Psychosocial and psychiatric factors preceding death by suicide: A case–control psychological autopsy study involving multiple data sources

Suicide and Life-Threatening Behavior, Journal Year: 2022, Volume and Issue: 52(5), P. 1037 - 1047

Published: July 11, 2022

A range of factors including mental disorders and adverse life events can increase the risk suicide. The objectives this study were to examine psychosocial psychiatric service engagement among suicide decedents compared with living controls.A case-control using multiple sources was conducted. Information on 132 consecutive cases drawn from coronial files, interviews carried out 35 family informants 53 controls. GPs completed questionnaires for 60 27 controls.The majority (83.3%) had contacted a GP in year prior death, while 23.3% 10 or more consultations during death. Half history self-harm. Suicide significantly likely than controls have diagnosis (60% vs. 18.5%) depressive illness (36.7% 14.8%). Over one-quarter been treated as inpatient.Primary care providers should be supported deliver multidisciplinary interventions engage, assess, treat patients at suicide, targeting those who present very frequently, self-harm substance misuse, psychological presentations.

Language: Английский

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Outpatient Mental Health Nurses' Experiences of Suicide Follow‐Up Interventions: A Qualitative Interview Study

Journal of Psychiatric and Mental Health Nursing, Journal Year: 2025, Volume and Issue: unknown

Published: Jan. 4, 2025

ABSTRACT Introduction Suicide is a leading cause of death worldwide. Following suicide attempt, many patients receive follow‐up interventions (SFI) from outpatient mental health care services, where nurses play crucial role. There an urgent need to raise awareness improvements and opportunities for development in this aspect gain insights into potential areas improvement development. Aim To investigate nurses' experiences SFI. Method A qualitative interview study was conducted with 10 nurses. Conventional content analysis used analyse the data. Results Three categories emerged: connecting understanding suicidal patients, being dependent on adequate conditions SFI, feeling competent but vulnerable Discussion Providing structured training address particularly challenging vital, as SFI entails complex situations. Training that incorporates proven methods other interventions, involving expertise those lived experience, employers, academics, can offer significant advantages. Promoting increased collaboration enhance safety assessments. Implications Practice Team‐based intervention services psychiatric care.

Language: Английский

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The Insight Study: A Case–Control Psychological Autopsy Study Examining Factors Associated With Suicide in Middle‐Aged People

Suicide and Life-Threatening Behavior, Journal Year: 2025, Volume and Issue: 55(1)

Published: Jan. 9, 2025

ABSTRACT Introduction Despite current suicide prevention strategies, rates are increasing in many Western countries the 45–60 age group. To comprehend high risk of this group, it is essential to gain insight into its factors. Methods A case–control psychological autopsy study examined differences between individuals who died by (i.e., cases) and those with problems living controls) ages 45 60 years. Results Eighty‐two informants were interviewed regarding 48 cases 23 controls. Controls significantly more likely than have discussed subject euthanasia (45.5% vs.15.2%), experience physical (95.7% vs. 70.8%), undergo treatment for these (73.9% 39.6%). Suicide be diagnosed a depressive episode, disorder (87.5% 60.9%), but less psychiatric disorders (70.8% 95.7%). controls at work (85.4% future financial (59.0% 22.2%), concerns about (56.8% 22.2). Conclusion The results suggest possibilities among middle‐aged through targeted interventions addressing mental healthcare, occupational settings, distress.

Language: Английский

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Revealing the confluences of workplace bullying, suicidality, and their association with depression

Scientific Reports, Journal Year: 2025, Volume and Issue: 15(1)

Published: Feb. 26, 2025

This cross-sectional study analyzed data from 12,541 employees aged 19–65 across 26 companies and public institutions who underwent workplace mental health screening. Workplace bullying was self-reported categorized into 'Not bullied,' 'Occasional 'Frequently bullied.' Depression assessed using the Center for Epidemiological Studies scale, suicidality measured via a questionnaire Korea National Health Nutrition Examination Survey. Overall, 18.7% of women 10.6% men reported experiencing bullying. Multivariable logistic regression revealed that both occasionally frequently bullied were significantly associated with increased odds suicidal ideation (OR = 1.47, 95% CI 1.27–1.69; OR 1.81, 1.36–2.40) suicide attempts 2.27, 1.34–3.85; 4.43, 2.13–9.21). The association between significant participants without depression 1.28–1.69; 1.86, 1.31–2.62). Men exhibited stronger (p interaction < 0.001). Whether an individual later had depressive symptoms or not, higher exposure to risk. highlights need screen provide resources prevent workplace-related suicides.

Language: Английский

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Personality factors associated with manner of death: A psychological autopsy study

Journal of Psychiatric Research, Journal Year: 2025, Volume and Issue: unknown

Published: March 1, 2025

Language: Английский

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Advancing early detection of suicide? A national study examining socio-demographic factors, antecedent stressors and long-term history of self-harm

Journal of Affective Disorders, Journal Year: 2024, Volume and Issue: 350, P. 372 - 378

Published: Jan. 15, 2024

A range of factors including mental disorders, adverse events and history self-harm are associated with suicide risk. Further examination is needed the characteristics suicides which occur without established risk factors, using national surveillance systems.

