Archives of Suicide Research最新文献

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Understanding Capacities for Interpersonal Distress Tolerance in Individuals with Suicide Ideation. 有自杀念头的个体对人际痛苦容忍的理解能力。
IF 2.5 3区 医学
Archives of Suicide Research Pub Date : 2024-07-01 Epub Date: 2023-10-09 DOI: 10.1080/13811118.2023.2265433
Eran Barzilai, Noga Miron, Wendy D'Andrea
{"title":"Understanding Capacities for Interpersonal Distress Tolerance in Individuals with Suicide Ideation.","authors":"Eran Barzilai, Noga Miron, Wendy D'Andrea","doi":"10.1080/13811118.2023.2265433","DOIUrl":"10.1080/13811118.2023.2265433","url":null,"abstract":"<p><strong>Intro: </strong>The relationship between suicide ideation (SI) and distress tolerance (DT) is characterized by inconclusive results. The current study aimed to test the association between tolerance for interpersonal distress and SI in light of the Interpersonal-Psychological Theory of Suicide.</p><p><strong>Methods: </strong>194 participants ranging in SI severity were recruited via Amazon Mechanical Turk and completed a cognitive distress task (Distress Tolerance Task) and an interpersonal distress task (CyberBall) to assess (1) the association between SI severity and persistence with the tasks, and (2) self-reported psychological distress associated with the tasks.</p><p><strong>Results: </strong>A series of multilevel model analyses showed that increased SI predicted greater persistence with the interpersonal-distress task versus the cognitive distress task. In addition, higher SI predicted more distress during the interpersonal task.</p><p><strong>Conclusions: </strong>Individuals with higher SI levels demonstrated a greater capability to persist with the interpersonal distress, despite feeling psychologically worse. These findings further support the central role of interpersonal needs in SI by emphasizing the importance of operationalizing DT in a manner that is relevant to suicide desire.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"994-1008"},"PeriodicalIF":2.5,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41097282","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
The Prospective Association between Emotional Reactivity and Adolescent Suicidal Ideation. 情绪反应与青少年自杀意念的前瞻性关联。
IF 2.5 3区 医学
Archives of Suicide Research Pub Date : 2024-07-01 Epub Date: 2023-09-28 DOI: 10.1080/13811118.2023.2262536
Shou-Chun Chiang, Wan-Chen Chen, Li-Tuan Chou
{"title":"The Prospective Association between Emotional Reactivity and Adolescent Suicidal Ideation.","authors":"Shou-Chun Chiang, Wan-Chen Chen, Li-Tuan Chou","doi":"10.1080/13811118.2023.2262536","DOIUrl":"10.1080/13811118.2023.2262536","url":null,"abstract":"<p><p>Despite the importance of emotions in our daily lives, less is known about the role of emotional reactivity in suicidal risk. This brief study investigated whether emotional reactivity is associated with adolescent suicidal ideation six months later. Participants were 139 adolescents (55% female; <i>M<sub>age</sub></i> = 12.79, <i>SD<sub>age</sub></i> = 0.73) who completed baseline assessments, a 10-day daily diary protocol, and six-month follow-up assessments. Results showed that higher emotional reactivity indicated by increased negative emotions and decreased positive emotions was associated with a greater risk for suicidal ideation. The findings suggest that adolescents with greater emotional reactivity to daily school problems had elevated risks for suicidal ideation. This study supports the importance of emotional reactivity in daily life for preventing adolescent suicidal ideation.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"1035-1043"},"PeriodicalIF":2.5,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10972770/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41119928","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
Association between Services to Address Adverse Social Determinants of Health and Suicide Mortality among Veterans with Indicators of Housing Instability, Unemployment, and Justice Involvement. 解决退伍军人健康和自杀死亡率的不利社会决定因素与住房不稳定、失业和司法参与指标之间的联系。
IF 2.5 3区 医学
Archives of Suicide Research Pub Date : 2024-07-01 Epub Date: 2023-08-11 DOI: 10.1080/13811118.2023.2244534
Ann Elizabeth Montgomery, John R Blosnich, Aerin deRussy, Joshua S Richman, Melissa E Dichter, Gala True
