Crisis-The Journal of Crisis Intervention and Suicide Prevention最新文献

{"title":"Unit Social Support, Sense of Coherence, PTSD, and Suicidal Ideation in Israeli Defense Forces Soldiers.","authors":"Adi Merilyn Abisror, Leah Shelef, Ishai Nir, Amitai Guiora, Avishai Antonovsky","doi":"10.1027/0227-5910/a001043","DOIUrl":"https://doi.org/10.1027/0227-5910/a001043","url":null,"abstract":"<p><p><b></b> <i>Background:</i> Military service is a significant stressor for posttraumatic stress disorder (PTSD) and suicidal ideation (SI). The study aimed to examine direct and indirect associations between unit social support, sense of coherence (SOC), PTSD, and SI. <i>Method:</i> This cross-sectional study included 140 Israeli soldiers (<i>M</i>_age 20.41 [<i>SD</i> = 1.19]). Data were extracted from self-report questionnaires. Mediation analyses were used to evaluate direct and indirect associations between unit social support (DRRI-2), SOC (SOC-13), PTSD (PCL-5), and SIS (Beck Suicide Ideation Scale). <i>Results:</i> Correlational analyses revealed that unit social support and SOC were positively related to each other, while both were negatively associated with PTSD symptoms and SI. A positive relationship existed between PTSD symptoms and SI, confirming their connection. Path analyses revealed two main patterns: first, unit social support was negatively associated with SI, but this relationship worked via two pathways, one through its negative relationship with PTSD symptoms and one through its positive relationship with SOC. Second, SOC was negatively associated with SI, primarily by reducing PTSD symptoms. <i>Limitations:</i> This is a cross-sectional study with no experimental manipulation; causal inferences are limited. <i>Conclusion:</i> SOC is negatively related to PTSD and SI, a finding in-line with longitudinal studies, which reveal SOC's buffering effect on these two outcomes. This highlights the importance of interventions aimed at enhancing soldiers' SOC, which could contribute to mitigating suicidality.</p>","PeriodicalId":47943,"journal":{"name":"Crisis-The Journal of Crisis Intervention and Suicide Prevention","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146012862","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":"Assessing the Quality of Media Reporting of Suicide News in Kerala, India.","authors":"Dhanya N, Joseph C Mamman, Femilin Davis, Anusree K P, Gregory Armstrong","doi":"10.1027/0227-5910/a001024","DOIUrl":"10.1027/0227-5910/a001024","url":null,"abstract":"<p><p><b></b> <i>Background:</i> Suicide is a growing public health concern in India, with Kerala being one of the states with the highest suicide rates. Responsible media reporting is a crucial population-level suicide prevention strategy. However, the quality of suicide reporting in newspapers remains a concern. <i>Aim</i>: To assess the quality of newspaper reports of suicide in Kerala, India, against the World Health Organization (WHO) media guidelines for reporting suicide. <i>Method</i>: Content analysis of suicide reports published by the 11 most widely circulated Malayalam daily newspapers in Kerala, between June and November 2023. <i>Results</i>: A total of 1,068 suicide news reports were analyzed. Harmful reporting practices, such as reporting the method used (90.9%), mentioning negative life events (36.8%), stating the method in headlines (46.7%), and using photographs of the deceased (69.9%), were common, while helpful practices, such as providing contact details of helplines (0.7%), were rare. <i>Limitations</i>: The study is limited to print newspaper reports and does not examine suicide reporting in other media formats. Additionally, it focuses only on Malayalam newspapers in Kerala. <i>Conclusion</i>: The study highlights a low level of adherence to WHO guidelines indicating the need for effective dissemination of the guidelines and training of media professionals.</p>","PeriodicalId":47943,"journal":{"name":"Crisis-The Journal of Crisis Intervention and Suicide Prevention","volume":" ","pages":"16-22"},"PeriodicalIF":2.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144875922","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":"Impact of Taiwan's Suicide Prevention Act.","authors":"Ying-Yeh Chen, Cheuk Yui Yeung, Vera Yu Men, Chung-Ying Chen, Kevin Chien-Chang Wu, Paul S F Yip","doi":"10.1027/0227-5910/a001028","DOIUrl":"10.1027/0227-5910/a001028","url":null,"abstract":"<p><p><b></b> <i>Background:</i> Taiwan is among the few jurisdictions adopting a legislative approach to suicide prevention; a Suicide Prevention Act was implemented in June 2019. <i>Aim:</i> This study evaluates overall, age-, sex-, and method-specific suicide rates before and after the implementation of the Act. <i>Methods:</i> Monthly suicide mortality data from 2015 to 2023 were analyzed using interrupted time-series analysis using segmented regression with a quasi-Poisson distribution. Incidence rate ratios (IRRs) with 95% confidence intervals (CIs) were reported. <i>Results:</i> An