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Revista Latino-americana de Enfermagem 2023to identify the prevalence and factors associated with passive and active suicidal ideation throughout life among students entering graduate courses.
OBJECTIVE
to identify the prevalence and factors associated with passive and active suicidal ideation throughout life among students entering graduate courses.
METHOD
an analytical and cross-sectional study with a sample comprised of 321 students entering graduate courses. Multiple descriptive and inferential statistical analyses were performed.
RESULTS
the multivariate analyses indicated that passive and active suicidal ideation were similarly more prevalent among female students belonging to minority sexual orientations who engaged in daily physical activity ≤ 30 minutes/day and were victims of psychological violence in the past 12 months. Alcohol abuse, family relationships not impaired due to the demands imposed by stricto sensu graduate studies and low self-esteem were only associated with passive suicidal ideation. In turn, recent marijuana use in the last 30 days, poor interpersonal relationships with academic peers, and engagement in professional activities concomitantly with the demands imposed by graduate studies were only associated with active suicidal ideation.
CONCLUSION
high prevalence of lifetime passive and active suicidal ideation was identified among graduate students, and similarities and differences were verified between some associated factors for both outcomes.
Topics: Female; Humans; Alcoholism; Cross-Sectional Studies; Prevalence; Students; Suicidal Ideation; Male
PubMed: 37729246
DOI: 10.1590/1518-8345.6581.3980 -
European Child & Adolescent Psychiatry Oct 2019
Topics: Child; Child Abuse; Humans; Psychopathology; Self-Injurious Behavior; Suicidal Ideation
PubMed: 31571013
DOI: 10.1007/s00787-019-01412-7 -
International Journal of Environmental... Oct 2022Individuals who suffer from suicidal ideation frequently express their views and ideas on social media. Thus, several studies found that people who are contemplating...
Individuals who suffer from suicidal ideation frequently express their views and ideas on social media. Thus, several studies found that people who are contemplating suicide can be identified by analyzing social media posts. However, finding and comprehending patterns of suicidal ideation represent a challenging task. Therefore, it is essential to develop a machine learning system for automated early detection of suicidal ideation or any abrupt changes in a user's behavior by analyzing his or her posts on social media. In this paper, we propose a methodology based on experimental research for building a suicidal ideation detection system using publicly available Reddit datasets, word-embedding approaches, such as TF-IDF and Word2Vec, for text representation, and hybrid deep learning and machine learning algorithms for classification. A convolutional neural network and Bidirectional long short-term memory (CNN-BiLSTM) model and the machine learning XGBoost model were used to classify social posts as suicidal or non-suicidal using textual and LIWC-22-based features by conducting two experiments. To assess the models' performance, we used the standard metrics of accuracy, precision, recall, and F1-scores. A comparison of the test results showed that when using textual features, the CNN-BiLSTM model outperformed the XGBoost model, achieving 95% suicidal ideation detection accuracy, compared with the latter's 91.5% accuracy. Conversely, when using LIWC features, XGBoost showed better performance than CNN-BiLSTM.
Topics: Deep Learning; Female; Humans; Machine Learning; Male; Neural Networks, Computer; Social Media; Suicidal Ideation
PubMed: 36231935
DOI: 10.3390/ijerph191912635 -
South Dakota Medicine : the Journal of... Jan 2023Emergency departments represent a unique opportunity to intervene in mental health and substance use crises. For people residing in frontier and remote locations...
BACKGROUND
Emergency departments represent a unique opportunity to intervene in mental health and substance use crises. For people residing in frontier and remote locations (greater than 60 min from cities of 50,000 people), emergency departments may be a critical source of mental healthcare, given limited local access to mental health professionals. The purpose of the current study was to investigate emergency department usage for substance use disorders and suicidal ideation in patients residing in frontier and non-frontier locations.
METHODS
South Dakotan syndromic surveillance data from 2017-2018 were obtained for this cross-sectional study. ICD-10 codes were queried to identify substance use disorder and suicidal ideation during emergency department visits. Differences in substance use visits were investigated in frontier and non-frontier patients. Additionally, logistic regression was used to predict suicidal ideation in cases and age- and sex-matched controls.
RESULTS
Frontier patients had a higher percentage of emergency department visits with a diagnosed nicotine use disorder. Conversely, non-frontier patients were more likely to use cocaine. Substance use for other categories of substances was similar between the frontier and non-frontier patients. Alcohol, cannabis, nicotine, opioid, stimulant, and psychoactive substance diagnoses all increased the patient's odds of receiving a suicidal ideation diagnosis. Further, residing in a frontier location also increased the odds of suicidal ideation.
CONCLUSION
Patients residing in frontier locations differed in some forms of substance use disorders and in suicidal ideation. Increasing access to mental health and substance use treatment may be critical for those residing in these remote locations.
Topics: Humans; Suicidal Ideation; Suicide, Attempted; Cross-Sectional Studies; Substance-Related Disorders; Ethanol; Risk Factors
PubMed: 36897786
DOI: No ID Found -
Journal of Community Psychology Jul 2021Suicide is one of the most devastating, yet preventable, health disparities for African American adolescents. African American adolescent suicidal ideation and behavior...
