{"title":"Announcements.","authors":"","doi":"10.1027/0227-5910/a000913","DOIUrl":"https://doi.org/10.1027/0227-5910/a000913","url":null,"abstract":"","PeriodicalId":47943,"journal":{"name":"Crisis-The Journal of Crisis Intervention and Suicide Prevention","volume":"44 3","pages":"255-256"},"PeriodicalIF":3.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9553922","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Catherine Barber, Deborah Azrael, John Berrigan, Marian E Betz, Sara Brandspigel, Carol Runyan, Carmel Salhi, Mary Vriniotis, Matthew Miller
{"title":"Selection and Use of Firearm and Medication Locking Devices in a Lethal Means Counseling Intervention.","authors":"Catherine Barber, Deborah Azrael, John Berrigan, Marian E Betz, Sara Brandspigel, Carol Runyan, Carmel Salhi, Mary Vriniotis, Matthew Miller","doi":"10.1027/0227-5910/a000855","DOIUrl":"https://doi.org/10.1027/0227-5910/a000855","url":null,"abstract":"<p><p><b></b> <i>Background:</i> While some suicide prevention initiatives distribute locking devices for firearms and medication, little evidence exists to guide the selection of devices. <i>Aims:</i> This study aimed to describe safety standards for locking devices and compare parental acceptance rates for different types of devices. <i>Method:</i> As part of the larger SAFETY Study, behavioral health clinicians provided free locking devices to parents whose child was evaluated in the emergency department (ED) for a suicide-related or behavioral health-related problem. For logistical reasons, we changed the specific devices offered midstudy. Data on device use came from follow-up interviews with 226 parents. <i>Results:</i> Few effective standards exist for locking devices for home use; we could easily break into some. At follow-up, twice as many gun-owning parents were using ED-provided handgun lockboxes as cable locks (28% vs. 14%, <i>p</i> = .02). Overall, 55% of parents reported using an ED-provided medication lockbox, with more using the drawer-sized lockbox than the larger, steel toolbox (60% vs. 42%, <i>p</i> < .01). <i>Limitations:</i> Storage outcomes are from parents' self-report and from one state only. <i>Conclusion:</i> Parents appeared to prefer some devices over others. Our findings suggest the need for (a) effective safety standards, (b) affordable devices meeting these standards, and (c) further research on consumer preferences to ensure use.</p>","PeriodicalId":47943,"journal":{"name":"Crisis-The Journal of Crisis Intervention and Suicide Prevention","volume":"44 3","pages":"216-223"},"PeriodicalIF":3.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9570374","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Suicide-Specific Diagnosis - The Case Against.","authors":"Alan L Berman, Morton M Silverman","doi":"10.1027/0227-5910/a000912","DOIUrl":"https://doi.org/10.1027/0227-5910/a000912","url":null,"abstract":"","PeriodicalId":47943,"journal":{"name":"Crisis-The Journal of Crisis Intervention and Suicide Prevention","volume":"44 3","pages":"183-188"},"PeriodicalIF":3.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9949866","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Suicide Prevention Outreach on Social Media Delivered by Trained Volunteers.","authors":"Vered Keasar, Sharon Sznitman, Amit Baumel","doi":"10.1027/0227-5910/a000864","DOIUrl":"https://doi.org/10.1027/0227-5910/a000864","url":null,"abstract":"<p><p><b></b> <i>Background:</i> There is a need to develop new ways to reach and engage people at risk for suicidal behavior. Suicide prevention outreach on social media (SPOSM) represents a promising strategy, and trained volunteers could potentially provide the needed human resources. <i>Aims:</i> We aimed to investigate users' perception of SPOSM delivered by volunteers of the Israeli Sahar organization and its potential to promote help-seeking behavior. <i>Methods:</i> Outreach messages written by Sahar volunteers between July 2015 and June 2020 in response to suicidal posts on a social media site were screened. User responses were analyzed using inductive thematic analysis. <i>Results:</i> One hundred sixteen user responses were analyzed. Positive impact themes were identified in 69.8% of responses, while 16.4% of responses mentioned barriers to care and 10.3% were negative. <i>Limitations:</i> As the study is based on real-life data, the data are limited to users who chose to respond to outreach. <i>Conclusion:</i> The findings suggest that volunteer-based SPOSM is viewed positively by many users and may foster help-seeking behavior. The findings also outline challenges such as emotional barriers to care and privacy concerns.</p>","PeriodicalId":47943,"journal":{"name":"Crisis-The Journal of Crisis Intervention and Suicide Prevention","volume":"44 3","pages":"247-254"},"PeriodicalIF":3.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9569670","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lisa Marzano, Monica Hawley, Lorna Fraser, Eva Harris-Skillman, Yasmine Lainez, Keith Hawton
