Menninger's motives for suicide in the notes of completed and attempted suicides.

Brevard, Lester, and Yang in 1990, studying Menninger's motives for suicide, reported more evidence for the wish to be killed (i.e., self-blame or self-punishment) in suicide notes for completed suicides than in parasuicide notes for attempted suicide; however, they did not control for age and sex. A comparison of notes written by completed and attempted suicides that controlled for age and sex showed no differences in the presence of content which reflected Menninger's three motives for suicide, including the wish to be killed.     

San Diego suicide study: comparison of gay to straight males

Previous large studies of completed suicides have not considered sexual orientation in their data analyses. In this study, data from the known homosexual subpopulation (13 males, aged 21-42) in a series of 283 suicides were examined. They were compared with all other aged male suicides 21-42 (n = 106). Both groups showed considerable substance abuse plus a variety of other psychiatric diagnoses. Both also had a high frequency of relationship difficulties near the time of death. Gays who committed suicide did not have a history of more police trouble and were no more likely to be living alone than the comparison group. They did not have more prior suicide attempts or previous psychiatric treatment. We conclude that, among the factors examined here, there appears to be little difference between gay and heterosexual male suicides.     

Sex difference trends in completed suicide

The recent suicide literature increasingly has contained statements suggesting that the differences in completed suicide between the sexes are lessening. A compilation of official suicide data for 1933-1980 verifies such a trend from the 1950s through 1971. However, increased differences (as measured by the ratio of male to female rates) were consistently observed from 1971 to 1980. These trends were found for data for the nation, for whites and nonwhites, for numbers of suicides, for crude rates, and for age-adjusted rates. Decreased sex differences were obtained for those 35-44, 45-54, 55-64, and for 65+ years of age, but increased sex differences were observed for those aged 15-24 and 25-34. Possible explanations for these findings are presented.     

Anhedonia and suicide: a 6.5-yr. follow-up study of patients hospitalised for a suicide attempt

This was a prospective follow-up study of suicidal patients to assess the association of anhedonia, depression, and completed suicides. Survival analysis as well as Cox's regression makes it possible to weigh the influence of variables. A cohort of 106 patients (81 women, 25 men, M age=33 yr., SD=9.9) admitted to medical or surgical departments after a suicide attempt was followed during a 6.5-yr. mean observation period. In total, 6.7% of patients completed suicide. High proportion of male subjects (71.4%) and low anhedonia, assessed on the Physical Anhedonia Scale, decreased survival time of the cohort and characterized subjects who deceased by suicide. These results suggested that the people who completed suicide were characterized by low anhedonia. Further research is needed on people who attempt suicide and present with specific psychiatric diagnoses.     

The newsworthiness of suicide

There is a paucity of studies examining which suicides are considered news-worthy. By combining data on media reports of individuals' suicides with routinely collected suicide data, it was found that 1% of Australian suicides were reported over a 1-year period. There was evidence of over-reporting of suicides by older people and females, and those involving dramatic methods. Reported suicides fell into three groups: suicides reported in a broader context; suicides by celebrities; and suicides involving unusual circumstances/methods. The data suggest a need for media professionals and suicide experts to work together to balance newsworthiness against the risk of copycat behavior.     

Birth month and suicide among major league baseball players

We examined the association between month of birth and completed suicides among major league baseball players (N = 76). More than twice as many players born in August committed suicide (N = 19) than any other birth month. This association was statistically significant when birth month was corrected for differences in days of the month. The differences were even larger when expressed in terms of birth month for those committing suicides divided by number of major league players born in each month. The association between birth month and suicide raises the possibility that prenatal factors may influence the inclination for suicide later in life.     

Moral development and perceptions of attempted suicide and physician-assisted suicide

In a sample of 115 undergraduates, no association was found between a measure of moral development and the perception of attempted suicides. For the 85 women in the sample, a higher moral development score was associated with less approval of physician-assisted suicide.     

Biology of elderly suicide.

Most studies of suicide in younger patients have demonstrated significant alterations in the serotonin system. Although a high percentage of completed suicides occur in late-life, to date very few studies of the biology of suicide have focused on this age group. This chapter describes age-related changes in the central nervous system pertinent to the biology of suicide, then reviews post-mortem biological studies of the brains of suicides and suicide attempters. As suicide attempts in the elderly are characterized by the use of violent means, biologic studies of impulsive violence are discussed. Finally we describe data on the effect of degenerative diseases on the serotonin system and the possible link to increased suicidal behavior in affected patients. This review underscores the need for further study of the biology of suicide in the geriatric age group.     