immediate 10.1% reduction in overall suicide rates was observed after the enactment of the Suicide Prevention Act (IRR = 0.899, 95% CI = 0.837-0.966), although long-term trends remained unchanged. Hanging suicides declined steadily (IRR = 0.996, 95% CI = 0.993-0.999), while jumping suicides rose. Youth suicides (15-24 years) stabilized postintervention, and the 45-64-year age group experienced a significant decline (IRR = 0.849, 95% CI = 0.764, 0.942). In contrast, suicide rates among older adults (≥65 years) increased. <i>Limitations:</i> Unmeasured factors may have affected the results. Some components of the plan began before the Act, limiting attribution of effects solely to the law. <i>Conclusion:</i> Taiwan's legislative approach may have helped stabilize suicide rates, especially among youth and middle-aged adults. Ongoing efforts should focus on older adults and shifts in suicide methods.</p>","PeriodicalId":47943,"journal":{"name":"Crisis-The Journal of Crisis Intervention and Suicide Prevention","volume":" ","pages":"23-33"},"PeriodicalIF":2.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145543301","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":"Dimensions of Emotion Dysregulation and Childhood Adversities Differentiate Young Adults With Histories of Suicide Ideation and Attempts.","authors":"Felix Yirdong, Erik M Benau, Pamela Segura, Lillian Polanco-Roman","doi":"10.1027/0227-5910/a001020","DOIUrl":"10.1027/0227-5910/a001020","url":null,"abstract":"<p><p><b></b> <i>Background:</i> Although emotion dysregulation and adverse childhood experiences (ACEs) are key psychosocial risk factors for suicidal ideation and suicide attempts, it remains unclear which specific dimensions of these factors can distinguish the transition from ideation to attempts. <i>Aims</i><i>:</i> To determine whether specific dimensions of emotion dysregulation and adverse childhood experiences differentiate young adults with histories of suicidal ideation from those with histories of suicide attempts. <i>Method:</i> A sample of 418 young adults (63% non-Latinx White; 71% female; <i>M</i> = 23.56, <i>SD</i> = 2.85) completed measures of ACEs, emotion dysregulation, and suicidal ideation and attempts. Multinomial logistic regression assessed how specific dimensions of emotion dysregulation and ACEs predicted membership in three groups: no history of ideation or attempts, ideation only, and attempt history, controlling for depressive symptoms, age, and gender. <i>Results:</i> The suicidal ideation group reported greater cumulative ACEs and depressive symptoms than those without ideation/attempt history. The suicide attempts group reported greater ACEs and difficulties with goal-directed behavior than the other two groups. Difficulties engaging in goal-directed behavior and emotional awareness were more predictive of membership in the suicide attempts than the suicidal ideation group. <i>Limitations</i><i>:</i> The cross-sectional, retrospective design, and predominantly White female sample limit causal inferences and generalizability. <i>Conclusion:</i> Focusing on specific emotion regulation strategies may improve outcomes for young adults at risk for suicidal ideation and attempts and with a history of ACEs. Goal-directed behavior and emotional awareness offer promising targets for intervention to reduce suicide risk in this population.</p>","PeriodicalId":47943,"journal":{"name":"Crisis-The Journal of Crisis Intervention and Suicide Prevention","volume":" ","pages":"9-15"},"PeriodicalIF":2.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144817932","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":"Celebrity Suicides and the Werther Effect - Evidence From Fin-de-Siècle Vienna.","authors":"Florian Arendt","doi":"10.1027/0227-5910/a001032","DOIUrl":"10.1027/0227-5910/a001032","url":null,"abstract":"<p><p><b></b> <i>Background:</i> Meta-analytic evidence indicates that there tends to be an increase in suicides in the period after news reporting on celebrity suicides. Importantly, this evidence relies on original research, including present-day celebrities who died by suicide. <i>Aim:</i> The present paper supplements this perspective by providing historical evidence, testing whether celebrity suicide news was related to increases in suicides in fin-de-siècle Vienna (1890-1913). <i>Method:</i> Significant figures (<i>N</i> = 58) were identified using the Austrian Biographical Dictionary. Civil death registers for the city of Vienna were used to identify suicides occurring in periods immediately after a given celebrity's death (and in the control periods). A content analysis assessed media attention. <i>Results:</i> Media attention was positively related to increases in suicides, a finding consistent with the Werther effect hypothesis. However, the analysis indicated that only one suicide with massive media attention drove this association - Colonel Redl's suicide in 1913. <i>Limitations:</i> Causal interpretations are limited. <i>Conclusion:</i> Colonel Redl's suicide seems to hold a special historical position. This historical evidence supplements the available meta-analytic evidence on celebrity suicide news effects occurring today.