CrisisPub Date : 2022-12-01Epub Date: 2021-08-31DOI: 10.1027/0227-5910/a000819
Florian Arendt, Manina Mestas, Michaela Forrai
{"title":"Uncovering Blind Spots in the Intention to Provide Adequate Help to Suicidal Individuals.","authors":"Florian Arendt, Manina Mestas, Michaela Forrai","doi":"10.1027/0227-5910/a000819","DOIUrl":"https://doi.org/10.1027/0227-5910/a000819","url":null,"abstract":"<p><p><b></b> <i>Background:</i> An adequate reaction from families, friends, and colleagues who can provide help to suicidal individuals is a preventive factor. Despite the logical assumption that the mere presence of risk factors in individuals needing help may affect others' helping intentions, empirical evidence is lacking in this regard. <i>Method:</i> We tested whether the presence of various risk factors influences the intention to provide help to suicidal individuals. Individuals (<i>N</i> = 890) were exposed to a vignette in which they were asked to imagine meeting a distant acquaintance. Such persons talk about serious problems and suddenly use the word \"suicide.\" In a one-factorial between-subjects design with 21 groups, we manipulated person-related attributes corresponding to risk factors for suicide. <i>Results:</i> Some attributes increased helping intentions: male gender, very young and old age, homosexuality and transsexuality, terminal illness, previous nonsuicidal self-injury, previous suicide attempt, and seeking out lethal means. However, some attributes did not: female gender, major depression, chronic pain, different stressful life events, previously experienced violence, a family history of suicide, and a cry for help. <i>Limitations:</i> We measured self-reported behavioral intentions. <i>Conclusions:</i> Although people seem to adapt their helping intentions in response to some attributes, there seem to be many blind spots.</p>","PeriodicalId":520108,"journal":{"name":"Crisis","volume":" ","pages":"493-499"},"PeriodicalIF":3.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39369080","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: 2021-09-22DOI: 10.1027/0227-5910/a000823
Heather T Schatten, Kenneth J D Allen, Emily C Carl, Ivan W Miller, Michael F Armey
{"title":"Evaluating Potential Iatrogenic Effects of a Suicide-Focused Research Protocol.","authors":"Heather T Schatten, Kenneth J D Allen, Emily C Carl, Ivan W Miller, Michael F Armey","doi":"10.1027/0227-5910/a000823","DOIUrl":"10.1027/0227-5910/a000823","url":null,"abstract":"<p><p><b></b> <i>Background:</i> Concerns regarding the potential iatrogenic effects of suicide assessment have long impeded suicide research. <i>Aims:</i> We sought to examine the effects of an intensive, suicide-focused assessment protocol on mood, suicidality, and urges to harm oneself or others. <i>Method:</i> Participants were adults admitted to a psychiatric inpatient unit for recent suicidal ideation or behavior, or reasons unrelated to suicide. Our study protocol included clinical interviews evaluating suicide history and laboratory tasks with suicide-related stimuli. We modified an existing measure to create a brief, 6-item interview, the Assessment Session Check-In, which was administered before and after research procedures. <i>Results:</i> These indicated overall reductions in distress, suicidal intent, and urges to harm oneself or others from preassessment to postassessment. Postassessment reductions in stress predicted lower likelihood of a suicide attempt at follow-up. <i>Limitations:</i> Although beneficial to examine a high-risk sample, it is possible that an intensive suicide-focused protocol could prove more problematic for those with lower baseline levels of negative affect and suicidal thoughts. <i>Conclusions:</i> Results challenge the belief that assessing suicide elevates distress or suicidality, even among a high-risk sample of adults admitted to a psychiatric inpatient unit.</p>","PeriodicalId":520108,"journal":{"name":"Crisis","volume":" ","pages":"508-515"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13130831/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39439048","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 : 2021-11-01Epub Date: 2020-11-05DOI: 10.1027/0227-5910/a000727
