Suicide Ideation and Attempts among Inhalant Users: Results from the National Epidemiologic Survey on Alcohol and Related Conditions

Few studies have examined associations of inhalant use and inhalant use disorders (IUDs) to suicide ideation and attempts. We investigated these relationships in the largest comorbidity survey conducted in the United States. Suicidal ideation was significantly more prevalent among inhalant users than nonusers and severity of inhalant use problems was positively related to suicidal ideation. Among persons with IUDs, 67.4% had thought about committing suicide and 20.2% had attempted suicide. Multivariate logistic regression analyses indicated that respondents with IUDs reported significantly higher levels of suicide ideation than inhalant nonusers. Inhalant use is associated with significantly increased risk for suicide ideation, especially among women and persons with DSM‐IV IUDs.     

The Association Between Anhedonia,Suicide Ideation,and Suicide Attempts: A Replication in a Persian Student Sample

Research suggests that anhedonia, a common symptom of depression, may be uniquely associated with suicidal behavior. However, little research has examined this association across cultures. To address this limitation, this study attempted to replicate a recent anhedonia and suicide study (conducted in a western culture) in a Persian sample using the Specific Loss of Interest and Pleasure Scale, Persian version. Participants consisted of 404 students who were recruited from a Persian university. Surprisingly, our results indicated that anhedonia levels were more than double those found in similar American student sample. Despite this marked difference in anhedonia symptoms, we found that anhedonia was associated with suicide risk, even when it was statistically accounting for other depressive symptoms. These findings suggest that anhedonia is a robust predictor of suicide risk across these two cultures. Further, anhedonia may be a particularly important treatment target among Persian students.     

Alcohol Consumption, Outcome Expectancies, and Victimization Status Among Female College Students

The present study examined differences in the extent of alcohol consumption and endorsement of alcohol-related outcome expectancies between victims of alcohol- or drug-related sexual assault, victims of non-alcohol- or non-drug-related sexual assault, and nonvictim controls. The alcohol consumption patterns alcohol outcome expectancies and victimization status of 176 female college students were assessed. Results indicated that relative to nonvictims and victims of non-alcohol- or non-drug-related sexual assault, victims of alcohol- or drug-related sexual assault reported more frequent and greater alcohol consumption and a greater extent of endorsement of alcohol outcome expectancies. Furthermore. extent of alcohol consumption was associated with different alcohol expectancy outcomes for each group. Implications for the prevention of sexual assault and directions for future research are discussed.     

Alcohol Consumption and Nearly Lethal Suicide Attempts

W e conducted a case‐control study of the association between nearly lethal suicide attempts and facets of alcohol consumption; namely, drinking frequency, drinking quantity, binge drinking, alcoholism, drinking within 3 hours of suicide attempt, and age began drinking. Subjects were 13–34 years of age. In bivariable analyses, all measures were associated with nearly lethal suicide attempts. Odds ratios ranged from 2.4 for alcoholism to 7.0 for drinking within 3 hours of attempt. All exposure variables except age began drinking exhibited a J‐shaped relationship between alcohol exposure and nearly lethal suicide attempt. After controlling for potential confounders and other measures of alcohol exposure, drinking within 3 hours of attempt remained most strongly (odds ratios > 6) associated. Alcoholism remained significantly associated in most models, but at lower strength.     

Investigating Drinking via the Social Investment Hypothesis: Committed Relationship Status Moderates the Association between Educational Investment and Excessive Alcohol Consumption among College Students

A sample of 18- to 23-year-old college students (N = 183) with a heterogeneous prevalence of alcohol dependence (AD) was used to examine the relationship between normative investment and alcohol consumption. Consistent with the social investment hypothesis, AD students reported lower educational investment and less participation in committed relationships than non-AD students. The sample-wide relationship between educational investment and alcohol use was moderated by relationship status, such that students in relationships who reported high educational investment were likely to drink more than single students who reported high educational investment. This interactive effect held when controlling for sex, IQ, and a measure of self-control. The results suggest normative investment is a candidate risk factor for excessive alcohol consumption for both highly "under-committed" and "over-committed" students.     

Sexual Hookups and Alcohol Consumption Among African American and Caucasian College Students: A Pilot Study

This study investigated college students’ sexual hooking up and its associations with alcohol consumption for men and women; furthermore, potential differences related to ethnicity were investigated. Students at a midsized southeastern university who identified as Caucasian or African American (N = 227) completed a survey assessing sexual behavior, demographics, and alcohol consumption. Heavy drinking was associated with ever hooking up, number of hookup partners, hookup frequency, and level of sexual contact during hooking up for Caucasian students, but not for their African American peers. Among Caucasians, moderate drinking men reported more intense sexual contact during hookups than their female peers who were moderate drinkers; sexual contact levels were more similar for men and women who were either nondrinkers or heavy drinkers. Limitations and strengths are discussed, as are ideas for future studies on hooking up and for educational efforts to protect against potentially negative outcomes of hooking up.     

