Spouse and Family Functioning Before and After a Marine’s Suicide: Comparisons to Deaths by Accident and in Combat

The impact of service member suicides on families is not well understood. Civilian studies have demonstrated that family survivors of suicide deaths experience complicated grief, feel guilt and shame, and often do not receive sufficient social support. In this exploratory study, spouse survivors of Marines who died by suicide (N = 17), accident (N = 19), and in combat (N = 34) retrospectively reported on their immediate pre- and postmortem and current personal and family functioning. Nonparametric analyses revealed that several between-group differences existed. Observation of the means suggested that the spouses and families of Marines who died by suicide exhibited significantly poorer pre- and postmortem functioning compared with those whose spouses died in combat. Specific challenges included low family cohesion, high family conflict, perceived stigma, and shame. There were no differences in current spouse or family functioning, and there was weak evidence for posttraumatic growth among surviving spouses of those dying by suicide. These results should be considered preliminary and interpreted with caution given several methodological challenges.     

Survivors' Narratives of the Impact of Parental Suicide

The impact of parental suicide on surviving children and their family system has received inadequate research attention. Using a qualitative narrative methodology with thematic analysis, we explored the short‐term and lifelong impact of parental suicide among 10 adults who, as children or adolescents, had lost a parent through suicide. The suicide triggered a wide range of structural and relational changes to the family, resulting in a cascading series of negative outcomes. These systemic issues are discussed and recommendations made about support structures for bereaved children and their families. Limitations of the study are discussed and future research directions identified.     

University Students' Perceived Self‐Efficacy in Identifying Suicidal Warning Signs and Helping Suicidal Friends Find Campus Intervention Resources

Currently, suicide is the third leading cause of death among youth 18 to 24 years of age and the second leading cause of death on college campuses. A sample of students (N = 1,019) from three midwestern universities were surveyed regarding their perceived self‐efficacy in identifying suicide warning signs and campus suicide intervention resources. The results indicated that 11% strongly believed they could recognize a friend at suicidal risk, while 17% strongly believed they could ask a friend if he or she was suicidal. Students who had received high school suicide prevention education and who had ever had a family member or friend express suicidal thoughts to them were those most confident in recognizing a friend at risk, asking a friend if he/she is suicidal, and helping a friend to see a counselor. Most (71%) were not aware of on‐campus help resources. These findings underscore the importance of suicide prevention education throughout the high school and college years.     

家庭功能与中学生自杀态度的关系

为考察抑郁、冲动性在家庭功能与中学生自杀态度关系中的链式中介效应,使用家庭功能问卷、抑郁自评量表、Barratt冲动性量表和自杀态度问卷对517名中学生进行调查。研究显示：（1）冲动性在家庭功能与中学生自杀态度之间具有中介作用;（2）抑郁在家庭功能与中学生冲动性之间具有中介作用。（3）抑郁在家庭功能与中学生自杀态度间具有中介作用。因此,抑郁和冲动性在家庭功能与中学生自杀态度之间起链式中介作用。     

The Adolescent Attempter: Sex,Sibling Position,and Family Constellation

ABSTRACT: Data from 17 adolescents who attempted suicide and came to the attention of the Payne Whitney Suicide Prevention Clinic during the years 1968–70 were analyzed for information regarding sex, birth order, sex of siblings, and family constellation. The results indicated that there was a significant trend for firstborn females to be overrepresented among adolescent suicide attempters. In addition, father loss was frequently noted in their histories. A theoretical rationale for the investigation is presented with the results of the study.     

Family survivors of suicide and accidental death: consequences for widows

The impact of completed suicide on the surviving family was studied. Thirteen widows whose husbands had died through suicide were compared with 13 widows whose husbands had died in accidents. The widows' views of their families' functioning, and the extent of life stress and psychiatric symptoms experienced by the widows, were assessed. Interview data suggested more guilt and blaming in suicide survivor families. However, on standardized questionnaires, suicide survivors showed no more family dysfunction, life stress, or psychiatric symptomatology than accident survivors. Both groups acknowledged clinically significant levels of symptoms. The findings raise questions about the validity of generalizations based on the clinical literature regarding the uniquely pathogenic impact of suicide on family functioning.     

