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Kinslow CJ, Kumar P, Olfson M, Wall MM, Petridis PD, Horowitz DP, Wang TJC, Kachnic LA, Cheng SK, Prigerson HG, Yu JB, Neugut AI. Prognosis and risk of suicide after cancer diagnosis. Cancer 2024; 130:588-596. [PMID: 38018695 DOI: 10.1002/cncr.35118] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2023] [Revised: 09/13/2023] [Accepted: 10/20/2023] [Indexed: 11/30/2023]
Abstract
INTRODUCTION Suicide rates are elevated after cancer diagnosis. Existential distress caused by awareness of one's impending death is well-described in patients with cancer. The authors hypothesized that suicide risk is associated with cancer prognosis, and the impact of prognosis on suicide risk is greatest for populations with higher baseline suicide risk. METHODS The authors identified patients (≥16 years old) with newly diagnosed cancers from 2000 to 2019 in the Surveillance, Epidemiology, and End Results database, representing 27% of US cancers. Multiple primary-standardized mortality ratios (SMR) were used to estimate the relative risk of suicide within 6 months of diagnosis compared to the general US population, adjusted for age, sex, race, and year of follow-up. Suicide rates by 20 most common cancer sites were compared with respective 2-year overall survival rates (i.e., prognosis) using a weighted linear regression model. RESULTS Among 6,754,704 persons diagnosed with cancer, there were 1610 suicide deaths within 6 months of diagnosis, three times higher than the general population (SMR = 3.1; 95% confidence interval, 3.0-3.3). Suicide risk by cancer site was closely associated with overall prognosis (9.5%/percent survival deficit, R2 = 0.88, p < .0001). The association of prognosis with suicide risk became attenuated over time. For men, the risk of suicide increased by 2.8 suicide deaths per 100,000 person-years (p < .0001) versus 0.3 in women (p < .0001). The risk was also higher for persons ≥60 old and for the White (vs. Black) race. CONCLUSIONS Poorer prognosis was closely associated with suicide risk early after cancer diagnosis and had a greater effect on populations with higher baseline risks of suicide. This model highlights the need for enhanced psychiatric surveillance and continued research in this patient population.
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Affiliation(s)
- Connor J Kinslow
- Department of Radiation Oncology, Vagelos College of Physicians and Surgeons, Columbia University, New York, New York, USA
- Herbert Irving Comprehensive Cancer Center, Vagelos College of Physicians and Surgeons, Columbia University, New York, New York, USA
| | - Prashanth Kumar
- Department of Radiation Oncology, Vagelos College of Physicians and Surgeons, Columbia University, New York, New York, USA
| | - Mark Olfson
- Department of Psychiatry, College of Physicians and Surgeons, Columbia University, New York, New York, USA
- The New York State Psychiatric Institute, Columbia University, New York, New York, USA
| | - Melanie M Wall
- Department of Psychiatry, College of Physicians and Surgeons, Columbia University, New York, New York, USA
- The New York State Psychiatric Institute, Columbia University, New York, New York, USA
| | - Petros D Petridis
- Department of Psychiatry, NYU Langone Center for Psychedelic Medicine, New York University Grossman School of Medicine, New York, New York, USA
| | - David P Horowitz
- Department of Radiation Oncology, Vagelos College of Physicians and Surgeons, Columbia University, New York, New York, USA
- Herbert Irving Comprehensive Cancer Center, Vagelos College of Physicians and Surgeons, Columbia University, New York, New York, USA
| | - Tony J C Wang
- Department of Radiation Oncology, Vagelos College of Physicians and Surgeons, Columbia University, New York, New York, USA
- Herbert Irving Comprehensive Cancer Center, Vagelos College of Physicians and Surgeons, Columbia University, New York, New York, USA
| | - Lisa A Kachnic
- Department of Radiation Oncology, Vagelos College of Physicians and Surgeons, Columbia University, New York, New York, USA
- Herbert Irving Comprehensive Cancer Center, Vagelos College of Physicians and Surgeons, Columbia University, New York, New York, USA
| | - Simon K Cheng
- Department of Radiation Oncology, Vagelos College of Physicians and Surgeons, Columbia University, New York, New York, USA
- Herbert Irving Comprehensive Cancer Center, Vagelos College of Physicians and Surgeons, Columbia University, New York, New York, USA
| | - Holly G Prigerson
- Cornell Center for Research on End-of-Life Care, Weill Cornell Medicine, New York, New York, USA
- Department of Medicine, Weill Cornell Medicine, New York, New York, USA
| | - James B Yu
- Department of Radiation Oncology, Vagelos College of Physicians and Surgeons, Columbia University, New York, New York, USA