{"title":"Association between Services to Address Adverse Social Determinants of Health and Suicide Mortality among Veterans with Indicators of Housing Instability, Unemployment, and Justice Involvement.","authors":"Ann Elizabeth Montgomery, John R Blosnich, Aerin deRussy, Joshua S Richman, Melissa E Dichter, Gala True","doi":"10.1080/13811118.2023.2244534","DOIUrl":"10.1080/13811118.2023.2244534","url":null,"abstract":"<p><p>Suicide among Veterans continues to be a priority issue addressed by the U.S. Department of Veterans Affairs (VA). In addition to a variety of services specifically intended to prevent suicide, VA also offers a number of services to address Veterans' social determinants of health (SDH), several of which may be associated with elevated risk for suicide. For the present study, we assessed whether participation in services to address adverse SDH is associated with a reduction in risk of suicide mortality among Veterans using secondary data from VA datasets (1/1/2014-12/31/2019) for Veterans with an indicator of housing instability, unemployment, or justice involvement. Logistic regressions modeled suicide mortality; use of services to address SDH was the primary predictor. There was not a statistically significant association between services use and suicide mortality; significant correlates included race other than African American, low or no compensation related to disability incurred during military service, and suicidal ideation/attempt during observation period. Suicide is a complex outcome, difficult to predict, and likely the result of many factors; while there is not a consistent association between services use related to adverse SDH and suicide mortality, providers should intervene with Veterans who do not engage in SDH-focused services but have risk factors for suicide mortality.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"860-876"},"PeriodicalIF":2.5,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10346348","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
Longitudinal Impact of Perfectionism on Suicidal Ideation among Chinese College Students with Perceived Academic Failure: The Roles of Rumination and Depression. 完美主义对中国大学生自杀意念的纵向影响:反刍和抑郁的作用
IF 2.5 3区 医学
Archives of Suicide Research Pub Date : 2024-07-01 Epub Date: 2023-07-20 DOI: 10.1080/13811118.2023.2237088
Luming Liu, Wenchao Wang, Yangyu Lian, Xinchun Wu, Changsheng Li, Zhihong Qiao
{"title":"Longitudinal Impact of Perfectionism on Suicidal Ideation among Chinese College Students with Perceived Academic Failure: The Roles of Rumination and Depression.","authors":"Luming Liu, Wenchao Wang, Yangyu Lian, Xinchun Wu, Changsheng Li, Zhihong Qiao","doi":"10.1080/13811118.2023.2237088","DOIUrl":"10.1080/13811118.2023.2237088","url":null,"abstract":"<p><strong>Objective: </strong>Suicide has become a nonnegligible cause of death among emerging adults, and academic performance is one of the most significant factors in Chinese college students' suicidal ideation. Based on this, we examined the risk and protective sides of perfectionism on suicidal ideation among college students with perceived academic failure experiences.</p><p><strong>Method: </strong>In the current study, a total of 674 Chinese college students (63.6% females, <i>M</i><sub>age</sub> = 19.96, <i>SD</i> = 1.31) with perceived academic failure in the past six months participated in a survey and completed self-report measures assessing perfectionism, rumination, depression, and suicidal ideation twice with a six-month interval.</p><p><strong>Results: </strong>Negative perfectionism was a risk factor for suicidal ideation, while positive perfectionism had an opposite effect. In addition, intrusive rumination, deliberate rumination, and depression serially mediated the association between positive/negative perfectionism and suicidal ideation.</p><p><strong>Conclusion: </strong>The results indicated perfectionism has both positive and negative sides to suicidal ideation. Clinicians might be aware of the risk and protective components of perfectionism when intervening with suicidal ideation among college students with perceived academic failure experiences.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"830-843"},"PeriodicalIF":2.5,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10195857","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
Unlocking the Narrative: Using Text Mining to Reveal the Hidden Factors behind Suicide Related Traffic Crashes. 解锁叙事:使用文本挖掘技术揭示与自杀有关的交通事故背后的隐藏因素。
IF 2.5 3区 医学
Archives of Suicide Research Pub Date : 2024-07-01 Epub Date: 2023-08-14 DOI: 10.1080/13811118.2023.2247026
Subasish Das, Boniphace Kutela, Nikhil Menon