Are Written Reports of Suicide and Seeking Help Contagious? High Schoolers' Perceptions1

To assess contagion for suicide and seeking mental health help, 128 high school students read a short vignette about a teen under stress. Half of them were told that this teen knew someone in the community who had similar problems and had committed suicide, and half were told that the teen knew someone in the community who had similar problems and had sought help from a mental health professional. A 2 (Gender of Respondent) × 2 (Gender of Victim) × 2 (Vignette: Response to Stress) analysis of variance indicated a significant main effect for response, and a significant two-way interaction for gender of respondent and response to stress. These high school students thought contagion occurred for suicide as well as seeking mental health help. Girls tended to be more responsive to seeking help, whereas boys were slightly more responsive to suicide. An implication is that publicity about seeking help may ameliorate suicidal contagion.     

Offender-Victim Relationships in Criminal Homicide Followed by Offender's Suicide,North Carolina, 1972–1977

ABSTRACT: An analysis of 90 cases of criminal homicide followed by suicide in North Carolina, 1972 to 1977. Homicidal victim-offender relationships were investigated in regard to age, sex, race and whether victim and offender were member of the same family, friends, acquaintances, or strangers. These results were compared with victim-offender relationships in 994 criminal homicide cases in North Carolina in which offenders did not commit suicide. Married white males over 30 years were much more involved in homicide-suicide than they were in homicide alone. In these homicide-suicide cases, the victim was usually the spouse. Except for marital status, characteristics of homicide offenders who killed themselves resembled those of suicide-only individuals much more than those of homicide-only offenders. In the homicide-suicide cases, the killing of someone in close relationship to the offender, often a wife, appeared to be part of the evolving process of suicide. This clearly has implications for intervention into marital strife and also for immediate treatment of homicide offenders who kill spouses and other family members.     

Psychometric properties and correlates of the Lester-Bean Attribution of Causes to Suicide Scale (German form)

Psychometric properties and correlates of the German form of Lester and Bean's 1992 Attribution of Causes to Suicide Scale, of 18 items tapping into lay theories of suicide (intrapsychic problems, interpersonal conflicts, and societal forces as causes), were investigated in a sample of the general population in Austria (n=156). The three attributional dimensions presented moderate internal consistencies and the 18 items appeared to be factorially orderly, as indicated by exploratory factor analysis. Previous results were replicated, with positive interrelations among all three dimensions, but these were largely confined to men. Societal causes of suicide were significantly less frequently endorsed than intrapsychic or interpersonal causes. Respondents' sex, intelligence, and knowledge about suicide were unrelated, and scores on the Big Five personality factors and social desirability were largely unrelated to the three dimensions. Endorsing intrapsychic causes to suicide was correlated with advanced age, religiosity, and conservative political orientation, and the three dimensions entertained meaningful associations with locus of control (internality, social externality, and fatalistic externality). All observed demographic and attitudinal correlates were, however, of modest magnitude. Implications of the findings and directions for further inquiry are discussed.     

Attributions in the Evaluation of Alternative Solutions to Social Problems

Abstract

The influence of causal attributions in decision making was studied in two samples (one of grade- and high-school teachers and one of first-year university students in Santiago, Chile) who answered a two-part questionnaire about the relative importance of eight different causes of alcohol problems and the potential value of eight possible solutions to the problem. The evaluation of the probable effectiveness of each solution was used as the criterion variable in a multiple regression analysis that included, as regressors, the evaluation of the importance of the different causes and sex of the respondent. Results showed that the importance attributed to the cause it eliminated was always the best predictor of the value given to any solution in the student sample and most frequently among the members of the teacher sample, although the importance of other causes and sex of respondent also influenced it in most cases.     

