CrisisPub Date : 2024-09-10DOI: 10.1027/0227-5910/a000971
Brooke A Ammerman,Connor O'Brien,Yeonsoo Park,Ross Jacobucci
{"title":"Momentary Associations Between Positive Coping and Nonsuicidal Self-Injury Risk Among Individuals With Problematic Alcohol Use.","authors":"Brooke A Ammerman,Connor O'Brien,Yeonsoo Park,Ross Jacobucci","doi":"10.1027/0227-5910/a000971","DOIUrl":"https://doi.org/10.1027/0227-5910/a000971","url":null,"abstract":"Background: The use of positive coping skills has demonstrated protective effects with regard to Nonsuicidal Self-Injury (NSSI) engagement; however, cross-sectional evidence suggests that the presence of comorbid conditions, such as alcohol use disorders, may negate these benefits. Aims: The current study leverages ecological momentary assessment (EMA) to examine the between-person and within-person relationships between positive coping strategies and NSSI risk among individuals with problematic alcohol use. Method: Undergraduate students (n = 56) completed a 21-day EMA protocol, in which they completed four surveys per day asking about their use of several positive coping strategies and NSSI risk. Results: Socializing was the only coping strategy to demonstrate a protective effect on NSSI risk. Alternatively, the coping strategies of finding perspective, positive thinking, and sitting with feelings until they pass all increased risk for NSSI. Limitations: The current study was underpowered to disentangle relationships with urges to engage in NSSI and NSSI behaviors. Conclusion: The results suggest that using coping skills that may present physical barriers to engaging in NSSI may be effective for reducing momentary NSSI risk.","PeriodicalId":520108,"journal":{"name":"Crisis","volume":"6 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142214326","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
CrisisPub Date : 2024-09-10DOI: 10.1027/0227-5910/a000970
Anthony Fulginiti,Megan Doyle,Stephen Miller,Sae Lee,Fred J Pasquarella
{"title":"Follow-Up Care Offers and Acceptance in Crisis Line Suicide Prevention Services.","authors":"Anthony Fulginiti,Megan Doyle,Stephen Miller,Sae Lee,Fred J Pasquarella","doi":"10.1027/0227-5910/a000970","DOIUrl":"https://doi.org/10.1027/0227-5910/a000970","url":null,"abstract":"Background: Prior work has explored the impact of follow-up calls in a crisis line context, but no research has investigated the offer and acceptance of follow-up care. Aims: To identify caller/call characteristics associated with whether a caller is offered and accepts follow-up services. Methods: This cross-sectional study included data from 55,594 callers to a member center of the 988 Suicide & Crisis Lifeline (988) between 2017 and 2019. Logistic regression analyses were conducted to examine associations between caller/call characteristics and two follow-up outcomes. Results: Black callers and those with higher suicide capability and intent had greater odds of being offered and accepting follow-up. Longer call duration was also associated with higher odds of being offered and accepting follow-up. Higher suicidal desire uniquely increased the odds of offers, whereas a higher level of buffers uniquely decreased the odds of offers. Limitations: Data were collected from a single 988-member center and cannot be generalized. Conclusions: That one-third of callers do not accept follow-up highlights the need to understand reasons for not accepting follow-up. That callers with higher risk profiles are offered and accept follow-up at higher rates is reassuring and underscores the benefit of tailoring follow-up interventions for higher-risk callers.","PeriodicalId":520108,"journal":{"name":"Crisis","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142214327","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
CrisisPub Date : 2024-09-10DOI: 10.1027/0227-5910/a000969
Matthew C Podlogar,Honor S Carolina,MaryGrace Lauver,Morgan K Selig,Gregory J Hughes
{"title":"Addressing the Complex Needs of Customers Who Contact the Veterans Crisis Line.","authors":"Matthew C Podlogar,Honor S Carolina,MaryGrace Lauver,Morgan K Selig,Gregory J Hughes","doi":"10.1027/0227-5910/a000969","DOIUrl":"https://doi.org/10.1027/0227-5910/a000969","url":null,"abstract":"Since its creation in 2007, the Veterans Crisis Line (VCL) has provided 24/7, confidential crisis support services for Veterans, Service Members, and their families, supporting the VA's highest clinical priority of suicide prevention. As part of this effort, VCL created the Customers with Complex Needs (CWCN) program to manage the individual needs and operational impact of VCL customers who call at a high frequency, are abusive toward hotline staff, exhibit sexually inappropriate behavior, and/or make threats of violence. This paper describes the VCL CWCN program and customer characteristics. Call data from 2012 to 2022, including operational data for 1,096 CWCN customers identified from October 2017 to December 2020, were used for analysis. At the cohort's peak size in 2020, calls from CWCN customers accounted for 0.4% of all distinct phone numbers received by VCL and for 22.1% of total VCL call volume. Implementation of the CWCN program was associated with significant annual reductions in average individual call volume among high frequency callers. However, no change in call volume was observed among nonhigh frequency callers. Formative challenges and future directions for the CWCN program and implications for other crisis lines are discussed.","PeriodicalId":520108,"journal":{"name":"Crisis","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142227864","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