{"title":"Unlocking the Narrative: Using Text Mining to Reveal the Hidden Factors behind Suicide Related Traffic Crashes.","authors":"Subasish Das, Boniphace Kutela, Nikhil Menon","doi":"10.1080/13811118.2023.2247026","DOIUrl":"10.1080/13811118.2023.2247026","url":null,"abstract":"<p><p>Suicide is the deliberate act of ending a person's own life due to multifarious reasons. In the U.S., suicide is the 10th major cause of death. Nearly 45,000 people died by suicide in 2016 across the nation. It is anticipated that not all traffic crashes can be considered as accidents. Traffic crash related injuries are occasionally considered a means of suicide, and some crashes occur due to the suicidal attempts. These attempts can be made by operators of motor vehicles, jumpers into the pathway of trains, and pedestrians deliberately jumping into the vehicle trajectory. There are a handful of studies that have focused on traffic crashes (both railroad and roadway) related to suicidal incidents. This study aimed to explore the insights associated with suicide related traffic crashes (SRTCs) by collecting traffic data for seven years (2010-2016) from Louisiana. At first, exploratory data analysis was performed to examine the five Ws (who, what, why, when, and where) associated with SRTCs. Later, this study applied text network analysis, which was not performed in any of the previous studies, to provide additional contexts of these crashes. The findings of this study can shed lights on an unexplored arena of transportation safety research.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"877-891"},"PeriodicalIF":2.5,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10343666","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
Perceived Burdensomeness and Thwarted Belongingness in Text Messages of Suicide Attempt Survivors. 自杀未遂者短信中的 "负担感 "和 "归属感受挫"。
IF 2.5 3区 医学
Archives of Suicide Research Pub Date : 2024-07-01 Epub Date: 2023-06-22 DOI: 10.1080/13811118.2023.2226692
Ilana Ladis, Arsen Seitov, Laura E Barnes, Bethany A Teachman
{"title":"Perceived Burdensomeness and Thwarted Belongingness in Text Messages of Suicide Attempt Survivors.","authors":"Ilana Ladis, Arsen Seitov, Laura E Barnes, Bethany A Teachman","doi":"10.1080/13811118.2023.2226692","DOIUrl":"10.1080/13811118.2023.2226692","url":null,"abstract":"<p><strong>Objective: </strong>Perceived burdensomeness and thwarted belongingness are considered interpersonal risk factors for suicide. Examining these themes in personal text messages may help identify proximal suicide risk.</p><p><strong>Method: </strong>Twenty-six suicide attempt survivors provided personal text messages and reported dates for past periods characterized by positive mood, depressed mood, suicidal ideation (with no attempt), or the two-week period leading up to suicide attempt(s). Texts were then classified into the applicable period based on matching dates. Texts (<i>N</i> = 194,083; including <i>n</i> = 86,705 outgoing texts) were coded for perceived burdensomeness and thwarted belongingness by masked trained raters. Multilevel models were fit to examine whether the target themes (combined into one overall interpersonal risk variable due to low base rate) were more prevalent in texts sent during higher risk episodes (e.g., suicide attempt <i>vs.</i> depressed mood episodes).</p><p><strong>Results: </strong>0.57% of outgoing texts contained either target theme. As hypothesized, logistic models showed participants were more likely to send texts containing the target themes during suicide attempt episodes relative to suicidal ideation (with no attempt) episodes, depressed mood episodes, and positive mood episodes, and during suicidal ideation (with no attempt) episodes relative to positive mood episodes. All contrasts were robust to <i>post-hoc</i> correction except for suicide attempt episodes <i>vs.</i> ideation (with no attempt) episodes. No other significant pairwise differences for episode type emerged.</p><p><strong>Conclusions: </strong>Despite the small sample size and low base rate of target themes in the texts, perceived burdensomeness and thwarted belongingness were associated with intra-individual suicide risk severity in personal text messages.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"779-790"},"PeriodicalIF":2.5,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10739607/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10015469","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
Global Prevalence of Suicide in Patients With Cancer: A Systematic Review and Meta-Analysis. 全球癌症患者自杀率:系统回顾与元分析》。
IF 2.5 3区 医学
Archives of Suicide Research Pub Date : 2024-07-01 Epub Date: 2023-08-14 DOI: 10.1080/13811118.2023.2240870
Sima Rafiei, Fatemeh Pashazadeh Kan, Samira Raoofi, Farnoosh Shafiee, Maryam Masoumi, Farzaneh Bagheribayati, Akbar Javan Biparva, Zahra Noorani Mejareh, Mohaddeseh Sanaei, Yasamin Dolati, Bahare Abdollahi, Saghar Khani, Elaheh Parnian, Elmira Nosrati Sanjabad, Ahmad Ghashghaee
