Observable and subjective factors associated with attempted suicide in later life

This paper presents the results of a case-control study of the relationship of socio-economic status (SES), relational system, service availability, perceived quality of life, and affective balance to attempted suicide. Subjects were white suicide attempters (N(7)34) and controls (N = 118) age 50 and above. Discriminant function analysis indicated that lower SES, less help available in a crisis, belonging to fewer organizations, and greater availability of services from a community mental health center were associated with classification as an attempter. Also, more negative emotions, fewer positive emotions, and dissatisfaction with oneself and one's finances predicted membership in the attempter group. The role of these factors as risk factors for and consequences of a suicide attempt is discussed.     

Suicide in peacekeepers: risk factors for suicide versus accidental death

To investigate risk factors for suicide in veterans of peacekeeping, 43 suicides and 41 fatal accidents in Norwegian peacekeepers (1978 to 1995) were compared in a psychological autopsy study. Mental health problems were the most important risk factor for suicide. Both living alone and the break-up of a love relationship contributed uniquely to suicide risk, even when controlling for mental health problems. No peacekeeping-related factor was associated with suicide. Preventive measures should focus on firearms control, improved detection systems for mental health problems in the military, and peer support through veterans' associations.     

Prevalence of and risk factors for suicide attempts versus suicide gestures: analysis of the National Comorbidity Survey

Definitions and classification schemes for suicide attempts vary widely among studies, introducing conceptual, methodological, and clinical problems. We tested the importance of the intent to die criterion by comparing self-injurers with intent to die, suicide attempters, and those who self-injured not to die but to communicate with others, suicide gesturers, using data from the National Comorbidity Survey (n = 5,877). Suicide attempters (prevalence = 2.7%) differed from suicide gesturers (prevalence = 1.9%) and were characterized by male gender, fewer years of education, residence in the southern and western United States; psychiatric diagnoses including depressive, impulsive, and aggressive symptoms; comorbidity; and history of multiple physical and sexual assaults. It is possible and useful to distinguish between self-injurers on the basis of intent to die.     

Risk factors associated with suicide attempts and other self-injury among Hong Kong adolescents

This study examined 1,361 Chinese adolescents who reported self-injurious behaviors. Groups A and B both acknowledged deliberate self-injury, but only Group A had made a suicide attempt. Group C reported accidental self-injury. Deliberate self-injurers (Groups A and B) were more frequently girls, older, and with more suicidal ideation. Group A had more psychopathology, environmental and suicide-related risk factors than group B and C. Group C had higher depressive symptoms than noninjured controls. The study clarifies differences among self-injurious behavior groups based on expressed deliberate self-injury and self-reported suicide attempt. These three groups appear to present a continuum of risk.     

Adolescent suicide risk: four psychosocial factors

Suicide is a leading cause of death among adolescents. This study examined the suicidal ideation, behavior, and attempt history of 100 adolescents ages seventeen to nineteen. Four psychosocial factors were found to be important for overall suicide risk: hopelessness, hostility, negative self-concept, and isolation. It is suggested that focusing on these four psychosocial factors would enhance suicide assessment and prevention efforts with adolescents.     

Timing a week later: The role of long-term memory in temporal preparation

Temporal preparation has been investigated extensively by manipulating the foreperiod, the interval between a warning stimulus and target stimulus requiring a speeded response. Although such research has revealed many effects of both the duration and distribution of foreperiods on reaction times, the underlying cognitive mechanism is still largely unknown. Here, we test a recent proposal that temporal preparation is driven by the retrieval of memory traces of past experiences from long-term memory rather than by knowledge about upcoming events. Two groups of participants received different foreperiod distributions in an acquisition phase, which was followed a week later by a transfer phase, in which both groups received the same distribution of foreperiods. We found that the effects of the different foreperiod distributions presented in the acquisition phase were still apparent a week later during the transfer phase, as the reaction time patterns of both groups reflected the old distributions. This occurred even though both groups were provided with full information about the change in the distribution of foreperiods at the start of the transfer phase. These findings provide compelling evidence that long-term memory plays an important role in temporal preparation.     

Factors associated with suicide attempts in female inmates: the hegemony of hopelessness

In this study factors associated with past suicide attempts in female inmates were examined. Female inmate participants (N = 105) were given structured diagnostic assessments of antisocial and borderline personality disorders and substance dependence, as well as measures of depression, hopelessness, problem-focused coping styles, and reasons for living. There was a high lifetime prevalence of past suicide attempts (38.1%). Suicide attempts were positively associated with personality disorders, hopelessness, depression, childhood physical/emotional abuse, and family history of suicide and mood disorders, and negatively associated with income, reasons for living, and problem-focused coping. Controlling for hopelessness, borderline personality disorder and family history of suicide attempts were the only variables that remained uniquely associated with suicide attempts.     