Brooke A Ammerman, Sarah P Carter, Heather M Gebhardt, Jonathan Buchholz, Mark A Reger
{"title":"An Initial Investigation of Suicide Attempt Disclosures Among US Veterans.","authors":"Brooke A Ammerman, Sarah P Carter, Heather M Gebhardt, Jonathan Buchholz, Mark A Reger","doi":"10.1027/0227-5910/a000727","DOIUrl":"https://doi.org/10.1027/0227-5910/a000727","url":null,"abstract":"<p><p><b></b> <i>Background:</i> Patient disclosure of prior suicidal behaviors is critical for effectively managing suicide risk; however, many attempts go undisclosed. <i>Aims:</i> The current study explored how responses following a suicide attempt disclosure may relate to help-seeking outcomes. <i>Method:</i> Participants included 37 veterans with a previous suicide attempt receiving inpatient psychiatric treatment. Veterans reported on their most and least helpful experiences disclosing their suicide attempt to others. <i>Results:</i> Veterans disclosed their suicide attempt to approximately eight individuals. Mental health professionals were the most cited recipient of their most helpful disclosure; romantic partners were the most common recipient of their least helpful disclosures. Positive reactions within the context of the least helpful disclosure experience were positively associated with a sense of connection with the disclosure recipient. Positive reactions within the most helpful disclosure experience were positively associated with the likelihood of future disclosure. No reactions were associated with having sought professional care or likelihood of seeking professional care. <i>Limitations:</i> The results are considered preliminary due to the small sample size. <i>Conclusion:</i> Findings suggest that while positive reactions may influence suicide attempt disclosure experiences broadly, additional research is needed to clarify factors that drive the decision to disclose a suicide attempt to a professional.</p>","PeriodicalId":520108,"journal":{"name":"Crisis","volume":" ","pages":"411-417"},"PeriodicalIF":3.0,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38666221","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 : 2021-11-01Epub Date: 2020-12-04DOI: 10.1027/0227-5910/a000744
Andrea Wiglesworth, Josephine P Abate, Bonnie Klimes-Dougan
{"title":"Suicide Prevention Public Service Announcements.","authors":"Andrea Wiglesworth, Josephine P Abate, Bonnie Klimes-Dougan","doi":"10.1027/0227-5910/a000744","DOIUrl":"https://doi.org/10.1027/0227-5910/a000744","url":null,"abstract":"<p><p><b></b> <i>Background:</i> Suicide prevention public service announcements (PSAs) help to disseminate information about suicide and help-seeking options. However, little is known about how individuals at risk for suicide recall PSAs. <i>Aims:</i> The current project assessed which features of suicide prevention PSAs are recalled by young adult participants and whether there are differences between those who are at low or high risk for suicide. <i>Method:</i> Participants (<i>N</i> = 140) viewed a simulated suicide prevention billboard that consisted of a main message, help-seeking message, and graphical features. Participants provided written recollections of the billboard features approximately 15 min post-viewing, which were coded and analyzed. <i>Results:</i> High-risk participants were significantly less likely than low-risk participants to include a description of the help-seeking message in their written recall. Few group differences were noted in the recall of the main message or graphical features. <i>Limitations:</i> Recall was limited to short-term recall based on a single exposure. Efforts to enhance internal validity (e.g., measurement of suicide risk) and external validity (e.g., a balanced sample regarding sex and race) are recommended. <i>Conclusions:</i> Results suggest that new tactics may need to be considered when developing suicide prevention messages, including crafting help-seeking messages that are more easily committed to memory for target audiences.</p>","PeriodicalId":520108,"journal":{"name":"Crisis","volume":" ","pages":"448-454"},"PeriodicalIF":3.0,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38672910","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 : 2021-11-01Epub Date: 2020-10-16DOI: 10.1027/0227-5910/a000753
