European Child & Adolescent Psychiatry,
Год журнала:
2024,
Номер
33(9), С. 3079 - 3089
Опубликована: Фев. 14, 2024
Abstract
Adolescent
suicidality
is
associated
with
negative
outcomes
in
adulthood.
Suicide
prevention
has
traditionally
focused
on
identifying
risk
factors,
yet
suicide
rates
have
remained
stable.
With
often
going
undetected—especially
suicidal
ideation,
further
knowledge
about
protective
factors
needed.
The
main
objective
of
this
study
was
to
investigate
potential
for
ideation
from
adolescence
employed
longitudinal
population
survey
data,
“Youth
and
Mental
Health
Study”
consisting
self-reports
at
two-time
points
(mean
age
14.9,
SD
=
0.6
27.2,
0.6)
(
n
2423
1198).
Protective
(at
individual,
social
environmental
level)
were
selected
based
a
priori
knowledge.
Internal
consistency
scales
analyzed
using
McDonald’s
omega.
We
used
linear
mixed
model
as
the
dependent
variable,
time-points,
factor
variable
their
interaction
covariates,
individual
participant
random
effects.
adjusted
sex
also
conducted
separate
analyses
males
females.
Benjamini–Hochberg
procedure
adjust
p
-values
multiple
hypotheses.
Investigated
temporal
change
(significant
interactions).
For
both
sexes,
less
emotion-orientated
coping,
higher
self-perception
scores,
greater
levels
physical
activity
school
wellbeing/connectedness
ideations.
Secure
attachment
family
function
females
only.
effects
mostly
maintained
In
study,
several
persisted
into
adulthood,
distinct
differences
between
PLoS ONE,
Год журнала:
2022,
Номер
17(1), С. e0262889 - e0262889
Опубликована: Янв. 25, 2022
Older
people
have
the
highest
rates
of
suicide,
yet
evidence
base
on
effective
suicide
preventions
in
late-life
is
limited.
This
systematic
review
reviews
aims
to
synthesize
data
from
existing
prevention
and/or
reduction
behavior
and
for
effectiveness
interventions.
A
database
search
was
conducted
eight
electronic
databases
inception
4/2020
targeting
interventions
among
adults
≥
60
prevent
reduce
attempt,
self-harm
suicidal
ideation.
Four
high
quality
were
included
categorized
as
pharmacological
(antidepressant
use:
239
RCTs,
seven
observational
studies)
behavioral
(physical
activity:
three
studies,
multifaceted
primary-care-based
collaborative
care
depression
screening
management:
four
RCTs).
The
2009
antidepressant
use
found
significant
risk
attempt/self-harm
(OR
=
0.06,
95%
CI
0.01–0.58)
ideation
0.39,
0.18–0.78)
versus
placebo.
2015
an
increased
attempts
with
antidepressants
no
treatment
(RR
1.18,
1.10–1.27)
statistically
change
suicides
1.06,
0.68–1.66)
or
placebo
0.52,
0.14–1.94).
Protective
effects
physical
activity
2
out
3
studies
when
comparing
active
inactive
older
people.
Collaborative
demonstrated
significantly
less
attempts/ideation
0.80,
0.68–0.94)
intervention
group
usual
care.
results
this
find
inconclusive
towards
people,
thus
monitoring
required
prior
start,
dosage
cessation
antidepressants.
Evidence
date
supports
management
ideation,
but
additional
trials
are
a
meta-analysis.
To
build
these
findings,
continued
high-quality
research
warranted
evaluate
late
life.
Journal of Affective Disorders,
Год журнала:
2023,
Номер
335, С. 83 - 94
Опубликована: Май 6, 2023
Sleep
and
circadian
disruption
are
associated
with
depression
onset
severity,
but
it
is
unclear
which
features
(e.g.,
sleep
duration,
chronotype)
important
whether
they
can
identify
individuals
showing
poorer
outcomes.