{"title":"Global Prevalence of Suicide in Patients With Cancer: A Systematic Review and Meta-Analysis.","authors":"Sima Rafiei, Fatemeh Pashazadeh Kan, Samira Raoofi, Farnoosh Shafiee, Maryam Masoumi, Farzaneh Bagheribayati, Akbar Javan Biparva, Zahra Noorani Mejareh, Mohaddeseh Sanaei, Yasamin Dolati, Bahare Abdollahi, Saghar Khani, Elaheh Parnian, Elmira Nosrati Sanjabad, Ahmad Ghashghaee","doi":"10.1080/13811118.2023.2240870","DOIUrl":"10.1080/13811118.2023.2240870","url":null,"abstract":"<p><strong>Aim: </strong>Given that patients with cancer may commit suicide due to physical and mental problems, the present study objectives were to identify particular risk factors of different subgroup of patients including type of cancer, gender, age, type and time of suicide, and geographical region to facilitate early care and psychosocial support.</p><p><strong>Methods: </strong>A comprehensive review of databases including Embase, Scopus, PubMed, and Web of Science was conducted for original articles published in English from January 2000 to March 2022. It is based on the PRISMA checklist.</p><p><strong>Results: </strong>After reviewing 69 articles selected from 15 countries, the total prevalence rate of suicide among 34,157,856 patients with cancer was estimated 67,169, at 0.013 (95% CI, 0.008-0.021). The highest suicide prevalence was related to gastrointestinal cancer, estimated at 0.204 (95% CI, 0.161-0.255). A gender-based meta-analysis showed that the prevalence of suicide/suicidal ideation was higher among men, estimated at 0.013 (95% CI, 0.008-0.023) compared with women, at 0.006 (95% CI, 0.002-0.017).</p><p><strong>Conclusion: </strong>Based on study results, suicide-prevention strategies should be aimed at patients younger than 40 years of age to effectively resolve their mental health disorders and promote their self-efficacy in successful management of the disease.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"723-736"},"PeriodicalIF":2.5,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10044863","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 Guide for Schools on Student-Directed Suicide Prevention Programs Eligible for Implementation under the STANDUP Act, a Rapid Review and Evidence Synthesis. 有资格根据《STANDUP 法案》实施学生指导型自杀预防计划的学校指南,快速审查和证据综述。
IF 2.5 3区 医学
Archives of Suicide Research Pub Date : 2024-07-01 Epub Date: 2023-08-18 DOI: 10.1080/13811118.2023.2247033
Landon B Krantz, Danette Stanko-Lopp, Matt Kuntz, Holly C Wilcox
{"title":"A Guide for Schools on Student-Directed Suicide Prevention Programs Eligible for Implementation under the STANDUP Act, a Rapid Review and Evidence Synthesis.","authors":"Landon B Krantz, Danette Stanko-Lopp, Matt Kuntz, Holly C Wilcox","doi":"10.1080/13811118.2023.2247033","DOIUrl":"10.1080/13811118.2023.2247033","url":null,"abstract":"<p><p>This review evaluates the strength of evidence for school-based mental health and suicide prevention programs that meet the legal eligibility criteria of the Suicide Training and Awareness Nationally Delivered for Universal Prevention Act of 2021 (STANDUP Act). Included studies were aggregated by program and a program's overall body of evidence was evaluated using the LEGEND system. Requirements for implementation were also documented. We identified 29 studies, which, when aggregated, encompassed 12 unique programs that meet the statute's evidence-based criteria. All four outcomes described in the statute were measured, with help-seeking being the most commonly measured. Two programs were assigned a high level of evidence in decreasing suicidal thoughts and behaviors. The findings serve as a resource for school officials in identifying evidence-based mental health and suicide prevention programs and understanding the resources needed for implementation.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"737-759"},"PeriodicalIF":2.5,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10024127","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
Suicidal Thoughts and Behaviors in Parents Caring for Children with Disabilities and Long-Term Illnesses. 照顾残疾儿童和长期患病儿童的父母的自杀想法和行为。
IF 2.5 3区 医学
Archives of Suicide Research Pub Date : 2024-07-01 DOI: 10.1080/13811118.2024.2363230
Siobhan T O'Dwyer, Anna Sansom, Becky Mars, Lisa Reakes, Charmaine Andrewartha, Julia Melluish, Anna Walker, Lucy Biddle, Tom Slater, Dan Burrows, Richard P Hastings, Paul Moran, Paul Stallard, Astrid Janssens
