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Association of a History of Incarceration and Solitary Confinement with Suicide-Related Outcomes in a General Population Sample from Two U.S. Cities. 来自美国两个城市的普通人口样本中监禁和单独监禁史与自杀相关结果的关联。
IF 2.5 3区 医学
Archives of Suicide Research Pub Date : 2024-10-01 Epub Date: 2023-11-08 DOI: 10.1080/13811118.2023.2279523
Zui Narita, Hans Oh, Ai Koyanagi, Holly C Wilcox, Jordan DeVylder
{"title":"Association of a History of Incarceration and Solitary Confinement with Suicide-Related Outcomes in a General Population Sample from Two U.S. Cities.","authors":"Zui Narita, Hans Oh, Ai Koyanagi, Holly C Wilcox, Jordan DeVylder","doi":"10.1080/13811118.2023.2279523","DOIUrl":"10.1080/13811118.2023.2279523","url":null,"abstract":"<p><strong>Objectives: </strong>To evaluate whether a history of incarceration was associated with increased odds of suicidal ideation and suicide attempts, and to determine if this association was further strengthened when combined with a history of solitary confinement.</p><p><strong>Methods: </strong>We collected cross-sectional data from a general population sample in New York City and Baltimore in March 2017. Participants were categorized based on their history of incarceration and solitary confinement: (1) no incarceration, (2) incarceration-only, and (3) incarceration plus solitary confinement. We compared these three groups, utilizing hierarchical adjustments for sociodemographic factors and adverse childhood experiences. Missing data were accounted for utilizing multiple imputation via chained equation.</p><p><strong>Results: </strong>A total of 1221 individuals were analyzed. Those who experienced both incarceration and solitary confinement consistently had higher odds of suicidal ideation (OR, 2.80; 95% CI, 1.43 to 5.48) and suicide attempts (OR, 6.98; 95% CI, 2.77 to 17.61) than never incarcerated individuals. Those who experienced incarceration without solitary confinement had higher odds of suicide attempts (OR, 3.77; 95% CI, 1.35 to 10.56) than never incarcerated individuals, whereas this association was not evident for suicidal ideation. Solitary confinement increased the odds of suicidal ideation even compared to incarceration without solitary confinement (OR, 2.71; 95% CI, 1.09 to 6.74).</p><p><strong>Conclusions: </strong>Our findings support the need to address the higher likelihood of suicide-related outcomes among those in contact with the criminal justice system, and to consider alternatives to solitary confinement.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"1119-1130"},"PeriodicalIF":2.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71477410","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
Perceptions of Suicide among Pakistanis: Results of an Online Survey. 巴基斯坦人对自杀的看法:在线调查结果
IF 2.5 3区 医学
Archives of Suicide Research Pub Date : 2024-10-01 Epub Date: 2024-01-22 DOI: 10.1080/13811118.2024.2305397
Salahudeen Mirza, Atika Rehman, Jahanzaib Haque, Murad M Khan
{"title":"Perceptions of Suicide among Pakistanis: Results of an Online Survey.","authors":"Salahudeen Mirza, Atika Rehman, Jahanzaib Haque, Murad M Khan","doi":"10.1080/13811118.2024.2305397","DOIUrl":"10.1080/13811118.2024.2305397","url":null,"abstract":"<p><strong>Objective: </strong>In Pakistan, a predominantly Muslim country, information on the patterning of suicidal thoughts and behaviors, as well as associated public perceptions and opinions, is limited. We sought to advance knowledge on suicide and self-harm in Pakistan with a large, online survey.</p><p><strong>Method: </strong>Leveraging results from a twelve-item online survey (<i>N</i> = 5,157) circulated by the largest English language newspaper in Pakistan, we assessed personal experiences, opinions, and attitudes toward help-seeking in the context of suicide. We calculated proportions with 95% confidence intervals for endorsed responses and implemented binomial generalized linear models with odds ratios to assess differing response tendencies by age, gender, and urban/rural residence.