuan 610041, China
| | - Xiaowei Tang
- Mental Health Center, West China Hospital of Sichuan University, Chengdu, Sichuan 610041, China
| | - Ping Xiong
- Chengdu Engineering Technical Vocational School, Chengdu, Sichuan 610300, China
| | - Huiping Huang
- Sichuan Bright Foreign Language School, Emeishan, Sichuan 614200, China
| | - Ying Huang
- Sichuan Bright Foreign Language School, Emeishan, Sichuan 614200, China
| | - Ling Li
- Sichuan Bright Foreign Language School, Emeishan, Sichuan 614200, China
| | - Wenjuan Yang
- Chengdu Shishi Jincheng Foreign Language School, Chengdu, Sichuan 610000, China
| | - Hongping Zeng
- Sichuan Chengdu Zhonghe Vocational High School, Chengdu, Sichuan 610212, China
| | - Gui Liu
- Chengdu Eldo Primary School, Chengdu, Sichuan 610041, China
| | - Xiaosu Shen
- Majiahe primary school of Chengdu, Chengdu, Sichuan 610043, China
| | - Hongqin Zhao
- Majiahe primary school of Chengdu, Chengdu, Sichuan 610043, China
| | - Ying Chen
- Chengdu Huaxi Primary School, Chengdu, Sichuan 610000, China
| | - Kangling Yao
- Shude Xiejin High School, Chengdu, Sichuan 610000, China
| | - Jingyi Zhao
- Chengdu Wuhou Experimental Middle School Primaey School, Chengdu, Sichuan 610000, China
| | - Wenwen Han
- Yinxing Primary School, Chengdu, Sichuan 610000, China
| | - Jingmiao Zhou
- Yinxing Primary School, Chengdu, Sichuan 610000, China
| | - Jianmin Hou
- Southwest Jiaotong University Affiliated Middle School, Chengdu, Sichuan 610030, China
| | - Shikun Peng
- Tianfu No.4 High School, Chengdu, Sichuan 610000, China
| | - Yadan Wang
- Tianfu No.4 High School, Chengdu, Sichuan 610000, China
| | - Yunzhen Yang
- Chengdu Primary School Affiliated To Beijing International Studies University, Chengdu, Sichuan 610041, China
| | - Yi Feng
- Chengdu Shuangqing Primary School, Chengdu, Sichuan 610000, China
| | - Lin Chen
- Chengdu Shuangqing Primary School, Chengdu, Sichuan 610000, China
| | - Xiting Yang
- Chengdu Shayan Primary School, Chengdu, Sichuan 610045, China
| | - Shuangshuang Li
- Chengdu Xin Qiao Primary School, Chengdu, Sichuan 610081, China
| | - Xue Luo
- Chengdu Xin Qiao Primary School, Chengdu, Sichuan 610081, China
| | - Yan Wang
- Chengdu Xin Qiao Primary School, Chengdu, Sichuan 610081, China
| | - Li Yin
- Mental Health Center, West China Hospital of Sichuan University, Chengdu, Sichuan 610041, China; Institute for System Genetics, Frontiers Science Center for Disease-related Molecular Network, Chengdu, Sichuan 610041, China; Sichuan Clinical Medical Research Center for Mental Disorder, Chengdu, Sichuan 610041, China.
| |
Collapse
|
13
|
Campos RC, Morujão IS, Martins LC, Lambert CE, Tomás G, Holden RR. Results from Two Countries on How Thwarted Interpersonal Needs Contribute to Understanding Self-Harm. THE JOURNAL OF PSYCHOLOGY 2022; 156:185-199. [DOI: 10.1080/00223980.2021.2015567] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
|
14
|
van Alphen RHB, Schout G, Koudstaal AJ, de Vreugd M, Abma T, Vermeiren RRJM. Family group conferences for suicidal adolescents: Promising results from naturalistic case study research. DEATH STUDIES 2021; 46:2445-2455. [PMID: 34549666 DOI: 10.1080/07481187.2021.1967514] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
Can thwarted belongingness and perceived burdensomeness, risk factors for suicidal adolescents, be turned around by family group conferences? In this case study on Nick, a 17-year-old who undertook six suicide attempts, we (including Nick) share insights and learning opportunities on how family group conferences can be used. The thematic analysis suggests that family group conferences might be a promising intervention for suicidal adolescents. For Nick, the conference was a turning point in his life, correcting perceptions of being a burden, pushing back passiveness, and boosting connection with and support from the broad social network.
