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Journal of Interpersonal Violence Jan 2022Cybervictimization is a public health concern in adolescence. Victims of cyberbullying may present with important short- and long-term sequelae. Specifically, past...
Cybervictimization is a public health concern in adolescence. Victims of cyberbullying may present with important short- and long-term sequelae. Specifically, past research has demonstrated positive associations between being cybervictimized and risk of suicide among adolescents. Nonetheless, the underlying mechanisms that may mediate or moderate this relationship remain unclear. The present research examined perceived stress as a mediator and forgiveness as a moderator to explore the relationship between cybervictimization and suicidal ideation. Specifically, vengeance, avoidance, and benevolence motivations, as a means of measuring forgiveness experienced, were analyzed as moderators in the relations between cybervictimization and suicidal ideation. The sample included 1,821 adolescents (954 girls) who ranged in age from 12 to 17 years from nine centers. Adolescents' self-reported perceived stress levels, cybervictimization, and forgiveness were collected. A mediation and a moderated mediation analyses were used to explore the aim of the present study. Results suggest that, after controlling for sex and age, perceived stress partially mediates the association between cybervictimization and suicidal ideation. Furthermore, the mediation effects of perceived stress were independently moderated by vengeance and avoidance. Thus, revenge and avoidance might intensify the adverse impact of perceived stress on suicidal ideation. These results highlight how and when cybervictimization is related to suicidal ideation. We discuss the results in relation to previous research and consider their practical implications. These findings suggest that adolescents' perceived stress, together with vengeance and avoidance motivations, may be key targets for prevention and intervention programs dealing with cybervictimization. This highlights the need to implement treatment and prevention programs focused on decreasing such motivations.
Topics: Adolescent; Child; Counseling; Crime Victims; Cyberbullying; Female; Humans; Motivation; Suicidal Ideation
PubMed: 32345110
DOI: 10.1177/0886260520913640 -
BMC Psychiatry Aug 2022As a global phenomenon, suicide has generated a lot of concern. Scholars from various fields have conducted extensive research on the prevalence, causes, factors, and/or...
BACKGROUND
As a global phenomenon, suicide has generated a lot of concern. Scholars from various fields have conducted extensive research on the prevalence, causes, factors, and/or management or possible solutions to suicidal ideation. Despite the research efforts, suicidal cases worldwide still yell for more empirical attention. No doubt that some of the extant literature have specifically evidenced the causal links and factors in suicidal ideation. Yet, none had focused on the moderating roles of coping and resilience in an academic population. We therefore, examined the moderating roles of coping and resilience in the relationship between academic stress and suicidal ideation.
METHOD
We used a cross-sectional design to sample 505 participants (329 males and 176 females) from three southern Nigerian universities. Participants who willingly indicated their participatory consent were administered a paper self-report questionnaire containing the Lakaev Academic Stress Response Scale (LASRS), Scale for Suicidal Ideation (SSI), Brief COPE (B-COPE), and Resilience Scale (RS-14). Hierarchical regression analysis was used to test the hypotheses of the study. Academic stress (r = 0.17; p.001) was found to be positively associated with suicidal ideation, whereas resilience (r = -.22; p.001) was found to be negatively associated with suicidal ideation. Suicidal ideation had no significant correlation with adaptive coping style, but it did have a significant correlation with maladaptive coping (r = .15; p.001). The regression-based PROCESS macro showed that academic stress was a significant predictor of coping [ΔR = .03, F (1, 502) = 16.18, p = .01]. Academic stress was positively associated with suicidal ideation at low or moderate levels of adaptive coping styles. At high levels of adaptive coping styles, the association between academic stress and suicidal ideation was not significant. However, resilience negatively predicted suicidal ideation [R = .29, (R = .08), F(1, 499) = 19.94, p = .00] with academic stress showing a positive association with suicidal ideation at low and moderate levels of resilience, but for those with high resilience, academic stress was not associated with suicidal ideation. In sum, suicidal ideation is heightened by increased academic stress, with greater resilience ameliorating the tendency of academic stress resulting in suicidal ideation. Also, adopting maladaptive ways of coping promotes suicidal ideation among students, with resilience and adaptive coping strategies moderating the relationship between academic stress and suicidal ideation. It is therefore recommended that educational administrators, policy makers, lecturers, teachers, and tutors incorporate courses, teachings, and sessions that foster as well as inculcate resilience and efficient coping skills in pupils and students.
Topics: Adaptation, Psychological; Cross-Sectional Studies; Female; Humans; Male; Risk Factors; Suicidal Ideation; Universities
PubMed: 35962365
DOI: 10.1186/s12888-022-04063-2 -
Archives of Psychiatric Nursing Apr 2022Depression is more than just sentiment sad or passing a rough patch. It is a serious psychological wellbeing disorder that needs curative care and maintenance. Emotional...