</p><p><strong>Results: </strong>Personal experiences related to suicide and self-harm as well as encounters in social circles were common. Mental illness tended to be recognized as a high likelihood contributor to suicide death over and above nonviolent interpersonal problems. Most considered suicide a way to escape pain, and few considered suicide to be immoral. Barriers to help-seeking included social deterrents, inaccessibility, and unaffordability. Women and youth emerged as higher risk groups, though the status of rural Pakistanis remained unclear.</p><p><strong>Conclusion: </strong>The survey provides a preliminary basis for considering the unique experiences and perspectives of the public in shaping suicide prevention and intervention efforts in Pakistan.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"1350-1367"},"PeriodicalIF":2.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139511642","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
Latent Profile Analysis of Urges for Suicidal and Self-Harming Behavior: The Role of Social Support Instability. 自杀和自残行为冲动的潜在特征分析:社会支持不稳定性的作用。
IF 2.5 3区 医学
Archives of Suicide Research Pub Date : 2024-10-01 Epub Date: 2023-11-23 DOI: 10.1080/13811118.2023.2280225
Allison K Ruork, Joseph S Maimone, Kate H Bentley, Evan M Kleiman
{"title":"Latent Profile Analysis of Urges for Suicidal and Self-Harming Behavior: The Role of Social Support Instability.","authors":"Allison K Ruork, Joseph S Maimone, Kate H Bentley, Evan M Kleiman","doi":"10.1080/13811118.2023.2280225","DOIUrl":"10.1080/13811118.2023.2280225","url":null,"abstract":"<p><p>College counseling centers are seeing increasing rates of suicidal thoughts and behaviors, and nonsuicidal self-injury (NSSI) among students. The high degree of need and limited resources underscores the need for novel approaches to identify at-risk students. We used latent profile analysis (LPA) to identify subgroups of students (<i>n</i> = 371) with different patterns of interpersonal factors and examine whether these subgroups differed by risk for self-injurious thoughts and behaviors. The best-fitting LPA had three profiles, which differed in urges to die by suicide and engage in NSSI. The profile with low average social support and higher instability (greater day-to-day fluctuations of self-reported social support and rejection) was associated with greatest risk, suggesting that this combination leaves individuals more vulnerable to suicide and NSSI.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"1147-1157"},"PeriodicalIF":2.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138298186","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 Rates and Risks Across U.S. Industries: A 29-Year Population-Based Survey. 美国各行业的自杀率和自杀风险:29 年基于人口的调查。
IF 2.5 3区 医学
Archives of Suicide Research Pub Date : 2024-10-01 Epub Date: 2024-01-09 DOI: 10.1080/13811118.2023.2300324
Ahmed A Arif, Oluwaseun Adeyemi, Sarah B Laditka, James N Laditka
{"title":"Suicide Rates and Risks Across U.S. Industries: A 29-Year Population-Based Survey.","authors":"Ahmed A Arif, Oluwaseun Adeyemi, Sarah B Laditka, James N Laditka","doi":"10.1080/13811118.2023.2300324","DOIUrl":"10.1080/13811118.2023.2300324","url":null,"abstract":"<p><strong>Objective: </strong>Suicide rates in the working-age U.S. population have increased by over 40% in the last two decades. Although suicide may be linked with characteristics of workplaces and their industries, few studies have reported industry-level suicide rates. No study has reported suicide rates by industry using nationally representative data. This study estimates suicide risks across industries in the U.S. working population.</p><p><strong>Methods: </strong>Industry-level estimates of suicide risks require substantial data; we combined 29 years of U.S. suicide data using the National Health Interview Survey (NHIS)-Mortality Linked data from 1986 through 2014, with mortality follow-up through 2015. We conducted survey-weighted Poisson regression analyses to estimate suicide mortality rates and rate ratios across all populations and stratified by gender. All analyses were adjusted first for age, and then for age, employment status, marital status, race/ethnicity, and rurality/urbanicity (demographic-adjusted). Rate ratios compared results for workers in each industry to those for all industries, accounting for the NHIS survey design.