Archives of Suicide Research最新文献

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DSM-5 Non-Suicidal Self-Injury Disorder in a Clinical Sample of Adolescents with Recurrent Self-Harm Behavior. 有反复自残行为的青少年临床样本中的 DSM-5 非自杀性自伤障碍。
IF 2.8 3区 医学
Archives of Suicide Research Pub Date : 2024-04-01 Epub Date: 2023-04-04 DOI: 10.1080/13811118.2023.2192767
Anne Brager-Larsen, Pål Zeiner, Lars Mehlum
{"title":"DSM-5 Non-Suicidal Self-Injury Disorder in a Clinical Sample of Adolescents with Recurrent Self-Harm Behavior.","authors":"Anne Brager-Larsen, Pål Zeiner, Lars Mehlum","doi":"10.1080/13811118.2023.2192767","DOIUrl":"10.1080/13811118.2023.2192767","url":null,"abstract":"<p><strong>Introduction: </strong>Non-suicidal self-injury disorder (NSSID) is a new diagnosis proposed in DSM-5 with a need of further study, especially in adolescent clinical populations where non-suicidal self-injury (NSSI) is particularly prevalent. We aimed to study characteristics of NSSID and estimate an optimal cutoff frequency level of NSSI behavior.</p><p><strong>Methods: </strong>Data were collected from 103 outpatient adolescents (ages 12-18) with recurrent self-harm behavior.</p><p><strong>Results: </strong>Adolescents with NSSID reported significantly more frequent NSSI behavior and suicide attempts than adolescents without NSSID. Frequency of NSSI, global functioning, depressive symptoms, number of self-harm methods and anxiety symptoms best discriminated between adolescents with and without NSSID. An optimal cutoff level for a diagnosis of NSSID was found to be ≥15 days with NSSI during the last year, which led to a reduction in the rate of adolescents diagnosed with NSSID from 54% to 46%.</p><p><strong>Conclusion: </strong>This study shows that NSSID is a highly impairing disorder characterized by high risk of multiple NSSI and suicide attempts, decreased functioning and other associated psychiatric disorders. Clinical awareness of these risks are important to ensure early detection and treatment. Future prospective longitudinal studies are needed to further validate the characteristics of the NSSID diagnosis and its clinical utility.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9878528","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Associations between Sleep Disturbance and Suicidal Ideation Severity in Iranian University Students: Evaluating Emotion Regulation Difficulties and Distress Tolerance. 伊朗大学生睡眠障碍与自杀意念严重程度之间的关系:评估情绪调节困难和压力承受能力
IF 2.8 3区 医学
Archives of Suicide Research Pub Date : 2024-04-01 Epub Date: 2023-03-17 DOI: 10.1080/13811118.2023.2190366
Mehdi Zemestani, Sadegh Abdolmaleki, Shelby J McGrew, Anka Vujanovic
{"title":"Associations between Sleep Disturbance and Suicidal Ideation Severity in Iranian University Students: Evaluating Emotion Regulation Difficulties and Distress Tolerance.","authors":"Mehdi Zemestani, Sadegh Abdolmaleki, Shelby J McGrew, Anka Vujanovic","doi":"10.1080/13811118.2023.2190366","DOIUrl":"10.1080/13811118.2023.2190366","url":null,"abstract":"<p><strong>Aim: </strong>Although sleep disturbance is associated with suicide ideation, underlying cognitive-affective mechanisms that may explain this association are not well understood. The aim of the present study was to concurrently evaluate whether emotion regulation difficulties and distress tolerance explain this association among Iranian university students.</p><p><strong>Method: </strong>A total of 679 Iranian university students (66.42% females; <i>M<sub>age</sub></i> = 24.34 years, <i>SD</i> = 4.86) completed a battery of online self-report questionnaire. Structural equation modeling was used to empirically explore the relations among variables.</p><p><strong>Results: </strong>Sleep disturbance was positively associated with suicide ideation. Higher sleep disturbance symptoms were associated with higher levels of suicide ideation. Sleep disturbance was indirectly related to suicide ideation through both emotion regulation difficulties and distress tolerance.</p><p><strong>Conclusion: </strong>Findings expand knowledge of cognitive-emotional processes that may explain the sleep disturbance-suicide ideation association among Iranian university students. Iranian students experiencing sleep disturbance may benefit from intervention strategies targeting emotion regulation skills and distress tolerance to reduce suicide ideation.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9129823","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Peer-Written Caring Letters for Veterans after a Suicidal Crisis. 退伍军人自杀危机后同龄人撰写的关怀信件。