Suicide is one of the most devastating, yet preventable, health disparities for African American adolescents. African American adolescent suicidal ideation and behavior may have different manifestations and risk factors relative to those of adolescents from other ethnic backgrounds that impact prevention efforts. For example, in addition to more common manifestations of suicidal ideation and behavior, African American youth may engage in violent or high-risk behaviors, use more lethal means, or report ideation at lower depression levels. The Adapted-Coping with Stress Course (A-CWS), an adaptation of Gregory Clarke and colleagues' Coping with Stress Course, was developed to address the cultural nuances of African American adolescents. The A-CWS is a 15-session cognitive-behavioral, group-based preventive intervention that aims to enhance adaptive coping skills and reduce suicidal ideation, by incorporating strategies that counter stressors associated with systemic racism that burden African American adolescents. This study evaluated the feasibility and acceptability of the A-CWS intervention, using a sample of predominantly African American ninth-grade students. Results indicated that the adolescents were very favorable and receptive to the A-CWS intervention and that the intervention could be conducted feasibly. The A-CWS intervention serves as a model to advance culturally-grounded, evidence-based preventive intervention, for an underserved sector of adolescents.
Topics: Adaptation, Psychological; Adolescent; Adolescent Behavior; Black or African American; Humans; Racism; Suicidal Ideation
PubMed: 33675671
DOI: 10.1002/jcop.22543 -
Behavior Therapy Sep 2021Eating disorder symptoms and suicidal ideation are relatively common, and often begin to emerge in adolescence. Interoceptive deficits, or the inability to perceive and...
Eating disorder symptoms and suicidal ideation are relatively common, and often begin to emerge in adolescence. Interoceptive deficits, or the inability to perceive and accurately identify the physiological condition of the body, is an established risk factor for both eating disorders and suicidal thoughts and behaviors. Despite this, longitudinal research examining the temporal dynamics between these variables is scarce, especially within adolescent samples. Using a three-wave longitudinal design, the present study tested bidirectional relationships between interoceptive deficits, eating disorder symptoms, and suicidal ideation to examine whether interoceptive deficits predicted eating disorder symptoms and suicidal ideation over the course of a year among a sample of adolescents. Participants were 436 community adolescents recruited from local middle- and high-schools. Data were collected at baseline, 6-month follow-up, and 12-month follow-up. Study measures assessed current suicidal ideation, eating disorder symptom severity, and interoceptive deficits. Autoregressive cross-lagged modeling was conducted in MPlus. We found baseline eating disorder symptoms significantly predicted suicidal ideation at 6-month follow-up when controlling for baseline suicidal ideation. Baseline interoceptive deficits significantly predicted eating disorder symptoms 6-months later, while 6-month follow-up interoceptive deficits significantly predicted 12-month follow-up suicidal ideation. Our findings highlight the need for early and regular assessment of suicidal ideation and eating disorder symptoms in adolescents. Given that interoceptive deficits was a shared risk factor for both conditions within this sample, these results underscore the need for targeted interventions aimed at improving interoception.
Topics: Adolescent; Feeding and Eating Disorders; Humans; Risk Factors; Schools; Suicidal Ideation
PubMed: 34452664
DOI: 10.1016/j.beth.2021.03.005 -
International Journal of Environmental... Aug 2022Suicide is a major public-health problem that exists in virtually every part of the world. Hundreds of thousands of people commit suicide every year. The early detection... (Review)
Review
Suicide is a major public-health problem that exists in virtually every part of the world. Hundreds of thousands of people commit suicide every year. The early detection of suicidal ideation is critical for suicide prevention. However, there are challenges associated with conventional suicide-risk screening methods. At the same time, individuals contemplating suicide are increasingly turning to social media and online forums, such as Reddit, to express their feelings and share their struggles with suicidal thoughts. This prompted research that applies machine learning and natural language processing techniques to detect suicidality among social media and forum users. The objective of this paper is to investigate methods employed to detect suicidal ideations on the Reddit forum. To achieve this objective, we conducted a literature review of the recent articles detailing machine learning and natural language processing techniques applied to Reddit data to detect the presence of suicidal ideations. Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, we selected 26 recent studies, published between 2018 and 2022. The findings of the review outline the prevalent methods of data collection, data annotation, data preprocessing, feature engineering, model development, and evaluation. Furthermore, we present several Reddit-based datasets utilized to construct suicidal ideation detection models. Finally, we conclude by discussing the current limitations and future directions in the research of suicidal ideation detection.
Topics: Humans; Machine Learning; Natural Language Processing; Social Media; Suicidal Ideation; Suicide Prevention
PubMed: 36011981
DOI: 10.3390/ijerph191610347 -
Research on Child and Adolescent... Mar 2022Recent decades have seen an alarming increase in rates of suicide among young people, including children and adolescents ("youth"). Although child maltreatment...