</p><p><strong>Results: </strong>A total of 1,943 suicide deaths were recorded. Age-adjusted suicide rates per 100,000 were highest in the furniture, lumber, and wood industry group (29.3), the fabricated metal industry (26.3), and mining (25.8). Demographic-adjusted rates were higher among men than women in most industries. Demographic-adjusted rate ratios were significantly elevated in the furniture, lumber, and wood industries (Rate Ratio, RR = 1.60, 95% confidence interval, CI = 1.18-2.18); chemicals and allied products (RR = 1.49, 95%CI = 1.04-2.13); and construction (RR = 1.21, 95% CI = 1.03-1.41).</p><p><strong>Conclusion: </strong>Several industries had significantly high suicide rates. Suicide prevention efforts may be particularly useful for workers in those industries.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"1310-1335"},"PeriodicalIF":2.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139401608","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 Link between Deployment-Related Injuries and Suicidal Thinking in the Army National Guard: Examining the Role of Perceived Burdensomeness and Hopelessness. 陆军国民警卫队中与部署相关的伤害和自杀思维之间的联系:考察感知负担和绝望的作用。
IF 2.5 3区 医学
Archives of Suicide Research Pub Date : 2024-10-01 Epub Date: 2023-10-26 DOI: 10.1080/13811118.2023.2270667
Sarah Pardue-Bourgeois, Simon B Goldberg, Mary F Wyman, Maleeha Abbas, Anthony W P Flynn, Sergio Domínguez, Raymond P Tucker
{"title":"The Link between Deployment-Related Injuries and Suicidal Thinking in the Army National Guard: Examining the Role of Perceived Burdensomeness and Hopelessness.","authors":"Sarah Pardue-Bourgeois, Simon B Goldberg, Mary F Wyman, Maleeha Abbas, Anthony W P Flynn, Sergio Domínguez, Raymond P Tucker","doi":"10.1080/13811118.2023.2270667","DOIUrl":"10.1080/13811118.2023.2270667","url":null,"abstract":"<p><strong>Objective: </strong>In 2020, Army National Guard members demonstrated greater risk of suicide than their military and civilian counterparts. Though literature on deployment-related experiences and suicidal ideation (SI) is mixed, investigations of specific deployment-related experiences (e.g., injuries) may further elucidate the relationship between deployment and suicide risk. Deployment-related injuries, including pain severity and functional impairment, have been linked to increased risk of SI, and correlates like perceived burdensomeness (PB) and hopelessness. The current study sought to examine the cross-sectional relationship between deployment-related injuries, including pain severity and functional impairment, and severity of SI through PB and hopelessness.</p><p><strong>Method: </strong>Immediately post-deployment, Army National Guard members (<i>N</i> = 2,261) completed validated self-report measures on past-week SI, PB, hopelessness, and single items regarding injury sustained during deployment and associated functional impairment and pain severity.</p><p><strong>Results: </strong>Indirect effect analyses revealed that experience of deployment-related injury was related to SI through PB and hopelessness (<i>R<sup>2</sup></i> = .1993), functional impairment was related to SI through PB, and pain severity was related to SI through PB. Contrary to hypotheses, hopelessness was not associated with SI when PB was simultaneously considered.</p><p><strong>Conclusions: </strong>Army National Guard members who develop a sense of PB related to their injury and functional impairment of that injury may be at increased risk for suicidal ideation. Military suicide-prevention efforts may be potentiated through targeting distorted cognitions such as PB and hopelessness, especially in service members who have been injured.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"1107-1118"},"PeriodicalIF":2.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11045658/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50160374","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
Childhood Bullying as a Predictor of Suicidality in Young Adults in a Nationwide Population-Based Health Examination Study. 在一项以全国人口为基础的健康检查研究中,童年欺凌是青少年自杀的预测因素。