Coping,Reasons for Living,and Suicide in Black College Students

The authors examined the roles of reasons for living and coping in protecting against suicidal behaviors among 361 Black college students. Results of a path analysis revealed that reasons for living mediated against suicidal ideation through an inverse effect on depression. Results also indicated that greater use of emotion‐oriented coping may lead to suicidal ideation through increased depression and decreased reasons for living, whereas avoidance‐oriented coping protected against suicide. Implications for these results are further discussed.     

Psychometric Characteristics of the Adult Suicidal Ideation Questionnaire in College Students

There is a growing concern for identifying individuals at risk for suicidal behaviors. Suicidal ideation, that is, the thoughts and cognitions one has about suicidal behaviors and intent, may be considered a primary marker for the risk of more serious suicidal behaviors. This investigation examined the reliability and validity of the Adult Suicidal Ideation Questionnaire (ASIQ; Reynolds, in press-a), a 25-item self-report suicidal ideation measure designed for adults. Subjects were 474 college students from two Midwestern universities. Results indicated high internal consistency (rα = .97) and test-retest (r[sub tt] = .86) reliability of the ASIQ with college students. Significant correlations (rs = .38 to .60) were found with measures of depression, hopelessness, anxiety, and self-esteem. For the total sample, a multiple correlation of .67 was found between the ASIQ, the independent variables just noted, and history of prior suicide attempt. Factor analysis of the ASIQ produced a four-factor solution. Psychometric support for the utilization of the ASIQ in clinical and research settings is presented and discussed. There is a growing concern for identifying individuals at risk for suicidal behaviors. Suicidal ideation, that is, the thoughts and cognitions one has about suicidal behaviors and intent, may be considered a primary marker for the risk of more serious suicidal behaviors. This investigation examined the reliability and validity of the Adult Suicidal Ideation Questionnaire (ASIQ; Reynolds, in press-a), a 25-item self-report suicidal ideation measure designed for adults. Subjects were 474 college students from two Midwestern universities. Results indicated high internal consistency (rα = .97) and test-retest (r[sub tt] = .86) reliability of the ASIQ with college students. Significant correlations (rs = .38 to .60) were found with measures of depression, hopelessness, anxiety, and self-esteem. For the total sample, a multiple correlation of ...     

Mindfulness Moderates the Association Between Perceived Burdensomeness and Suicide Ideation in Adults With Elevated Depressive Symptoms

A conceptual model in which the associations between perceived burdensomeness and suicide ideation, and between thwarted belongingness and suicide ideation, are moderated by mindfulness was examined. Participants were 218 undergraduates (mean age = 20.81) with moderate‐to‐severe depressive symptoms. Mindfulness significantly moderated the association between perceived burdensomeness and suicide ideation; participants with thoughts of burdensomeness experienced lower levels of suicide ideation if they were high, as opposed to low, in mindfulness. Mindfulness did not significantly moderate the association between thwarted belongingness and suicide ideation. Implications for intervention and elaboration of the interpersonal psychological theory of suicide are discussed.     

Risk Factors Proximate to Suicide and Suicide Risk Assessment in the Context of Denied Suicide Ideation

Health care providers have significant opportunities to identify individuals at near‐term risk for suicide, but lack empirical data on near‐term risk factors. This study aimed to identify dynamic, state‐related risk factors observed by clinical practitioners within the last 30 days of life of 157 patients who died by suicide and to compare these near‐term risk factors among patients who denied versus responded positively to having suicide ideation (SI ) when last asked by a clinical practitioner prior to their death. Risk factors charted for the majority of all decedents were a history of prior suicide ideation and/or suicide attempt, current anxiety/agitation and sleep problems, current interpersonal problems or job/financial strain, current comorbid diagnoses, current social isolation/withdrawal, and a family history of mental disorder. Two‐thirds of patients denied having SI when last asked and one‐half of these patients were dead by suicide within 2 days. Decedents who denied having SI were quite similar in charted diagnoses, symptoms, behaviors, and environmental circumstances to decedents who responded affirmatively to having SI . Reliance on verbalized or reported SI as a gateway to a suicide risk assessment is questioned and the need for better understanding near‐term risk for suicide, particularly in the absence of stated SI , is highlighted.     