IF 2.8 3区 医学
Archives of Suicide Research Pub Date : 2024-04-01 Epub Date: 2023-04-24 DOI: 10.1080/13811118.2023.2199799
Andrew T Ton, Sarah P Carter, Rebecca Leitner, Lori A Zoellner, Natalie Mizik, Mark A Reger
{"title":"Peer-Written Caring Letters for Veterans after a Suicidal Crisis.","authors":"Andrew T Ton, Sarah P Carter, Rebecca Leitner, Lori A Zoellner, Natalie Mizik, Mark A Reger","doi":"10.1080/13811118.2023.2199799","DOIUrl":"10.1080/13811118.2023.2199799","url":null,"abstract":"<p><strong>Objective: </strong>In the evidence-based suicide prevention intervention, Caring Letters, healthcare providers send brief, caring messages to patients following psychiatric inpatient care, a time of elevated suicide risk. However, recent studies with military populations have found mixed results. An adaptation of Caring Letters employed a peer framework in which veterans from the community wrote brief caring messages to veterans discharging from psychiatric inpatient treatment after a suicidal crisis.</p><p><strong>Methods: </strong>The present study utilized content analysis to assess 90 caring messages generated by 15 peer veterans recruited from veteran service organizations (e.g., American Legion).</p><p><strong>Results: </strong>Three themes emerged: (1) Shared Military Service, (2) Care, and (3) Overcoming Adversity. Peer-generated content varied in how the coded themes were expressed in the messages.</p><p><strong>Conclusion: </strong>These veteran-to-veteran caring messages may bolster belongingness, social support, and destigmatize mental health struggles, and have the potential to augment existing Caring Letters effects and interventions.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9759175","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Disability and Suicidal Ideation among Indigenous Adults in Canada: Cultural Resources as Contingencies. 加拿大土著成年人中的残疾与自杀意念:作为应急措施的文化资源。
IF 2.5 3区 医学
Archives of Suicide Research Pub Date : 2024-04-01 Epub Date: 2023-04-13 DOI: 10.1080/13811118.2023.2199803
Lei Chai
{"title":"Disability and Suicidal Ideation among Indigenous Adults in Canada: Cultural Resources as Contingencies.","authors":"Lei Chai","doi":"10.1080/13811118.2023.2199803","DOIUrl":"10.1080/13811118.2023.2199803","url":null,"abstract":"<p><strong>Objectives: </strong>The present study asks: Is disability associated with suicidal ideation among Indigenous adults in Canada? And if so, do cultural resources-as measured by cultural identity affect, cultural group belonging, cultural engagement, and cultural exploration-modify this association?</p><p><strong>Methods: </strong>Data were from a nationally representative sample of First Nations peoples living off-reserve, Métis, and Inuit across Canada-the 2017 Aboriginal Peoples Survey (<i>N</i> = 16,125). A series of weighted logistic regression models were performed.</p><p><strong>Results: </strong>Indigenous adults with disabilities were significantly more likely than those without disabilities to report suicidal ideation, even after controlling for socio-demographic characteristics and physical and mental health conditions. At the same time, people with multiple disabilities were at greater risk for suicidal ideation, with the largest association among those with five or more disabilities. Furthermore, the detrimental association between disability status and suicidal ideation attenuated among those who reported cultural group belonging. In a similar vein, the buffering role of cultural group belonging was also observed in the association between the number of disabilities and suicidal ideation.