IF 2.5 3区 医学
Archives of Suicide Research Pub Date : 2024-10-01 Epub Date: 2024-01-27 DOI: 10.1080/13811118.2024.2307891
Raimo Palmu, Timo Partonen
{"title":"Childhood Bullying as a Predictor of Suicidality in Young Adults in a Nationwide Population-Based Health Examination Study.","authors":"Raimo Palmu, Timo Partonen","doi":"10.1080/13811118.2024.2307891","DOIUrl":"10.1080/13811118.2024.2307891","url":null,"abstract":"<p><strong>Objective: </strong>Having been bullied at school in childhood links to suicidality. We aimed at verifying earlier findings and delivering diverse data from a representative population-based sample of young adults to characterize the impacts beyond childhood.</p><p><strong>Method: </strong>A random sample of adults, aged 18-28 years and representative of the general population living in Finland, participated in a nationwide health examination study. Adverse childhood experiences before the age of 16 years were analyzed for 779 participants in relation to lifetime suicidality (suicidal ideation, suicide attempts), current suicidal thoughts (HSCL-25), mental disorders (self-reports for lifetime, M-CIDI for DSM-IV during the past 12 months), current usage of mental health services, current usage of prescription medicines (ATC codes), current psychological distress (GHQ-12), and current work capacity and work ability.</p><p><strong>Results: </strong>Having been bullied in childhood contributed to greater suicidality (<i>p</i> < 0.001), more frequent current usage of antipsychotics (<i>p</i> < 0.001) as well as antidepressants (<i>p</i> < 0.001), greater current psychological distress (<i>p</i> < 0.001), and poorer current work capacity (<i>p</i> < 0.001) as well as work ability (<i>p</i> < 0.001). Of the self-reported mental disorders on lifetime basis, psychosis had the strongest association (<i>p</i> = 0.03) with having been bullied, whereas the interview-based diagnosis of mental disorders during the past 12 months had no significant association.</p><p><strong>Conclusions: </strong>Having been bullied at school before the age of 16 years was independently associated not only with suicidality, but also with the self-report of psychosis as well as a range of indicators of poorer mental health at the age of 18-28 years.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"1380-1389"},"PeriodicalIF":2.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139569580","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
Past-Year Suicidal Ideation, Plans, and Attempts by Food Security Level in a Nationally Representative Sample of U.S. Adults. 在具有全国代表性的美国成年人样本中,按食品安全等级分列的上一年自杀意念、计划和企图。
IF 2.5 3区 医学
Archives of Suicide Research Pub Date : 2024-10-01 Epub Date: 2024-01-27 DOI: 10.1080/13811118.2024.2305395
Elijah L H Olsen, Dorian R Dodd, Scott J Crow, Ross D Crosby, Stephen A Wonderlich, Vivienne M Hazzard
{"title":"Past-Year Suicidal Ideation, Plans, and Attempts by Food Security Level in a Nationally Representative Sample of U.S. Adults.","authors":"Elijah L H Olsen, Dorian R Dodd, Scott J Crow, Ross D Crosby, Stephen A Wonderlich, Vivienne M Hazzard","doi":"10.1080/13811118.2024.2305395","DOIUrl":"10.1080/13811118.2024.2305395","url":null,"abstract":"<p><strong>Objective: </strong>The Interpersonal Theory of Suicide posits that suicidal behavior results from thwarted belongingness, perceived burdensomeness, and capability for suicide. Considering that food insecurity (FI) may be linked to these constructs to differing extents based on severity of FI, this study examined cross-sectional associations between levels of FI and suicidal ideation, plans, and attempts in a nationally representative sample of adults in the United States.</p><p><strong>Methods: </strong>Data for this study were collected in 2001-2003 from 5,552 participants in the National Comorbidity Survey Replication (<i>M</i><sub>age</sub>=44.8 ± 0.5 years; 53.8% female). Prevalence ratios (PRs) and 95% confidence intervals (CIs) were generated using modified Poisson regression to examine past-year ideation, plans, and attempts with intent of lethality by past-year FI level (assessed with a modified version of the Short Form U.S. Household Food Security Scale).