Loneliness,Depressive Symptomatology,and Suicide Ideation in Adolescence: Cross-Sectional and Longitudinal Analyses

The paper presents the first known longitudinal study of the relationship between loneliness, depressive symptoms, and suicide ideation in adolescence, in a stratified sample of high school students (Time 1 N = 1009; 57 % female; Time 2 N = 541; 60 % female). Cross-lagged structural equation modeling indicated that depressive symptoms led to more loneliness across time, whereas loneliness did not predict higher levels of depressive symptoms across time. Loneliness was found to be a correlate of depressive symptoms at the cross-sectional level, independent of gender, other demographic factors, multiple psychosocial variables, and social desirability. Loneliness did not predict suicide ideation over time or at the cross-sectional level, when controlling for depressive symptoms. Gender did not predict loneliness, depressive symptoms or suicide ideation across time. Future longitudinal studies of the relationship between loneliness, depressive symptoms, and suicide ideation in adolescence should use more extensive designs.     

Exploring Internet Motives and Life Satisfaction Among Hungarian and Israeli Medical Students, Living in Hungary

Objective Using the Internet can influence psychological well-being, for instance life satisfaction has been negatively related to Internet uses. The first aim of this study was to compare the motives for Internet use and life satisfaction. The second aim was to explore nation- and gender-based differences in Internet uses. Method The questionnaires related to Internet motives and life satisfaction, and were filled out by 300 medical students, including 150 Israeli students (75 females, 75 males) and 150 Hungarian students (75 females, 75 males). Results In the Israeli and Hungarian sample, the entertainment motive was rated the highest while the escape motive was rated the lowest. There were significant differences between the Israeli male and female students in arousal and information-seeking, while for the Hungarian male and female students there were significant differences for pass time. Life satisfaction was higher in the Israeli sample. In both samples it was shown that the higher the life satisfaction was, the less likely the students were to use the Internet for companionship purposes. Again in both samples, a higher life satisfaction predicted less frequent use of the Internet for the social interaction motives.     

Loneliness and Suicidal Ideation in Drug‐Using College Students

The college years are marked by social changes and behavioral experimentation which may increase risk of suicidal ideation. We propose a novel pathway for the development of suicidal thoughts between two established suicide risk factors, loneliness and drug use, which have not been examined in a nonclinical sample. Data were collected from 207 undergraduate drug‐using students at a large southeastern university. As hypothesized, suicidal ideation was positively correlated with both loneliness (r = .40) and drug use (r = .29). After controlling for several demographic variables, social desirability, and anxiety sensitivity, drug use was tested as a potential mediator in the loneliness–suicidal ideation link using a single‐mediator model. Results indicated a significant indirect (mediated) effect of loneliness on suicidal ideation via drug use (ab = 0.09, 95% CI: 0.02–0.18), suggesting that loneliness may contribute to suicidal ideation through increased drug use among college students. Identification of and intervention with students reporting loneliness and drug use may be a promising suicide prevention strategy on college campuses.     

Perfectionism and Suicide Ideation in Adolescent Psychiatric Patients

This study was conducted to examine the relations between dimensions of perfectionism and suicide ideation in an adolescent psychiatric sample. A sample of 66 adolescents from an inpatient psychiatric facility completed the Child and Adolescent Perfectionism Scale, the Child's Hopelessness Scale, and the Suicide Ideation Questionnaire. Overall, the results indicated that socially prescribed perfectionism was associated with greater suicide ideation and that it, along with hopelessness, accounted for unique variance in suicide ideation scores. The findings are discussed in terms of their practical and theoretical significance as well as their consistency with similar research with adults.     

Suicide Risk Assessment and Risk Formulation Part I: A Focus on Suicide Ideation in Assessing Suicide Risk

The main procedure used by clinicians to determine whether an individual may be at risk of suicidal behaviors is the suicide risk assessment (SRA). The purpose of the SRA is to identify risk and protective factors that then provide the data for the formulation of suicide risk. The suicide risk formulation (SRF) assigns a level of suicide risk that ideally leads to triage and treatment deemed appropriate for that level of risk. Some of the problems with the SRA are explored here, with an emphasis on addressing the over reliance on communicated suicide ideation, and recommendations are made for improvements. Part II of this article (Berman & Silverman, 2013, also appears in this issue of STLB) examines the process of an SRF and, similarly, makes recommendations to improve clinical practice toward the desired end of saving lives.     

Religious Context Matters: Exploring the Relationship Between Religious Context and Underage Alcohol Consumption

Previous research has demonstrated that individual religious beliefs and practices may reduce the likelihood of underage alcohol consumption, but less is known about how the overall religious cultural influence of a religion may influence individual alcohol consumption behaviors. Using multilevel analyses on two waves of the National Study of Youth and Religion merged with county-level variables from the U.S. Census and the Religious Congregations and Membership Study, we find that a county’s higher Catholic population share leads to more frequent underage drunkenness even after controlling for a wide range of individual and county-level variables. Contrary to other studies’ findings discovered at individual level, a greater population share of conservative Protestants is also linked with higher level of underage drunkenness. This study highlights the importance of viewing religious influence on health behaviors as a contextual, cultural force.