Beliefs about the cause,manifestation, and cure of schizophrenia: A cross-cultural comparison

This study set out to compare British and Sri Lankan young people's (students) beliefs concerning the causes, manifestations, and cures of schizophrenia. One hundred and seventy-five British and Sri Lankan participants completed the three-part questionnaire in their mother tongue. It was hypothesized that the Sri Lankans would have more negative and uninformed attitudes and beliefs about schizophrenia than the British. It was also hypothesized that the Sri Lankans would favour superstitious, family, and sociological causes to explain the development of schizophrenia, while the British would favour more biological explanations. These two hypotheses were confirmed after factor-analysing the internal structure of the three sections of the questionnaire. Even well-educated young people remain ignorant about one of the most challenging mental illnesses.     

The Use of Mindfulness Practice in the Treatment of a Case of Obsessive Compulsive Disorder in Sri Lanka

For over 20 centuries, Buddhism has been the spiritual practice of the majority of Sri Lankans. Though Buddhist practices have been increasingly influencing psychotherapy in the West, the use of such practices in psychotherapy in Sri Lanka is not common. This paper attempts to bridge this gap by presenting a case study where Buddhist mindfulness practice was used successfully in the treatment of a case of obsessive compulsive disorder. This paper also presents an outline of the association between Buddhist mindfulness practice and mindfulness practices used in modern-day psychotherapy and discusses issues in the use of mindfulness practice in psychotherapy.     

Identity and Immigrant Stereotypes: A Study Based on the Ego-Ecological Approach

Based on the ego-ecological approach, which views identity as deeply interconnected with the social environment via group memberships, this study reconstructed the psychosocial identity of a group of Sri Lankan immigrants who settled in Naples, Italy, with the aim of detecting resonances between their self-representations and the stereotypes circulating in the receiving society. Fifty-one Sri Lankan immigrants completed a shortened version of the Multistage Investigator of Social Identity (MISI) with the following two stimulus groups: “Sri Lankans” (i.e., ethnocultural identity) and “immigrants.” Analyses revealed an implication of the self in both groups (i.e., Sri Lankans and immigrants), with the represented immigrant self more negatively connoted than the ethnocultural self. The contents of the self-representations showed resonances with both the stereotypes associated with immigrants in Italian society and the specific stereotype associated with the Sri Lankan community, thereby empirically confirming that in the immigrant experience identity feels the effect of the attitudes of the receiving context.     

Teaching Council in Sri Lanka: A Post Disaster, Culturally Sensitive and Spiritual Model of Group Process

In response to the December 26, 2004 tsunami in Southeast Asia, a method of treating trauma with group therapy, called Council, was introduced to Sri Lankan para-professionals working for Sarvodaya, a local non-governmental organization, by American psychotherapists associated with Heart Circle Sangha, a Zen Buddhist temple in New Jersey. Working together, Americans and Sri Lankans incorporated meditation, mindfulness and culturally congruent spiritual ritual that made the group process acceptable and healing to the survivors who were Buddhist, Muslim, Hindu and Christian.     

Rational suicide?

Abstract

Two competing paradigms of suicide imply different views of whether suicide can be rational. The first, the “received orthodoxy” of mental health professionals for more than a century, views all suicides as irrational and holds that suicidal persons should always be prevented from ending their own lives. The second grants that most suicides are irrational, but claims suicide may sometimes be a rational option. Lokhandwala and Westefeld's argument manifests the conflict between these two paradigms: After initially granting that suicide may be a rational option for some people, they in effect urge mental health professionals to presume in practice that any suicidal patient is irrational. Patients for whom suicide might indeed be rational will be ill-served by mental health professionals who follow Lokhandwala and Westefeld's advice.     

Preventing Suicide at Suicide Hotspots: A Case Study from Australia

The Gap Park Self‐Harm Minimisation Masterplan project is a collaborative attempt to address jumping suicides at Sydney's Gap Park through means restriction, encouraging help‐seeking, and increasing the likelihood of third‐party intervention. We used various data sources to describe the Masterplan project's processes, impacts, and outcomes. There have been reductions in reported jumps and confirmed suicides, although the trends are not statistically significant. There has been a significant increase in police call‐outs to intervene with suicidal people who have not yet reached the cliff's edge. The collaborative nature of the Masterplan project and its multifaceted approach appear to be reaping benefits.     

The Sexual Harassment–Suicide Connection in the U.S. Military: Contextual Effects of Hostile Work Environment and Trusted Unit Leaders

Sexual harassment has been associated with suicidal behaviors, and with the rise in suicides in the U.S. military, sexual harassment's role in suicide has been of growing interest. Lacking are studies that examine group‐ or unit‐level variables in the relationship of sexual harassment to suicidal behaviors (thoughts, plans, and attempts). In this study, survey data from soldiers (12,567 soldiers in 180 company‐sized units) who completed the Unit Risk Inventory administered during calendar year 2010 were analyzed using hierarchical linear modeling. At the individual level, sexual harassment was associated with a fivefold increase for risk of suicide. Reporting that leaders could be trusted was associated with a decreased suicide risk by about one‐third. There was no statistically significant interaction between sexual harassment and trusted leaders in predicting the suicidal behaviors. At the group level, units or companies having higher levels of sexual harassment also had soldiers three times more at risk for suicide. A cross‐leveling effect was also observed: Among units having higher levels of sexual harassment, the negative correlation (buffering effect of unit leaders on suicidal behaviors) was diminished. Implications of findings for preventing sexual harassment and suicide risk are discussed.     