BACKGROUND
Depression is more than just sentiment sad or passing a rough patch. It is a serious psychological wellbeing disorder that needs curative care and maintenance. Emotional Intelligence (EI) is a comprehensive personality construct denoting the capability to perceive and control affects within the self. Alexithymia is another personality construct that refers to the difficulty of recognizing and expressing feelings, with an outside oriented thinking style. Suicidal ideation is defined as thinking of appealing in conduct intentional to end one's life.
AIM
The current study aimed to examine the relationship between emotional intelligence, alexithymia and suicidal ideation among depressive patients.
DESIGN
A descriptive correlation design was utilized.
SETTING
This study was conducted at the Psychiatric Outpatient Clinic in El Ahrar Hospital, Alsharkia Governorate, Egypt.
SUBJECTS
A purposeful sample of 65 depressed patients was recruited for this study.
TOOLS
Data were collected by using four tools: Socio-demographic Data Sheet, Emotional Intelligence Scales, Toronto Alexithymia Scale (TAS-20) and Suicidal Ideation Scale.
RESULTS
The majority of depressed patients were having alexithymia and having low emotional intelligence. Emotional intelligence was statistically significantly negatively correlated with alexithymia and suicidal ideation. Nevertheless, alexithymia was statistically significantly positively correlated with suicidal ideation. It was statistically significantly positively predictor of suicidal ideation and alexithymia, while it was statistically significantly negatively predictor of suicidal ideation and emotional intelligence.
CONCLUSION
Lower emotional intelligence led to higher suicidal ideation in depressive patients. Increasing alexithymia in patients with depressive disorders caused an increase in their suicidal ideation. Therefore, it is recommended implementing a training program such as mindfulness and emotional intelligence skills for patients to enhance their emotional intelligence.
Topics: Affective Symptoms; Egypt; Emotional Intelligence; Humans; Suicidal Ideation
PubMed: 35337436
DOI: 10.1016/j.apnu.2021.12.002 -
Clinical Psychology & Psychotherapy Sep 2022Research indicates that the emergency department is the primary setting for people to present with suicidal ideation. Attempting to provide interventions for this... (Review)
Review
BACKGROUND
Research indicates that the emergency department is the primary setting for people to present with suicidal ideation. Attempting to provide interventions for this population depends greatly on understanding their needs and life circumstances at the time of presentation to services, therefore enabling more appropriate treatment pathways and services to be provided.
AIM
This review aims to collate, evaluate and synthesize the empirical research focused on the population of people presenting to hospital settings with suicidal ideation.
METHOD
A systematic literature search was performed. Articles that met a specified set of inclusion criteria including participants being over 18, not being admitted to hospital and presenting to an emergency department setting underwent a quality assessment and data analysis. The quality assessment used was the EPHPP Quality Assessment Tool for Quantitative Studies (Thomas et al., 2004).
RESULTS
Twenty-seven articles were included in the review. Studies were quantitative and of reasonable methodological quality (Thomas et al., 2004). The literature was characterized by demographic information, mental health factors associated with the presentation to hospital and treatment pathways or outcomes reported. The reviewed research showed that people presenting to emergency departments with suicidal ideation were varying in age, gender, ethnic background and socio-economic status (SES). Large proportions of studies reported psychosocial factors alongside interpersonal struggles as the main presenting reason. The review highlights large variability across these factors. Mental health diagnosis was common, previous suicide attempt was a risk factor, and treatment pathways were unclear. The review identifies the outstanding gaps and weaknesses in this literature as well as areas in need of future research.
CONCLUSIONS
In conclusion, the review highlights the prevalence of people reporting interpersonal factors as the reason for suicidal ideation and not mental health disorders or diagnosis. Despite this, no mention of trauma or life stories was made in any study assessing this population. Despite a large variation across studies making synthesis difficult, data proves clinically relevant and informative for future practice and guidance on areas needing further research.
Topics: Humans; Suicidal Ideation; Suicide, Attempted; Risk Factors; Mental Disorders; Hospitals
PubMed: 35716391
DOI: 10.1002/cpp.2761 -
International Journal of Psychiatry in... Nov 2021The aim of this study was to investigate the relationship between suicidal ideation and neurological, psychological, and psychiatric features in patients with...
OBJECTIVE
The aim of this study was to investigate the relationship between suicidal ideation and neurological, psychological, and psychiatric features in patients with blepharospasm (BSP).
METHODS
We enrolled 70 BSP patients and 80 control subjects. All participants underwent a psychiatric and psychometric evaluation: Structured Clinical Interview, Clinical Global Impression, Hamilton Anxiety Rating Scale, Hamilton Depression Rating Scale, Columbia-Suicide Severity Rating Scale, Beck Hopelessness Scale, Temperament Evaluation of Memphis, Pisa, San Diego Auto-questionnaire. BSP severity was assessed using the Blepharospasm Severity Rating Scale.