Recent decades have seen an alarming increase in rates of suicide among young people, including children and adolescents ("youth"). Although child maltreatment constitutes a well-established risk factor for suicidal ideation in youth, few efforts have focused on identifying factors associated with maltreated youths' increased risk for suicidal ideation, especially across development. The present study examined the relations between maltreated youths' (N = 279, M = 12.06 years, 52% female, 53% Latinx) perceptions of their social status and suicidal ideation and compared those relations between pre-adolescents and adolescents. Findings revealed unique developmental patterns: Perceived social status was associated with suicidal ideation, but only in adolescents, who showed greater risk for suicidal ideation if they viewed themselves as lower ranked in society and lower risk for suicidal ideation if they viewed themselves as higher ranked in society. Findings have implications for scientific and practical efforts aimed at better understanding and preventing suicide in a high-risk developmental population.
Topics: Adolescent; Child; Child Abuse; Female; Humans; Male; Risk Factors; Social Status; Suicidal Ideation; Suicide
PubMed: 34379260
DOI: 10.1007/s10802-021-00852-7 -
The International Journal of Eating... Mar 2021Suicidality in eating disorders (EDs) is high, and identification of therapeutically targetable traits associated with past, current, and future suicidality is of...
OBJECTIVE
Suicidality in eating disorders (EDs) is high, and identification of therapeutically targetable traits associated with past, current, and future suicidality is of considerable clinical importance. We examined overall and ED subtype-specific associations among suicidal ideation, suicide attempts, and general and specific aspects of emotion dysregulation in a large sample of individuals with ED, at presentation for treatment and 1-year follow-up.
METHOD
Using registry data from 2,406 patients, scores on the Difficulties in Emotion Dysregulation Scale (DERS) at initial registration were examined as predictors of recent suicidal ideation and self-report lifetime suicide attempts. Associations were examined in the full sample and in each ED subtype. In 406 patients, initial DERS scores were examined as predictors of suicidality at 1-year follow-up.
RESULTS
Overall DERS was associated with suicidal ideation and suicide attempts, even when adjusting for ED psychopathology and current depression. Perceived lack of emotion regulation strategies showed unique associations with suicidal ideation and suicide attempts, both in the full sample and in most ED subtypes. Initial DERS was also associated with follow-up suicidal ideation and suicide attempts, although this association did not remain when adjusting for past suicidality.
DISCUSSION
Results suggest that emotion dysregulation may be a potential mechanism contributing to suicidality in EDs, beyond the effects of ED psychopathology and current depression. Although the prevalence of suicidality differs across ED subtypes, emotion dysregulation may represent a risk trait for future suicidality that applies transdiagnostically. Results support addressing emotion dysregulation in treatment in order to reduce suicidality.
Topics: Adolescent; Child; Emotions; Feeding and Eating Disorders; Female; Humans; Risk Factors; Suicidal Ideation; Suicide; Suicide, Attempted
PubMed: 33205495
DOI: 10.1002/eat.23410 -
Journal of General Internal Medicine May 2023Transgender and gender diverse (TGD) individuals experience more severe psychological distress and may be at higher risk for suicide compared to cisgender individuals....
BACKGROUND
Transgender and gender diverse (TGD) individuals experience more severe psychological distress and may be at higher risk for suicide compared to cisgender individuals. The existing literature largely consists of small-sample studies that do not assess subgroup differences.
OBJECTIVE
To examine rates of self-reported suicidal ideation among four TGD groups compared to cisgender individuals.
DESIGN
Data were extracted from the electronic health records of patients receiving primary care at a community health center specializing in sexual and gender minority health. A logistic regression was used to examine the relationship between sociodemographic variables and the presence of current suicidal ideation.
PARTICIPANTS
29,988 patients receiving care at a community health center in Northeastern US between 2015 and 2018.
MAIN MEASURES
Demographic questionnaire, 9-item Patient Health Questionnaire KEY RESULTS: Younger age, sexual and gender minority identity, and public/grants-based insurance were associated with significantly higher odds of suicidal ideation. Relative to cisgender men, transgender men (OR=2.08; 95% CI=1.29-3.36; p=.003), transgender women (OR=3.08; 95% CI=2.05-4.63; p<.001), nonbinary (NB) individuals assigned male at birth (AMAB; OR=3.55; 95% CI=1.86-6.77; p<001), and NB individuals assigned female at birth (AFAB; OR=2.49; 95% CI=1.52-4.07; p<001) all endorsed significantly higher odds of current suicidal ideation, controlling for age, race, ethnicity, sexual orientation, and insurance status. Larger proportions of transgender women (23.6%) and NB AMAB individuals (26.7%) reported suicidal ideation not only compared to cisgender men (6.1%) and women (6.6%), but also compared to transgender men (17.4%; χ[5, n=25,959]=906.454, p<0.001).
CONCLUSIONS
TGD patients were at significantly increased risk of suicidal ideation, even after accounting for age, race, ethnicity, sexual orientation, and insurance status. Findings suggest distinct risk profiles by assigned sex at birth. Consistent assessment of and intervention for suicidal ideation should be prioritized in settings that serve TGD patients.
Topics: Infant, Newborn; Humans; Female; Male; Transgender Persons; Suicidal Ideation; Gender Identity; Sexual and Gender Minorities; Self Report
PubMed: 36650322
DOI: 10.1007/s11606-022-07996-2