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Aircraft-Assisted Pilot Suicides: Lessons to be Learned.

https://arctichealth.org/en/permalink/ahliterature257750
Source
Aviat Space Environ Med. 2014 Aug;85(8):841-6
Publication Type
Article
Date
Aug-2014
Author
Alpo Vuorio
Tanja Laukkala
Pooshan Navathe
Bruce Budowle
Anne Eyre
Antti Sajantila
Author Affiliation
Mehiläinen Airport Health Centre, Vantaa and Finnish Institute of Occupational Health, Lappeenranta, Finland.
Source
Aviat Space Environ Med. 2014 Aug;85(8):841-6
Date
Aug-2014
Language
English
Publication Type
Article
Keywords
Accidents, Aviation - psychology - statistics & numerical data
Adult
Aged
Aircraft
Autopsy
Female
Finland - epidemiology
Germany - epidemiology
Great Britain - epidemiology
Humans
Male
Middle Aged
Suicidal ideation
Suicide - statistics & numerical data
United States - epidemiology
Abstract
Aircraft assisted suicides were studied in the United States, United Kingdom, Germany, and Finland during 1956-2012 by means of literature search and accident case analysis. According to our study the frequency varied slightly between the studies. Overall, the new estimate of aircraft assisted suicides in the United States in a 20-yr period (1993-2012) is 0.33% (95% CI 0.21-0.49) (24/7244). In the detailed accident case analysis, it was found that in five out of the eight cases from the United States, someone knew of prior suicidal ideation before the aircraft assisted fatality. The caveats of standard medico-legal autopsy and accident investigation methods in investigation of suspected aircraft assisted suicides are discussed. It is suggested that a psychological autopsy should be performed in all such cases. Also the social context and possibilities of the prevention of aviation-related suicides were analyzed. In addition, some recent aircraft assisted suicides carried out using commercial aircraft during scheduled services and causing many casualties are discussed.
PubMed ID
25199127 View in PubMed
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Anxiety symptoms and suicidal feelings in a population sample of 70-year-olds without dementia.

https://arctichealth.org/en/permalink/ahliterature123921
Source
Int Psychogeriatr. 2012 Nov;24(11):1865-71
Publication Type
Article
Date
Nov-2012
Author
Mattias Jonson
Ingmar Skoog
Thomas Marlow
Madeleine Mellqvist Fässberg
Margda Waern
Author Affiliation
Neuropsychiatric Epidemiology Unit, Department of Psychiatry and Neurochemistry, University of Gothenburg, Gothenburg, Sweden.
Source
Int Psychogeriatr. 2012 Nov;24(11):1865-71
Date
Nov-2012
Language
English
Publication Type
Article
Keywords
Age of Onset
Aged
Anxiety - diagnosis - epidemiology - psychology
Cost of Illness
Data Interpretation, Statistical
Depression - diagnosis - epidemiology - psychology
Female
Humans
Interview, Psychological
Male
Psychiatric Status Rating Scales
Public Health Surveillance
Socioeconomic Factors
Suicidal ideation
Sweden - epidemiology
Abstract
The role of anxiety in late-life suicidal behavior has received relatively little attention. The aim was to explore the association between anxiety symptoms and suicidal feelings in a population sample of 70-year-olds without dementia, and to test whether associations would be independent of depression.
Face-to-face interviews (N = 560) were carried out by psychiatric nurses and past month symptoms were rated with the Comprehensive Psychopathological Rating Scale (CPRS). The Brief Scale for Anxiety (BSA) was derived from the CPRS to quantify anxiety symptom burden. Past month suicidal feelings were evaluated with the Paykel questions.
Anxiety symptom burden was associated with suicidal feelings and the association remained after adjusting for major depression. One individual BSA item (Inner tension) was independently associated with suicidal feelings in a multivariate regression model. The association did not remain, however, in a final model in which depression symptoms replaced depression diagnosis.
Results from this population study suggest an association between anxiety and suicidal feelings in older adults. The role of anxiety and depression symptoms needs further clarification in the study of suicidal behavior in late life.
PubMed ID
22647285 View in PubMed
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Are Canadian soldiers more likely to have suicidal ideation and suicide attempts than Canadian civilians?