CrisisPub Date : 2022-12-01Epub Date: 2021-08-31DOI: 10.1027/0227-5910/a000815
Olivia Peros, Erin Ward-Ciesielski
{"title":"Relations Between Interpersonal Hopelessness and Help-Seeking Intentions and Behaviors in Suicidal Individuals.","authors":"Olivia Peros, Erin Ward-Ciesielski","doi":"10.1027/0227-5910/a000815","DOIUrl":"https://doi.org/10.1027/0227-5910/a000815","url":null,"abstract":"<p><p><b></b> <i>Background:</i> Due to an increasing suicide rate, risk factors for suicidal thoughts and behaviors (STBs) are an important target for research. Furthermore, individuals experiencing STBs often do not seek help. This highlights the need to assess factors that are associated with help-seeking intentions and behaviors. <i>Aim:</i> The current study examines the role of interpersonal hopelessness in help-seeking intentions and behaviors in suicidal individuals. <i>Method:</i> This was a cross-sectional study. A total of 239 adults (<i>M</i><sub>age</sub> = 32; 57.7% male; 67.8% Caucasian) completed online measures via Amazon's Mechanical Turk (MTurk). Bivariate analyses were conducted to assess if higher levels of interpersonal hopelessness were associated with lower levels of help-seeking intentions and behaviors in individuals experiencing STBs within the previous 6 months. To distinguish interpersonal hopelessness from other variables that may affect help-seeking, social anxiety, interpersonal problems, general hopelessness, and perceived barriers to treatment were also examined using hierarchical regression. <i>Results:</i> Results showed that interpersonal hopelessness was significantly positively correlated with help-seeking intentions and behaviors. The proportion of variance in help-seeking intentions and behaviors accounted for by interpersonal hopelessness was negligible. <i>Limitations:</i> The data were self-reported and collected retrospectively making them susceptible to biases. Although an important first step, the cross-sectional design also limits examination of temporal or causal relationships between study variables. Furthermore, the use of an MTurk sample introduces additional limitations, as well as the limited psychometric evaluation of two measures. <i>Conclusion:</i> Results indicate that although interpersonal hopelessness may be an important factor in suicide risk, it may not play a compelling role in help-seeking behaviors.</p>","PeriodicalId":520108,"journal":{"name":"Crisis","volume":" ","pages":"468-475"},"PeriodicalIF":3.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39369469","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
CrisisPub Date : 2022-12-01Epub Date: 2021-08-31DOI: 10.1027/0227-5910/a000814
Odeta Gelezelyte, Malgorzata Dragan, Piotr Grajewski, Monika Kvedaraite, Annett Lotzin, Magdalena Skrodzka, Auguste Nomeikaite, Evaldas Kazlauskas
{"title":"Factors Associated With Suicide Ideation in Lithuania and Poland Amid the COVID-19 Pandemic.","authors":"Odeta Gelezelyte, Malgorzata Dragan, Piotr Grajewski, Monika Kvedaraite, Annett Lotzin, Magdalena Skrodzka, Auguste Nomeikaite, Evaldas Kazlauskas","doi":"10.1027/0227-5910/a000814","DOIUrl":"https://doi.org/10.1027/0227-5910/a000814","url":null,"abstract":"<p><p><b></b> <i>Background:</i> The COVID-19 pandemic had an impact on many risk and protective factors associated with suicide. <i>Aims:</i> The aim of this study was to identify pandemic-related factors associated with suicidal ideation in the two European countries, Lithuania and Poland, amid the COVID-19 pandemic. <i>Method:</i> The sample comprised 2,459 participants in both countries; 57.2% of the respondents were female. The <i>M</i><sub><i>age</i></sub> of the participants was 43.45 years (<i>SD</i> = 15.91). Pandemic-related stressors and adjustment problems were measured to assess associations with suicidal ideation. <i>Results:</i> High levels of adjustment problems, loneliness, and burden due to staying at home more during the COVID-19 pandemic were significantly associated with suicide ideation in both Lithuania and Poland. <i>Limitations:</i> This was a cross-sectional online study with different recruitment approaches in the two countries. <i>Conclusion:</i> Adjustment problems, loneliness, and stressors related to staying at home more could be important targets for suicide prevention amid the pandemic.</p>","PeriodicalId":520108,"journal":{"name":"Crisis","volume":" ","pages":"460-467"},"PeriodicalIF":3.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39372026","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