</p><p><strong>Results: </strong>After controlling for sociodemographic covariates, low food security was significantly associated with elevated prevalence of suicidal ideation, plans, and attempts (ideation: PR = 2.21, 95% CI 1.32-3.70; plans: PR = 5.42, 95% CI 2.71-10.83; attempts: PR = 5.35, 95% CI 2.38-12.03). Very low food security (i.e., more severe FI) exhibited stronger associations yet with suicidal ideation, plans, and attempts (ideation: PR = 6.99, 95% CI 4.10-11.92; plans: PR = 17.21, 95% CI 8.41-35.24; attempts: PR = 14.72, 95% CI 4.96-43.69).</p><p><strong>Conclusions: </strong>Findings indicative of a dose-response relationship between FI and suicidal ideation, plans, and attempts emphasize the need to increase reach of food assistance programs, increase availability of mental health services in food-insecure populations, and routinely screen for FI in mental health practice.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"1432-1441"},"PeriodicalIF":2.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11282171/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139569647","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
An Open Trial of a Brief, Self-Compassion Intervention Targeting Thwarted Belongingness and Perceived Burdensomeness. 针对归属感受挫和感知负担的简短自怜干预公开试验。
IF 2.5 3区 医学
Archives of Suicide Research Pub Date : 2024-10-01 Epub Date: 2024-02-08 DOI: 10.1080/13811118.2024.2307894
Genevieve Bianchini, Lindsay P Bodell
{"title":"An Open Trial of a Brief, Self-Compassion Intervention Targeting Thwarted Belongingness and Perceived Burdensomeness.","authors":"Genevieve Bianchini, Lindsay P Bodell","doi":"10.1080/13811118.2024.2307894","DOIUrl":"10.1080/13811118.2024.2307894","url":null,"abstract":"<p><strong>Objective: </strong>Suicide is a global health concern and developing brief and accessible interventions that can reduce suicide risk is crucial. Thwarted belongingness (TB; i.e., feeling like one doesn't belong) and perceived burdensomeness (PB; i.e., feeling like one is a burden on others) are associated with suicidality, and changes in these constructs predict changes in suicidal thoughts and behaviors. Self-compassion is a multifaceted construct that involves being open and kind to oneself and can be taught through brief writing tasks. Low self-compassion has been associated with TB, PB, and suicidal ideation, suggesting that enhancing self-compassion may decrease suicide risk. Thus, we conducted an open trial of a brief, online self-compassion intervention targeting TB and PB.</p><p><strong>Method: </strong>Undergraduate students (<i>N</i> = 132) viewed an educational video on self-compassion and completed self-compassion writing tasks over the course of one week.</p><p><strong>Results: </strong>Reactions to the intervention were positive, and participants reported significantly higher self-compassion scores following the intervention. However, TB and PB scores did not change from the baseline to the post-intervention assessment.</p><p><strong>Conclusions: </strong>This open trial demonstrated the feasibility and acceptability of a fully online, brief self-compassion intervention, but its impact on reducing suicide risk should be assessed further using a randomized controlled design.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"1390-1402"},"PeriodicalIF":2.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139701680","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
Comparative Effectiveness of Ultra-Brief, IPT-A Based Crisis Intervention for Suicidal Children and Adolescents. 对有自杀倾向的儿童和青少年进行超短期、基于 IPT-A 的危机干预的效果比较。
IF 2.5 3区 医学
Archives of Suicide Research Pub Date : 2024-10-01 Epub Date: 2024-01-03 DOI: 10.1080/13811118.2023.2298499
Ella Adini-Spigelman, Yari Gvion, Liat Haruvi Catalan, Shira Barzilay, Alan Apter, Anat Brunstein Klomek