https://arctichealth.org/en/permalink/ahliterature139797
Source
Am J Epidemiol. 2010 Dec 1;172(11):1250-8
Publication Type
Article
Date
Dec-1-2010
Author
Shay-Lee Belik
Murray B Stein
Gordon J G Asmundson
Jitender Sareen
Author Affiliation
Department of Psychiatry, University of Manitoba, Winnipeg, Manitoba, Canada. sbelik@hsc.mb.ca
Source
Am J Epidemiol. 2010 Dec 1;172(11):1250-8
Date
Dec-1-2010
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Alcoholism - epidemiology
Canada - epidemiology
Comorbidity
Female
Humans
Male
Mental Disorders - epidemiology
Middle Aged
Military Personnel - statistics & numerical data
Odds Ratio
Population Surveillance
Prevalence
Risk assessment
Suicidal ideation
Suicide, Attempted - statistics & numerical data
Young Adult
Abstract
Significant controversy exists as to whether soldiers are at increased risk for suicide and suicidal behaviors compared with civilians. Furthermore, little is known about whether risk factors for suicidal behaviors in civilian populations are generalizable to soldiers. The aim of the current study is to determine whether the prevalence and correlates of past-year suicidal ideation and suicide attempts differ in Canadian soldiers when compared with Canadian civilians. The current study utilized data from the Canadian Community Health Survey Cycle 1.2-Canadian Forces Supplement in conjunction with the 2001-2002 Canadian Community Health Survey Cycle 1.2. Logistic regression interaction models were used to explore differences between correlates of suicidal ideation and suicide attempts comparing Canadian soldiers with civilians. Although there was no significant difference between the 2 samples on prevalence of past-year suicidal ideation, the prevalence of past-year suicide attempts was significantly lower in the Canadian forces sample compared with the civilian population (odds ratio = 0.41, 95% confidence interval: 0.25, 0.67). Findings suggest that suicide attempts are less common in Canadian active military personnel than in the civilian population. Possible mechanisms for these differences are discussed.
Notes
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PubMed ID
20978087 View in PubMed
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Are there specific health-related factors that can accentuate the risk of suicide among men with prostate cancer?

https://arctichealth.org/en/permalink/ahliterature105017
Source
Support Care Cancer. 2014 Jun;22(6):1673-8
Publication Type
Article
Date
Jun-2014
Author
Abraraw Lehuluante
Per Fransson
Author Affiliation
Department of Nursing, Umeå University, SE-901 87, Umeå, Sweden, able0002@student.umu.se.
Source
Support Care Cancer. 2014 Jun;22(6):1673-8
Date
Jun-2014
Language
English
Publication Type
Article
Keywords
Adult
Aged
Aged, 80 and over
Health status
Humans
Male
Middle Aged
Prostatic Neoplasms - epidemiology - psychology
Quality of Life
Questionnaires
Risk factors
Self Concept
Suicidal ideation
Suicide - psychology - statistics & numerical data
Sweden - epidemiology
Abstract
The aim of this study was to explore if there were some specific factors pertinent to health-related quality of life (HRQoL) that could affect self-experienced suicide ideation in men with prostate cancer (PCa).
Questionnaires containing 45 items were distributed to members of the Swedish Prostate Cancer Federation in May 2012. Out of 6,400 distributed questionnaires, 3,165 members (50 %) with PCa completed the questionnaires. Those members expressed their experienced HRQoL and experienced suicide ideation using VAS-like scales as well as multiple-choice questions. Both descriptive and analytical statistical methods were employed. A regression model was used to explore the relationship between experienced health-related quality of life and experienced suicide ideation.
Generally, the respondents rated their self-experienced health-related quality of life as good. About 40 % of the participants had experienced problem with incontinence, and 23 % had obstructions during miction. About 7 % of the respondents experienced suicidal ideation, at least sometime. The regression model showed statistically significant relationships between suicide ideation, on the one hand, and lower self-rated health-related quality of life (P?
Notes
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PubMed ID
24515278 View in PubMed
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Assessing and treating different suicidal states in a danish outpatient sample.

