Investigating Correlates of Suicide Among Male Youth: Questioning the Close Affinity Between Suicide Attempts and Deaths

This study was based on a sample of male high school students who completed National Longitudinal Adolescent Health Surveys in 1994, 1995, and 2001. We studied these students prospectively, comparing those who later died by suicide (n = 21) with those who were still living (n = 10,101). We employed chi‐square and analysis of variance tests for statistical significance between suicide decedents and living respondents. Results showed suicide decedents were more likely to have experienced the suicide loss of another family member, to have been expelled from school, to have engaged in more delinquent actions including fighting, and to have greater involvement with the criminal justice system. Although one might have expected suicide casualties to have exhibited a greater amount of suicidal thoughts, attempts, and higher incidences of suicidality among their friends, our analyses did not find that these factors were associated with actual suicides. Should these findings be replicated, this would point to a need to refine youth suicide risk assessments. Collecting life histories, as well as identifying patterns of delinquency and fighting, may serve as more potentially fruitful means for assessing genuine suicide risk than some traditional risk assessment methods.z     

A Comparison of Suicide and Undetermined Deaths in Psychiatric Patients

ABSTRACT: Those people who had previously been patients of the Department of Mental Health of Missouri who died in the three year period 1972 through 1974 and whose deaths were designated as suicide or “undetermined whether purposely or accidentally inflicted,” were identified by matching statewide death tapes against the DMH data base. The demographic characteristics of the two groups are compared to ascertain if the members of the undetermined group are essentially similar to the suicides, as has frequently been hypothesized. It is found that, in general, the similarities are in areas which would not have had a direct influence on the medical examiner/coroner's verdict, whereas, the differences do highlight areas which could cause an indecisive verdict. The significance of the undetermined deaths is discussed.     

Health Problems and Male Firearm Suicide

Drawing on constructs of masculinity as it relates to both gun ownership and men's health, we use a rich data set, the New Jersey Violent Death Reporting System as well as hospital discharge data, to analyze 3,413 completed male suicides between the years of 2003 and 2009. We test the hypotheses that the use of firearms is more common when physical health problems are cited as suicide circumstances, and that suicide decedents who use firearms have poorer physical health than those who used other methods. Results show that firearms are disproportionately used in male suicides when physical health is listed as a circumstance. Additionally, among suicide decedents with a hospitalization during the 3 years prior to death, those who used firearms were in poorer health than those who used other methods. These findings have implications for prevention efforts, because restricting access to lethal means is an important aspect of suicide prevention.     

Youth Suicide Deaths: Investigation of Clinical Predictors in a Statewide Sample

Death by suicide is a significant cause of mortality among youth. However, there is limited information on the demographic and clinical factors associated with youth suicide deaths. The objective of this study was to link large statewide databases to describe demographic, clinical, and cause of death characteristics among youth who died by suicide. We examined 1,218 decedents under age 26 who died by suicie between 2000 and 2014. Eighteen died before age 12, 53 died between ages 12 and 14, 292 died between ages 15 and 18, and 855 died between ages 19 and 25. Most were male (83%), and firearm was most common cause of death; 28% previously attempted suicide, 31% had a mental health diagnosis, and 17% were prescribed psychotropic medication. Younger children died by hanging/smothering (89% of all 7‐ to 11‐year olds), and overdose/poisoning increased progressively with age. Adolescents had a higher proportion of females than young adults (23% vs. 14%, p  = .002). Combining data from the medical examiner and large hospital systems allows examination of youth suicide from a developmental perspective. Differences between age groups included gender, method, diagnosed mental illness, and diagnosis of attention deficit hyperactivity disorder. These data point to missed opportunities for effective interventions for specific developmental stages.     

The Interpersonal Theory of Suicide Applied to Male Prisoners

The interpersonal theory of suicide proposes that severe suicide ideation is caused by the combination of thwarted belongingness (TB) and perceived burdensomeness (PB), yet few studies have actually examined their interaction. Further, no studies have examined this proposal in male prisoners, a particularly at‐risk group. To address this gap, the current study surveyed 399 male prisoners. TB and PB interacted to predict suicide ideation while controlling for depression and hopelessness. High levels of both TB and PB were associated with more severe suicide ideation. The interpersonal theory may aid in the detection, prevention, and treatment of suicide risk in prisoners.     