{"title":"Have News Reports on Suicide and Attempted Suicide During the COVID-19 Pandemic Adhered to Guidance on Safer Reporting?","authors":"Lisa Marzano, Monica Hawley, Lorna Fraser, Eva Harris-Skillman, Yasmine Lainez, Keith Hawton","doi":"10.1027/0227-5910/a000856","DOIUrl":"https://doi.org/10.1027/0227-5910/a000856","url":null,"abstract":"<p><p><b></b> <i>Background:</i> Associations between sensational news coverage of suicide and increases in suicidal behavior have been well documented. Amid growing concern over the impact of the COVID-19 pandemic on suicide rates, it is especially important that news coverage adheres to recommended standards. <i>Method:</i> We analyzed the quality and content of print and online UK news reports of possible COVID-19-related suicides and suicide attempts in the first 4 months of the pandemic (<i>N</i> = 285). <i>Results:</i> The majority of reports made explicit links between suicidal behavior and the COVID-19 pandemic in the headline (65.5%), largely based on statements by family, friends, or acquaintances of the deceased (60%). The impact of the pandemic on suicidal behavior was most often attributed to feelings of isolation (27.4%), poor mental health (14.7%), and entrapment due to government-imposed restrictions (14.4%). Although rarely of poor overall quality, reporting was biased toward young people, frontline staff, and relatively unusual suicides and, to varying degrees, failed to meet recommended standards (e.g., 41.1% did not signpost readers to sources of support). <i>Limitations:</i> This analysis cannot account for the impact of reporting on suicide. <i>Conclusion:</i> Careful attention must be paid to the quality and content of reports, especially as longer-term consequences of the pandemic develop.</p>","PeriodicalId":47943,"journal":{"name":"Crisis-The Journal of Crisis Intervention and Suicide Prevention","volume":"44 3","pages":"224-231"},"PeriodicalIF":3.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9569661","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Laura S van Velzen, Yara J Toenders, Akhil Kottaram, Belinsha Youzchalveen, Vita Pilkington, Sue M Cotton, Abi Brooker, Ben McKechnie, Simon Rice, Lianne Schmaal
{"title":"Risk Factors for Suicide Attempt During Outpatient Care in Adolescents With Severe and Complex Depression.","authors":"Laura S van Velzen, Yara J Toenders, Akhil Kottaram, Belinsha Youzchalveen, Vita Pilkington, Sue M Cotton, Abi Brooker, Ben McKechnie, Simon Rice, Lianne Schmaal","doi":"10.1027/0227-5910/a000860","DOIUrl":"https://doi.org/10.1027/0227-5910/a000860","url":null,"abstract":"<p><p><b></b> <i>Background:</i> Young people receiving tertiary mental health care are at elevated risk for suicidal behavior, and understanding which individuals are at increased risk during care is important for treatment and suicide prevention. <i>Aim:</i> We aimed to retrospectively identify risk factors for attempted suicide during outpatient care and predict which young people did or did not attempt during care. <i>Method:</i> Penalized logistic regression analysis was performed in a small high-risk sample of 84 young people receiving care at Orygen's Youth Mood Clinic (age: 14-25 years, 51% female) to predict suicide attempt during care (N = 16). <i>Results:</i> Prediction of suicide attempt during care was only moderately accurate (Area Under the Receiver Operating Curve range 0.71; sensitivity 0.57) using a combination of sociodemographic, psychosocial, and clinical variables. The features that best discriminated both groups included suicidal ideation during care, history of suicide attempt prior to care, changes in appetite reported on the PHQ-9, history of parental separation, and parental mental illness. <i>Limitation:</i> Replication of findings in an independent validation sample is needed. <i>Conclusion:</i> While prediction of suicide attempt during care was only moderately successful, we were able to identify individual risk factors for suicidal behavior during care in a high-risk sample.</p>","PeriodicalId":47943,"journal":{"name":"Crisis-The Journal of Crisis Intervention and Suicide Prevention","volume":"44 3","pages":"232-239"},"PeriodicalIF":3.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9573412","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Moral Injury and Suicide Ideation Among Combat Veterans.","authors":"Yossi Levi-Belz, Sharon Shemesh, Gadi Zerach","doi":"10.1027/0227-5910/a000849","DOIUrl":"https://doi.org/10.1027/0227-5910/a000849","url":null,"abstract":"<p><p><b></b> <i>Background:</i> Modern warfare in a civilian setting may expose combatants to severe moral challenges. Whereas most of these challenges are handled effectively, some <i>potentially morally injurious events</i> (PMIEs) may have deleterious psychological effects on the combatants, such as suicide ideation (SI). Self-disclosure, which includes sharing distressing thoughts and emotions, has been recognized as a protective factor against SI in the aftermath of stressful events. The current study is the first to examine the moderating role of self-disclosure in the relationship between PMIE exposure and SI among combat veterans. <i>Method:</i> A sample of 190 recently discharged Israeli combat veterans completed validated self-report questionnaires measuring combat exposure, PMIEs, depressive symptoms, SI, and self-disclosure in a cross-sectional design study. <i>Results:</i> PMIE dimensions and self-disclosure significantly contributed to current SI. Notably, the moderating model indicated that self-disclosure moderated the link between PMIE-Self and current SI, as PMIE-Self and current SI demonstrated a stronger association among veterans with low self-disclosure than among those with high self-disclosure. <i>Limitations:</i> Cross-sectional design of volunteers, the findings may not be directly generalizable to veterans' population. <i>Conclusion:</i> Self-disclosure, as a factor promoting a sense of belongingness, interpersonal bonding, and support, might diminish SI risk following PMIE exposure. Various mechanisms accounting for these associations are suggested, and the clinical implications of these interactions are discussed.</p>","PeriodicalId":47943,"journal":{"name":"Crisis-The Journal of Crisis Intervention and Suicide Prevention","volume":"44 3","pages":"198-208"},"PeriodicalIF":3.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9941652","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Marianne Webb, Elise R Carrotte, Anna Flego, Bonnie Vincent, Benjamin Lee-Bates, Jack Heath, Michelle Blanchard