Within
a
subset
of
the
UK
Biobank
actigraphy
mental
health
data
(n
=
64,353),
penalised
regression
identified
most
useful
51
sleep/rest-activity
predictors
depression-related
outcomes;
including
case-control
(Major
Depression
(MD)
vs.
controls;
postnatal
controls)
within-case
comparisons
(severe
moderate
MD;
early
later
onset,
atypical
typical
symptoms;
comorbid
anxiety;
suicidality).
Best
models
(of
lasso,
ridge,
elastic
net)
were
selected
based
on
Area
Under
Curve
(AUC).
For
MD
controls
(n(MD)
24,229;
n(control)
40,124),
lasso
AUC
was
0.68,
95
%
confidence
interval
(CI)
0.67–0.69.
Discrimination
reasonable
for
symptoms
(n(atypical)
958;
n(typical)
18,722;
ridge:
0.74,
CI
0.71–0.77)
poor
remaining
(AUCs
0.59–0.67).
Key
across
included:
difficulty
getting
up,
insomnia
symptoms,
snoring,
actigraphy-measured
daytime
inactivity
lower
morning
activity
(~8
am).
In
distinct
310,718),
number
these
factors
shown
all
Analyses
cross-sectional
in
middle-/older
aged
adults:
comparison
longitudinal
investigations
younger
cohorts
necessary.
measures
alone
provided
to
discrimination
outcomes,
several
characteristics
that
may
be
clinically
useful.
Future
work
should
assess
alongside
broader
sociodemographic,
lifestyle
genetic
features.
Neuroscience & Biobehavioral Reviews,
Год журнала:
2024,
Номер
158, С. 105547 - 105547
Опубликована: Янв. 21, 2024
A
growing
body
of
research
has
demonstrated
the
potential
role
for
physical
activity
as
an
intervention
across
mental
and
other
medical
disorders.
However,
association
between
suicidal
ideation,
attempts,
deaths
not
been
systematically
appraised
in
clinical
samples.
We
conducted
a
PRISMA
2020-compliant
systematic
review
searching
MEDLINE,
EMBASE,
PsycINFO
observational
studies
investigating
influence
on
behavior
up
to
December
6,
2023.
Of
116
eligible
full-text
studies,
seven
(n
=
141691)
were
included.
Depression
was
most
frequently
studied
condition
(43%,
k
3),
followed
by
chronic
pain
common
(29%,
2).
Two
case-control
examined
suicide
attempts
found
reduced
frequency
such
attempts.
examining
ideation
(k
3)
or
2),
no
consistent
associations
with
observed.
Overall,
our
that
may
be
linked
lower
non-prospective
involving
individuals
European Child & Adolescent Psychiatry,
Год журнала:
2024,
Номер
33(9), С. 3079 - 3089
Опубликована: Фев. 14, 2024
Abstract
Adolescent
suicidality
is
associated
with
negative
outcomes
in
adulthood.
Suicide
prevention
has
traditionally
focused
on
identifying
risk
factors,
yet
suicide
rates
have
remained
stable.
With
often
going
undetected—especially
suicidal
ideation,
further
knowledge
about
protective
factors
needed.
The
main
objective
of
this
study
was
to
investigate
potential
for
ideation
from
adolescence
employed
longitudinal
population
survey
data,
“Youth
and
Mental
Health
Study”
consisting
self-reports
at
two-time
points
(mean
age
14.9,
SD
=
0.6
27.2,
0.6)
(
n
2423
1198).
Protective
(at
individual,
social
environmental
level)
were
selected
based
a
priori
knowledge.
Internal
consistency
scales
analyzed
using
McDonald’s
omega.
We
used
linear
mixed
model
as
the
dependent
variable,
time-points,
factor
variable
their
interaction
covariates,
individual
participant
random
effects.
adjusted
sex
also
conducted
separate
analyses
males
females.
Benjamini–Hochberg
procedure
adjust
p
-values
multiple
hypotheses.
Investigated
temporal
change
(significant
interactions).
For
both
sexes,
less
emotion-orientated
coping,
higher
self-perception
scores,
greater
levels
physical
activity
school
wellbeing/connectedness
ideations.
Secure
attachment
family
function
females
only.
effects
mostly
maintained
In
study,
several
persisted
into
adulthood,
distinct
differences
between