</p><p><strong>Conclusions: </strong>This study provides compelling evidence that disability is a risk factor for suicidal ideation among Indigenous adults and that cultural group belonging plays a stress-buffering role in this relationship.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9283415","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Use of Telephone Crisis Hotline by Callers with Suicidality in Japan during the COVID-19 Pandemic. 在 COVID-19 大流行期间,日本有自杀倾向的来电者使用电话危机热线的情况。
IF 2.8 3区 医学
Archives of Suicide Research Pub Date : 2024-04-01 Epub Date: 2023-04-10 DOI: 10.1080/13811118.2023.2199807
Yotaro Katsumata, Hitoshi Hachisuka, Nobuko Sago, Yasuo Shimizu, Kikuo Oikawa, Shigeo Horii, Seiji Kimata
{"title":"Use of Telephone Crisis Hotline by Callers with Suicidality in Japan during the COVID-19 Pandemic.","authors":"Yotaro Katsumata, Hitoshi Hachisuka, Nobuko Sago, Yasuo Shimizu, Kikuo Oikawa, Shigeo Horii, Seiji Kimata","doi":"10.1080/13811118.2023.2199807","DOIUrl":"10.1080/13811118.2023.2199807","url":null,"abstract":"<p><strong>Objective: </strong>The purpose of this study was to clarify changes over time in suicidal tendencies among crisis hotline service users in Japan before and during the COVID-19 pandemic.</p><p><strong>Method: </strong>We analyzed telephone consultation data from January 2017 to June 2021 held by Inochi No Denwa, a leading organization providing a telephone crisis hotline in Japan. The number of monthly consultations by gender and the monthly counts of consultations identified by counselors as suicidal were collected, and we calculated trends over time in the proportion of suicidal calls by month using Joinpoint regression analysis.</p><p><strong>Results: </strong>The results indicated that the use of telephone crisis hotlines by suicidal callers increased significantly in Japan during the second wave of the pandemic in June to October 2020. These trends were also observed for both male and female users, although the increase began 1 month earlier for females than for males.</p><p><strong>Conclusion: </strong>Previous studies reported that mental health deteriorated and suicide risk increased significantly during the second wave of COVID-19 in Japan. These trends are consistent with the present findings, suggesting increased use of the crisis hotline by individuals at high suicide risk.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9642678","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Posttraumatic Stress Disorder, Suicidal ideation, and Stress: The Moderating Role of Dysfunctional and Recovery Cognitions. 创伤后应激障碍、自杀意念和压力:功能失调认知和恢复认知的调节作用。
IF 2.8 3区 医学
Archives of Suicide Research Pub Date : 2024-04-01 Epub Date: 2023-04-19 DOI: 10.1080/13811118.2023.2199798
Kimberly D Gomes, Tyler L Collette, Michael Schlenk, Jason Judkins, Israel Sanchez-Cardona, Bianca Channer, Patricia Ross, George Fredrick, Brian A Moore
{"title":"Posttraumatic Stress Disorder, Suicidal ideation, and Stress: The Moderating Role of Dysfunctional and Recovery Cognitions.","authors":"Kimberly D Gomes, Tyler L Collette, Michael Schlenk, Jason Judkins, Israel Sanchez-Cardona, Bianca Channer, Patricia Ross, George Fredrick, Brian A Moore","doi":"10.1080/13811118.2023.2199798","DOIUrl":"10.1080/13811118.2023.2199798","url":null,"abstract":"<p><strong>Objective: </strong>Trauma and stressor-related behavioral health conditions are prevalent in military populations and have become a major public health concern in recent years. Individuals who commonly report suicidal ideation often have comorbid mental health diagnoses (i.e., posttraumatic stress disorder; PTSD). However, the mechanisms associated with stress, suicidal ideation, and PTSD are unclear.