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181.
Trajectories of Suicidal Ideation from Sixth through Tenth Grades in Predicting Suicide Attempts in Young Adulthood in an Urban African American Cohort 下载免费PDF全文
Rashelle J. Musci PhD Shelley R. Hart PhD Elizabeth D. Ballard PhD Alison Newcomer MA Kathryn Van Eck PhD Nicholas Ialongo PhD Holly Wilcox PhD 《Suicide & life-threatening behavior》2016,46(3):255-265
The trajectory of suicidal ideation across early adolescence may inform the timing of suicide prevention program implementation. This study aimed to identify developmental trajectories of suicidal ideation among an urban cohort of community‐residing African Americans (AA) longitudinally followed from middle school through early adulthood (ages 11–19 years). Subtypes based on the developmental course of suicidal ideation from late childhood through mid‐adolescence were identified using longitudinal latent class analysis (LLCA) with 581 AA adolescents (52.7% male; 71.1% free or reduced school meals). The developmental trajectories of suicidal ideation were then used to predict suicide attempts in young adulthood. Our LLCA indicated two subtypes (i.e., ideators and nonideators), with 8% of the sample in the ideator class. This trajectory class shows a peak of suicidal ideation in seventh grade and a steady decline in ideation in subsequent grades. Additionally, suicidal ideation trajectories significantly predicted suicide attempt. Results of these analyses suggest the need for suicide prevention approaches prior to high school for AA youth. 相似文献
182.
The Interactive Effects of Impulsivity and Negative Emotions on Adolescent Nonsuicidal Self‐injury: A Latent Growth Curve Analysis 下载免费PDF全文
Jianing You PhD Baoping Deng MA Min‐Pei Lin PhD Freedom Leung PhD 《Suicide & life-threatening behavior》2016,46(3):266-283
This study employed latent growth curve analysis to evaluate the interactive effects of two specific facets of impulsivity (i.e., negative urgency [NU] and premeditation [PRE]) and negative emotions (NE) on the developmental trajectory of nonsuicidal self‐injury (NSSI) among 3,453 (57% females) Chinese community adolescents. Participants completed questionnaires assessing NSSI, NU, PRE, and NE (i.e., depression, anxiety, and stress) at three waves of time. The initial levels of NE and NU significantly predicted the initial level of NSSI. Changes in NE and NU significantly predicted change in NSSI. Moreover, the initial levels of NU and PRE significantly moderated the relationship between the initial levels of NE and NSSI, such that among individuals with higher NU or less PRE, the three NE were associated with a higher level of NSSI. Additionally, among individuals with a faster increase in NU, depression and anxiety were associated with a faster increase in NSSI. These findings suggest that adolescents with trait impulsivity, especially in the form of NU, are more vulnerable to the engagement in NSSI. 相似文献
183.
Helping Callers to the National Suicide Prevention Lifeline Who Are at Imminent Risk of Suicide: Evaluation of Caller Risk Profiles and Interventions Implemented 下载免费PDF全文
Madelyn S. Gould PhD MPH Alison M. Lake MA Jimmie Lou Munfakh BA Hanga Galfalvy PhD Marjorie Kleinman MS Caitlin Williams BA Andrew Glass MS Richard McKeon PhD MPH 《Suicide & life-threatening behavior》2016,46(2):172-190
Crisis lines are settings where identifying individuals at imminent risk of suicidal behavior and intervening to keep them safe are critical activities. We examined clinical characteristics of crisis callers assessed by telephone crisis helpers as being at imminent risk of suicide, and the interventions implemented with these callers. Data were derived from 491 call reports completed by 132 helpers at eight crisis centers in the National Suicide Prevention Lifeline network. Helpers actively engaged the callers in collaborating to keep themselves safe on 76.4% of calls and sent emergency services without the callers' collaboration on 24.6% of calls. Four different profiles of imminent risk calls emerged. Caller profiles and some helper characteristics were associated with intervention type. Our findings provide a first step toward an empirical formulation of imminent risk warning signs and recommended interventions. 相似文献
184.