Tiago C Zortea, Connor T A Brenna, Mary Joyce, Heather McClelland, Marisa Tippett, Maxwell M Tran, Ella Arensman, Paul Corcoran, Simon Hatcher, Marnin J Heise, Paul Links, Rory C O'Connor, Nicole E Edgar, Yevin Cha, Giuseppe Guaiana, Eileen Williamson, Mark Sinyor, Stephen Platt
{"title":"The Impact of Infectious Disease-Related Public Health Emergencies on Suicide, Suicidal Behavior, and Suicidal Thoughts.","authors":"Tiago C Zortea, Connor T A Brenna, Mary Joyce, Heather McClelland, Marisa Tippett, Maxwell M Tran, Ella Arensman, Paul Corcoran, Simon Hatcher, Marnin J Heise, Paul Links, Rory C O'Connor, Nicole E Edgar, Yevin Cha, Giuseppe Guaiana, Eileen Williamson, Mark Sinyor, Stephen Platt","doi":"10.1027/0227-5910/a000753","DOIUrl":"https://doi.org/10.1027/0227-5910/a000753","url":null,"abstract":"<p><p><b></b> <i>Background:</i> Infectious disease-related public health emergencies (epidemics) may increase suicide risk, and high-quality evidence is needed to guide an international response. <i>Aims:</i> We investigated the potential impacts of epidemics on suicide-related outcomes. <i>Method:</i> We searched MEDLINE, EMBASE, PsycInfo, CINAHL, Scopus, Web of Science, PsyArXiv, medRxiv, and bioRxiv from inception to May 13-16, 2020. Inclusion criteria: primary studies, reviews, and meta-analyses; reporting the impact of epidemics; with a primary outcome of suicide, suicidal behavior, suicidal ideation, and/or self-harm. Exclusion criteria: not concerned with suicide-related outcomes; not suitable for data extraction. PROSPERO registration: #CRD42020187013. <i>Results:</i> Eight primary papers were included, examining the effects of five epidemics on suicide-related outcomes. There was evidence of increased suicide rates among older adults during SARS and in the year following the epidemic (possibly motivated by social disconnectedness, fears of virus infection, and concern about burdening others) and associations between SARS/Ebola exposure and increased suicide attempts. A preprint study reported associations between COVID-19 distress and past-month suicidal ideation. <i>Limitations:</i> Few studies have investigated the topic; these are of relatively low methodological quality. <i>Conclusion:</i> Findings support an association between previous epidemics and increased risk of suicide-related outcomes. Research is needed to investigate the impact of COVID-19 on suicide outcomes.</p>","PeriodicalId":520108,"journal":{"name":"Crisis","volume":" ","pages":"474-487"},"PeriodicalIF":3.0,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8689932/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38590658","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 : 2021-11-01Epub Date: 2020-11-26DOI: 10.1027/0227-5910/a000740
Kristin Espeland, Birthe Loa Knizek, Heidi Hjelmeland
{"title":"\"Time to Try Something New\" - Professionals' Experiences and Reflections on Suicide Prevention in Norway.","authors":"Kristin Espeland, Birthe Loa Knizek, Heidi Hjelmeland","doi":"10.1027/0227-5910/a000740","DOIUrl":"https://doi.org/10.1027/0227-5910/a000740","url":null,"abstract":"<p><p><b></b> <i>Background:</i> The suicide rate in Norway has remained relatively stable despite 25 years of government-funded suicide prevention efforts. <i>Aim:</i> We aimed to gather experiences of the professionals responsible for implementing suicide prevention action plans and guidelines and/or involved in relevant research. <i>Method:</i> We conducted semistructured interviews with 22 professionals about their reflections on the priorities and work done so far as well as where to go next. Data were analyzed by means of thematic analysis. <i>Results:</i> The participants described conflicting understandings and a monopolization of \"the truth\" within the suicide prevention community. They perceived the dominant biomedical understanding of suicidality and appurtenant approach to suicide prevention as too narrow. Thus, they found the suicide prevention work and collaboration challenging and recommend that it is time to try something new. <i>Limitations:</i> This study was conducted in a Norwegian context. A biomedical approach to suicide prevention is, however, common internationally. <i>Conclusion:</i> Participants described several challenges in the suicide prevention work. The contemporary \"regime of truth\" limits how suicide is understood and studied, as well as how suicide prevention is approached. A more open approach to suicide prevention, emphasizing the importance of relationships, context, and collaboration between sectors, is recommended.