{"title":"Suicidal Thoughts and Behaviors in Parents Caring for Children with Disabilities and Long-Term Illnesses.","authors":"Siobhan T O'Dwyer, Anna Sansom, Becky Mars, Lisa Reakes, Charmaine Andrewartha, Julia Melluish, Anna Walker, Lucy Biddle, Tom Slater, Dan Burrows, Richard P Hastings, Paul Moran, Paul Stallard, Astrid Janssens","doi":"10.1080/13811118.2024.2363230","DOIUrl":"10.1080/13811118.2024.2363230","url":null,"abstract":"<p><strong>Objective: </strong>There is a growing body of evidence on suicide risk in family carers, but minimal research on parents caring for children with disabilities and long-term illnesses. The aim of this study was to conduct the first dedicated research on suicide risk in parent carers and identify: (1) the number of parent carers experiencing suicidal thoughts and behaviors, and (2) the risk and protective factors for suicidality in this population.</p><p><strong>Method: </strong>A cross-sectional survey of parent carers in England (<i>n</i> = 750), co-produced with parent carers. Suicidal thoughts and behaviors were measured with questions from the Adult Psychiatric Morbidity Survey. Frequencies summarized the proportion of carers experiencing suicidal thoughts and behaviors. Logistic regressions identified risk and protective factors.</p><p><strong>Results: </strong>42% of parents had experienced suicidal thoughts and behaviors while caring for a disabled or chronically ill child. Only half had sought help for these experiences. Depression, entrapment, dysfunctional coping, and having a mental health diagnosis prior to caring, were significant risk factors.</p><p><strong>Conclusion: </strong>Parent carers contemplate suicide at levels that exceed those of other family carers and the general public. There is an urgent need, in policy and practice, to recognize parent carers as a priority group for prevention and intervention.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"1-18"},"PeriodicalIF":2.5,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141465858","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
Suicide Death Prediction Using the Maryland Suicide Data Warehouse: A Sensitivity Analysis. 使用马里兰州自杀数据仓库进行自杀死亡预测:敏感性分析。
IF 2.5 3区 医学
Archives of Suicide Research Pub Date : 2024-06-30 DOI: 10.1080/13811118.2024.2363227
C Kitchen, A Zirikly, A Belouali, H Kharrazi, P Nestadt, H C Wilcox
{"title":"Suicide Death Prediction Using the Maryland Suicide Data Warehouse: A Sensitivity Analysis.","authors":"C Kitchen, A Zirikly, A Belouali, H Kharrazi, P Nestadt, H C Wilcox","doi":"10.1080/13811118.2024.2363227","DOIUrl":"https://doi.org/10.1080/13811118.2024.2363227","url":null,"abstract":"<p><strong>Objective: </strong>Nearly 50,000 Americans die each year from suicide, despite suicide death being a rare event in the context of health risk assessment and modeling. Prior research has underscored the need for contextualizing suicide risk models in terms of their potential uses and generalizability. This sensitivity analysis makes use of the Maryland Suicide Data Warehouse (MSDW) and illustrates how results inform clinical decision support.</p><p><strong>Method: </strong>A cohort of 1 million living control patients were extracted from the MSDW in addition to 1,667 patients who had died by suicide between the years 2016 and 2019 according to the Maryland Office of the Medical Examiner (OCME). Data were extracted and aggregated as part of a 4-year retrospective design. Binary logistic and two penalized regression models were deployed in a repeated fivefold cross-validation. Model performances were evaluated using sensitivity, positive predictive value (PPV), and F1, and model coefficients were ranked according to coefficient size.</p><p><strong>Results: </strong>Several features were significantly associated with patients having died by suicide, including male sex, depressive and anxiety disorder diagnoses, social needs, and prior suicidal ideation and suicide attempt. Cross-validated binary logistic regression outperformed either ridge or LASSO (least absolute shrinkage and selection operator) models but generally achieved low-to-moderate PPV and sensitivity across most thresholds and a peak F1 of 0.323.</p><p><strong>Conclusions: </strong>Suicide death prediction is constrained by the context of use, which determines the best balance of precision and recall. Predictive models must be evaluated close to the level of intervention. They may not hold up to different needs at different levels of care.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"1-15"},"PeriodicalIF":2.5,"publicationDate":"2024-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141465859","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
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