</p>","PeriodicalId":47943,"journal":{"name":"Crisis-The Journal of Crisis Intervention and Suicide Prevention","volume":" ","pages":"34-40"},"PeriodicalIF":2.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145565981","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 and the Workplace - A Call for Action.","authors":"Sarah Waters, Jorgen Gullestrup, Anthony D LaMontagne, Tania King, Sally Spencer Thomas, Christine Genest, Dolores Angela Castelli Dransart, Carmen Chui Shan Lai","doi":"10.1027/0227-5910/a001040","DOIUrl":"https://doi.org/10.1027/0227-5910/a001040","url":null,"abstract":"","PeriodicalId":47943,"journal":{"name":"Crisis-The Journal of Crisis Intervention and Suicide Prevention","volume":"47 1","pages":"1-8"},"PeriodicalIF":2.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145960355","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":"Trauma-Informed Approaches to Suicide Prevention.","authors":"Monika Ferguson, Mark Loughhead, Heather McIntyre, Nicholas Procter","doi":"10.1027/0227-5910/a001031","DOIUrl":"10.1027/0227-5910/a001031","url":null,"abstract":"<p><p><i>Background:</i> Given the known bidirectional relationship between trauma and suicide, there is a critical need for suicide prevention efforts to be grounded in a trauma-informed approach. <i>Aims:</i> The purpose of this scoping review is to identify and map the current literature base for trauma-informed approaches to suicide prevention across all levels of prevention, settings, and population groups. <i>Methods:</i> A systematic search was conducted in seven academic databases, with results screened in duplicate. <i>Results:</i> 27 papers (<i>n</i> = 1 systematic review, <i>n</i> = 2 mixed methods, <i>n</i> = 8 qualitative, <i>n</i> = 5 quantitative, <i>n</i> = 11 discussion papers) were eligible for inclusion, primarily published in the past five years, mostly from the United States. The majority focus on children/young people, at the selective or indicated level. Lived experience leadership is lacking, and most do not explore suicide-specific outcomes. <i>Limitations:</i> The results may not represent global trauma-informed suicide prevention strategies, and the paper does not evaluate the effectiveness of these approaches. <i>Conclusion:</i> The explicit application of trauma-informed care to suicide prevention strategies has been a much-needed addition to the recent academic literature. More work is needed to ensure this approach is embedded across all levels of suicide prevention, with lived experience involvement, to better support individuals, communities, and the workforce.</p>","PeriodicalId":47943,"journal":{"name":"Crisis-The Journal of Crisis Intervention and Suicide Prevention","volume":" ","pages":"41-52"},"PeriodicalIF":2.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145565971","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":"Papageno Stories Predict Lower Suicide Rates - Analysis of American Feature Films, 1950-2002.","authors":"Steven Stack, Barbara Bowman, Mark Sinyor, Thomas Niederkrotenthaler","doi":"10.1027/0227-5910/a001012","DOIUrl":"10.1027/0227-5910/a001012","url":null,"abstract":"<p><p><b></b> <i>Background:</i> A majority of research concerning media impacts on suicide has focused on the harmful impacts. In contrast, the present study focuses on positive media impacts, the Papageno effect. The central hypothesis is that the higher the exposure of the public to films portraying a story of a suicidal person who ultimately recovers, the lower the suicide rate. <i>Methodology:</i> Data on suicides per 100,000 were from the US Public Health Service. Seven online film bibliographies were searched to include American films that (1) contained a person initially attempting suicide and then conquering their problems and (2) were in the top 50 at the box office. The number of such portrayals per year comprised the chief independent variable, while adjustments were made for three core theoretical constructs. <i>Results:</i> Sixty-one narratives met the inclusion criteria. An AR-1 Cochrane-Orcutt multivariate analysis showed that controlling for the other predictors, each additional exposure to a Papageno story significantly decreased the suicide rate (<i>b</i> = -.059, <i>SE</i> = .023, <i>t</i> = -2.51, <i>p</i> = .015). The full model explained 89% of the variance. <i>Limitations:</i> Only half a century was assessed. <i>Conclusion:</i> This is the first analysis linking the yearly frequency of Papageno narratives to a lower national suicide rate.</p>","PeriodicalId":47943,"journal":{"name":"Crisis-The Journal of Crisis Intervention and Suicide Prevention","volume":" ","pages":"53-56"},"PeriodicalIF":2.