</p>","PeriodicalId":520108,"journal":{"name":"Crisis","volume":" ","pages":"434-440"},"PeriodicalIF":3.0,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38304898","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 : 2021-11-01Epub Date: 2020-12-04DOI: 10.1027/0227-5910/a000743
Qijin Cheng, Xingzhou Zhang, Carrie Lui, Paul S F Yip
{"title":"Suicide Research in Mainland China, Hong Kong, and Macau Over Three Decades.","authors":"Qijin Cheng, Xingzhou Zhang, Carrie Lui, Paul S F Yip","doi":"10.1027/0227-5910/a000743","DOIUrl":"https://doi.org/10.1027/0227-5910/a000743","url":null,"abstract":"<p><p><b></b> <i>Background:</i> China accounts for 15% of the global suicide death toll, yet suicide research efforts in the country are not well known by international colleagues. <i>Aims:</i> We aimed to outline the development of suicide research in China, appraise research findings, and identify key contributors. <i>Method:</i> English and Chinese research publication databases were systematically searched and relevant papers were reviewed. Chinese and English publications were compared. <i>Results:</i> There are almost 10 times more Chinese publications than English ones. The research focuses of and key contributors to the Chinese and English literature exhibit more differences than commonalities. The field experienced rapid expansion in the new millennium with more and higher quality publications and more funding support. Psychosocial-oriented perspectives guided most of the papers. Poisoning by pesticide as a suicide method and youth as a subpopulation group received the most research attention. <i>Limitations:</i> The scoping review does not provide in-depth syntheses on specific topics and does not include more recent publications. <i>Conclusion:</i> Research on suicide in China has been actively carried out during the 30-year period we reviewed, which might have contributed to suicide prevention in China. Research gaps identified by the review should be addressed to sustain the achievements.</p>","PeriodicalId":520108,"journal":{"name":"Crisis","volume":" ","pages":"455-464"},"PeriodicalIF":3.0,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38672911","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 : 2021-11-01Epub Date: 2020-12-04DOI: 10.1027/0227-5910/a000741
Therese E Kenny, Sierra Goldfinger, Stephen P Lewis
{"title":"Examining Adherence to Suicide Reporting Guidelines in Initial Reports on High-Profile Celebrity Suicides.","authors":"Therese E Kenny, Sierra Goldfinger, Stephen P Lewis","doi":"10.1027/0227-5910/a000741","DOIUrl":"https://doi.org/10.1027/0227-5910/a000741","url":null,"abstract":"<p><p><b></b> <i>Background:</i> Research has found varying adherence by media professionals to recommendations for reporting on suicide. <i>Aims:</i> We compared adherence to recommendations for what to do and what not to do when reporting on suicide in initial reports of high-profile celebrity suicides in major media outlets. <i>Method:</i> A total of 100 articles published in news outlets during 2004-2018 and reporting on celebrity suicides were examined for adherence to reporting guidelines using content analysis. <i>Results:</i> Articles frequently adhered to guidelines for what not to do when reporting on suicide (83%), but rarely adhered to guidelines for what to do (26%). <i>Limitations:</i> This study was a single cross-sectional analysis and may not generalize to different outlets, guidelines, or countries. <i>Conclusion:</i> While news articles frequently do not include harmful information, they also do not include potentially protective content.</p>","PeriodicalId":520108,"journal":{"name":"Crisis","volume":" ","pages":"488-491"},"PeriodicalIF":3.0,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38672913","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 : 2021-11-01Epub Date: 2020-11-26DOI: 10.1027/0227-5910/a000738