Uncovering the mystery: factors of African American suicide

Traditionally, African Americans have registered lower rates of suicide than other ethnic groups. In the last 20 years this pattern has changed, particularly among young African Americans. To date, the research conducted regarding this phenomenon has been limited for a variety of reasons and previous research has been inconclusive in determining risk factors of African American suicide. The purpose of this paper is to identify risk and protective factors specific to African American suicide. To determine the factors, the 1993 National Mortality Follow-back Survey was analyzed. The risk factors identified include being under age 35, southern and northeastern residence, cocaine use, firearm presence in home, and threatening others with violence. Some of the protective factors associated with African American suicide include rural residence and educational attainment. These results provide valuable information about completed African American suicides in relation to Whites. Several of these factors are unique to African Americans.     

Psychopathology associated with suicide attempts among rural adolescents of China

This case control study examined the relationship between psychopathological profiles and self-reported suicide attempts among rural adolescents of China. Cases consisted of 142 adolescents who reported a suicide attempt in the past 6 months in a questionnaire survey (n=1365). An equal number of adolescents without reporting a suicide attempt, matched on age, gender, and school class, were selected from the same survey sample as controls. The Youth Self Report (YSR) was used to assess psychopathological profiles for suicide attempters and matched controls. Results indicated that 73% of suicide attempters had at least one behavioral/emotional syndrome, significantly higher than in controls (30%). Logistic regression analyses showed that anxiety/depression (OR = 3.68) and aggression (OR = 5.02) were each significantly associated with increased risk of suicide attempts after controlling for other behavioral problems. These findings demonstrated the independent contribution of anxiety/depression and aggression to suicide attempts in Chinese adolescents.     

Single and multiple suicide attempts and associated health risk factors in New Hampshire adolescents

In this study we examined self-reported suicide attempts and their relationship to other health risk factors in a community sample of 16,644 adolescents. Fifteen percent endorsed suicide attempts (10% single; 5% multiple attempts) We hypothesized that multiple attempters would show higher prevalence of comorbid health risks than single or non-attempters. The three groups showed significant differences in ten health risk domains, on factors such as depressed mood, sexual assault, weight problems, and drug and alcohol use (ORs: 3.26-13.57). Repeated suicide attempts appear to be related to increased vulnerability and likelihood of harm in multiple domains of health risk.     

Facility-level characteristics associated with serious suicide attempts and deaths from suicide in juvenile justice residential facilities

Little is known about how facility-level characteristics affect the risk of suicide and suicide attempts in juvenile justice residential facilities. This leaves facility administrators and mental health providers without evidence-based guidance on how the facility itself affects risks. The current study uses data from two recently developed censuses of juvenile justice facilities in the United States to examine the relationship between facility-level characteristics and the likelihood of a facility reporting serious suicide attempts and deaths from suicide. Results suggest highest risks for facilities housing larger populations of Black young people and for facilities locking sleeping room doors. Lower risks are found for facilities screening all young people within 24 hours of arrival.     

On precipitating factors: cancer as a cause of suicide

This case-control study provides individual-based data describing the impact of being a cancer patient on the odds of suicide. 5,009 suicides and 17,064 controls are compared. The data indicate that cancer patients are 50 to 100 percent more likely than nonpatients to commit suicide. This and other studies indicate that health status should be considered in future attempts to relate suicide to social environment.     

Different risk factors are associated with alcohol use versus problematic use in male Pakistani adolescents

Substance abuse is a significant problem in Pakistan (Hussain, 2017), yet, there are few studies of risk factors in this population, particularly in remote areas. Male adolescents (N = 243; M = 16.9 years, SD = 1.3 years) were recruited from schools in Gilgit-Baltistan, and completed questions on demographics, substance use, and psychosocial functioning. As a Muslim country, there are strict prohibitions against alcohol use, yet 44.9% of the sample reported lifetime alcohol use. The Alcohol Use Disorders Identification Test (Babor, Higgins-Biddle, Saunders, & Monteiro, 2001), was used to quantify level of risk associated with use, and 22.6% of the sample had scores indicating significant risk levels. Logistic regression analyses indicated that lifetime alcohol use was associated with internalising problems (e.g., depression, anxiety), while risky alcohol use was associated with externalising problems (e.g., aggressive and delinquent behaviour). Attention problems were related to both outcomes. Implications for prevention are discussed.     

Aging and auditory temporal sequencing: ordering the elements of repeating tone patterns

In a series of experiments, we examined age-related differences in adults' ability to order sequences of tones presented at various speeds and in contexts designed to promote or to impede stream segregation. In Experiment 1, 32 listeners (16 young, 16 old) were required to identify two repeating sequences that consisted of four tones (two from a high and two from a low frequency range) in different order. In Experiment 2, 32 listeners were required to judge whether the two recycled patterns from Experiment 1 were the same or different. In Experiment 3, four young and four old listeners were tested on the tasks of Experiment 2 over an extended period. In Experiment 4, 16 young and 16 old listeners were tested with sequences that were not recycled and were composed of tones drawn from a narrow frequency range. Elderly adults were less able than young adults to distinguish between tone sequences with contrasting order, regardless of the speed of presentation, the nature of the task (identification vs. same/different), the amount of practice, the frequency separation of the tones, or the presence or absence of recycling. These findings provide evidence of a temporal sequencing impairment in elderly listeners but reveal no indication of age differences in streaming processes.     