{"title":"Comparative Effectiveness of Ultra-Brief, IPT-A Based Crisis Intervention for Suicidal Children and Adolescents.","authors":"Ella Adini-Spigelman, Yari Gvion, Liat Haruvi Catalan, Shira Barzilay, Alan Apter, Anat Brunstein Klomek","doi":"10.1080/13811118.2023.2298499","DOIUrl":"10.1080/13811118.2023.2298499","url":null,"abstract":"<p><strong>Background: </strong>In recent years, suicidal thoughts and behaviors have become increasingly common among children and adolescents, leading to an elevation in the number of visits to emergency departments in pediatric hospitals. In Israel, the rising demand for mental health treatment due to suicidal distress is also salient, creating prolonged wait periods and low case acceptance rates. Addressing the urgent need for streamlined interventions, the present study outlines the design and results of a non-inferiority effectiveness trial of an ultra-brief suicide crisis intervention based on Interpersonal Psychotherapy for Adolescents (IPT-A-SCI).</p><p><strong>Methods: </strong>309 children and adolescents presenting to the Depression and Suicide Clinic at Schneider Children's Medical Center of Israel with depressive and anxiety symptoms and/or suicidal ideation/behavior were assigned to either IPT-A-SCI, Treatment as Usual (TAU), or waitlist condition. Assessments were conducted pre- and post-intervention/after five sessions/five weeks (as secondary assessments) in accordance with group assignment.</p><p><strong>Results: </strong>At secondary assessment, post IPT-A-SCI, suicide ideation, and behavior as well as depression and anxiety symptoms significantly decreased, with no group differences observed between IPT-A-SCI, TAU, and control groups.</p><p><strong>Conclusion: </strong>IPT-A-SCI is feasible and as effective as the standard treatment in reducing suicidal, depressive, and anxiety symptoms among children and adolescents.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"1249-1262"},"PeriodicalIF":2.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139085661","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
Psychosocial Identity, Intimacy and Suicidality in Young Adults. 青少年的社会心理认同、亲密关系和自杀倾向。
IF 2.5 3区 医学
Archives of Suicide Research Pub Date : 2024-10-01 Epub Date: 2024-01-04 DOI: 10.1080/13811118.2023.2300320
Marcin Sekowski, Magdalena Wielogórska, David Lester
{"title":"Psychosocial Identity, Intimacy and Suicidality in Young Adults.","authors":"Marcin Sekowski, Magdalena Wielogórska, David Lester","doi":"10.1080/13811118.2023.2300320","DOIUrl":"10.1080/13811118.2023.2300320","url":null,"abstract":"<p><strong>Objective: </strong>Suicidality in young adults is a serious and growing clinical and social problem. The theory of psychosocial ego development assumes that identity and intimacy are two key factors for adaptation and vulnerability in early adulthood. The aim of the present study was to test whether psychosocial identity and intimacy are related to suicidality in young adults, even when controlling for confounding variables (depressive symptoms, sex, age, health and economic assessment, religious commitment, and pandemic-related distress).</p><p><strong>Method: </strong>Respondents aged 18-25 (<i>n</i> = 607) completed the Identity-Confusion and Intimacy-Isolation subscales from the Modified Erikson Psychosocial Stage Inventory, as well as the Patient Health Questionnaire-9, the Suicidal Behaviors Questionnaire-Revised and answered questions about the pandemic-related distress and various sociodemographic factors.</p><p><strong>Results: </strong>At the level of bivariate analyses, both identity and intimacy were negatively associated with suicidal risk in the overall sample and with the frequency of suicidal ideation in the suicide risk subsample (<i>n</i> = 242). Weaker identity, but not intimacy, was associated with belonging to a suicide risk group in multivariable logistic regression. Moreover, ordinal regression showed that, in the subgroup with suicide risk, identity was negatively associated with the frequency of suicidal thoughts.</p><p><strong>Conclusions: </strong>Identity is a negative correlate of suicidality in young adults. Identity-focused therapy may be a promising target for intervention in suicidal young adults.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"1279-1293"},"PeriodicalIF":2.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139097195","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}
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