Yvonne Bergmans, Tim Guimond, Clare Lambert, Shane McInerney, Kristen O'Brien
{"title":"Alexithymia in People With Recurrent Suicide Attempts.","authors":"Yvonne Bergmans, Tim Guimond, Clare Lambert, Shane McInerney, Kristen O'Brien","doi":"10.1027/0227-5910/a000738","DOIUrl":"https://doi.org/10.1027/0227-5910/a000738","url":null,"abstract":"<p><p><b></b> <i>Background:</i> Alexithymia, an inability to identify or describe emotions, is associated with suicidality yet the correlation with single or repeated suicide attempts is less clear. <i>Aims:</i> We aimed to assess the modifiability of alexithymia following a group psychosocial intervention focused on improving emotional literacy in those with a history of recurrent suicide attempts (RSA). <i>Method:</i> A total of 169 participants with self-reported RSA completed pre- and postgroup assessments of a 20-week group therapy intervention. Questionnaires assessed alexithymia, depression, impulsivity, and hopelessness; the Toronto Alexithymia Scale (TAS-20) was the primary outcome. Data were analyzed using multiple imputation. <i>Results:</i> Participants had on average 7.8 lifetime suicide attempts, 73% were female, and 16.6% had a >13-point reduction in TAS-20 scores after 20 weeks. Directed acyclic graph (DAG) analysis demonstrated significant relationships between alexithymia, depression, hopelessness, problem-solving, and satisfaction with life. Age of onset of suicidality was the only factor predictive of postintervention TAS-20 score in univariate linear regression. <i>Limitations:</i> The study limitations were its sample size, insufficient resources, and missing data. <i>Conclusion:</i> A change in TAS scores indicated that alexithymia can be a modifiable treatment target. Being able to identify and describe feelings may lead to improvement in depression, hopelessness, problem-solving, and satisfaction with life in this population.</p>","PeriodicalId":520108,"journal":{"name":"Crisis","volume":" ","pages":"425-433"},"PeriodicalIF":3.0,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38304900","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 : 2021-11-01Epub Date: 2020-12-04DOI: 10.1027/0227-5910/a000742
Saška Roškar, Nataša Sedlar, Lucija Furman, Maja Roškar, Anja Podlesek
{"title":"Association of Selected Area-Level Indicators With Suicide Mortality in Slovenian Municipalities.","authors":"Saška Roškar, Nataša Sedlar, Lucija Furman, Maja Roškar, Anja Podlesek","doi":"10.1027/0227-5910/a000742","DOIUrl":"https://doi.org/10.1027/0227-5910/a000742","url":null,"abstract":"<p><p><b></b> <i>Background:</i> With an average suicide rate of 20 per 100,000 in the last decade, Slovenia is above the EU average. There are considerable regional differences in suicide mortality within the country. <i>Aim:</i> We aimed to investigate the relationship between selected indicators at area level and the suicide rate in Slovenian municipalities. <i>Method:</i> Sociodemographic, socioeconomic, and (mental) health data in the years 2012-2016 were analyzed for 212 municipalities. Robust correlation and regression analyses were performed to determine the relationship between different variables and the suicide rate. <i>Results</i>: The suicide rate was positively associated with the percentage of male inhabitants, the high social cohesion in the neighborhood, and the number of sick leave days per capita. It was negatively related to the net income per capita, the marriage rate, the divorce rate, and the availability of professional mental healthcare services. <i>Limitations:</i> The small suicide frequencies within municipalities constitute a limitation of the study. <i>Conclusion:</i> Factors at local, municipal level can be linked to the risk of suicide. In Slovenia, neighborhood cohesion is one of the factors that should be considered when designing suicide prevention measures in a community.</p>","PeriodicalId":520108,"journal":{"name":"Crisis","volume":" ","pages":"441-447"},"PeriodicalIF":3.0,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38672912","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}