Suicide and the Generation Gap*

ABSTRACT: To explore psychological parameters of suicide as perceived by young adults, the middle-aged, and old people, an area sample of 317 Detroit subjects, whose ages placed them in one of these three generations, was administered a questionnaire concerning their beliefs about the generations and suicide and their self-reported relationship to suicide. A 3-way fixed-effects analysis of variance (generation × sex × socioeconomic status) indicated that all generations believed that the old (a) have the greatest desire to die, (b) know the least about suicide, (c) make the fewest attempts, (d) are the least frequently successful, and (e) are the least socially condemned for committing suicide. Self-appraisals indicated that (a) lower socioeconomic status is associated with a greater “death wish,” (b) young adults and males claim a greater knowledge about suicide, and (c) the generations do not differ in desire to die, considerations of suicide, and suicide attempts.     

Immediate post intervention effects of two brief youth suicide prevention interventions

This study evaluated the immediate postintervention effects of two brief suicide prevention protocols: a brief interview--Counselors CARE (C-CARE)--and C-CARE plus a 12-session Coping and Support Training (CAST) peer-group intervention. Subjects were students "at risk" of high school dropout and suicide potential in Grades 9-12 from seven high schools (N = 341). Students were assigned randomly to C-CARE plus CAST, C-CARE only, or "intervention as usual." The predicted patterns of change were assessed using trend analyses on data available from three repeated measures. C-CARE and CAST led to increases in personal control, problem-solving coping, and perceived family support. Both C-CARE plus CAST and C-CARE only led to decreases in depression, and to enhanced self-esteem and family goals met. All three groups showed equivalent decreases in suicide risk behaviors, anger control problems, and family distress.     

Characteristics of suicide attempters in a Slovenian high school population

The study was carried out on a representative sample of Slovenian high school students (n = 3687) of whom 238 (137 girls and 101 boys) have already attempted suicide. Both suicide attempters and nonattempters were assessed by a questionnaire consisting of Zung's (1965) Depression Scale, Rosenberg's (1965) Self-Esteem Scale, sociodemographic data, information on suicide attempt, suicide ideation, family relations, and substance abuse. Statistical analyses indicated that groups differed in the levels of self-esteem, emotional reaction to family problems, running away from home, and substance abuse. The differences in the level of depression, frequency of suicide ideation, family suicide occurrence, smoking, and alcohol use were significant.     

Characteristics of Impulsive Suicide Attempts and Attempters

S uicide attempts often are impulsive, yet little is known about the characteristics of impulsive suicide. We examined impulsive suicide attempts within a population‐based, case‐control study of nearly lethal suicide attempts among people 13–34 years of age. Attempts were considered impulsive if the respondent reported spending less than 5 minutes between the decision to attempt suicide and the actual attempt. Among the 153 case‐subjects, 24% attempted impulsively. Impulsive attempts were more likely among those who had been in a physical fight and less likely among those who were depressed. Relative to control subjects, male sex, fighting, and hopelessness distinguished impulsive cases but depression did not. Our findings suggest that inadequate control of aggressive impulses might be a greater indicator of risk for impulsive suicide attempts than depression.     

Family Conflict and Forgiveness Among Survivors of Suicide

This study explored the lived experiences of immediate family members who were left behind and their intra- and interpersonal struggles with other family members and their coping efforts to overcome these struggles. We used interpretative phenomenological analysis for data collection and analysis and conducted in-depth interviews with 11 participants in Korea. Two superordinate themes, with two ordinate themes in each, were identified: (a) family conflict after a family member’s suicide (“discordant grieving” and “suicide loss as a catalyst for family conflict”) and (b) forgiveness (“struggling to forgive other family members, the deceased, and themselves” and “the process and importance of forgiveness”). The implications of these findings are discussed.     