- Herbert Irving Comprehensive Cancer Center, Vagelos College of Physicians and Surgeons, Columbia University, New York, New York, USA
| | - Alfred I Neugut
- Herbert Irving Comprehensive Cancer Center, Vagelos College of Physicians and Surgeons, Columbia University, New York, New York, USA
- Department of Medicine, Vagelos College of Physicians and Surgeons, New York, New York, USA
- Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, New York, USA
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Williams CD, Shipman-Lacewell J, Shih SF, Wynn A, de Jesús Elias M, Valrie CR. Black adolescents' racial discrimination and suicide behaviors: Testing perceived school safety as a protective moderator. JOURNAL OF RESEARCH ON ADOLESCENCE : THE OFFICIAL JOURNAL OF THE SOCIETY FOR RESEARCH ON ADOLESCENCE 2023; 33:1295-1303. [PMID: 37492005 DOI: 10.1111/jora.12877] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/10/2022] [Revised: 06/15/2023] [Accepted: 07/12/2023] [Indexed: 07/27/2023]
Abstract
The current study examined associations between Black adolescents' (Mage = 15.55, SD = 1.23) racial discrimination and suicide behaviors (i.e., suicide ideation, suicide plan, and suicide attempts), and whether perceived school safety was a protective moderator. Furthermore, we tested gender differences in relations, which were not significant. Racial discrimination predicted greater suicide behaviors, and school safety informed less suicide behaviors. School safety moderated the relation between discrimination and suicide plan, such that at low school safety, discrimination predicted having a suicide plan but was not significant at high school safety. Furthermore, school safety moderated the relation between discrimination and suicide attempts. At low school safety, discrimination predicted more suicide attempts, but was not significant at high school safety.
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Affiliation(s)
- Chelsea D Williams
- Department of Psychology, Virginia Commonwealth University, Richmond, Virginia, USA
| | | | - Shu-Fang Shih
- Department of Health Administration, College of Health Professions, Virginia Commonwealth University, Richmond, Virginia, USA
| | - Alexandra Wynn
- Department of Psychology, Virginia Commonwealth University, Richmond, Virginia, USA
| | - María de Jesús Elias
- Department of Psychology, Virginia Commonwealth University, Richmond, Virginia, USA
| | - Cecelia R Valrie
- Department of Psychology, Virginia Commonwealth University, Richmond, Virginia, USA
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Martínez-Alés G, Bello I, Basaraba C, Van der Ven E, Mascayano F, Nossel I, Labouliere C, Susser E, Wall M, Stanley B, Dixon LB. Incidence, prevalence, and trajectories of suicidal ideation among clients enrolled in early intervention services for first episode psychosis in New York State. Schizophr Res 2023; 256:17-25. [PMID: 37120938 DOI: 10.1016/j.schres.2023.04.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/16/2022] [Revised: 04/01/2023] [Accepted: 04/19/2023] [Indexed: 05/02/2023]
Abstract
Knowledge on how suicidal ideation (SI) varies following first episode psychosis (FEP) onset is scarce. We identified 1-year trajectories of SI and baseline predictors of emergent SI among all 1298 clients aged 16-30 years enrolled between October 2013-December 2018 in OnTrackNY, a program providing early intervention services for FEP across New York State. Clinicians recorded baseline clinical and sociodemographic variables and quarterly assessments of SI over a one-year follow-up. We examined baseline correlates of baseline SI and of 1-year SI trajectory. Among clients not reporting baseline SI, we examined predictors of subsequent emergent SI. Baseline SI was reported by 349 (26.9 %) clients and associated with schizoaffective disorder, previous self-injurious behavior, any alcohol or substance use, higher symptom severity, poorer social functioning, and Non-Hispanic White, Asian or Hispanic ethnoracial background. Two hundred and two (15.6 % overall) clients stopped being suicidal within 6 months of follow-up. Persistent SI was reported by 147 (11.3 % overall) clients and, among clients not discharged before one year of follow-up, was associated with schizoaffective disorder, any alcohol use, being female, and being Hispanic or White Non-Hispanic. Among 949 (73.1 %) clients not reporting baseline SI, subsequent emergent SI was reported by 139 (10.7 % overall) and predicted at baseline by schizoaffective disorder, higher symptom severity, recent homelessness, and not being Hispanic. In conclusion, SI is highly prevalent and varies markedly over time among FEP early intervention clients. These results highlight the importance of ongoing assessment for SI among individuals experiencing FEP - even in the absence of baseline SI.