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144486635","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":"Evaluation of the Effect of Arizona's Crisis Response System on Hospitalizations for Behavioral Health Conditions.","authors":"Tami L Mark, Kristen Henretty, Brent J Gibbons","doi":"10.1027/0227-5910/a001027","DOIUrl":"10.1027/0227-5910/a001027","url":null,"abstract":"<p><p><b></b> <i>Background:</i> US federal and state governments are investing in comprehensive behavioral health crisis system reforms. These reforms aim to prevent suicide, limit police involvement in crises, and reduce reliance on hospitals and emergency departments. Arizona's reform is considered a model for other states. <i>Aims:</i> We evaluated whether Arizona's crisis system reform was associated with reductions in behavioral health-related hospitalizations. <i>Method:</i> We used a comparative interrupted time series design to assess Arizona's implementation of their crisis response system in 2015. We used 2011-2018 Healthcare Cost and Utilization Project (HCUP) State Inpatient Dataset (SID) data and selected Colorado, Kentucky, Michigan, New Jersey, New Mexico, and Washington as comparison states. <i>Results:</i> Arizona's annual behavioral health-related hospital discharge rate per 100,000 population decreased from 686.3 in 2011 to 673.7 in 2014 and increased from 759.3 in 2016 to 955.7 in 2019. The comparative interrupted time series analyses revealed that implementation of Arizona's crisis system was not associated with a change in the rate of behavioral health hospitalizations. <i>Limitations:</i> There may be some unmeasured, time-varying factors related to the rate of behavioral health-related hospitalizations between Arizona and our comparison states that we are not accounting for. Also, hospitals switched from using ICD-9 to ICD-10 codes in 2015, the same year as Arizona implemented their crisis system. <i>Conclusions:</i> More research is needed to confirm whether and how comprehensive crisis response systems impact behavioral health-related hospitalizations.</p>","PeriodicalId":47943,"journal":{"name":"Crisis-The Journal of Crisis Intervention and Suicide Prevention","volume":" ","pages":"327-333"},"PeriodicalIF":2.6,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145076425","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":"Assessing Patterns of Nonadherence With Reporting Guidelines for Articles Relating to Suicide in National Media.","authors":"Colm Sweeney, Edel Ennis, Maurice Mulvenna, Raymond Bond, Áine O'Meara","doi":"10.1027/0227-5910/a001023","DOIUrl":"10.1027/0227-5910/a001023","url":null,"abstract":"<p><p><b></b> <i>Background:</i> Certain forms of media reporting on suicide, particularly those involving celebrity suicides, have been associated with an increase in imitative suicidal behavior. <i>Aims:</i> This research employs data science methodologies, including association rule mining, to identify patterns of nonadherence to reporting guidelines in Irish national media articles about suicide. <i>Methods:</i> This study analyses a dataset of 2,939 articles identified as noncompliant with Samaritans' reporting guidelines, using association rule mining to explore relationships among key categories of nonadherence. Initial analysis was conducted on the full dataset, followed by comparative analysis of celebrity-related and noncelebrity-related subsets to examine potential differences in reporting practices. <i>Results:</i> The most frequent recommendation not adhered to was the provision of helpline information, with higher nonadherence rates observed in celebrity-related articles and an increasing trend from 2019 to 2021. The second most common nonadherence involved the use of the term <i>commit</i>. Among those articles not adhering to two or more recommendations, association rule mining revealed co-occurrence patterns, which differed between celebrity-related media reports and noncelebrity-related reports. The top rules were linkage between nonadherences of the recommendations surrounding Graphic images and Methodology - Suicide Or Self-Harm within celebrity-related media, and linkage between nonadherences of the Methodology - Suicide Or Self-Harm and Location Details recommendations within noncelebrity-related media. <i>Limitations</i>: The dataset represents only 20% of guideline-breaking suicide articles, manually tagged with high inter-rater reliability, but excludes positive practices, full guideline coverage, and distinctions between ideation, attempt, or death. <i>Conclusions:</i> Results are discussed in terms of their implications for supporting journalists in adhering to principles of the responsible reporting of suicide within the media, and the need to address celebrity-related and noncelebrity-related reporting separately. Relevant challenges are also discussed.</p>","PeriodicalId":47943,"journal":{"name":"Crisis-The Journal of Crisis Intervention and Suicide Prevention","volume":" ","pages":"311-318"},"PeriodicalIF":2.6,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145193415","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}