Cultural orientation, family cohesion, and family support in suicide ideation and depression among African American college students

This study extends previous research by examining the role of communalism, family cohesion, and family support in suicide ideation and depression in African American college students. Participants were 188 African American introductory psychology students (126 female, 61 male) from a historically black college. (1) Results showed that communalism, family cohesion, and family support were positively associated with each other. Higher levels of family cohesion and family support were associated with lower levels of suicide ideation and depression. Linear regression analyses showed a main effect for communalism and family support. Having strong communal values was positively related to suicide ideation and depression. Having strong family support was associated with fewer experiences of suicide ideation and depression. Stepwise regression analyses indicated that family support explained more variance in suicide ideation and depression than family cohesion. Implications of these results for future research and practice are discussed.     

8 African-American Suicide: A Cultural Paradox

African-American suicide rates have traditionally been lower than White rates despite a legacy of racial discrimination, persistent poverty, social isolation, and lack of community resources. This paper focuses on four issues: (1) patterns and trends of Black suicide across the lifespan; (2) risk and protective factors in subgroups of Blacks; (3) the influence of cultural factors on suicide patterns of Blacks; and (4) implications of these patterns for prevention and early intervention of suicidal behavior among African Americans. Risk factors for Black suicide include: male sex, early adulthood, substance abuse, psychiatric disorders, family or interpersonal conflict, antisocial behavior, and homosexuality. Protective factors that mitigate the risks of suicide include religiosity, older age, southern residence, and social support. Implications for preventive policies and programs are discussed to counter the recent trend of rising suicide rates among adolescents and very elderly Blacks.     

Interaction of depression and bereavement on mental health in the elderly

Three hundred ninety-three elderly adults aged 55 and older were divided into 1 of 9 subgroups in a 3 (bereavement group: survivors of spouses who died by natural death or by suicide and nonbereaved control Ss) x 3 (depression group: none, mild, and moderate-severe) design over 4 times of measurement--1 month, 6 months, 1 year, and 2.5 years after death of spouse. Significant Bereavement x Depression Group effects were obtained on Brief Symptom Inventory scores. The moderate-severe depression/suicide subgroup had the greatest psychiatric complications with bereavement. Results indicated that elderly persons with significant clinical depression at the time of a spouse's death were at significant risk for psychological complications during the bereavement process, and survivors of spouses who had committed suicide were even more at risk within the greatest depression group.     

大学生的冲动性特质与自杀意念的关系:一个有调节的中介模型

以应激-易感模型为依据考察冲动性特质与自杀意念的关系,并在此基础上提出一个有调节的中介模型,探讨负性生活事件影响的中介作用以及家庭环境的调节作用。采用巴瑞特冲动性量表、青少年生活事件量表、家庭环境量表、贝克自杀意念量表对902名大学生进行集体施测,旨在考察负性生活事件的影响对大学生冲动性特质与自杀意念的中介作用以及家庭环境的调节作用,结果表明:(1)冲动性特质和负性生活事件的影响能正向预测大学生的自杀意念;(2)负性生活事件的影响在冲动性特质和自杀意念之间起中介作用;(3)负性生活事件影响的中介作用和冲动性特质的直接作用受家庭环境的调节。这些结果对于综合解释环境与个体因素对自杀意念的作用与机制具有重要意义。     

Medical and psychology students' disbelief in the inheritance of risk factors for suicide

Despite convergent evidence for a role of genetic risk factors for suicide stemming from quantitative genetic (family, twin, and adoption designs), molecular genetic, and geographical studies, professionals, likely to be exposed to suicide, appear to disbelieve strongly in the inheritance of risk factors for suicide. In a sample of 1,093 Austrian medical and psychology students, about 80% of respondents did not endorse genetic risk factors for suicide, regardless of their sex, age bracket, field and year of study, and overall knowledge on suicide facts. This may reflect educational gaps, cognitive biases against genetic bases and explanations, or both. One single implication is that this information needs to be incorporated and covered more visibly in medical and psychology textbooks and curricula.