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Affiliation(s)
- Gonzalo Martínez-Alés
- Harvard University T.H. Chan School of Public Health, Boston, MA, USA; Columbia University Mailman School of Public Health, New York, NY, USA; Mental Health Network Biomedical Research Center (CIBERSAM), Madrid, Spain; Hospital La Paz Institute for Health Research (IdiPAZ), Madrid, Spain.
| | - Iruma Bello
- New York State Psychiatric Institute, New York, USA
| | - Cale Basaraba
- Columbia University Mailman School of Public Health, New York, NY, USA; New York State Psychiatric Institute, New York, USA
| | - Els Van der Ven
- Department of Clinical, Neuro- and Developmental Psychology, Vrije Universiteit, Amsterdam, the Netherlands
| | - Franco Mascayano
- Columbia University Mailman School of Public Health, New York, NY, USA; New York State Psychiatric Institute, New York, USA
| | - Ilana Nossel
- New York State Psychiatric Institute, New York, USA
| | - Christa Labouliere
- New York State Psychiatric Institute, New York, USA; Columbia University Vagelos College of Physicians and Surgeons, New York, NY, USA
| | - Ezra Susser
- Columbia University Mailman School of Public Health, New York, NY, USA; New York State Psychiatric Institute, New York, USA
| | - Melanie Wall
- Columbia University Vagelos College of Physicians and Surgeons, New York, NY, USA
| | - Barbara Stanley
- Columbia University Vagelos College of Physicians and Surgeons, New York, NY, USA
| | - Lisa B Dixon
- New York State Psychiatric Institute, New York, USA
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Heinrich M, Hofmann L, Baurecht H, Kreuzer PM, Knüttel H, Leitzmann MF, Seliger C. Suicide risk and mortality among patients with cancer. Nat Med 2022; 28:852-859. [PMID: 35347279 DOI: 10.1038/s41591-022-01745-y] [Citation(s) in RCA: 37] [Impact Index Per Article: 18.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2021] [Accepted: 02/14/2022] [Indexed: 11/09/2022]
Abstract
Despite substantial progress in cancer therapy in recent decades, patients with cancer remain at high suicide risk. Data from individual studies have not been comprehensively quantified and specific risk factors are ill-defined. We assessed suicide mortality risk according to cancer prognosis, stage, time since diagnosis, gender, ethnicity, marital status, year of recruitment and geographic region. We searched EMBASE, MEDLINE, PsycINFO, Web of Science, CINAHL and Google Scholar for relevant articles up to February 2021. We used a random effects model, performed meta-regression meta-analysis and assessed heterogeneity and publication bias using I², funnel plots and Egger's and Begg's tests. We performed a systematic review including 62 studies and 46,952,813 patients. To avoid patient sample overlap, the meta-analysis was performed on 28 studies, involving 22,407,690 patients with cancer. Suicide mortality was significantly increased compared with the general population (standardized mortality ratio = 1.85, 95% confidence interval = 1.55-2.20). Risk was strongly related to cancer prognosis, cancer stage, time since diagnosis and geographic region. Patients with cancer, particularly those with specific risk factors, should be closely monitored for suicidality and need specialized care to reduce short- and long-term risks of suicide.