https://arctichealth.org/en/permalink/ahliterature108420
Source
Arch Suicide Res. 2013;17(3):302-12
Publication Type
Article
Date
2013
Author
Christopher D Corona
David A Jobes
Ann C Nielsen
Christian M Pedersen
Keith W Jennings
René M Lento
Katherine A Brazaitis
Author Affiliation
Department of Psychology, The Catholic University of America, Washington, DC 20064, USA. 18corona@cardinalmail.cua.edu
Source
Arch Suicide Res. 2013;17(3):302-12
Date
2013
Language
English
Publication Type
Article
Keywords
Adult
Denmark
Female
Humans
Interview, Psychological - methods
Middle Aged
Outpatients - psychology
Risk Assessment - methods
Self Report
Suicidal ideation
Suicide, Attempted - psychology - statistics & numerical data
Young Adult
Abstract
The studies presented compare two methodologies for categorizing suicidal patients based on clinical data. Discussion follows regarding implications for risk assessment and treatment. In these studies, 52 outpatient subjects were placed into different groups based on coding their "suicidal motivation" (Study 1) and their "internal struggle" ratings (Study 2) using data collected at intake. Self-report ratings of 6 Suicide Status Form (SSF) Core Constructs (Psychological Pain, Stress, Agitation, Hopelessness, Self-Hate, and Overall Risk of Suicide) recorded both at intake and at completion of treatment were then compared to determine differences in Core Construct ratings among groups at different time points. In Study 1, overall differences among motivation groups (Life-motivated, Ambivalent, and Death-motivated) were significant for ratings at treatment completion of Overall Risk of Suicide, Self-Hate, and Psychological Pain. In Study 2, overall differences among groups (Wish to live, Ambivalent, and Wish to die) were significant for ratings at intake of Overall Risk of Suicide. At completion of treatment, overall differences among groups were significant for ratings of Overall Risk of Suicide, Hopelessness, and Self-Hate. In addition, significant interactions were found between test time and group for Overall Risk of Suicide and Self-Hate. Results suggest that categorizing suicidal patients by motivation and by the nature of their internal struggle could be beneficial to differential risk assessment with implications for clinical treatment.
PubMed ID
23889578 View in PubMed
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Assessment and treatment of asylum seekers after a suicide attempt: a comparative study of people registered at mental health services in a Swedish location.

https://arctichealth.org/en/permalink/ahliterature271105
Source
BMC Psychiatry. 2015;15:235
Publication Type
Article
Date
2015
Author
Maria Sundvall
Dag H Tidemalm
David E Titelman
Bo Runeson
Sofie Bäärnhielm
Source
BMC Psychiatry. 2015;15:235
Date
2015
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Case-Control Studies
Female
Humans
Male
Mental Disorders - epidemiology - psychology - therapy
Mental health
Mental Health Services - statistics & numerical data
Middle Aged
Psychological Trauma - epidemiology - psychology
Refugees - psychology - statistics & numerical data
Risk factors
Suicidal ideation
Suicide, Attempted - psychology - statistics & numerical data
Sweden - epidemiology
Abstract
Even though asylum seekers are considered vulnerable to mental ill-health, knowledge of their suicidal behaviour is limited. The aim of this study was to improve our understanding of factors that influence the clinical assessment of asylum seekers who have attempted suicide compared to the assessment of non-asylum seekers.
The study focused on 88 asylum seekers registered for suicide attempts in mental health services 2005-2009, who were matched for age and gender and compared with 88 suicide attempters with Swedish personal identity numbers. The medical records were analysed with a quantitative protocol, focusing on social risk and protective factors, health history, current clinical picture as well as the assessment procedure, diagnostics, patterns of treatment and follow-up in this clinical group. Data was analysed using the chi-square test, Fisher's exact probability test, and the Mann-Whitney U test.
As in earlier studies, asylum seekers were more traumatized, had different social risk factors and received different diagnoses than the controls. Asylum seekers were referred to less specialized follow-up after treatment, in spite of their health history and of previous and current clinical pictures indicating a similar or--in the case of the female asylum seekers--more serious mental health condition. Female asylum seekers also received more intense and prolonged in-patient treatment than female controls. Asylum seekers appeared to have social networks more often than the control group. However, there was less documentation of the social context, previous suicidal behaviour, and on suicide in the family and close environment of the asylum-seeking men. Information on suicidal intent was lacking in a majority of both groups. The time relation of the suicide attempt and the asylum process suggested the importance of the asylum decision, as well as the possible role of earlier mental health problems and premigration stress, for the suicidal behaviour.
The groups had different sets of risk factors and clinical pictures. There was a lack of early and thorough exploration of suicide intent for both groups, and of contextual and subjective factors for the asylum seekers. Differences in follow-up indicate unequal access to care.
Notes
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PubMed ID
26446409 View in PubMed
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The association between anomalous self-experience and suicidality in first-episode schizophrenia seems mediated by depression.

