Suicide by opioid: Exploring the intentionality of the act

Opioid toxicity can result in life-threatening respiratory depression. Opioid-overdose mortality in the United States is high and increasing, but it is difficult to determine what proportion of those deaths might actually be suicides. The exact number of Americans who died of an opioid overdose but whose deaths might be classified as suicide remains unknown. It is important […]

Interpersonal precipitants are associated with suicide intent communication among United States Air Force suicide decedents

Background Few studies explore differences between suicide intent communicators and noncommunicators, and to date, none have examined the association between suicide precipitants and intent communication. Methods United States Air Force suicide decedents (N = 236) were categorized as suicide intent communicators or non-communicators within 30 days prior to death. The top two frequently occurring suicide precipitants, categorized […]

Suicide and self-harm related internet use: A cross-sectional study and clinician focus groups

Background: The rise in Internet use adds a new dimension to suicide prevention. We investigated suicide/self-harm (S/Sh)-related Internet use among patients presenting to hospital with self-harm. Method: We asked 1,198 adult and 315 child and adolescent patients presenting to hospital following self-harm in a city in South West England about Internet use associated with their hospital presentation. Associations […]

Perceived stress and intent to die in young soldiers who attempt suicide

Background: Intent to die is an important component of suicide risk assessment. The authors compared the predictive effect of two forms of stress – military and perceived – in intent to die by suicide among young adult Israeli soldiers with a history of suicide attempts. Depression, suicide ideation, and habituation/acquired capacity for suicidality served as covariates. […]

Older suicide decedents: Intent disclosure, mental and physical health, and suicide means.

This study examined: (1) associations of suicide intent disclosure with depressed mood and health problems; (2) age-group differences in those associations; and (3) relationship between disclosure and suicide means among suicide decedents aged ≥50 years (N=46,857). The overall disclosure rate was 23.4%. Logistic regression results showed that both depressed mood (AOR=1.57, 95% CI=1.50, 1.65, p<0.001) and […]

Examining intent to die and methods for nonsuicidal self-injury and suicide attempts.

Nonsuicidal self-injury (NSSI) is linked to suicidal behavior and future suicide attempts, but the process of NSSI-to-suicide attempts remains unclear. Additionally, little is known about how having a history of NSSI may relate to reports of intent to die during a suicide attempt. The current study examined methods of NSSI and suicide attempts, as well […]

Serious suicide attempts: Toward an integration of terms and definitions.

Suicidal behavior comprises a diverse set of behaviors with significant differences among several behavioral categories. One noteworthy category includes individuals who have made serious suicide attempts, epidemiologically very similar to those completing suicide. This behavioral category is important, since interviewing survivors of a potentially lethal incident of self-harm enables a detailed investigation of the psychological […]

Thinking about dying and trying and intending to die: Results on suicidal behavior from a large web-based sample.

Suicide is an important worldwide public health problem. The aim of this study was to characterize risk factors of suicidal behavior using a large Web-based sample. This large Web survey confirmed results from previous studies on suicidal behavior and pointed out the relevance of the number of previous suicide attempts and of a positive family […]

Suicidal intent among young suicides in rural China.

To understand psychometric characteristics of Beck Suicide Intent Scale (SIS) and different characteristics of suicides between high and low intent in Chinese culture. Data of 386 suicides and 416 living controls aged 15-34 years were used to analyze psychometric characteristics of SIS with 6 items. SIS with 6 items had high reliability and validity. Different […]

Unimaginable Loss: Contingent Suicidal Ideation in Family Members of Oncology Patients

Family members of patients with cancer may reveal to the medical team that they are considering suicide after their loved one dies. No literature is available indicating how to assess risk & to intervene with these individuals. The authors describe various warning signs & seek to improve awareness & approaches to suicide prevention. 5 cases […]

Suicide and Unintentional Poisoning Mortality Trends in the United States, 1987-2006: two Unrelated Phenomena?