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Affiliation(s)
- Michael Heinrich
- Department of Psychiatry and Psychotherapy, University of Regensburg, Regensburg, Germany
| | - Luisa Hofmann
- Department of Psychiatry and Psychotherapy, University of Regensburg, Regensburg, Germany
| | - Hansjörg Baurecht
- Department of Epidemiology and Preventive Medicine, University of Regensburg, Regensburg, Germany
| | - Peter M Kreuzer
- Department of Psychiatry and Psychotherapy, University of Regensburg, Regensburg, Germany
| | - Helge Knüttel
- University Library, University of Regensburg, Regensburg, Germany
| | - Michael F Leitzmann
- Department of Epidemiology and Preventive Medicine, University of Regensburg, Regensburg, Germany
| | - Corinna Seliger
- Department of Neurology, University Hospital Heidelberg, Heidelberg, Germany.
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Adzrago D, Osaghae I, Ananaba N, Ayieko S, Fwelo P, Anikpezie N, Cherry D. Examining differences in suicidality between and within mental health disorders and sexual identity among adults in the United States. AIMS Public Health 2021; 8:636-654. [PMID: 34786425 PMCID: PMC8568595 DOI: 10.3934/publichealth.2021051] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/09/2021] [Accepted: 09/06/2021] [Indexed: 11/18/2022] Open
Abstract
BACKGROUND Suicide is a leading but preventable cause of death and is preceded by domains of thoughts, plans, and attempts. We assessed the prevalence of suicidality domains and determined the association of suicidality domains with sexual identity, mental health disorder symptoms, and sociodemographic characteristics. METHODS We used the 2019 National Survey on Drug Use and Health (NSDUH) data to perform weighted multivariable logistic regression and margins analyses to examine between and within-group differences in suicidality by sexual identity among adults aged ≥ 18 years. RESULTS About 4.89%, 1.37%, and 0.56% of the population experienced suicidal thoughts, plans, and attempts, respectively. Those aged 18-25 years old had a higher odds of suicidality compared to those aged 26 years or older. Compared to those who reported having no alcohol use dependence, illicit drug use dependence, and major depressive episodes (MDEs), those who reported alcohol use dependence, illicit drug use dependence, and MDE had higher odds of suicidal thoughts, plans, and attempts. Between all sexual identity groups, bisexuals who experienced MDEs had the highest probability of having suicidal thoughts while lesbians and gays who experienced MDE showed a higher probability of suicidal plans and attempts compared to heterosexuals. Within each sexual identity group, the probability of having suicidal thoughts, suicidal plans, and suicidal attempts was higher for those who had experienced MDEs compared to those who had not experienced MDEs. CONCLUSION Substance use disorder and MDE symptoms were associated with increased suicidality, especially among young adults and sexual minority people. This disparity underscores the need for tailored interventions and policies to enhance the provision of prompt mental health screening, diagnosis, and linkage to care for mental health services, particularly among the most vulnerable in the population.
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Affiliation(s)
- David Adzrago
- Center for Health Promotion and Prevention Research, The University of Texas Health Science Center at Houston, Houston, Texas, USA
| | - Ikponmwosa Osaghae
- Department of Epidemiology, Human Genetics & Environmental Sciences, The University of Texas Health Science Center at Houston School, Houston, Texas, USA
| | - Nnenna Ananaba
- Center for Health Promotion and Prevention Research, The University of Texas Health Science Center at Houston, Houston, Texas, USA
| | - Sylvia Ayieko
- Center for Health Promotion and Prevention Research, The University of Texas Health Science Center at Houston, Houston, Texas, USA
| | - Pierre Fwelo
- Department of Epidemiology, Human Genetics & Environmental Sciences, The University of Texas Health Science Center at Houston School, Houston, Texas, USA
| | - Nnabuchi Anikpezie
- Department of Population Health Science, The University of Mississippi Medical Center, Jackson, Mississippi, USA
| | - Donna Cherry
- Department of Social Work, East Tennessee State University, Johnson City, Tennessee, USA
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6
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Pasculli AJ, Harris KM. Suicidal women may risk their lives but not their social relationships. CLIN PSYCHOL-UK 2020. [DOI: 10.1111/cp.12103] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- Ashleigh J Pasculli
- School of Psychology, University of Newcastle, Callaghan, New South Wales, Australia,
| | - Keith M Harris
- School of Psychology, University of Queensland, St Lucia, Queensland, Australia,
- School of Medicine, University of Tasmania, Hobart, Tasmania, Australia,
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Droege JR, Robinson WL, Jason LA. Suicidality Protective Factors for African American Adolescents: A Systematic Review of the Research Literature. SOJ NURSING & HEALTH CARE 2017; 3:10.15226/2471-6529/3/2/00130. [PMID: 33344874 PMCID: PMC7747935 DOI: 10.15226/2471-6529/3/2/00130] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/10/2023]
Abstract
Overall rates of African American adolescent suicide have been increasing for the past 50 years; however, the research literature examining factors related to suicide for these vulnerable youth is sparse. The shortage of research literature on suicidality protective factors is particularly significant. Little is known about the impact of protective factors on African American youth, especially within subgroups (e.g., gender and socioeconomic status). Approximately 40% of African American youth live in poverty, exposing them to contextual stressors that place them at increased risk for suicidality. Females are significantly more likely to have suicidal ideation and make attempts, whereas males surpass females in their rates of completions. To better understand suicidality protective factors, we conducted a systematic review of the research literature on protective factors for African American adolescents, with a focus on gender differences and urban, low-income youth. This review yielded 26 articles that met inclusion criteria and identified protective factors in the following categories: familial, religiosity-based, relational/social, personal, and socioecological. Gender differences and protective factors for urban, low-income youth are discussed, regarding their role in the prevention of suicidality. This review highlights a need for further research to identify and clarify suicidality protective factors for African American adolescents.