https://arctichealth.org/en/permalink/ahliterature131843
Source
Compr Psychiatry. 2012 Jul;53(5):456-60
Publication Type
Article
Date
Jul-2012
Author
Elisabeth Haug
Ingrid Melle
Ole A Andreassen
Andrea Raballo
Unni Bratlien
Merete Øie
Lars Lien
Paul Møller
Author Affiliation
Division of Mental Health, Innlandet Hospital Trust, 2312 Ottestad, Norway. elisabeth.haug@sykehuset-innlandet.no
Source
Compr Psychiatry. 2012 Jul;53(5):456-60
Date
Jul-2012
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Aged
Comorbidity
Cross-Sectional Studies
Depressive Disorder - epidemiology - psychology
Early Medical Intervention
Female
Humans
Linear Models
Male
Middle Aged
Multivariate Analysis
Norway - epidemiology
Risk factors
Schizophrenia - epidemiology
Schizophrenic Psychology
Self Concept
Suicidal ideation
Suicide - prevention & control
Abstract
A recent hypothesis is that suicidality in schizophrenia may be linked to the patients' altered basic self-awareness or sense of self, termed self-disorders (SDs).
The aim of the study was to investigate whether SDs in first-episode schizophrenia spectrum disorders are related to suicidality and whether this relationship is independent of or mediated by depression or other standard clinical measures.
Self-disorders were assessed in 49 patients with first-episode schizophrenia by means of the Examination of Anomalous Self-Experience (EASE) instrument. Symptoms severity and functioning were assessed using the Structured Clinical Interview for the Positive and Negative Syndrome Scale, Calgary Depression Scale for Schizophrenia, and Global Assessment of Functioning-Split Version. Suicidality was measured by the Calgary Depression Scale for Schizophrenia item 8.
Analyses detected a significant association between current suicidality, current depression, and SDs as measured by the EASE. The effect of SDs on suicidal ideation appeared to be mediated by depression.
The interaction between anomalous self-experiences and depression could be a rational clinical target for the prevention of suicidality in the early phases of schizophrenia and supports the rationale for including assessment of SDs in early intervention efforts.
PubMed ID
21871617 View in PubMed
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The association between depression, suicidal ideation, and stroke in a population-based sample.

https://arctichealth.org/en/permalink/ahliterature127793
Source
Int J Stroke. 2012 Apr;7(3):188-94
Publication Type
Article
Date
Apr-2012
Author
Esme Fuller-Thomson
Maressa J Tulipano
Michael Song
Author Affiliation
Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, ON, Canada. esme.fuller.thomson@utoronto.ca
Source
Int J Stroke. 2012 Apr;7(3):188-94
Date
Apr-2012
Language
English
Publication Type
Article
Keywords
Adult
Aged
Canada - epidemiology
Cross-Sectional Studies
Depression - diagnosis - epidemiology - psychology
Female
Health Surveys - methods
Humans
Male
Middle Aged
Population Surveillance - methods
Stroke - diagnosis - epidemiology - psychology
Suicidal ideation
Abstract
Stroke survivors often experience poststroke depression and suicidal ideation.
to determine the frequency and odds ratio of depression and suicidal ideation among stroke survivors, in comparison to those without stroke, and to identify demographic factors associated with elevated odds of depression and suicidal ideation among stroke survivors.
Secondary analysis of the Canadian Community Health Survey, a population-based sample. Logistic regressions of depression and suicidal ideation were conducted.
Among those with stroke, 7·4% were depressed, in comparison to 5·2% of those without stroke (P?=?0·01). The cumulative lifetime frequency of suicidal ideation was 15·2% among stroke survivors in comparison to 9·4% of those without stroke (P?
PubMed ID
22264390 View in PubMed
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Association between suicidal behaviour and impaired glucose metabolism in depressive disorders.

