Patterns of Suicidal Risk and Its Relationship with Suicidal Ideation and Attempt: Practice and Policy Implications
MetadataShow full item record
AbstractDespite efforts to prevent suicide, suicide mortality rate has been increasing since 2000. This dissertation examined distinct patterns of suicidal risk based on the interpersonal-psychological theory of suicide (IPTS; Joiner, 2005), and the most critical patterns of suicidal ideation and suicide attempt were explored using latent class analysis. A nationally representative sample of White, Black, Latinx, and Asian adults from the Collaborative Psychiatric Epidemiology Surveys (Alegria et al., 2016) was used. For White adults, five latent classes were identified, and respondents in the All Three with Alcohol/Drug Dependence, All Three without Alcohol/Drug Dependence, and Thwarted Belongingness + Perceived Burdensomeness classes were more likely to demonstrate suicidal ideation and suicide attempt than those in the Only Acquired Capability for Suicide class. For Black adults, six latent classes were identified, and respondents in the All Three with Alcohol/Drug Dependence and All Three without Alcohol/Drug Dependence classes were significantly more likely to attempt suicide than those in the Low Risk class. For Latinx respondents, four latent classes were identified, and respondents in the Thwarted Belongingness + Acquired Capability for Suicide class were significantly more likely to attempt suicide than respondents in the Low Risk class. For Asian respondents, three latent classes were identified, and respondents in Thwarted Belongingness + (Active) Acquired Capability for Suicide class had a significantly higher risk for suicidal ideation and suicide attempt than those in the Low Risk class. Findings of this dissertation supported the major tenets of the IPTS that individuals are at the greatest risk for suicide attempt when thwarted belongingness, perceived burdensomeness, and acquired capability for suicide coexist. In addition, this dissertation found some variations across the four racial/ethnic groups. Findings suggested that clinicians working with people with higher risk for suicide should explore multiple dimensions of suicidal risk, especially clients’ capability for suicide (e.g., past exposure to trauma and pain- and fear-reducing experiences). Suicide-prevention campaigns and trainings need to include exploration of past exposure to trauma, physical violence, and risk-taking behaviors as well as access to means in training sessions so that trainees can better detect people with higher risk of suicide attempt.
University of Maryland, Baltimore
interpersonal-psychological theory of suicide
Latent Class Analysis
Identifier to cite or link to this itemhttp://hdl.handle.net/10713/9577
Showing items related by title, author, creator and subject.
Late-life suicidal behavior: Complexity, descriptors, level of riskWeinreich, Donna Meisel; Saltz, Constance Corley (1997)Suicide is disproportionately fatal for older persons compared to other cohorts. Presently, there is an epidemic among those, mostly men, who are 85 years and older, where the rate of suicide has reached an all-time high of 81.6/100,000 resident population ((for white men it is 85.9/100,000) NCHS 1996). The present research builds on previous work (Meisel (Weinreich) 1994) to identify older persons at risk, and incorporates Chaos and Complexity Theory in an effort to address the intractability of the suicidal act. This research sought to formulate a consensus among practitioners and observers who experienced the suicide of an older person. A Q-sort was developed and a Principle Components Analysis (PCA) performed. Confirmation of the existence of a consensus on the descriptors of the suicidal older person was determined. The PCA yielded a five component and a two-component solution. Both solutions met Kaiser's criteria of eigenvalues >1. However, the 5-component solution was not supported by a manual scree test. The 2-component solution was discussed. Component 1, mental health/emotional health, described older persons suffering with some form of emotional distress. Many subjects were clinically diagnosed with major depression or bi-polar disorder. Component 2, physical health, described older persons who, while mentally healthy, possessed mitigating physical ailments that seemed to make life less worth living. Three of the four constructs proposed in this research were supported, namely: subjective physical decline, subjective mental decline, and hopelessness. No support was found for the fourth construct: intolerance for the normal aging process. This research also yielded intriguing support for the possibility to differentiate between young (those under age 55) and old (those 55 and older) persons committing the suicidal act. Several Q-sorts were rejected for the present analysis because subjects were too young. None-the-less, these Q-sorts were loaded specifically to see if respondents describing younger persons would load distinctly differently. This in fact occurred. Although there were too few respondents to be definitive, the Q-sorts produced two additional components. It is believed that, had there been a larger representation of younger persons, strong, separate components may have emerged with distinctly different groupings of terms for younger persons committing suicide.
Suicide Rates by Major Occupational Group -- 17 States, 2012 and 2015Peterson, Cora; Stone, Deborah M.; Marsh, Suzanne M., M.P.A.; Schumacher, Pamela K.; Tiesman, Hope M.; McIntosh, Wendy LiKamWa; Lokey, Colby M.; Trudeau, Aimee-Rika T.; Bartholow, Brad; Luo, Feijun (U.S. Department of Health and Human Services. Centers for Disease Control and Prevention, 2018-11-16)
Preventing Suicide Among Working-Age Adults: The Correlates of Help-Seeking BehaviorKo, J.; Frey, J.J.; Harrington, D. (SAGE Publications Inc., 2019)We aimed to identify the correlates with not seeking help among working-age adults with suicidal ideation. By adapting the integrated model of suicide help-seeking, we examined help-seeking behavior in the following 3 stages: problem recognition, decision to seek help, and sources of help. We used a sample of working-age adults between 26 and 64 years old, who reported suicidal ideation in the past year (N = 1414). Data were drawn from the 2011 and 2012 National Survey on Drug Use and Health, and multinomial logistic regression analyses were applied. Findings suggested that being male, being nonwhite, being employed full-time, having lower levels of general mental health needs, and not having health insurance were associated with not seeking help. Results also indicated how each factor was related in the help-seeking pathway. Strategies to help problem recognition can be effective in enhancing help-seeking behavior among men, racial/ethnic minorities, and those without serious clinical conditions. Help-seeking interventions for working-age adults with suicidal ideation should also consider that race/ethnic minorities and those with lower levels of functional impairment might rely on alternative sources of help, such as family, friends, and religious advisors. Copyright The Author(s) 2019.