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Frontiers in Public Health 2023It is uncertain whether burnout is associated with suicidal ideation among workers not in health care services. The aim of this study was to identify how burnout and...
INTRODUCTION
It is uncertain whether burnout is associated with suicidal ideation among workers not in health care services. The aim of this study was to identify how burnout and suicidal ideation are linked among employees in various occupations and whether depression affects this link.
METHODS
This cross-sectional study collected data from 12,083 participants aged 19-65 years from 25 companies and public institutions who underwent workplace mental health screening. Burnout and depression were assessed using both the Oldenburg Burnout Inventory and the Center for Epidemiologic Studies Depression Scale. Suicidal ideation was assessed by a self-rated questionnaire from the Korea National Health and Nutrition Examination Survey.
RESULTS
Exhaustion but not the cynicism dimension of burnout was associated with increased odds of suicidal ideation after adjustment for depression and other covariates (odds ratio [OR] = 1.47, 95% CI = 1.26-1.72). The association of exhaustion with suicidal ideation was significant in both depressed (OR = 1.36, 95% CI = 1.14-1.61) and not depressed (OR = 1.77, 95% CI = 1.13-2.76) participants. In exhausted participants, insufficient job control, an unfavorable occupational climate, low educational level, and depression were associated with increased odds of suicidal ideation.
CONCLUSION
Exhaustion is linked with risk of suicidal ideation in employees not in health care service, regardless of depression status. Exhausted employees, particularly those having poor job resources, should be recognized as an at-risk group.
Topics: Humans; Suicidal Ideation; Cross-Sectional Studies; Nutrition Surveys; Burnout, Psychological; Occupations
PubMed: 37744483
DOI: 10.3389/fpubh.2023.1243920 -
Psychotherapy and Psychosomatics 2023
Topics: Humans; Demoralization; Depression; Suicidal Ideation; Neoplasms
PubMed: 37231894
DOI: 10.1159/000530760 -
American Journal of Community Psychology Jun 2023Suicide rates among African American adolescents have increased dramatically. Suicidal ideation is associated with both suicide attempts and completions, thus... (Randomized Controlled Trial)
Randomized Controlled Trial
Suicide rates among African American adolescents have increased dramatically. Suicidal ideation is associated with both suicide attempts and completions, thus understanding ideation patterns and predictors in African American adolescents is critical to informing prevention efforts. This study recruited 160 African American ninth grade students. Participants were those students randomized to the control condition of a randomized controlled preventive intervention. Of the 160 participants, 99 completed all assessment points and were included in latent transition analyses. We assessed participants four times: baseline then again at 6-, 12-, and 18-month postbaseline. Constructs of interest for this study included suicidal ideation, depression, hopelessness, and community violence exposure. A 2-class model (i.e., low ideation [LI] and high ideation [HI]) characterized ideation at each time point. A total of 86%-90% of participants were in the LI class in any given time point and 27.3% of participants were in the HI class at least once. Participants in the LI class tended to stay in that class, whereas those in the HI class often transitioned to the LI group. Depression and hopelessness, but not exposure to community violence, predicted HI class membership. Findings suggest that (a) most African American adolescents may experience suicide ideation at some point in time, (b) a concerning proportion of African American adolescents may experience high ideation, (c) high ideation is often time-limited, and (d) depression and hopelessness predict high ideation.
Topics: Humans; Adolescent; Suicidal Ideation; Black or African American; Suicide, Attempted; Violence; Students
PubMed: 37042796
DOI: 10.1002/ajcp.12663 -
Suicide & Life-threatening Behavior Aug 2022Muscle Dysmorphia (MD) is a severe subtype of body dysmorphic disorder (BDD) that shares symptomatic overlap with eating disorders. Although associations between eating...