RESULTS
Suicidal ideation was reported in 18% of BSP patients and 6% had current suicidal ideation. 83% of BSP patients had severe hopelessness. BSP patients presented an increased sense of hopelessness (OR= 1.39, 95% CI = 1.13/1.70) and a pronounced depressive temperament (OR= 1.36, 95% CI = 1.12/1.65). Suicidal ideation in BSP patients correlated with psychiatric disorders (OR = 3.96, 95% CI = 1.23/12.74) and higher scores on the HAM-A (OR = 1.11, 95% CI = 1.02/1.20), HAM-D (OR = 1.18, 95% CI = 1.05/1.32), CGI (OR = 1.85, 95% CI = 1.18/2.90), TEMPS-A Cyclothymia (OR = 1.16, 95% CI = 1.02/1.31).
CONCLUSION
Our findings suggest the presence of suicidal ideation and severe hopelessness in BSP patients.KEY POINTSBSP patients as compared to controls more frequently reported the presence of a psychiatric disorder and more severe anxiety and depressive symptoms, psychopathology on the CGI, suicidal ideation, and hopelessness.BSP patients with prevalent cyclothymic temperament had more severe suicidal ideation, suggesting an increased suicide risk most likely due to difficulties in psychological adaptation to changing environments, including the neurological disease.A psychiatric assessment is recommended for patients with this condition, with possible referral to a suicide prevention centre.
Topics: Affect; Blepharospasm; Hope; Humans; Suicidal Ideation; Temperament
PubMed: 32669012
DOI: 10.1080/13651501.2020.1790613 -
Journal of Affective Disorders Feb 2022Bullying involvement is associated with suicidal ideation among adolescents, yet there are no studies examining this issue among younger children.
BACKGROUND
Bullying involvement is associated with suicidal ideation among adolescents, yet there are no studies examining this issue among younger children.
METHODS
The School Children Mental Health in Europe study was conducted in seven countries in 2010 using similar methods to collect cross-sectional data from children, parents, and teachers. Suicidal ideation and thoughts of death were assessed using the Dominic Interactive among children. Parent and teacher reports were used to determine bullying involvement. The sample comprised n = 5,183 children ages 6 to 11 identified as bullies (n = 740, 14.3%), victims (n = 945, 18.2%), bully-victims (n = 984, 18.2%) and not involved in bullying (n = 2,514, 48.5%). Multivariate logistic regressions were used to assess the association of bullying involvement with suicidal ideation and thoughts of death.
RESULTS
Suicidal ideation was reported by 13.3% of those not involved in bullying, 17.1% of victims, 19.6% of bullies and 24.4% of bully-victims. Similarly, thoughts of death were reported by 19.0% of victims, 24.3% of bullies, and 25.0% of bully-victims. Children identified as being involved were more likely than those not involved to report suicidal ideation in bivariate analyses. When controlling for psychopathology and for maternal distress among other factors, the association remained significant for bullies (AOR=1.30, 95%CI=1.01-1.66), bully-victims (AOR=1.54, 95%CI=1.22-1.94), but not for victims (AOR=1.02, 95%CI=0.80-1.30).
LIMITATIONS
The study is cross-sectional. The assessment of bullying may have underestimated victimization.
CONCLUSIONS
The association of bullying involvement and child suicidal ideation is present among elementary school children across Europe, using multiple informants to avoid shared variance biases, and adjusting for key factors.
Topics: Adolescent; Bullying; Child; Crime Victims; Cross-Sectional Studies; Europe; Humans; Schools; Suicidal Ideation
PubMed: 34915081
DOI: 10.1016/j.jad.2021.12.023 -
Neuroscience and Biobehavioral Reviews Aug 2022This study was to evaluate the relationship between blood hormone levels and suicidal behaviour. We reviewed Web of Science, PubMed and Embase for literature published... (Meta-Analysis)
Meta-Analysis Review
This study was to evaluate the relationship between blood hormone levels and suicidal behaviour. We reviewed Web of Science, PubMed and Embase for literature published up to 10 April 2022. Studies were restricted to English-language articles. Studies measuring blood hormone levels in suicidal and non-suicidal subjects were eligible. Standardized mean differences (SMDs) were applied to evaluate group differences. Overall, 57 studies were eligible, of which 51 evaluated suicide attempts, and 9 assessed suicidal ideation. Random-effects meta-analysis indicated that levels of thyrotropin stimulating hormone (TSH) (SMD = 0.50; 95% CI, 0.27-0.72), leptin (SMD = -1.16; 95% CI, -1.94 to -0.38) and dehydroepiandrosterone sulfate (DHEAS) (SMD = -0.67; 95% CI, -1.13 to -0.21) were related to suicide attempts, whereas progesterone levels (SMD = 0.22; 95% CI, 0.03-0.41) were related to suicidal ideation. This analysis offers evidence linking abnormalities of blood hormones with suicidal behaviour, which may be essential for identifying individuals with suicide attempts and suicidal ideation. Large prospective studies are needed for further clarification of roles of hormones in suicidal behaviour.