Collapse
Affiliation(s)
- Roosmarijn H B van Alphen
- Department of Child and Adolescent Psychiatry, Leiden University Medical Center-Curium, Leiden, The Netherlands
| | - Gert Schout
- Department of Medical Humanities, VU University Medical Centre, Amsterdam, The Netherlands
| | - Agaath J Koudstaal
- Department of Child and Adolescent Psychiatry, Leiden University Medical Center-Curium, Leiden, The Netherlands
| | - Martin de Vreugd
- Department of Child and Adolescent Psychiatry, Leiden University Medical Center-Curium, Leiden, The Netherlands
| | - Tineke Abma
- Department of Medical Humanities, VU University Medical Centre, Amsterdam, The Netherlands
| | - Robert R J M Vermeiren
- Department of Child and Adolescent Psychiatry, Leiden University Medical Center-Curium, Leiden, The Netherlands
| |
Collapse
|
15
|
Crasta D, Spears AP, Sullivan SR, Britton PC, Goodman M. Better off with you: Exploring congruity between caregivers' and Veterans' experience of efforts to cope with suicide. MILITARY PSYCHOLOGY 2021; 34:326-334. [PMID: 38536260 PMCID: PMC10013249 DOI: 10.1080/08995605.2021.1959222] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2020] [Accepted: 05/24/2021] [Indexed: 10/20/2022]
Abstract
The interpersonal theory of suicide posits people are more likely to consider suicide when they perceive themselves as alone and as a burden. However, there is limited research on whether these self-perceptions reflect caregiver experiences. As part of a larger study of collaborative safety planning, 43 Veteran/caregiver dyads (N = 86 individuals) completed measures of belongingness and burdensomeness, caregiver burden, family problem solving, and suicide-related coping. We conducted dyad-level actor interdependence models allowing two types of social coping (i.e., general problem solving and suicide-specific coping) to predict Veteran's self-views and caregiver interpersonal perceptions. Results suggested that Veteran social coping predicted lower Veteran thwarted belonginess and burdensomeness and caregiver involvement in problem solving was similarly associated with their own lower caregiver emotional burden. But examination of cross-partner effects demonstrated that greater Veteran coping was associated with greater time burden for caregivers. Findings suggest that social coping is associated with positive perceptions at the individual level (i.e., Veterans and caregivers to themselves) but does not indicate positive effects at the partner level. Clinicians working with Veterans may wish to involve supports in care to encourage effective collaboration that meets both caregiver/recipient needs.
Collapse
Affiliation(s)
- Dev Crasta
- Department of Veterans Affairs, VISN 2 Center of Excellence for Suicide Prevention, Canandaigua, New York, USA
- Department of Psychiatry, University of Rochester School of Medicine and Dentistry, Rochester, New York, USA
| | - Angela Page Spears
- Department of Veterans Affairs, VISN 2 Mental Illness Research, Education, & Clinical Center, Bronx, New York, USA
| | - Sarah R. Sullivan
- Department of Veterans Affairs, VISN 2 Mental Illness Research, Education, & Clinical Center, Bronx, New York, USA
| | - Peter C. Britton
- Department of Veterans Affairs, VISN 2 Center of Excellence for Suicide Prevention, Canandaigua, New York, USA
- Department of Psychiatry, University of Rochester School of Medicine and Dentistry, Rochester, New York, USA
| | - Marianne Goodman
- Department of Veterans Affairs, VISN 2 Mental Illness Research, Education, & Clinical Center, Bronx, New York, USA
- Department of Psychiatry, Icahn School of Medicine at Mount Sinai, Bronx, New York, USA
| |
Collapse
|
16
|
Qu G, Shu L, Zhang J, Wu Y, Ma S, Han T, Zhang H, Wang J, Sun Y. Suicide ideation, suicide plan, and suicide attempt among left-behind children and adolescents: A systematic review and meta-analysis. Suicide Life Threat Behav 2021; 51:515-527. [PMID: 33486779 DOI: 10.1111/sltb.12731] [Citation(s) in RCA: 19] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/05/2020] [Revised: 07/01/2020] [Accepted: 09/17/2020] [Indexed: 11/30/2022]
Abstract
OBJECTIVE There are an increasing number of studies that discussed suicide ideation (SI), suicide plan (SP), and suicide attempt (SA) among left-behind children (LBC). However, the prevalence of these indicators of LBC has not been synthesized and the true correlation between these indicators and left-behind status remains unclear. METHODS Electronic databases were comprehensively searched, and eligible observational studies were selected to extract useful data. We pooled the rates and their 95% confidence intervals (95% CIs) to determine the prevalence of SI, SP, and SA among LBC. The odds ratios (ORs) and 95% CIs were calculated to reflect the association between left-behind status and risk of SI, SP, and SA. RESULTS Among LBC, the pooled prevalence was 18.7% (95% CI: 15.4-21.9) for SI, 6.4% (95% CI: 4.7-8.1) for SP, and 3.1% (95% CI: 2.6-3.6) for SA. Compared to non-LBC, LBC was at higher risk of SI (OR = 1.26), SP (OR = 1.20), and SA (OR = 1.14), but only the effect for SI achieved statistical significance. CONCLUSION Overall, the prevalence of SI, SP, and SA is common among LBC, and parental migration has a significant impact on the SI of LBC. Intervention plans and programs are urgently needed to prevent suicidality of this vulnerable group.