Metaanalysis of Mood and Substance Use Disorders in Proximal Risk for Suicide Deaths

Evidence for proximal risk factors for suicide is based on case–control psychological autopsy studies, with these reports showing that mood and substance use disorders are the most prevalent mental disorders among suicide decedents worldwide and are associated with marked risk. However, moderators of risk and the degree of risk associated with (nonalcohol) drug use disorder are unknown. A comprehensive search was used to identify 35 case–control psychological autopsy studies published worldwide over a 30‐year period that were metaanalyzed using random effects models. Major depression, odds ratio (95% confidence interval) = 9.14 (5.53, 15.09), and drug use disorder, OR (95% CI) = 7.18 (3.22, 16.01), had large effect sizes, among other results. Risk estimates associated with major depression were greater in studies with a larger proportion of women and those conducted in Asia compared with other regions. There was no evidence of publication bias or that any one study had a disproportionate impact on findings. Risk for suicide associated with major depression appears to be moderated by sex and/or world region. Drug use disorder is a potent risk factor, illustrating the importance of assessing drug use in clinical risk assessment.     

Adolescents' Attitudes About the Role of Mental Illness in Suicide,and Their Association with Suicide Risk

We examined teenagers' attitudes about the role of mental illness in suicidal behavior and the relationship between these attitudes and suicide risk. Serious suicidal ideation or behavior and associated risk factors (gender, depression, substance problems, and first‐hand experience with a suicidal peer) were assessed in 2,419 students at six New York high schools. Less than one fifth of students thought that mental illness was a major contributor to suicide. Suicidal adolescents and those at risk were less likely than their nonsuicidal and low‐risk counterparts to associate suicide with mental illness. Our findings contribute to the debate over whether accepting attitudes toward suicide increase suicide risk.     

Religious Activity and Pastoral Counseling Among Protestant Youth with SED

The past decade has shown a surge of interest in faith-based resources for a variety of social problems. However, these resources have not been systematically studied for children with emotional and behavioral problems. We investigated religious activity and use of pastoral counseling among Protestant youth with serious emotional disorders (SED) (N=464) and examined associated youth and caregiver characteristics. Findings indicate that the majority of SED youth do participate in religious activities, but do not frequently receive pastoral counseling for their problems. Youth with fewer externalizing problems as well as minority youth had an increased likelihood of participation in religious activities, while youth with more psychosocial impairment had an increased likelihood of using pastoral counseling. Implications of this study for research and practice are discussed.     

Association between Terror Attacks and Suicide Attempts

Based on Durkheim's ‘Control theory,’ we explored the association between frequency of terror attacks in Israel and the frequency of suicide attempts admitted to the Emergency Room of a major general hospital in Tel‐Aviv (1999–2004). Analysis of the six‐year study period as a whole revealed no significant correlation between the variables, with the exception of one 11‐month segment within it (December 2000–October 2001) that did show a statistically significant positive correlation, and in opposition to Durkeim's hypothesis. It is suggested that suicide attempts as a phenomena should be seen as a product of a multivariate model, in which the social context plays a role as well.     

Ambivalence and Male Religious Experience: An Autobiographical Study

I argue that what are typically identified as “calls from God” to an office of sacred power are filled with various degrees and types of ambivalence. This ambivalence becomes manifest (or not) to the person experiencing a call at various points in their lifespan and it exists for a number of reasons. I seek to unveil the psychodynamics responsible for these feelings of ambivalence. I argue that the awareness of feelings of ambivalence can be correlated with the degree of one’s happiness—specifically in one’s sexual and mental health; this point is marshaled throughout the essay by autobiographical examples of men who experienced some type of divine calling. In addition to psychoanalytic resources, I apply postmodern autobiographical criticism to this autobiographical study; my autobiographical notes are written in italics.     