Analysis of NTSB Aircraft‐Assisted Pilot Suicides: 1982–2014

On March 24, 2015, a Germanwings aircraft crashed in the Alps. The suicidal copilot killed himself and 150 others. Pilot suicide is rare, but does happen. This research analyzed the National Transportation Safety Board's accident database (eADMS) looking for pilots who died by suicide in flight. Fifty‐one suicides were identified. Gender, age, and other characteristics were examined. Average age of suicidal pilots was 38, significantly different from the average age of 45 for all male pilots involved in aircraft accidents. A discriminant function accurately identified suicidal incidents at 96%. There was a high false‐positive rate limiting the usefulness of the discriminant function.     

A Follow-up Study of 53 Suicides Known to a Suicide Prevention Center

ABSTRACT: The operation of the Cleveland Suicide Prevention Center is reviewed, and 53 known suicides during the Center's first four years of operation are discussed. A suicide rate of 288 per 100,000 suggests that persons contacting the Center represented a high suicide risk group. Of the suicides, 57 percent were women. This high proportion of females was statistically significant when compared to the smaller percentage of female suicides for Cuyahoga County, Ohio. Of the persons who committed suicide, 26 percent initiated direct contact with the Center themselves, and none recontacted the Center just prior to death. The question is raised whether contact initiated by another may in itself be suggestive of greater suicidal risk. Some of the practical problems in evaluation and referral are discussed.     

A Comparison of 15 Theories of Suicide

A method is illustrated for studying the lives of suicidal individuals. Each of 15 theories of suicide is operationalized with 10 statements. These 150 statements are then rated as present or absent in the lives of 30 famous suicides for whom a biography is available. The theory of Aaron Beck is found to be most applicable to the suicidal lives and that of Sigmund Freud least applicable. A factor analysis has identified five clusters of theories; and the age, sex, national origin, era, and experience of loss are found to be associated with scores of the 30 suicides on the 15 theories.     

A Suicide Prevention Campaign for Firearm Dealers in New Hampshire

A spate of suicides involving a just‐purchased firearm led a statewide coalition of firearm dealers, firearm rights advocates, and suicide prevention professionals to discuss the role of gun shops in preventing suicide. The group developed and mailed materials for (1) firearm retailers on avoiding sales to suicidal customers and (2) their customers on suicide and firearm safety. All storefront retailers were identified (n = 65), visited unannounced 6 months after receiving materials, and asked to complete a survey. Nearly half (48%) had at least one campaign product on display. Belief that reducing a suicidal person's access to firearms might save a life was associated with displaying materials (69% vs. 41%, p = .06). Public health and gun groups can successfully collaborate on suicide prevention activities.     

Testing a Theoretical Model Based on Social Cognitive Theory for Media Influences on Suicidal Ideation: Results from a Panel Study

The influence of media representations of suicides on the subsequent increase of suicide rate has been researched for decades. Yet the underlying psychological mechanism of such media influences on individual's suicidality remains uncertain. Based on the conceptual framework of social cognitive theory, this article discusses the operationalization of media influences on suicidal ideation by using a psychometric approach. It then develops and tests a theoretical model to explain the mechanism of media influences on suicidal ideation. A two-wave panel study with a randomized population sample was carried out in the Hong Kong SAR, China with the results indicating that the proposed operationalization closely fit the data collected and empirically supported the theoretical model. Reciprocal associations between prior suicidal ideation and processes of media influences were also confirmed. The results also tested the factorial invariance across age groups and different pre-existing levels of suicidal ideation. This study reports the first individual-level finding on the theoretical relationship between media influences and suicidal ideation, as well as the first psychometrically validated operationalization of media influences on suicidal ideation.     

Abiding by Sri Lanka Qadri Ismail's way

Qadri Ismail's book, Abiding by Sri Lanka: On Peace, Place, and Postcoloniality (2005) suggests that literary theory might help Sri Lankans re-imagine the colonial social categories and histories that underwrite their long-running conflict. Ismail also argues that the social sciences (particularly anthropology) and history fail Sri Lanka. They fail either because, like anthropology, their colonial origins render them epistemologically unable to ‘abide by’ Sri Lanka (or to see its politics as political); or because, like history, their embrace of an empiricist belief in an objectively real history betrays them into reconfirming nationalism. My article will argue that while the first part of Ismail's thesis is fascinating and useful (if a bit lacking in practical details), his claim that anthropology and history writing as such must be ‘de-authorized’ is too broad. It concludes by arguing for a cease-fire in Sri Lanka.     