Collapse
Affiliation(s)
- Guangbo Qu
- Department of Epidemiology and Health Statistics, School of Public Health, Anhui Medical University, Hefei, China
| | - Liqin Shu
- Department of Child Health Care, Maternal and Child Health Care Hospital of Anhui Province, Affiliated Maternal and Child Health Care Hospital of Anhui Medical University, Hefei, China
| | - Jian Zhang
- Department of Epidemiology and Health Statistics, School of Public Health, Anhui Medical University, Hefei, China.,Department of Neonatology, Children's Hospital of Anhui Medical University, Hefei, China
| | - Yile Wu
- Department of Epidemiology and Health Statistics, School of Public Health, Anhui Medical University, Hefei, China.,The Second Affiliated Hospital of Anhui Medical University, Hefei, China
| | - Shaodi Ma
- Department of Epidemiology and Health Statistics, School of Public Health, Anhui Medical University, Hefei, China
| | - Tiantian Han
- Department of Epidemiology and Health Statistics, School of Public Health, Anhui Medical University, Hefei, China
| | - Huimei Zhang
- Department of Epidemiology and Health Statistics, School of Public Health, Anhui Medical University, Hefei, China
| | - Jun Wang
- Department of Epidemiology and Health Statistics, School of Public Health, Anhui Medical University, Hefei, China
| | - Yehuan Sun
- Department of Epidemiology and Health Statistics, School of Public Health, Anhui Medical University, Hefei, China.,Center for Evidence-Based Practice, Anhui Medical University, Hefei, China
| |
Collapse
|
17
|
How Is the Presence of Company Related to Thwarted Belongingness in Real Time? Taking a Closer Look at the Conceptualization of the Construct of the Interpersonal Theory of Suicide. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17134873. [PMID: 32640690 PMCID: PMC7369847 DOI: 10.3390/ijerph17134873] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/28/2020] [Revised: 06/22/2020] [Accepted: 06/25/2020] [Indexed: 12/11/2022]
Abstract
(1) Background: The role of thwarted belongingness (TB) in predicting suicidal ideation, as originally assumed by the Interpersonal Theory of Suicide, is repeatedly challenged by empirical findings. This could be due to an inadequate conceptualization of the construct of TB that is assumed to be influenced by intrapersonal and interpersonal factors. (2) Methods: We examined the associations of TB with intrapersonal variables related to depression, and with interpersonal variables related to an individual’s actual social environment. We analyzed data from an ecological momentary assessment study in psychiatric inpatients with depressive disorders. N = 73 participants rated momentary TB, depressive affect and status of company up to 10 times per day, over a period of six days, on smartphones. (3) Results: TB was lower when assessed while participants were in company compared to when they were alone, and the more desired the company was, the less TB was experienced. Individuals who had a partnership experienced less momentary TB. Furthermore, higher levels of momentary depressive affect, as well as more stable levels of depression, were related to higher levels of TB, and the relation between the presence of company and TB was weaker for more depressed persons. (4) Conclusions: Our findings can be seen as evidence that both intrapersonal and interpersonal factors relate to TB, and thus support the conceptualization of TB as proposed by the Interpersonal Theory of Suicide.
Collapse
|