The Association Between Strength of Religious Faith and Coping with Daily Stress

Recent research has examined the positive relationship between religious faith and both physical and mental health. The current study investigated the association between strength of religious faith and the ability to cope with daily stress over a 7-day period. The participants consisted of 68 students and 64 faculty or staff from a Catholic, liberal arts university. Measures included the Santa Clara Strength of Religious Faith Questionnaire, the Marlowe-Crowne Social Desirability Scale, the Symptom Check List-90-Revised, the Weinberger Low Self Esteem Scale, and a 10-point daily stress, coping, and strength of faith scale. Results suggest that religious faith was not associated with coping with daily stress.     

The Challenge of Religious Pluralism: The Association Between Interfaith Contact and Religious Pluralism

This research contributes to increasing understanding of the ways in which Christians think about religious pluralism in the United States. It does so by empirically uncovering the relationship between inter-faith contact and the willingness of white Christians to support tenets of religious pluralism. To that end, this study largely intimates that religious identity reinforces a dualistic world view. For white Christians, it is likely that contact with Jews and not Muslims is salient to their religious pluralist understandings. Nonetheless, more so than other Christians, Evangelicals tend to embrace a theology that views their belief system as being in conflict and competition with non-Christians. To that end, it is plausible that even when Christians have positive contact experiences with Jews and Muslims, Evangelicals are less willing than are other Christians to recognize them as members of the American religious polity.     

Predictive Validity of the Suicide Probability Scale in a Male Inmate Population

This paper describes the predictive power of the Suicide Probability Scale (SPS) within a male inmate population. The SPS scores of 1,047 inmates from 1995 to 1996 were compared against their suicidal behaviors in the following 10 years. The SPS probability score and the scores on its four subscales were found to be significantly higher in the group that engaged in at least one of three types of suicidal behavior: suicide, non-lethal self-harm and serious suicidal intentions. However, the SPS did not discriminate the inmates who went on to commit suicide. The SPS’s capacity to predict suicidal behavior proved limited in terms of sensitivity. In this regard, the SPS’s low and high risk levels correctly identified 36% of inmates who later engaged in suicidal behavior. The specificity was 0.85. These results confirm the SPS’s predictive power with male prisoners. These findings are the first to demonstrate the predictive validity of the SPS.     

Religious Commitment,Attitudes Toward Suicide,and Suicidal Behaviors Among College Students of Different Ethnic and Religious Groups in Malaysia

The variation in suicide patterns across ethnic groups with different religious background is a puzzling social phenomenon. This study sought to examine the impact of religious commitment and attitudes toward suicide on suicidal behaviors of college students across major ethnic and religious groups in a multicultural society of Malaysia. A total of 139 college students completed Religious Commitment Inventory-10, Attitudes Toward Suicide Scale, and Suicidal Behavior Questionnaire-Revised. Findings showed significant discrepancies in attitudes toward suicide, but not suicidal behaviors across ethnic and religious groups. Suicide acceptance significantly affected suicidal behaviors as well. Although religious commitment is not associated with suicidal behaviors, its deviation is reflected in students’ acceptance of suicide. Additionally, college students’ suicide risk, lifetime, and recent suicide ideation, as well as their likelihood of future suicide attempt can be associated with their acceptance of suicide. The influence of attitudes toward suicide and religion, therefore, should be taken into consideration while implementing suicide prevention programs as it helps shape the norms about suicide among youths.     

Suicide Protective Factors in Outpatient Substance Abuse Patients: Religious Faith and Family Support

The purpose of this study was to identify the protective roles of religious faith and family support in buffering against suicidal behavior in a sample of substance abuse outpatients seeking treatment. Data were collected from 112 clinical outpatients seeking treatment for substance abuse. We hypothesized that religious faith would be related to lower levels of suicidal behavior through a negative association with depressive symptoms. We expected this mediation effect would differ across varying levels of family support, providing support for a moderated mediation effect. The results indicate that religious faith exerts stronger direct and indirect effects on suicidal behavior at low levels of family support. Religious faith was significantly and negatively related to suicidal behavior only at low levels of family support. The findings suggest that in the absence of family support, religious faith may play a compensatory role in protecting against suicidal behavior.