Rajeev Ramchand PhD Lynsay Ayer PhD Lily Geyer BA Aaron Kofner MS MA 《Suicide & life-threatening behavior》2016,46(1):35-45
We surveyed 868 Army chaplains and 410 chaplain assistants (CAs) about their role in identifying, caring for, and referring soldiers at risk of suicide to behavioral health care. We applied structural equation modeling to identify how behaviors and attitudes related to intervention behavior. In both samples, reluctance and stigma were related to intervention behaviors; efficacy was correlated with intervention behaviors only among chaplains. Training was associated with increased efficacy and lower levels of stigma among chaplains. Improved training may be warranted, but research needs to identify why chaplains and CAs are reluctant to refer soldiers in distress to behavioral health care. 相似文献
185.
Factors Associated with Achieving Complete Mental Health among Individuals with Lifetime Suicidal Ideation 下载免费PDF全文
Philip Baiden MA Esme Fuller‐Thomson MSW PhD 《Suicide & life-threatening behavior》2016,46(4):427-446
The objective of this study was to identify factors associated with complete mental health among Canadians who had ever seriously considered suicide. Data for this study were obtained from Statistics Canada's 2012 Canadian Community Health Survey–Mental Health (N = 2,844). The outcome variable examined in this study was complete mental health and was analyzed using binary logistic regression. Of the 2,844 respondents with lifetime suicidal ideation, 1,088 (38.2%) had complete mental health (i.e., had flourishing mental health, no mental illness, and no suicidal ideation in the past 12 months). Those who had a confidant were seven times more likely to have complete mental health. Other factors associated with achieving complete mental health among formerly suicidal respondents include being older, being a woman, having higher income, use of religious coping, and never previously having a mental illness. Considering the importance of these protective factors in formulating public health policies will allow for a more wide‐reaching approach to suicide prevention. 相似文献
186.
The Incremental Utility of Emotion Regulation But Not Emotion Reactivity in Nonsuicidal Self‐Injury 下载免费PDF全文
Rachel L. Zelkowitz MHS MS David A. Cole PhD Gloria T. Han MA Andrew J. Tomarken PhD 《Suicide & life-threatening behavior》2016,46(5):545-562
This study assessed the incremental utility of emotion reactivity and emotion regulation in relation to nonsuicidal self‐injury (NSSI). Participants included 379 college students aged 18–22 who completed self‐report measures of emotion regulation, emotion reactivity, and NSSI. Emotion regulation was significantly related to NSSI both ignoring and controlling for reactivity, but the reverse was not true. Participants' use of NSSI for affect regulation appeared to moderate this relation. Findings support emotion regulation deficits as a target for intervention over and above heightened emotion reactivity, especially in those who use NSSI to regulate negative affect. 相似文献
187.
188.
Danielle R. Jahn MA Erin K. Poindexter BA Ryan D. Graham MA Kelly C. Cukrowicz PhD 《Suicide & life-threatening behavior》2012,42(6):589-601
Researchers tested the hypothesis that the negative impact of recent life events would moderate the relationship between intrinsic religiosity and death ideation in older adults. Participants (n = 272) completed assessments of death ideation, intrinsic religiosity, and negative impact of recent life events. We confirmed the presence of concurrent moderation and found that older adults with greater negative impact of recent life events and high intrinsic religiosity reported greater death ideation. These relatively surprising findings may be due to reduced fear of death in intrinsically religious older adults, an explanation consistent with previous research. 相似文献
189.
老子哲学的最大特征是对现实的批判性反思,这种反思植根于他对历史的深切认识、对其生活时代虚假的社会礼俗的反感与厌倦,由此表现为对个体主观自由的认同和追求,表现为对个人道德的重视和强调。这种反思在语言层面上被赋予“正言若反”的特征,最终落实为“无”的形上体认。如此恰似苏格拉底开启的反讽传统。从反讽的立场可见老子哲学的世界品格。 相似文献
190.
Rory C. O'Connor PhD Susan Rasmussen PhD Keith Hawton DSc 《Suicide & life-threatening behavior》2009,39(4):364-375
Few studies have investigated the extent to which psychosocial/psychological factors are associated with the prediction of deliberate self‐harm (DSH) among adolescents. In this study, 737 pupils aged 15–16 years completed a lifestyle and coping survey at time one and 500 were followed up six months later. Six point two percent of the respondents (n = 31) reported an act of DSH between Time 1 and Time 2. In multivariate analyses, worries about sexual orientation, history of sexual abuse, family DSH, anxiety, and self‐esteem were associated with repeat DSH during the course of the study, but history of sexual abuse was the only factor predictive of first‐time DSH. The findings suggest that school‐based programs focused on how young people cope with psychosocial stressors may offer promise. 相似文献