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Affiliation(s)
- Jocelyn R. Droege
- Center for Community Research, DePaul University, Chicago, IL 60614
- Corresponding author: Jocelyn R. Droege, Center for Community Research, DePaul University, 990 W. Fullerton Avenue, Suite 3100, Chicago, IL 60614.
| | | | - Leonard A. Jason
- Center for Community Research, DePaul University, Chicago, IL 60614
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Vinson ES, Oser CB. Risk and Protective Factors for Suicidal Ideation in African American Women With a History of Sexual Violence as a Minor. Violence Against Women 2016; 22:1770-1787. [PMID: 26933090 DOI: 10.1177/1077801216632614] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Compared with other ethnic groups, African Americans have the highest rate of childhood victimization. The literature is sparse with regard to suicidal ideation among African American women with a history of sexual violence as a minor. Using survey data, this study utilized logistic regression to investigate the roles of a risk factor, criminal justice involvement, and protective factors, ethnic identity, and spiritual well-being, in experiencing suicidal ideation. Findings suggest that criminal justice involvement and the interaction of ethnic identity and spiritual well-being are important factors in understanding which African American women may be at a greater risk of experiencing suicidal ideation.
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Affiliation(s)
- Ebony S Vinson
- 1 Virginia Commonwealth University, Richmond, VA, USA.,2 University of Kentucky, Lexington, KY, USA
| | - Carrie B Oser
- 1 Virginia Commonwealth University, Richmond, VA, USA.,2 University of Kentucky, Lexington, KY, USA
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Salami TK, Brooks BA, Lamis DA. Impulsivity and reasons for living among African American youth: a risk-protection framework of suicidal ideation. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2015; 12:5196-214. [PMID: 25988310 PMCID: PMC4454962 DOI: 10.3390/ijerph120505196] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/16/2015] [Revised: 05/06/2015] [Accepted: 05/08/2015] [Indexed: 11/17/2022]
Abstract
This study aims to explore the impact of specific facets of impulsivity as measured by the UPPS Impulsive Behavior Scale (UPPS), as well as reasons for living in predicting suicidal ideation among African American college-aged students. The incremental validity of each facet of the UPPS interacting with reasons for living, a construct meant to buffer against risk for suicide, was explored in a sample of African American students (N = 130; ages 18-24). Results revealed significant interactions between reasons for living and two factors of impulsivity, (lack of) premeditation and sensation seeking. Higher levels of sensation seeking and lack of premeditation in conjunction with lower reasons for living was associated with increased suicidal ideation. Neither urgency nor (lack of) perseverance significantly interacted with reasons for living in association with suicidal ideation. These results suggest including elements of impulsivity, specifically sensation seeking and (lack of) premeditation, when screening for suicidal ideation among African American youth. Future investigations should continue to integrate factors of both risk and protection when determining risk for suicide.