https://arctichealth.org/en/permalink/ahliterature269531
Source
BMC Psychiatry. 2015;15:163
Publication Type
Article
Date
2015
Author
Hannu Koponen
Hannu Kautiainen
Esa Leppänen
Pekka Mäntyselkä
Mauno Vanhala
Source
BMC Psychiatry. 2015;15:163
Date
2015
Language
English
Publication Type
Article
Keywords
Adult
Aged
Antidepressive Agents - therapeutic use
Depressive Disorder, Major - drug therapy - psychology
Epidemiologic Methods
Female
Finland
Humans
Insulin Resistance - physiology
Male
Metabolic Syndrome X - psychology
Middle Aged
Personality Inventory
Suicidal ideation
Suicide, Attempted - psychology - statistics & numerical data
Abstract
Disturbances in lipid metabolism have been linked to suicidal behaviour, but little is known about the association between suicide risk and abnormal glucose metabolism in depression. Hyperglycaemia and hyperinsulinaemia may increase the risk of depression and also the risk for suicide, we therefore studied associations between suicidal behaviour and disturbances in glucose metabolism in depressive patients who had been referred to depression nurse case managers.
Patients aged 35 years and older (N = 448, mean age 51 years) who were experiencing a new depressive episode, who were referred to depression nurse case managers in 2008-2009 and who scored =10 on the Beck Depression Inventory were enrolled in this study. The study was conducted in municipalities within the Central Finland Hospital District (catchment area of 274 000 inhabitants) as part of the Finnish Depression and Metabolic Syndrome in Adults study. The patients' psychiatric diagnoses and suicidal behaviour were confirmed by the Mini-International Neuropsychiatric Interview. Blood samples, for glucose and lipid determinations, were drawn from participants after 12 h of fasting, which was followed by a 2-hour oral glucose tolerance test (OGTT) when blood was drawn at 0 and 2 h. Insulin resistance was measured by the Quantitative Insulin Sensitivity Check Index (QUICKI) method.
Suicidal ideation (49 %) and previous suicide attempts (16 %) were common in patients with major depressive disorder or dysthymia. Patients with depression and suicidal behaviour had higher blood glucose concentrations at baseline and at 2 hours in the OGTT. Glucose levels associated positively with the prevalence of suicidal behaviour, and the linearity was significant at baseline (p for linearity: 0.012, adjusted for age and sex) and for 2-hour OGTT glucose (p for linearity: 0.004, adjusted for age and sex). QUICKI levels associated with suicidal behavior (p for linearity across tertiles of QUICKI: 0.026). Total and LDL cholesterol and triglyceride levels were also higher in those patients with suicidal behaviour. Multivariate analysis revealed that blood glucose levels, BDI scores and antidepressive medications associated with suicidal behaviour.
Insulin resistance and disturbances in glucose and lipid metabolism may be more common in middle-aged depressive patients with suicidal behaviour.
Notes
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PubMed ID
26199013 View in PubMed
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Association of Self-reported Impulsivity to Nonsuicidal Self-Injury, Suicidality, and Mortality in Adolescent Psychiatric Inpatients.

https://arctichealth.org/en/permalink/ahliterature282235
Source
J Nerv Ment Dis. 2017 May;205(5):340-345
Publication Type
Article
Date
May-2017
Author
Lauri Alasaarela
Helinä Hakko
Kaisa Riala
Pirkko Riipinen
Source
J Nerv Ment Dis. 2017 May;205(5):340-345
Date
May-2017
Language
English
Publication Type
Article
Keywords
Adolescent
Adolescent Behavior
Child
Female
Finland - epidemiology
Follow-Up Studies
Humans
Impulsive Behavior
Male
Mortality
Registries - statistics & numerical data
Self Report
Self-Injurious Behavior - epidemiology
Suicidal ideation
Suicide - statistics & numerical data
Suicide, Attempted - statistics & numerical data
Abstract
This study examines the association of self-reported impulsivity to nonsuicidal self-injury, suicidal ideation, suicide attempts, and completed suicides in a clinical sample of 508 Finnish adolescents (aged 12-17) treated in psychiatric inpatient care between April 2001 and March 2006. The Schedule for Affective Disorder and Schizophrenia for School-Age Children Present and Lifetime interview was used to gather information on psychiatric disorders, impulsivity, and suicidality of the adolescents. Mortality data were obtained from the national cause of death register. In adolescent girls, impulsivity was significantly associated with suicidal ideation and attempts and completed suicides in adolescent boys. Of adolescent boys with impulsivity, 10.4% had died by suicide during the follow-up time. For preventive purposes, health care professionals are encouraged asked adolescents targeted questions about impulsivity and to consider the associated risk of suicidality identified in this study.
PubMed ID
28141633 View in PubMed
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