Deficits in temporal sequencing of verbal material: The effect of laterality of lesion

Temporal sequencing of verbal materials (digits, words, and geometric forms) presented in two sensory modalities (auditory and visual) to three groups of subjects (Broca's with left anterior lesions, patients with right hemisphere lesions, and normals) was examined. Each subject was asked to point to a set of stimuli in the same sequence as presented by the examiner. Results indicated that patients with left hemisphere lesions were more impaired on all tasks than the right hemisphere lesioned patients who, in turn, were impaired compared to normal controls. Response to auditory presentation was superior to response to visual presentation. Also, digits were the easiest for all groups, and words were easier than geometric forms. Of special interest was the finding which suggested that right hemisphere lesions are associated with impairment of verbal temporal sequencing under either auditory or visual presentation.     

Variables associated with repeated suicide attempt in a criminal justice population

The aim of this study was to identify factors associated with repeated suicide attempts among criminal justice clients examined for substance abuse using the Addiction Severity Index. Among suicide attempters (n=1,404), repeaters (two or more attempts, n=770) were compared to nonrepeaters. In logistic regression, repetition was associated with younger age, opioid analgesics, somatic medication, overdose, maternal psychiatric problems, delirium tremens, cognitive problems, and violent behavior. As in other settings, factors associated with repetition differed from those associated with suicide attempts in general. In this setting, substance use complications and cognitive problems were connected to repetition and should be addressed in risk assessments.     

Spatial knowledge during skilled action sequencing: Hierarchical versus nonhierarchical representations

Typists can type 4 to 5 keystrokes per second at around 95% accuracy, yet they appear to have poor declarative knowledge of key locations. Logan and Crump (2011, Psychology of Learning and Motivation, Vol. 54, pp. 1–27) accounted for this paradox by proposing that typing is hierarchically organized into two loops, with an outer loop that transforms sentences into words and passes each word, one at a time, to an inner loop that transforms each word into its constituent keystrokes; however, the nature of the inner loop’s spatial knowledge is not well understood. Key locations may be learned through the experiences of locating and traversing between keys. In daily life, people tend to type structured language, and, as a consequence, certain keys and key-to-key transitions are experienced more frequently than others. Here, we asked whether or not this knowledge is structured hierarchically. For example, knowledge of key locations may be nested within representations of words, or the inner loop may rely on knowledge that is independent from higher level structures. To test this, we had people type English, English-like, and random strings during normal, partially occluded, and occluded typing. In both partially occluded and occluded typing, error rates were higher while typing random strings compared to English and English-like strings, whereas there was no difference in error rates between English and English-like strings. This suggests that typists’ spatial knowledge of the keyboard is not driven by hierarchical word-level representations, but instead is likely driven by a collection of individual processes, such as knowledge of the sequential structure of language acquired by typing more frequently occurring letters.     

Language and reasoning: a study of temporal factors

The paper is concerned with the testing of psycholinguistic hypotheses by the use of deductive reasoning tasks. After reviewing some of the problems of interpretation which have arisen with particular reference to conditional rules, an experiment is presented which measures comprehension and verification latencies in addition to response frequencies in a truth table evaluation task.The experiment tests a psycholinguistic hypothesis concerning the different usage of the logically equivalent forms of sentence: If p then q and p only if q with respect to the temporal order of the events p and q. It is proposed that the former sentence is more natural when the event p precedes the event q in time, and the latter more natural when the opposite temporal relation holds.Although significant support is found for the hypothesis in the analysis of the latency data, it is only distinguished from an alternative explanation by detailed analysis of response frequencies, thus indicating the general usefulness of the paradigm adopted.     

Dimensions of impulsivity and aggression associated with suicide attempts among bipolar patients: a preliminary study

Impulsivity and hostility are often thought to be interrelated among depressed patients with suicidal behavior, but few studies have examined this relationship empirically. In this study, we assessed trait impulsivity and hostility among 52 DSM-IV bipolar subjects with and without histories of suicide attempts. Impulsivity and hostility were correlated among attempters (r = .41, p = .03) but not non-attempters (r = .22, p = .28). As compared to non-attempters, attempters had significantly higher levels of overall hostility, more extensive subcomponents of hostility, and a trend toward higher overall impulsivity. Associations between lifetime suicide attempts and overall hostility were significant while controlling for current depression severity and lifetime illness duration. Aggression and impulsivity appear linked among bipolar patients with lifetime suicide attempts but may be independent constructs among non-attempters. The presence of both factors may elevate risk for suicidal behavior.