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Affiliation(s)
- Temilola K Salami
- Department of Clinical Psychology, University of Georgia, 125 Baldwin St., Athens, GA 30602, USA.
| | - Bianca A Brooks
- Department of Clinical Psychology, Georgia State University, 140 Decatur St., Atlanta, GA 30303, USA.
| | - Dorian A Lamis
- Department of Psychiatry and Behavioral Sciences, School of Medicine, Emory University, 80 Jesse Hill Jr. Drive, Atlanta, GA 30303, USA.
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Borum V. African Americans' perceived sociocultural determinants of suicide: afrocentric implications for public health inequalities. SOCIAL WORK IN PUBLIC HEALTH 2014; 29:656-670. [PMID: 25350896 DOI: 10.1080/19371918.2013.776339] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
The cultural values of African Americans have not been adequately incorporated as a theoretical base to develop new public health models. The major objectives of this study were to explore, with a purposive sample, via seven focus groups, 40 African American college students, the following: How do (a) ethnic culture and (b) a "minoritized" status influence perceptions of sociocultural determinants in explaining increases in the incidence of suicide among African Americans? Thematic results of focus group discussions including the following: (a) racism, discrimination, and stereotyping; (b) U.S. individualism; (c) integration and cultural assimilation; and, (d) the prison industrial complex.
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Affiliation(s)
- Valerie Borum
- a Department of Social Work , Metropolitan State University of Denver , Denver , Colorado , USA
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Bresin K, Sima Finy M, Verona E. Childhood emotional environment and self-injurious behaviors: the moderating role of the BDNF Val66Met polymorphism. J Affect Disord 2013; 150:594-600. [PMID: 23541842 DOI: 10.1016/j.jad.2013.01.050] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/10/2012] [Accepted: 01/30/2013] [Indexed: 11/25/2022]
Abstract
BACKGROUND Previous theory has suggested that invalidating environments in the form of emotional maltreatment should be a specific risk factor for the development of self-injurious behaviors (Linehan, 1993, Cognitive-Behavioral Treatment of Borderline Personality Disorder, New York, Guilford Press). However, results from previous studies have been mixed, possibly indicating that this effect may not be the same for all individuals. In fact, some individuals may be more susceptible to environmental influences (i.e., phenotypic plasticity), and this susceptibility may be in part a function of genes that are involved in neuroplasticity (e.g., the brain-derived neurotrophic factor [BDNF] Val66Met polymorphism). METHOD We explored the interaction between retrospective reports of childhood emotional environment and the BDNF Val66Met polymorphism in relation to a history of two main types of self-injurious behaviors, suicide attempt and nonsuicidal self-injury (NSSI), in a sample of individuals with a history of involvement in the criminal justice system. RESULTS For individuals with two Val alleles, there was a significant direct relationship between emotional maltreatment and self-injurious behaviors. However, the relationship was not significant for Met carriers. LIMITATIONS The data are cross-sectional, which means causal inferences cannot be drawn. CONCLUSIONS The results indicate the possibility of a common etiological pathway for NSSI and suicide attempts.
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Affiliation(s)
- Konrad Bresin
- Department of Psychology, University of Illinois Urbana-Champaign, 603 East Daniel Street, Champaign, IL 61820, United States.
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Abstract
Suicide-related outcomes are a major public health challenge in communities of color in the United States. To address these challenges, this Major Contribution makes theoretical, empirical, and practice-related contributions to scholarship on suicide-related outcomes among people of color. In this article, the authors present a new framework to conceptualize previous suicidology scholarship, address existing literature gaps, and inform counseling psychologists’ future work on suicide-related outcomes in U.S. communities of color. The framework consists of three components and nine principles that highlight the types of constructs, populations, and preventive interventions that should be emphasized in theory, research, and practice addressing suicide-related outcomes in communities of color. The authors explain why suicide-related outcomes in communities of color deserve attention, describe the framework, and discuss implications of the framework for future practice and training. It is hoped that this framework can serve as a resource and impetus for new paradigms of suicidology work in communities of color.