</p><p><strong>Method: </strong>The present study examined the moderating role of dysfunctional and recovery cognitions between (i) PTSD and suicidal ideation, and (ii) stress and suicidal ideation in two distinct samples. Sample 1 was composed of civilians and military personnel (<i>N</i> = 322). Sample 2 was composed of (<i>N</i> = 377) student service members and veterans (SSM/Vs).</p><p><strong>Results: </strong>In Study 1, we found that low recovery cognitions at higher and moderate levels of PTSD symptoms were significantly associated with increased suicidal ideation. High dysfunctional cognitions were significantly associated with suicidal ideation at higher levels of PTSD symptoms. In Study 2, we found no differences in any level of recovery cognitions at low and moderate stress levels with suicidal ideation. Higher levels of stress were associated with high dysfunctional cognitions and suicidal ideation.</p><p><strong>Conclusion: </strong>Promoting higher levels of recovery cognitions and reducing dysfunctional cognitions are important in addressing stress, suicidal ideation, and comorbid conditions such as PTSD. Future research should focus on examining the clinical utility of the Dispositional Recovery and Dysfunction Inventory (DRDI) in other populations (i.e., firefighters and paramedics). This could contribute to efforts of suicide prevention and the promotion of the well-being of individuals experiencing suicidal ideation.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9752318","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Comparison of Patients Presenting with Suicide Attempts, Psychopathology Symptoms, or Pain within Emergency Departments. 比较急诊科中出现自杀未遂、精神病理症状或疼痛的患者。
IF 2.8 3区 医学
Archives of Suicide Research Pub Date : 2024-04-01 Epub Date: 2023-03-30 DOI: 10.1080/13811118.2023.2192765
Katherine M Schafer, Thomas E Joiner
{"title":"A Comparison of Patients Presenting with Suicide Attempts, Psychopathology Symptoms, or Pain within Emergency Departments.","authors":"Katherine M Schafer, Thomas E Joiner","doi":"10.1080/13811118.2023.2192765","DOIUrl":"10.1080/13811118.2023.2192765","url":null,"abstract":"<p><p>Previous suicide attempts, psychopathology symptoms, and pain significantly increase risk of suicide, a leading cause of death. It is possible that patients across these three groups exhibit key differences that could provide insights into unique interventions for suicide-related outcomes. Data were collected using a standardized form at 432 emergency departments (EDs; 14,018 participants [females, <i>n</i> = 8,042; 57.4%; males, <i>n</i> = 5,976; 42.6%]). We conducted a series of ANOVAs to investigate if patients presenting for (1) suicide attempts (<i>n</i> = 33; 0.2%), (2) psychopathology symptoms (<i>n</i> = 1,104; 7.9%), or (3) pain (<i>n</i> = 12,881; 91.9%) varied across a variety of healthcare-relevant variables. Findings indicated that patients presenting with suicide attempts were seen with more urgency (<i>F</i>[2,12054] = 66.41, <i>p</i> < .001) and were more likely to be admitted to hospitalization (<i>F</i>[2,14015] = 187.296, <i>p</i> < .001), observation unit overall (<i>F</i>[2,14015] = 78.572, <i>p</i> < .001), or transferred to another hospital (<i>F</i>[2,14015] = 406.568, <i>p</i> < .001); they also required longer visits (<i>F</i> [2, 12054] = 66.41, <i>p</i> < .001) as compared to patients with psychopathology symptoms or pain. Notably, potentially important similarities between groups emerged: groups did not differ across leaving without medical screening, leaving against medical advice, or contact with healthcare providers in the long-term (i.e., twelve months) or short-term (i.e., 72 hours) preceding ED admission. These findings in particular indicate that there could be ample time (1) prior to admission to intervene and (2) during care in EDs to connect patients to goal-oriented, time-limited evidence based psychotherapies at a time when they may be particularly willing to engage in care.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9557519","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