Language: Английский

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Examining the links between burnout and suicidal ideation in diverse occupations

Frontiers in Public Health, Journal Year: 2023, Volume and Issue: 11

Published: Sept. 7, 2023

It is uncertain whether burnout associated with suicidal ideation among workers not in health care services. The aim of this study was to identify how and are linked employees various occupations depression affects link.This cross-sectional collected data from 12,083 participants aged 19-65 years 25 companies public institutions who underwent workplace mental screening. Burnout were assessed using both the Oldenburg Inventory Center for Epidemiologic Studies Depression Scale. Suicidal by a self-rated questionnaire Korea National Health Nutrition Examination Survey.Exhaustion but cynicism dimension increased odds after adjustment other covariates (odds ratio [OR] = 1.47, 95% CI 1.26-1.72). association exhaustion significant depressed (OR 1.36, 1.14-1.61) 1.77, 1.13-2.76) participants. In exhausted participants, insufficient job control, an unfavorable occupational climate, low educational level, ideation.Exhaustion risk service, regardless status. Exhausted employees, particularly those having poor resources, should be recognized as at-risk group.

Language: Английский

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The interplay between suicidal experiences, psychotic experiences and interpersonal relationships: a qualitative study

BMC Psychiatry, Journal Year: 2023, Volume and Issue: 23(1)

Published: Nov. 24, 2023

Abstract Background Suicidal thoughts, acts, plans and deaths are considerably more prevalent in people with non-affective psychosis, including schizophrenia, compared to the general population. Social isolation interpersonal difficulties have been implicated pathways which underpin suicidal experiences severe mental health problems. However, interactions between psychotic experiences, such as hallucinations paranoia, presence, indeed, absence of relationships is poorly understood insufficiently explored. The current study sought contribute this understanding. Methods An inductive thematic analysis was conducted on transcripts 22, individual, semi-structured interviews adult participants who had both psychosis recent experiences. A purposive sampling strategy used. Trustworthiness assured researcher triangulation. Results Participants relayed positive negative relationships. novel conceptual model presented reflecting a highly complex interplay range different aspects Three themes fed into interplay, depicting dynamics perceptions i. not mattering mattering, ii. becoming disconnected from other people, iii. constraints versus freedom associated sharing others. Conclusion This revealed detailed insight ways perceived interact that can be beneficial challenging. important scientific clinical perspectives for understanding involved Trial registration ClinicalTrials.gov (NCT03114917), 14 th April 2017. ISRCTN (reference ISRCTN17776666 .); 5 June 2017). Registration recorded prior participant recruitment commencing.

Language: Английский

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Meta‐analysis of clinical risk factors for suicide among people presenting to emergency departments and general hospitals with suicidal thoughts and behaviours

Acta Psychiatrica Scandinavica, Journal Year: 2023, Volume and Issue: 148(6), P. 491 - 524

Published: Oct. 30, 2023

Abstract Background Suicidal thoughts and behaviours (STB) are a common reason for presentation to emergency departments general hospitals. A meta‐analysis of the strength clinical risk factors subsequent suicide might aid understanding suicidal behaviour help prevention. Methods We conducted cohort controlled studies on later among people presenting hospitals with STB. Data were extracted from papers meeting inclusion criteria, published in Medline, PsycINFO, Embase between 1 January 1960 10 October 2022 using located search terms ((suicide*).m_titl AND (emergency* OR accident casualty hospital toxicology service).mp) or indexed PubMed had titles (suicide* self‐harm self‐injury self‐poisoning overdose para‐suicide parasuicide [title/abstract]) (Emergency department room Casualty [all fields]). about association three more included random‐effects odds death by suicide. The study was registered PROSPERO according MOOSE PRISMA guidelines. Results Seventy‐five reported 741,624 people, which 19,649 died (2.65%). Male sex (odds ratio (OR) = 1.99) age (OR 2.01) most consistently factors. strongest associations related violent methods at presentation, including: unspecified method 4.97), any 4.57) specific drowning 4.32), hanging 4.26), use firearms 10.08). Patients categorised as higher prediction scales other that combined moderately increased 2.58). Younger age, Black Hispanic ethnicity, overdose, diagnosis adjustment disorder, absence psychiatric protective against Conclusions Most who have presented STB not strongly associated relate methods. In clear indicators future suicide, all suicidality warrant thorough assessment their needs, further research is needed before we can meaningfully categorise risk.

Language: Английский

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Suicidal Ideations in Major Depressed Subjects: Role of the Temporal Dynamics of Anhedonia

Brain Sciences, Journal Year: 2023, Volume and Issue: 13(7), P. 1065 - 1065

Published: July 13, 2023

Given the limited data available in literature, aim of this study was to investigate potential role played by temporal dynamics anhedonia (lifelong and recent changes anhedonia) occurrence suicidal ideations major depressed subjects. The clinical 285 subjects recruited from database Erasme Hospital Sleep Laboratory were analyzed. A score on item nine Beck Depression Inventory (BDI-II) ≥1 and/or an identification during systematic psychiatric assessment used determine presence ideations. association between complaints change assessed logistic regression analyzes. prevalence 39.3% our sample After adjusting for main confounding factors, multivariate analysis demonstrated that unlike lifelong anhedonia, only a risk factor involvement subjects, it seems essential better identify adequately manage specific form order open new perspectives prevention suicide particular sub-population.

Language: Английский

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