CrisisPub Date : 2022-12-01Epub Date: 2021-09-14DOI: 10.1027/0227-5910/a000813
Amanda C La Guardia, Jennifer Wright-Berryman, Robert J Cramer, Andrea R Kaniuka, Kimberly Adams Tufts
{"title":"Interprofessional Suicide Prevention Education.","authors":"Amanda C La Guardia, Jennifer Wright-Berryman, Robert J Cramer, Andrea R Kaniuka, Kimberly Adams Tufts","doi":"10.1027/0227-5910/a000813","DOIUrl":"https://doi.org/10.1027/0227-5910/a000813","url":null,"abstract":"<p><p><b></b> The COVID-19 pandemic has raised concerns regarding possible spikes in suicidal behavior in light of heightened risk factors such as social isolation and financial strain; thus, comprehensive suicide prevention training for emerging health service providers is increasingly vital. This article summarizes an interprofessional education (IPE) suicide prevention course delivered in-person in Spring 2020. Pilot data demonstrate that despite the impact of COVID-19 on higher education, this course had long-term impacts on trainee suicide prevention efficacy, IPE attitudes, and use of course content in practice. Discussion serves to address enhancements for interprofessional and suicide prevention education during and after the pandemic. Emphasis is placed on adaptable training strategies, considerations in the delivery format, guidelines for intensive virtual meetings with trainee teams, and future directions in IPE suicide prevention training research.</p>","PeriodicalId":520108,"journal":{"name":"Crisis","volume":" ","pages":"531-538"},"PeriodicalIF":3.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39416870","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
CrisisPub Date : 2022-12-01Epub Date: 2021-09-14DOI: 10.1027/0227-5910/a000816
Daniel Hideki Bando, Maria Helena Prado de Mello Jorge, Eliseu Alves Waldman, Fernando Madalena Volpe, David Lester
{"title":"Secular Trends of Suicide in the City of São Paulo, 1904-2017.","authors":"Daniel Hideki Bando, Maria Helena Prado de Mello Jorge, Eliseu Alves Waldman, Fernando Madalena Volpe, David Lester","doi":"10.1027/0227-5910/a000816","DOIUrl":"https://doi.org/10.1027/0227-5910/a000816","url":null,"abstract":"<p><p><b></b> <i>Background:</i> Few reports from developing countries have described long-term trends in suicide. <i>Aims:</i> To investigate the age-, sex-, and method-specific trends in suicide over the period 1904-2017 in São Paulo. <i>Method:</i> Mortality data were obtained from SEADE, DATASUS, and PRO-AIM. <i>Results:</i> Suicide peaked in the mid-1910s and mid-1950s, being higher among men. There was an upward trend from the 1920s for men and from the 1930s for women. Suicide rates have declined since the mid-1950s, reaching lower rates in the past 40 years. Men aged 60+ had higher rates at the beginning and a decreasing trend. Suicide rates among men aged 20-39 and 40-59 peaked in the mid-1950s and declined until the late 1970s, thereafter remaining stable. Women aged 20-39 years had the highest rates with decreasing trends from the mid-1950s. No trends were detected for the age group 40-59, and women aged 60+ presented a decreasing trend. Rates among women aged 0-19 declined after the late 1970s. Suicide by poisoning peaked in the 1950s, and there was a downward trend for firearms and an upward trend for hanging. <i>Conclusion:</i> Suicide trends vary by sex, age group, and method. Accurate monitoring of these trends is an important task for suicide prevention and public health agencies and personnel.</p>","PeriodicalId":520108,"journal":{"name":"Crisis","volume":" ","pages":"476-485"},"PeriodicalIF":3.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39419725","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
CrisisPub Date : 2022-12-01Epub Date: 2021-06-30DOI: 10.1027/0227-5910/a000794
Jacinta Hawgood, Alan Woodward, Paul Quinnett, Diego De Leo
{"title":"Gatekeeper Training and Minimum Standards of Competency.","authors":"Jacinta Hawgood, Alan Woodward, Paul Quinnett, Diego De Leo","doi":"10.1027/0227-5910/a000794","DOIUrl":"https://doi.org/10.1027/0227-5910/a000794","url":null,"abstract":"<p><p><b></b> Gatekeeper training (GKT) is one of the most widely used suicide prevention strategies. It involves training people who are not necessarily clinicians to be able to identify people experiencing suicidality and refer them to appropriate services. While there is a dearth of research that supports the causal link between GKT and reduced suicide rates, this is likely the result of a variety of factors including training design, definitions of \"gatekeepers,\" differing populations in which the gatekeeper (GK) operates, and other variables that may influence suicide rates. Despite this, research suggests that GKT improves people's knowledge, skills, and confidence in helping individuals who experience suicidal ideation and enhances positive beliefs about the efficacy of suicide prevention. However, there is no consensus on GK competencies to allow differences in effectiveness between various training programs to be measured, that is, knowledge, skills and abilities, attitudes, and self-efficacy attributes expected of a person resulting from the training. This paper discusses challenges in developing GK competencies. It uses developments in suicide prevention competencies for clinicians, vocational education, and training sector competencies, as well as empirical work in GKT, to propose minimum GK competencies that may be examined for further research and evaluation of programs.