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Perry BL, Pullen E, Oser CB. Too Much of a Good Thing? Psychosocial Resources, Gendered Racism, and Suicidal Ideation Among Low-SES African American Women. SOCIAL PSYCHOLOGY QUARTERLY 2012; 75:334-359. [PMID: 23565018 PMCID: PMC3616409 DOI: 10.1177/0190272512455932] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Very few studies have examined predictors of suicidal ideation among African American women. Consequently, we have a poor understanding of the combinations of culturally-specific experiences and psychosocial processes that may constitute risk and protective factors for suicide in this population. Drawing on theories of social inequality, medical sociology, and the stress process, we explore the adverse impact of gendered racism experiences and potential moderating factors in a sample of 204 predominantly low-SES African American women. We find that African American women's risk for suicidal ideation is linked to stressors occurring as a function of their distinct social location at the intersection of gender and race. In addition, we find that gendered racism has no effect on suicidal ideation among women with moderate levels of well-being, self-esteem, and active coping, but has a strong adverse influence in those with high and low levels of psychosocial resources.
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Kuentzel JG, Arble E, Boutros N, Chugani D, Barnett D. Nonsuicidal self-injury in an ethnically diverse college sample. THE AMERICAN JOURNAL OF ORTHOPSYCHIATRY 2012; 82:291-297. [PMID: 22880967 DOI: 10.1111/j.1939-0025.2012.01167.x] [Citation(s) in RCA: 34] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
Self-report data pertaining to Nonsuicidal Self-Injury (NSSI; e.g., cutting) were collected from 5,691 undergraduates at a Midwestern urban university. Consistent with the small literature on NSSI among college students, 12.8% of the sample indicated having engaged in NSSI at least once (3.4% in the past year). Women and younger students were at slightly higher risk. Important ethnic differences were found, as Caucasians and individuals self-identifying as Multiracial were at especially high risk for a history of NSSI, whereas Arab Americans and African Americans had particularly low rates. Further, links between NSSI and religion were found, such that participants with stronger self-reported religious convictions had the lowest rates of NSSI. Those who self-described as Atheist, Agnostic, or Nonbeliever were several times more likely to have engaged in NSSI (31.3%), while Muslims (7.4%) and Baptists (6.3%) had relatively low rates. Multivariate analyses revealed that ethnic differences in NSSI could not be accounted for by religious differences. Processes that may explain the associations between NSSI and ethnic affiliation and religion are discussed.
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Affiliation(s)
- Jeffrey G Kuentzel
- Wayne State University, Psychology Clinic, Rackham Bldg., 60 Farnsworth, Detroit, MI 48202, USA.
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Rockett IRH. Counting suicides and making suicide count as a public health problem. CRISIS 2011; 31:227-30. [PMID: 21134841 DOI: 10.1027/0227-5910/a000071] [Citation(s) in RCA: 36] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/09/2023]
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Baca-Garcia E, Perez-Rodriguez MM, Keyes KM, Oquendo MA, Hasin DS, Grant BF, Blanco C. Suicidal ideation and suicide attempts in the United States: 1991-1992 and 2001-2002. Mol Psychiatry 2010; 15:250-9. [PMID: 18779820 PMCID: PMC2825279 DOI: 10.1038/mp.2008.98] [Citation(s) in RCA: 85] [Impact Index Per Article: 6.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/05/2008] [Revised: 07/29/2008] [Accepted: 08/07/2008] [Indexed: 11/09/2022]
Abstract
The aim of the study is to compare the prevalence of suicidal ideation and attempts in the United States in 1991-1992 and 2001-2002, and identify sociodemographic groups at increased risk for suicidal ideation and attempts. Data were drawn from the National Institute on Alcohol Abuse and Alcoholism 1991-1992 National Longitudinal Alcohol Epidemiologic Survey (n=42,862) and the 2001-2002 National Epidemiologic Survey on Alcohol and Related Conditions (n=43,093), two nationally representative household surveys of non-institutionalized civilians aged 18 years and older, residing in the United States. The lifetime prevalence of suicide attempts remained unchanged in the United States between 1991-1992 and 2001-2002. Specific groups, namely 18- to 24-year-old white and black women, 25- to 44-year-old white women and 45- to 64-year-old Native American men were identified as being at high risk for suicide attempts. Despite prevention and treatment efforts, the lifetime prevalence of suicide attempts remains unchanged. Given the morbidity and mortality associated with suicide attempts, urgent action is needed to decrease the prevalence of suicide attempts in the United States.