The authors compared suicide & poisoning mortality trends over 2 decades in a preliminary assessment of their independence & implications for suicide misclassification. Subjects were 936,633 Americans who died between 1987-2006 & whose underlying cause of death was classified as suicide, unintentional poisoning, or injury mortality of undetermined intent. In contrast to small rate changes […]

Traumatic Life Events and Suicide Risk Among Jail Inmates: the Influence of Types of Events, Time Period and Significant Others

Relationships between traumatic life events & suicide risk were studied in 2 samples of jail inmates, 216 with low suicide risk & 51 with high suicide risk. Suicidal inmates reported a higher prevalence of traumatic life events, including more episodes of sexual abuse, physical maltreatment, emotional maltreatment, abandonment, & suicide attempts by significant others. They […]

Clinical Features of Adolescents With Deliberate Self-Harm: a Case Control Study in Lisbon, Portugal

This study described characteristic clinical features of Portuguese adolescents with deliberate self-harm. A case-control study was constructed from a sample of 100 adolescents, aged 12-21 years. 98 subjects completed the protocol. The deliberate self-harm group was associated with the following characteristics: suicide ideation or suicidal behaviour as consultation motive; emergency room referral; previous follow-up attempts; […]

Completed Suicide After Attempted Suicide: Methods Used in Attempts may Indicate the Degree of Risk

In this editorial, the author reviews a study by Runeson et al (2010) in which they found the risk of completed suicide among a sample of Swedish patients varied considerably according to the methods used in earlier attempts. Their study has important implications for assessment & aftercare but caution is suggested in interpreting the results. […]

Daring to Die

This article discusses new research on risk factors for suicide & what this means for prevention strategies. A new concept of suicide risk – having the intent & the will to carry out suicide plans – is being used to identify high-risk individuals for preventive therapy. Efforts to prevent suicide by making access to & […]

Sex Differences in Correlates of Suicide Attempt Lethality in Late Life

The authors assessed correlates of suicide attempt lethality in older men & women. A cross-sectional study enrolled 125 older adults with major depression & a suicide attempt admitted to community & university hospitals. Attempt lethality was higher in older (70+) than in younger (50-69 years) men & lower in older than in younger women. Association […]

Four-Years General Hospital Counseling for Suicide Attempters: the Padua Experience

The relationship between intent & psychopathology was examined in 134 adult Italian patients admitted to hospital after a suicide attempt. Suicide intent was evaluated using the Intent Score Scale & the Suicide Assessment Scale. Logistic regression showed multiple attempts were correlated with religious practice & psychiatric diagnosis. Intent prior to the attempt was related to […]

Suicide Attempts, Gender, and Sexual Abuse: Data From the 2000 British Psychiatric Morbidity Survey

This survey used data from the 2000 British National Survey of Psychiatric Morbidity to test the hypothesis that suicide attempts in women are significantly associated with a history of sexual abuse. Sexual abuse was strongly associated with a history of suicide attempts as well as of suicidal intent & was more common in women. The […]

High Lethality Suicide Attempts Among Chronic Schizophrenia Patients

This study assessed the personal & clinical features of a sample of patients with schizophrenia who had made highly lethal suicide attempts. 18 of 39 subjects had made a high lethality suicide attempt in the 6-month period before assessment while the others had not engaged in any suicidal behaviour. Diagnoses & suicidal intent were evaluated […]

Toxic Sequelae of Childhood Sexual Abuse

See SIEC #2010-0800 for the Bebbington et al article.

Myths About Suicide

This book has three main chapters, one on the suicidal mind, one on suicidal behaviours, and the last on causes, consequences, & subpopulations. In each chapter, the author describes a number of myths & misunderstood topics, & then dispels or explains them.

Nonfatal Suicidal Behavior Among Chinese Women who Have Been Physically Abused by Their Male Intimate Partners

353 women, median age 32 years, admitted to the emergency rooms of 9 general hospitals in rural China were interviewed about nonfatal suicidal behaviour. Spousal conflict was the most commonly reported cause for their suicidal behaviour & one-third of respondents reported being victims of physical abuse by their spouses. Compared to non-abused women, abused women […]

Do Suicide Websites Really Encourage Suicide? Content Analysis of Postings to a Japanese Suicide Website

The aim of this research was to reveal the function of suicide websites by examining the language used by individuals to describe their feelings & communicate in a social environment. Content analysis of 7 message boards from a suicide website revealed that the central topic was self-disclosure through communication with others & not death images […]