How Does Sexual Identity-Attraction Discordance Influence Suicide Risk? A Study on Male and Female Adults in the U.S. 性认同与性吸引不一致如何影响自杀风险?对美国男性和女性成年人的研究
IF 2.8 3区 医学
Archives of Suicide Research Pub Date : 2024-04-01 Epub Date: 2023-06-11 DOI: 10.1080/13811118.2023.2220757
İbrahim Sönmez
{"title":"How Does Sexual Identity-Attraction Discordance Influence Suicide Risk? A Study on Male and Female Adults in the U.S.","authors":"İbrahim Sönmez","doi":"10.1080/13811118.2023.2220757","DOIUrl":"10.1080/13811118.2023.2220757","url":null,"abstract":"<p><strong>Background: </strong>Suicide continues to be one of the main causes of death among adults in the U.S. Research showed an association between sexual identity-attraction discordance (IAD) and adverse health outcomes, including suicidal ideation.</p><p><strong>Methods: </strong>We sought to determine whether sexual IAD is associated with self-injurious thoughts and behaviors (SITBs), namely suicidal thoughts, plans, and suicide attempts, in the past year. We examined data from adults participating in the most recent six waves (2015-2020) of the National Survey on Drug Use and Health.</p><p><strong>Results: </strong>Men who report sexual identity-attraction discordance were at greater risk of reporting suicidal thoughts (aOR = 3.67, 95% CI: 2.24-6.00) and plans (aOR = 5.71, 95% CI: 3.32-9.81) in the past year. Stratified by sexual identity, results showed that gay (aOR = 5.92, 95% CI: 1.54-22.7) and bisexual men (aOR = 4.38, 95% CI: 2.17-8.83) had higher odds of reporting suicide plans and heterosexual (aOR = 2.66, 95% CI: 1.06-6.68), gay (aOR = 7.05, 95% CI: 1.88-26.4), and bisexual men (aOR = 5.30, 95% CI: 4.37-22.9) had higher odds of suicide attempts when compared to men with concordant sexual identity-attraction. We found that bisexual women who report sexual identity-attraction discordance had less odds of reporting suicidal thoughts (aOR = 0.36, 95% CI: 0.21-0.63) and suicide plans (aOR = 0.43, 95% CI: 0.20-0.89) than women with concordant sexual identity-attraction. Among bisexual-identified males, those who experience sexual identity-attraction discordance were at greater risk for past-year suicidal thoughts (aOR = 3.82, 95% CI: 2.12-6.91) and suicide attempts (aOR = 5.30, 95% CI: 2.13-13.1) when compared to bisexual men with concordant sexual identity-attraction.</p><p><strong>Conclusion: </strong>Sexual IAD is associated with SITB and particularly concerning results emerged concerning bisexual-identified men.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9612357","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Food Insecurity and Suicidal Ideation: Results from a National Longitudinal Study of Military Veterans. 食物不安全与自杀意念:来自退伍军人全国纵向研究的结果。
IF 2.8 3区 医学
Archives of Suicide Research Pub Date : 2024-04-01 Epub Date: 2023-05-10 DOI: 10.1080/13811118.2023.2200795
Eric B Elbogen, Robert C Graziano, Gillian LaRue, Alicia J Cohen, Dina Hooshyar, H Ryan Wagner, Jack Tsai
{"title":"Food Insecurity and Suicidal Ideation: Results from a National Longitudinal Study of Military Veterans.","authors":"Eric B Elbogen, Robert C Graziano, Gillian LaRue, Alicia J Cohen, Dina Hooshyar, H Ryan Wagner, Jack Tsai","doi":"10.1080/13811118.2023.2200795","DOIUrl":"10.1080/13811118.2023.2200795","url":null,"abstract":"<p><strong>Objective: </strong>Research examining social determinants of suicide risk in veterans suggests a potential link between food insecurity and subsequent suicidal ideation in military veterans. The objective of this study is to investigate, if and how, food insecurity predicts subsequent suicidal ideation in a nationally representative longitudinal survey of veterans.</p><p><strong>Methods: </strong>A national longitudinal survey was analyzed of participants randomly drawn from over one million U.S. military service members who served after September 11, 2001. N = 1,090 veterans provided two waves of data one year apart (79% retention rate); the final sample was representative of post-9/11 veterans in all 50 states and all military branches.