INTRODUCTION
Muscle Dysmorphia (MD) is a severe subtype of body dysmorphic disorder (BDD) that shares symptomatic overlap with eating disorders. Although associations between eating disorders/BDD and suicidality are well documented, research has rarely examined associations between MD symptoms and suicidality, which is concerning given MD is associated with additional suicide risk factors compared with these disorders. Further, existing associations between MD symptoms and suicidality have yet to establish temporal ordering for these relationships. Therefore, the current study investigated longitudinal relationships between MD symptoms and suicidal ideation to establish the direction of the MD-suicidality relationship.
METHODS
Participants were 272 US men displaying sub-clinical MD symptoms who completed self-report measurement at three time points over 6 weeks. Longitudinal relationships between MD symptoms and suicidal ideation were examined using a three-wave autoregressive cross-lagged model.
RESULTS
Certain MD symptoms were longitudinally predicted by suicidal ideation. Specifically, suicidal ideation longitudinally predicted increased drive for size and appearance intolerance.
CONCLUSIONS
Results may suggest that individuals engage in MD symptoms potentially to cope with distressing thoughts of suicide. Clinicians should provide clients with comorbid MD and suicidality with appropriate coping tools to manage distress from suicidal thoughts outside of engaging in compulsive exercise characteristic of MD symptoms.
Topics: Feeding and Eating Disorders; Humans; Male; Muscles; Risk Factors; Suicidal Ideation; Suicide
PubMed: 35253940
DOI: 10.1111/sltb.12852 -
Academic Psychiatry : the Journal of... Dec 2021Suicide is a leading cause of death for young adults, and medical students experience elevated rates of suicide and suicidal ideation. The present study uses mediation...
OBJECTIVE
Suicide is a leading cause of death for young adults, and medical students experience elevated rates of suicide and suicidal ideation. The present study uses mediation analysis to explore relationships between suicidal ideation and two dysfunctional mindsets common among medical students: maladaptive perfectionism, high standards accompanied by excessive self-criticism, and impostor phenomenon, pervasive feelings of inadequacy despite evidence of competence and success.
METHODS
Two hundred and twenty-six medical students at a single institution completed an online survey which assessed maladaptive perfectionism, impostor phenomenon, and suicidal ideation. After calculating measures of association between all study variables, linear regression was conducted to establish the relationship between maladaptive perfectionism and suicidal ideation. To evaluate whether impostor phenomenon mediated the relationship between maladaptive perfectionism and suicidal ideation as hypothesized, a series of regression models were constructed and the regression coefficients were examined. The statistical significance of the indirect effect, representing the mediated relationship, was tested using bootstrapping.
RESULTS
Significant positive associations between maladaptive perfectionism, impostor phenomenon, and suicidal ideation were observed. Impostor phenomenon score was found to mediate the relationship between maladaptive perfectionism and suicidal ideation.
CONCLUSIONS
Medical students who exhibit maladaptive perfectionism are at increased risk for feelings of impostor phenomenon, which translates into increased risk for suicide. These results suggest that an intervention targeted at reducing feelings of impostor phenomenon among maladaptive perfectionists may be effective in reducing their higher risk for suicide. However, interventions promoting individual resilience are not sufficient; systemic change is needed to address medicine's "culture of perfection."
Topics: Anxiety Disorders; Humans; Perfectionism; Self Concept; Students, Medical; Suicidal Ideation; Young Adult
PubMed: 34350548
DOI: 10.1007/s40596-021-01503-1 -
The Journal of Adolescent Health :... Apr 2017
Topics: Alcohol Drinking; Crime Victims; Humans; Suicidal Ideation; Suicide, Attempted
PubMed: 28340868
DOI: 10.1016/j.jadohealth.2017.01.013 -
QJM : Monthly Journal of the... Jan 2022
Topics: Humans; Sex Characteristics; Sex Factors; Suicidal Ideation; Suicide, Attempted
PubMed: 33964149
DOI: 10.1093/qjmed/hcab131 -
Archives of Suicide Research : Official... 2022The exploration of inter- and intra-individual variability in suicidal ideation (SI) is vital to suicide research. However, this research relies on the identification...
BACKGROUND
The exploration of inter- and intra-individual variability in suicidal ideation (SI) is vital to suicide research. However, this research relies on the identification and measurement of standardized SI characteristics.