{"title":"Safety, Acceptability, and Initial Effectiveness of a Novel Digital Suicide Prevention Campaign Challenging Perceived Burdensomeness.","authors":"Marianne Webb, Elise R Carrotte, Anna Flego, Bonnie Vincent, Benjamin Lee-Bates, Jack Heath, Michelle Blanchard","doi":"10.1027/0227-5910/a000840","DOIUrl":"https://doi.org/10.1027/0227-5910/a000840","url":null,"abstract":"<p><p><b></b> <i>Background:</i> <i>Better Off With You</i> is a peer-to-peer, digital suicide prevention campaign pilot designed to challenge the idea of perceived burdensomeness; the schema experienced by many people contemplating suicide that they are a burden on others. <i>Aims:</i> To investigate the safety, acceptability, and initial effectiveness of the campaign. <i>Method:</i> This mixed methods pilot involved a general community sample (<i>N</i> = 157), from targeted sites within two Australian communities. Data were collected at baseline and after 1-week exposure to the campaign videos and website. Qualitative interviews were conducted with a subset of participants (<i>N</i> = 15). <i>Results:</i> Participants rated the campaign as highly engaging and relevant to local communities. In interviews, participants identified the campaign as being unique, safe, and impactful. Overall, exposure to <i>Better Off With You</i> did not result in any notable changes in perceived burdensomeness, psychological distress, or help-seeking. <i>Limitations:</i> The pilot involved a community sample. As such, outcome measurement scores were low at baseline. <i>Conclusion:</i> This pilot provides new insights about the safety, engagement and initial effectiveness of the <i>Better Off With You</i> campaign. Future research is needed to explore its impact on people experiencing suicidal ideation.</p>","PeriodicalId":47943,"journal":{"name":"Crisis-The Journal of Crisis Intervention and Suicide Prevention","volume":"44 3","pages":"189-197"},"PeriodicalIF":3.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9569948","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jenny Mei Yiu Huen, Paul Siu Fai Yip, Augustine Osman, Angel Nga Man Leung
{"title":"Item Response Theory and Differential Item Functioning Analyses With the Suicidal Behaviors Questionnaire-Revised in US and Chinese Samples.","authors":"Jenny Mei Yiu Huen, Paul Siu Fai Yip, Augustine Osman, Angel Nga Man Leung","doi":"10.1027/0227-5910/a000837","DOIUrl":"https://doi.org/10.1027/0227-5910/a000837","url":null,"abstract":"<p><p><b></b> <i>Background:</i> Despite the widespread use of the Suicidal Behaviors Questionnaire-Revised (SBQ-R) and advances in item response theory (IRT) modeling, item-level analysis with the SBQ-R has been minimal. <i>Aims:</i> This study extended IRT modeling strategies to examine the response parameters and potential differential item functioning (DIF) of the individual SBQ-R items in samples of US (<i>N</i> = 320) and Chinese (<i>N</i> = 298) undergraduate students. <i>Method:</i> Responses to the items were calibrated using the unidimensional graded response IRT model. Goodness-of-fit, item parameters, and DIF were evaluated. <i>Results:</i> The unidimensional graded response IRT model provided a good fit to the sample data. Results showed that the SBQ-R items had various item discrimination parameters and item severity parameters. Also, each SBQ-R item functioned similarly between the US and Chinese respondents. In particular, Item 1 (history of attempts) demonstrated high discrimination and severity of suicide-related thoughts and behaviors (STBs). <i>Limitations:</i> The use of cross-sectional data from convenience samples of undergraduate students could be considered a major limitation. <i>Conclusion:</i> The findings from the IRT analysis provided empirical support that each SBQ-R item taps into STBs and that scores for Item 1 can be used for screening purposes.</p>","PeriodicalId":47943,"journal":{"name":"Crisis-The Journal of Crisis Intervention and Suicide Prevention","volume":"44 2","pages":"108-114"},"PeriodicalIF":3.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9226056","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Correction to Mishara et al. (2022).","authors":"","doi":"10.1027/0227-5910/a000869","DOIUrl":"https://doi.org/10.1027/0227-5910/a000869","url":null,"abstract":"","PeriodicalId":47943,"journal":{"name":"Crisis-The Journal of Crisis Intervention and Suicide Prevention","volume":"44 2","pages":"168"},"PeriodicalIF":3.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/97/d8/cri_44_2_168.PMC10102971.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9312343","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}