Suicidal Behavior in Relatives or Associates Moderates the Strength of Common Risk Factors for Suicide

The prevalence and odds ratios of different suicide risk factors were compared in three pairs of decedents: 80 suicides and 25 injury decedents with blood relatives with suicidal behavior history (biologically exposed); 259 suicides and 126 injury decedents with unrelated acquaintances with suicidal behavior history (socially exposed); and 471 suicides and 523 injury decedents with neither relatives nor acquaintances with suicidal behavior history (unexposed). Negative life events and high psychological stress were more common in socially exposed suicides than in other suicides. The adjusted odds ratios of most established suicide risk factors were higher in unexposed decedents than in biologically or socially exposed decedents, suggesting that the predictive value of established risk factors wanes in individuals who have been exposed to suicidal behavior in family or friends.     

Suicide Past and Present: A Note on Jean Pierre Falret

ABSTRACT: In 1822 Dr. Jean Pierre Falret published, in French, a scholarly work on suicide. He reported on the number of suicides in the city of Paris and its environs, on the kind of people who become suicidal, and on the treatments, both physical and psychological, that were used for these patients. In this paper, Falret's book is examined for similarities and differences of approaches to the problem of suicide in nineteenth-century France and in the current scene.     

Incidence of suicidal ideation and behavior in the United States, 1994.

Completed suicides reflect only a portion of the impact of suicidal behavior; sublethal behaviors cause morbidity and can signal treatable problems such as depression. There is no national quantification of nonlethal suicidal behaviors. The present study used a random-digit-dialed telephone survey to estimate the 12-month incidence of suicidal ideation, planning, and attempts among U.S. adults. Of 5,238 respondents, 5.6% (representing about 10.5 million persons) reported suicidal ideation, 2.7% (about 2.7 million) made a specific suicide plan, and 0.7% (about 700,000) made a suicide attempt (estimate = 1.1 million attempts). Hence, suicidal behaviors are not uncommon and occur along a continuum ranging from ideation to completed suicides. Preventing nonlethal precursor behaviors may prevent deaths.     

Marital Discord and Suicidal Outcomes in a National Sample of Married Individuals

Suicide is the tenth leading cause of death in the United States, with an average of 105 suicides committed daily. The association between marital discord and 12‐month prevalence of suicidal ideation and suicide attempt was studied in a population‐based sample of married adults (N = 1,384). Marital discord was significantly and positively associated with suicidal ideation and suicide attempt, and these associations remained significant when controlling for demographics and 12‐month prevalence of mood, anxiety, and substance use disorders. Results suggest that marital discord is an important correlate of suicidal outcomes and may be important to target in preventing and treating suicide.     

Completed suicide among Sinhalese in Sri Lanka: a psychological autopsy study

Sri Lanka has the one of highest rates of suicide. Important factors associated with suicide were determined via the psychological autopsy approach (which had not been carried out previously in Sri Lanka). Over a 3-month period, in a catchment area, 31 suicides among Sinhalese were identified and 27 were investigated. Males were more likely to commit suicide and alcohol abuse and domestic violence were reported as contributory factors. We found it possible to use psychological autopsy methods to obtain information which can inform planned prevention measures.     

The Kurt Cobain Suicide Crisis: Perspectives from Research,Public Health,and the News Media

The suicide of rock star Kurt Cobain in 1994 raised immediate concerns among suicidologists and the public at large about the potential for his death to spark copycat suicides, especially among vulnerable youth. The Seattle community, where Cobain lived and died, was especially affected by his sudden death. An overview of Cobain's life and death is presented and various crisis center and community-based interventions that occurred are discussed. Preliminary data collected from the Seattle Medical Examiner's Office and from the Seattle Crisis Center to assess the potential impact of Cobain's death on completed suicides and the incidence of suicide crisis calls are presented. The data obtained from the Seattle King County area suggest that the expected “Werther effect” apparently did not occur, but there was a significant increase in suicide crisis calls following his death. It is hypothesized that the lack of an apparent copycat effect in Seattle may be due to various aspects of the media coverage, the method used in Cobain's suicide, and the crisis center and community outreach interventions that occurred. The Cobain suicide and the role of media influence on copycat suicides are further discussed in commentaries from public health and news media perspectives.     

Revisiting the association of aggression and suicidal behavior in schizophrenic inpatients

Our study investigated the association of aggression and suicidal behavior in schizophrenic inpatients. Eight thousand nine hundred one admissions for schizophrenia (1998-2007) to a psychiatric university hospital were included. Schizophrenic suicides (n = 7)/suicide attempters (n = 40) were compared to suicides (n = 30)/suicide attempters (n = 186) with other diagnoses and to schizophrenic non-attempters regarding aggression. Logistic regression analysis was performed to explore risk factors for attempted suicide. Schizophrenic suicides/suicide attempters did not differ from other suicides/suicide attempters or from schizophrenic non-attempters with regard to aggression. Risk of inpatient suicide attempt was increased for patients with attempted suicide at admission, high school graduation, and disorganized subtype. Aggression could not be found to be a predictor of attempted suicide. Aggression seems to have a minor role for suicidal behavior in schizophrenia.