OBJECTIVE
This review aimed to identify characteristics of SI examined in research, describe how these characteristics are measured, and assess how they are aligned with those included in the Columbia Suicide Severity Rating Scale (C-SSRS).
METHODS
Four databases were systematically searched, and relevant data was extracted. The C-SSRS provided a framework for comparing SI names, measures and operational definitions.
RESULTS
After comparing operational definitions of identified characteristics, five core domains emerged: (1) severity, (2) temporality, (3) variability, (4) controllability, and (5) deterrents/reasons for ideating. Except for variability, all SI characteristics in the literature were congruent with those measured in the C-SSRS.
CONCLUSIONS
This review highlighted conceptual and methodologic inconsistencies in the study of SI, specifically the nomenclature, measurement and definitions of SI characteristics. Standardized approaches to the study of SI characteristics are needed. These approaches will enhance accurate and reliable measurement of SI, allow for findings to be synthesized across studies and propel the exploration of inter and intra-individual SI variability leading to more individualized and effective SI treatment.
Topics: Humans; Suicidal Ideation; Suicide
PubMed: 35040371
DOI: 10.1080/13811118.2021.2022551 -
Suicide & Life-threatening Behavior Jun 2021We studied the point prevalence of suicidal and violent ideation, as well as their co-occurrence and associated characteristics in inpatients with mental health...
OBJECTIVE
We studied the point prevalence of suicidal and violent ideation, as well as their co-occurrence and associated characteristics in inpatients with mental health disorders.
METHODS
Data on suicidal and violent ideation, and sociodemographic and clinical information, were gathered from 1,737 patients when admitted to the acute psychiatric ward.
RESULTS
The point prevalence was 51.9% for suicidal ideation and 19.8% for violent ideation. The point prevalence of co-occurring suicidal and violent ideation was 12.3%, which was significantly greater than expected by chance. Logistic regression analyses indicated that both suicidal and violent ideation were associated with young age and the absence of diagnoses of psychotic disorders; in addition, suicidal ideation was associated with female gender, violent ideation, and diagnoses of mood- neurotic and personality disorders, whereas violent ideation was associated with male gender, suicidal ideation, and diagnoses of mood and neurotic disorders.
CONCLUSIONS
Overall, the findings highlight the need for further research on suicidal and violent ideation in people with mental health problems including, but not limited to, their association with adverse behavioral outcomes, as well as the need to routinely assess both suicidal and violent ideation in clinical practice.
Topics: Female; Humans; Inpatients; Male; Prevalence; Psychotic Disorders; Risk Factors; Suicidal Ideation; Thinking
PubMed: 33368501
DOI: 10.1111/sltb.12726 -
Early Intervention in Psychiatry Aug 2021Individuals with first-episode psychosis (FEP) are at elevated risk for suicide. The current study explored the applicability of the Interpersonal-Psychological Theory...
Individuals with first-episode psychosis (FEP) are at elevated risk for suicide. The current study explored the applicability of the Interpersonal-Psychological Theory of Suicide (IPTS) as a model for understanding suicide in FEP. Thirty-nine individuals with FEP completed measures of thwarted belongingness, perceived burdensomeness, acquired capability for suicide, and suicidal ideation. Results indicate that participants with recent suicidal ideation have greater levels of perceived burdensomeness and thwarted belongingness than those without recent suicidal ideation. In contrast, the interaction of IPTS variables did not predict the severity of suicidal ideation across the entire sample. These findings suggest that burdensomeness and belongingness differentiate between individuals with and without suicidal ideation, although these constructs might be less useful in predicting the severity of suicidal ideation among individuals with psychosis. Further research is needed to understand both transdiagnostic and unique risk factors that contribute to the high rates of suicide in this population.
Topics: Humans; Interpersonal Relations; Psychological Theory; Psychotic Disorders; Risk Factors; Suicidal Ideation; Suicide
PubMed: 32852887
DOI: 10.1111/eip.13023