Comparative Analysis of Suicide,Accidental, and Undetermined Cause of Death Classification

Suicide determination is not standardized across medical examiners, and many suspected suicides are later classified as accidental or undetermined. The present study investigated patterns between these three groups using a medical examiner database and 633 structured interviews with next of kin. There were similarities across all three classification groups, including rates of mental illness and psychiatric symptoms. Those classified suicide were more likely to be male, to have died in a violent fashion, and have a stronger family history of suicide. Chronic pain was very common across all three groups, but significantly higher in the accidental and undetermined groups.     

Adolescents Exposed to Suicidal Behavior of Others: Prevalence of Self‐Harm and Associated Psychological,Lifestyle, and Life Event Factors

Exposure to suicidal behavior of others was examined among 3,881 Irish adolescents in the Child and Adolescent Self‐harm in Europe (CASE) study. One third of the sample had been exposed to suicidal behavior, and exposed adolescents were eight times more likely to also report own self‐harm. Exposed adolescents shared many risk factors with those reporting own self‐harm. Those reporting both exposure and own self‐harm presented the most maladaptive profile on psychological, life event, and lifestyle domains, but neither anxiety nor depression distinguished this group. Exposed adolescents are burdened by a wide range of risk factors and in need of support.     

Life Matters: Exploring the Influence of Games and Mental Skills on Relatedness and Social Anxiety Levels in Disengaged Adolescent Students

LifeMatters is a 10-session life skills program implemented with youth that uses mental skills training and games to meet the three basic psychological needs of relatedness, autonomy, and competence. Forty disengaged students (20 experimental, 20 control) 16–17?years of age from a YMCA vocational school completed self-report measures before and after the intervention period. The school focuses on services for adolescents who find it difficult to gain an education through mainstream education due to behavioral and developmental issues. Mixed between-within subjects analyses of variance showed that there was a significant decrease in social anxiety, Wilks’s λ?=?.84, F(1, 26)?=?5.07, p?=?.03, partial?η²?= .16, and a significant increase in relatedness Wilks’s λ = .87, F(1, 26) = 4.2, p = .05, partial η² = .14, over time for the experimental group compared to the control group. Analyses of covariance showed no significant difference between the two groups in change on social anxiety levels, F(1, 25)?=?1.34, p?=?.26, partial η²?=?.05, when controlling for relatedness, and no significant difference between the two groups in change in relatedness levels, F(1, 25) = 1.34, p = .26, partial η² = .05, when controlling for social anxiety. This study provides insight into the potential effectiveness of using games and mental skills training to increase relatedness and decrease levels of social anxiety in disengaged students.

Lay Summary: LifeMatters is a life skills program combining mental skills training and physically active games. Disengaged students who took part in the program reported lower levels of social anxiety and higher levels of relatedness compared to students who did not take part.     

Young suicide attempters compared with a control group: psychological, affective, and attitudinal variables

Suicide attempters admitted to a general hospital psychiatric ward completed questionnaires to elicit information following their suicide attempt. Compared to normal controls who had never attempted suicide, suicide attempters were significantly more hopeless, depressed, and hostile. The suicide attempts seemed to occur in response to stress. A crisis intervention model was suggested as the most appropriate way of managing these patients.