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Affiliation(s)
- Enrique Baca-Garcia
- New York State Psychiatric Institute, New York, NY 10032
- Department of Psychiatry, College of Physicians and Surgeons, Columbia University, New York, NY 10032
- Fundacion Jimenez Diaz Hospital, Autonoma University, Madrid, Spain
| | - M. Mercedes Perez-Rodriguez
- Ramón y Cajal Hospital. Madrid. Spain 28034
- Department of Psychiatry, Mount Sinai School of Medicine. New York, NY, 10029
| | - Katherine M. Keyes
- Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY 10032
| | - Maria A. Oquendo
- New York State Psychiatric Institute, New York, NY 10032
- Department of Psychiatry, College of Physicians and Surgeons, Columbia University, New York, NY 10032
| | - Deborah S. Hasin
- New York State Psychiatric Institute, New York, NY 10032
- Department of Psychiatry, College of Physicians and Surgeons, Columbia University, New York, NY 10032
| | - Bridget F. Grant
- Laboratory of Epidemiology and Biometry, Division of Intramural Clinical and Biological Research, National Institute on Alcohol Abuse and Alcoholism, National Institutes of Health, Bethesda, MD 20892
| | - Carlos Blanco
- New York State Psychiatric Institute, New York, NY 10032
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June A, Segal DL, Coolidge FL, Klebe K. Religiousness, social support and reasons for living in African American and European American older adults: an exploratory study. Aging Ment Health 2009; 13:753-60. [PMID: 19882414 DOI: 10.1080/13607860902918215] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
OBJECTIVES This study examined the relationship between religiousness, perceived social support, and reasons for living among European American (n = 37; M age = 67.7 years) and African American (n = 35; M age = 71.1 years) older adults, where ethnicity was predicted to behave as a moderator. METHOD Community-dwelling participants completed the Brief Multidimensional Measure of Religiousness/Spirituality, the Multidimensional Measure of Perceived Social Support, and the Reasons for Living Inventory. RESULTS As expected, high religiousness was associated with more reasons for living. Ethnicity alone did not meaningfully account for variance differences in reasons for living, but significant interactions indicated that the relationship between religiousness and reasons for living was stronger for African Americans, whereas the relationship between social support and reasons for living was stronger for European Americans. CONCLUSION The present findings may be valuable for understanding potentially modifiable pathways to suicide resilience in diverse populations of older adults.
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Affiliation(s)
- Andrea June
- Department of Psychology, University of Colorado at Colorado Springs, Colorado Springs, CO 80933-7150, USA
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Peltzer K. Social support and suicide risk among secondary school students in Cape Town, South Africa. Psychol Rep 2009; 103:653-60. [PMID: 19320196 DOI: 10.2466/pr0.103.3.653-660] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
The aim of this study was to investigate social support including daily activities in a sample of secondary school students at low and high risk for suicide in Cape Town, South Africa. The sample included 1,157 students (Grade 9, 28.2%, Grade 10, 43.3%, and Grade 11, 28.4%); 30.9% were boys and 69.1% were girls, M age = 15.8 yr. (SD = 1.6). The racial background was mainly Coloured (from mixed descent) (84.6%) with a minority of African Black (10.5%), White, (2.1%), and Indian/ Asian (1.8%). Bivariate analyses showed Low Risk more than High Suicide Risk students reported significantly more teacher support, peer support, parental support, and personal control. Stepwise logistic regression indicated for boys none of the four social support variables and personal control associated with suicide risk, while for girls lack of peer and parental support were associated with high suicide risk. Among eight different activities, only for girls was lack of social activities associated with high suicide risk. Interventions influencing the posited mediating variables, i.e., social support resources and personal life skills competences, should be enhanced.
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Affiliation(s)
- Karl Peltzer
- Human Sciences Research Council, University of the Free State, Pretoria, South Africa.
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Utsey SO, Hook JN, Fischer N, Belvet B. Cultural orientation, ego resilience, and optimism as predictors of subjective well-being in African Americans. JOURNAL OF POSITIVE PSYCHOLOGY 2008. [DOI: 10.1080/17439760801999610] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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PELTZER KARL. SOCIAL SUPPORT AND SUICIDE RISK AMONG SECONDARY SCHOOL STUDENTS IN CAPE TOWN, SOUTH AFRICA. Psychol Rep 2008. [DOI: 10.2466/pr0.103.7.653-660] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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