Musical creativity and suicide

The different abilities involved in artistic creativity may be mirrored by differences among mental disorders prevalent in each artistic profession, taking poets, painters, and composers as examples. Using suicide rates as a proxy for the prevalence of mental disorders in groups of artists, we investigated the percentage of deaths by suicide in a sample of 4,564 eminent artists who died in the 19th and 20th centuries. Of the sample, 2,259 were primarily involved in activities of a linguistic nature, e.g., poets and writers; 834 were primarily visual artists, such as painters and sculptors; and 1,471 were musicians (composers and instrumentalists). There were 63 suicides in the sample (1.3% of total deaths). Musicians as a group had lower suicide rates than literary and visual artists. Beyond socioeconomic reasons, which might favour interpretations based on effects of health selection, the lower rate of suicides among musicians may reflect some protective effect arising from music.     

Menstruation and suicide: an exploratory study

Previous research has reported mixed findings on the effect of the menstrual cycle on suicidal behavior. The contribution of menstruation to completed suicide is also controversial, though the studies are very limited and have not been carefully designed. To explore the relationship, 217 autopsies on completed suicides were performed, matched to a control group at the All India Institute of Medical Sciences in New Delhi. The results show that 54.46% of people who died by suicide were menstruating (results excluded pregnancies), compared to 6.75% of the control group. Menstruation in those who completed suicide, compared to a control group, appeared to have an association with suicide. More research is warranted.     

The epidemiology of suicide and attempted suicide

Since more than one century suicides have been registered in national statistics of death causes. They thus furnish one of the few parameters of psychiatrically relevant behaviour by means of which trends, cohort, age-group and period effects can be studied over longer periods. Since the second half of last century, the suicide rates for Swiss males--similar to those found in England and Wales--show a decrease in consecutive birth cohorts up to males born in the decade 1930-1940, and a continued decline in the total trend until about World War II. From then on the suicide rates of males in consecutive birth cohorts have been slowly increasing in the majority of European and North American countries--but not so in Sweden. Opposite to this, the predominantly low rates for females display little change. Further to the considerable differences between nations and the predominance of suicides committed by females in some Asian countries and Cuba, the changes indicate the significance of cultural and economic environmental factors. Typical period effects are mainly the result of changes in conception and conditions of life. In attempted suicide they proceed in a more sensitive and more rapid way and are about ten times higher. Such a period effect showing increases by about 300% in younger age-groups followed by a decline, attaining its peak about 1976, was ascertained in large cities of the Federal Republic of Germany. By the example of the effects of a television serial, the study of causal processes turning collective environmental factors into individual suicidal behaviour, proved that regularities are effective in learning by a process of modelling. Besides, the epidemiological data give essential hints how to treat suicidal behaviour.     

From genius inverts to gendered intelligence: Lewis Terman and the power of the norm

The histories of "intelligence" and "sexuality" have largely been narrated separately. In Lewis Terman's work on individual differences, they intersect. Influenced by G. Stanley Hall, Terman initially described atypically accelerated development as problematic. Borrowing from Galton, Terman later positioned gifted children as nonaverage but ideal. Attention to the gifted effeminate subjects used to exemplify giftedness and gender nonconformity in Terman's work shows the selective instantiation of nonaverageness as pathological a propos of effeminacy, and as ideal a propos of high intelligence. Throughout, high intelligence is conflated with health, masculinity, and heterosexuality. Terman's research located marital sexual problems in women's bodies, further undoing possibilities for evaluating heterosexual men's practices as different from a normative position. Terman's research modernized Galton's imperialist vision of a society lead by a male cognitive elite. Psychologists continue to traffic in his logic that values and inculcates intelligence only in the service of sexual and gender conformity.     

Correlates of motives for suicide

Analysis of a large sample of suicide notes from 262 suicides in Australia showed separated/divorced suicides and suicides who abused alcohol were more likely to give love/romance as a precipitant for suicide while those who used gas (natural or car exhaust) were more likely to give depression and guilt as a motive.     

Examining the narrative roles in suicide notes

The present study examines suicide notes, using a sample of suicide notes from published corpora (N = 50), combined with a sample of recent suicide notes from a suicide website (N = 50). The present study proposes a model of differentiation in completed suicides. The characteristics of the suicide notes were analysed using a content dictionary developed by Giles in 2007, and the data subjected to smallest space analysis. Four themes of suicide completer were discovered: Egoistic Victim, Anomic Hero, Altruistic Professional and Fatalistic Revenger. The implications of these findings and the potential use in therapy work with suicide survivors and those with suicidal ideation are discussed, as well as suggestions for the direction of future research.     