Topics: Hormones; Humans; Prospective Studies; Suicidal Ideation; Suicide, Attempted
PubMed: 35690122
DOI: 10.1016/j.neubiorev.2022.104725 -
International Journal of Environmental... Nov 2021The current study aimed to examine the relationship between metacognitive beliefs about suicidal ideation and the content and process of suicidal ideation. This was to...
The current study aimed to examine the relationship between metacognitive beliefs about suicidal ideation and the content and process of suicidal ideation. This was to examine the potential contribution of the Self-Regulatory Executive Function (S-REF) model (Wells and Matthew, 2015) to suicidal ideation. Twenty-seven participants completed both trait and state-level measures of suicidal ideation, negative affect, defeat, hopelessness, entrapment and metacognitive beliefs. Experience Sampling Methodology (ESM) was adopted to measure state-level measurements with participants invited to complete an online diary up to seven times a day for six days. Multi-level modelling enabled a detailed examination of the relationships between metacognitive beliefs and suicidal ideation. Positive (β = 0.241, < 0.001) and negative (β = 0.167, < 0.001) metacognitive beliefs about suicidal ideation were positively associated with concurrent suicidal ideation even when known cognitive correlates of suicide were controlled for. The results have important clinical implications for the assessment, formulation and treatment of suicidal ideation. Novel meta-cognitive treatments targeting beliefs about suicidal ideation are now indicated. A limited range of characteristics reported by participants affects the generalizability of findings. Future research is recommended to advance understanding of metacognition and suicide but results demonstrate an important contribution of the S-REF model.
Topics: Affect; Ecological Momentary Assessment; Executive Function; Humans; Metacognition; Suicidal Ideation
PubMed: 34886060
DOI: 10.3390/ijerph182312336 -
Psychiatry Research Nov 2022Most DSM-5 eating disorder diagnoses are associated with elevated suicide risk; however, little is known about the relationship between Avoidant/Restrictive Food Intake...
Most DSM-5 eating disorder diagnoses are associated with elevated suicide risk; however, little is known about the relationship between Avoidant/Restrictive Food Intake Disorder (ARFID) and suicidal ideation. The aim of the current study was to examine suicidal ideation within an adult ARFID sample. Patients with eating disorders (N = 936), some of whom met criteria for a current DSM-5 diagnosis of ARFID (n = 79), completed the Beck Depression Inventory II Item 9, regarding suicidal ideation. The study was conducted within an eating disorder treatment facility that offers inpatient, residential, partial hospitalization program, and intensive outpatient levels of care. Findings suggest no significant pairwise differences in suicidal ideation prevalence between participants with ARFID and those with any other ED diagnosis. Thorough screening for suicidal thoughts and risk among those with ARFID is warranted at all levels of care. We suggest that future research expand upon this work in a larger adult ARFID sample.
Topics: Adult; Humans; Avoidant Restrictive Food Intake Disorder; Suicidal Ideation; Feeding and Eating Disorders; Day Care, Medical; Diagnostic and Statistical Manual of Mental Disorders
PubMed: 37732866
DOI: 10.1016/j.psychres.2022.114925 -
LGBT Health 2022This meta-analytic study examined associations between minority stressors and suicidal ideation and suicide attempts among LGBT adolescents and young adults (aged 12-25... (Meta-Analysis)
Meta-Analysis Review
This meta-analytic study examined associations between minority stressors and suicidal ideation and suicide attempts among LGBT adolescents and young adults (aged 12-25 years). Identified studies were screened using the inclusion and exclusion criteria. Studies had to include an association between a minority stressor and a suicidality outcome and were categorized into 10 meta-analyses. Overall effect sizes were calculated using three-level meta-analyses. In addition, moderation by sampling strategy was examined. A total of 44 studies were included. Overall, LGBT bias-based victimization, general victimization, bullying, and negative family treatment were significantly associated with suicidal ideation and/or suicide attempts. Associations of discrimination and internalized homophobia and transphobia with suicidal ideation and/or suicide attempts were not significant. No moderation effects were found for sampling strategy. Although overall effect sizes were small, our meta-analytic study shows a clear link between various types of minority stressors and suicidal ideation and suicide attempts among LGBT adolescents and young adults.
Topics: Adolescent; Bullying; Crime Victims; Humans; Sexual and Gender Minorities; Suicidal Ideation; Suicide, Attempted; Young Adult
PubMed: 35319281
DOI: 10.1089/lgbt.2021.0106