</p>","PeriodicalId":520108,"journal":{"name":"Crisis","volume":" ","pages":"516-522"},"PeriodicalIF":3.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9716344/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39120891","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
CrisisPub Date : 2022-12-01Epub Date: 2021-08-31DOI: 10.1027/0227-5910/a000818
Elizabeth Sale, Amanpreet Singh Sandhu, Shannon VonDras
{"title":"Effectiveness of a Continuity-of-Care Model to Reduce Youth Suicidality.","authors":"Elizabeth Sale, Amanpreet Singh Sandhu, Shannon VonDras","doi":"10.1027/0227-5910/a000818","DOIUrl":"https://doi.org/10.1027/0227-5910/a000818","url":null,"abstract":"Background: Suicidal ideation and recent suicide attempts greatly increase the risk of suicide among youth. Many youth experiencing suicidality are not adequately connected to in-person treatment. Aims: This study aimed to determine the efficacy of a continuity-of-care approach in reducing suicide attempts, ideation, and related hospital and emergency department (ED) visits among youth at high risk for suicide. Method: Data on suicidal ideation, attempts, and related hospital and ED visits were collected over a 6-month period for youth under age 25 (n = 376). One-way repeated measures ANOVA and Cochran's Q tests assessed change from intake at the 3- and 6-month follow-up. Results: Youth had significantly fewer suicide attempts and related hospital and ED visits at both 3- and 6-month timepoints. Suicidal ideation decreased to 52% from intake to 6-month follow-up. Limitations: This study lacked a comparison population to examine continuity-of-care versus treatment-as-usual. Furthermore, the study did not extend beyond 6 months, limiting the ability to assess the intervention's long-term effectiveness. Conclusion: This youth-focused continuity-of-care model reduced suicidal ideation and related behaviors. Further studies should utilize control groups to confirm the validity of these results.","PeriodicalId":520108,"journal":{"name":"Crisis","volume":" ","pages":"486-492"},"PeriodicalIF":3.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39372019","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
CrisisPub Date : 2022-12-01Epub Date: 2021-06-30DOI: 10.1027/0227-5910/a000796
Jacinta Hawgood, Tamara Ownsworth, Helen Mason, Susan H Spence, Ella Arensman, Diego De Leo
{"title":"A Pilot Study of Clinicians' Perceptions of Feasibility, Client-Centeredness, and Usability of the Systematic Tailored Assessment for Responding to Suicidality Protocol.","authors":"Jacinta Hawgood, Tamara Ownsworth, Helen Mason, Susan H Spence, Ella Arensman, Diego De Leo","doi":"10.1027/0227-5910/a000796","DOIUrl":"https://doi.org/10.1027/0227-5910/a000796","url":null,"abstract":"<p><p><b></b> <i>Background:</i> The Systematic Tailored Assessment for Responding to Suicidality (STARS) is a client-centered, psychosocial needs-based assessment protocol. This semistructured interview obtains client prioritized indicators that contribute to suicidality and informs commensurate care responses for preventing suicide. <i>Aim:</i> To pilot the feasibility, client-centeredness, and usability of the STARS protocol, including clinicians' perceptions of ease of use; content validity; and administration within the community setting. <i>Method:</i> A convenience sample of clinicians who undertook assessment and/or intervention with suicidal persons and had used STARS between mid-2016 and early 2017 completed an online survey assessing feasibility, client-centeredness, and usability of STARS. <i>Results:</i> Of the 51 clinicians who entered the survey, 42 (82.3%; aged 25-74; 69% female) completed it. Overall, perceptions of feasibility and usability of STARS were positive, particularly regarding client-centeredness of the protocol and confidence in information obtained for screening suicidality and informing needs-based priority responses. <i>Limitations:</i> The pilot findings are limited by the use of a small convenience sample and the low completion rate of clinicians with STARS training. <i>Conclusion:</i> STARS was perceived as a feasible and useful psychosocial needs-based assessment protocol. Suggestions for improving STARS, training requirements, and application to diverse populations are outlined.</p>","PeriodicalId":520108,"journal":{"name":"Crisis","volume":" ","pages":"523-530"},"PeriodicalIF":3.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9716345/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39120635","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}