</p><p><strong>Results: </strong>Veterans with food insecurity had nearly four times higher suicidal ideation one year later compared to veterans not reporting food insecurity (39% vs 10%). In multivariable analyses controlling for demographic, military, and clinical covariates, food insecurity (OR = 2.37, <i>p</i> =.0165) predicted suicidal ideation one year later, as did mental health disorders (OR = 2.12, <i>p</i> = .0097). Veterans with both food insecurity and mental health disorders had a more than nine-fold increase in predicted probability of suicidal ideation in the subsequent year compared to veterans with neither food insecurity nor mental health disorders (48.5% vs. 5.5%).</p><p><strong>Conclusion: </strong>These findings identify food insecurity as an independent risk marker for suicidal ideation in military veterans in addition to mental disorders. Food insecurity is both an indicator of and an intervention point for subsequent suicide risk. Regularly assessing for food insecurity, and intervening accordingly, can provide upstream opportunities to reduce odds of suicide among veterans.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10636240/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10376544","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Factors Associated With Reasons for Living Among Suicidal Adolescents. 自杀青少年生活原因的相关因素。
IF 2.8 3区 医学
Archives of Suicide Research Pub Date : 2024-04-01 Epub Date: 2023-04-04 DOI: 10.1080/13811118.2023.2190367
G Gorraiz, G Porta, D L McMakin, B D Kennard, A B Douaihy, C Biernesser, A A Foxwell, K Wolfe, T Goldstein, D A Brent
{"title":"Factors Associated With Reasons for Living Among Suicidal Adolescents.","authors":"G Gorraiz, G Porta, D L McMakin, B D Kennard, A B Douaihy, C Biernesser, A A Foxwell, K Wolfe, T Goldstein, D A Brent","doi":"10.1080/13811118.2023.2190367","DOIUrl":"10.1080/13811118.2023.2190367","url":null,"abstract":"<p><strong>Objective: </strong>The objective of this study was to identify baseline demographic and clinical factors associated with higher scores on the Reasons for Living Inventory for Adolescents (RFL-A) at baseline and over follow-up.</p><p><strong>Method: </strong>Using data from a pilot clinical trial of a brief intervention for suicidal youth transitioning from inpatient to outpatient, we identified univariate associations of baseline characteristics with RFL-A and used regression to identify the most parsimonious subset of these variables. Finally, we examined to what extent changes in these characteristics over time were related to changes in RFL-A.</p><p><strong>Results: </strong>Univariate analyses found that better external functional emotion regulation and social support were associated with higher RFL-A scores; more self-reported depression, internal dysfunctional emotion regulation, sleep disturbance, anxiety, and distress tolerance were associated with lower RFL-A scores. Multiple linear regression identified internal dysfunctional emotion regulation and external functional emotion regulation as the most parsimonious set of characteristics associated with RFL-A. Improvement in internal emotion regulation, sleep, and depression were related to improvements in RFL-A over time.</p><p><strong>Conclusion: </strong>Our findings indicate that emotion regulation-specifically maladaptive internal strategies and use of external resources-is strongly associated with RFL-A. Improvements in internal emotion regulation (<i>r</i> = 0.57), sleep (<i>r</i> = -0.45), and depression (<i>r</i> = -0.34) were related to increases in RFL-A.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10548347/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9242606","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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