Studying suicide with psychological autopsy: social and cultural feasibilities of the methodology in China

As China opens its door to the world, suicide research is making rapid progress using methods and instruments developed in the West. This is a feasibility study of the psychological autopsy methodology applied in China, with its emphasis on the social and cultural environments. With samples of 66 completed suicides and 66 community normal living controls, the authors found that it is feasible to interview at least two informants for each suicide case and each control, between 2 and 6 months after the suicide. With the Chinese-cultivated contacting method of recruiting cases, the refusal rate is nearly zero. The Western-developed methodology per se proved to be valid in the Chinese culture. Ethical considerations in the context of Chinese culture are as important as in the West. Psychological autopsy technique is shown to be an equally applicable method for the study of completed suicides in Chinese culture as it is in the West. Future epidemiological research on Chinese suicide should use the psychological autopsy method to collect data from larger samples in order to increase our understanding of the risk factors for Chinese suicides.     

Perception of behavioral contagion of adolescent suicide

In order to assess perceptions of behavioral contagion of suicide (what people thought a disturbed adolescent would do if the teen knew about a suicide in the community), and to assess actor-observer differences in such perceptions, 142 college students were asked to view a videotaped vignette of a distressed high school student, and then to assess her potential for committing suicide, running away, entering therapy, or abusing alcohol. Subjects who were told that the teenager knew of two recent suicides in the community (contagion group) rated the young woman as more likely to commit suicide or run away than did the subjects who were not told of the suicides (noncontagion group). Subjects who were instructed to imagine that they were the teenager (actors) blamed situational factors, and in particular the teen's parents, more for her distress than did subjects who were instructed just to rate the teenager on the videotape (observers). Contagion/actors rated suicide as more likely than did any other group. Apparently, people believe that behavioral contagion occurs when a suicide is reported, and they especially perceive themselves to be influenced by such information.     

Test anxiety,self-evaluative worry,and sleep disturbance in college students

Abstract

The present research examined the extent to which sleep disturbance is involved in the experience of test anxiety. In Study 1, a sample of 80 subjects completed a trait measure of test anxiety and completed a sleep inventory with reference to the past 30 days. In Study 2, a sample of 188 subjects provided measures of trait and state test anxiety and completed a sleep inventory for the night preceding an actual test. The results of Study 1 and Study 2 confirmed that test anxiety is associated with self-reported sleep disturbance. In addition, the results of Study 2 showed that sleep disturbance is also associated with increased state test anxiety. Finally, it was found in Study 2 that sleep disturbance was not related to actual test performance. However, poorer test performance was associated with increased state and trait test anxiety. It is concluded that certain characteristics associated with test anxiety are stable and may be detected in evaluative and non-evaluative situations. The results are discussed with particular reference to their implications for the test anxiety construct itself as well as treatment strategies for the test-anxious student.     

A test of the validity of the IS PATH WARM warning signs for suicide

The 10 warning signs for suicide, encapsulated in the mnemonic IS PATH WARM, did not differentiate between genuine suicide notes and those written by people simulating a suicidal crisis or between notes written by completed suicides and those written by attempted suicides.     

Surrogate endpoints in suicide research

Surrogate endpoints frequently substitute for rare outcomes in research. The ability to learn about completed suicides by investigating more readily available and proximate outcomes, such as suicide attempts, has obvious appeal. However, concerns with surrogates from the statistical science perspective exist, and mounting evidence from psychometric, neurochemical, genetic, and neuroimaging studies suggests that surrogates may be particularly problematic in suicide research. The need for greater phenotypic refinement of suicide-related behaviors, development of and adherence to a shared suicide nomenclature, and conservative interpretation of investigational results that are limited to the precise population and suicide-related behavior under examination are discussed.     

Early suicide following discharge from a psychiatric hospital

Social and clinical risk factors for completed suicide occurring shortly after discharge from a psychiatric hospital were examined in this case-control study. Seventy-seven individuals who received "suicide" or "undetermined death" verdicts at inquest, and who had been previously discharged from psychiatric hospitals in Bradford, U.K., were compared with a control group. A history of deliberate self-harm was significantly associated with early suicides compared with both late suicides and controls. A diagnosis of mood disorder, specifically depression, and longer case-notes were also significantly associated with early suicides compared to controls. This study has implications for risk management of recently discharged psychiatric patients.