Disrupted attachments: A social context complex trauma framework and the lives of Aboriginal peoples in Canada

The idea of “disrupted attachments” speaks to the multiple levels on which the historic and contemporary assaults on Aboriginal peoples in Canada have resonated. Not only have the policies of colonialism expressly aimed to sever the attachment of Canada’s First Nations to their land, customs, culture, modes of self-governance, languages and ways of life, but […]

Strength in numbers: The promise of community-based participatory research in rural education

Montana is a state that is ravaged by a suicide epidemic and mental health crisis, particularly among its youth. In an area in which harsh climates, geographic challenges, and distance to rural healthcare providers are significant barriers to mental healthcare accessibility, educators are faced with the acute social and emotional challenges of their students on […]

Paranoia and suicidality: A cross-sectional study in the general population

Paranoia and suicidality seem to be common traits expressing in the general population to varying degrees. This study aims to explore the association between both and to identify determinants of comorbidity. We interviewed a representative sample of the population in Andalusia (n = 4507) and assessed paranoia and suicidality utilizing the Spanish Green’s Paranoid Thoughts […]

Race, age, and lack of insurance increase risk of suicide attempt in trauma patients

Objective The overall rate of suicide between 1999 and 2017 increased by 33% in the United States. We sought to examine suicide attempts in the trauma patient population, hypothesizing that in adult trauma patients race and lack of insurance status would be predictors of suicide attempt. Method The Trauma Quality Improvement Program (2010–2016) was queried […]

Early life trauma, suicide ideation, and suicide attempts: The role of rumination and impulsivity

Suicide is the second leading cause of death for young adults in the United States. One of the many risk factors for suicide includes exposure to early life trauma. The present study examined whether rumination and impulsivity play a role in the relationship between early life trauma and increased risk for suicidal behavior (i.e., suicide […]

Is the end in the beginning? Child maltreatment increases the risk of non-suicidal self-injury and suicide attempts through impaired personality functioning

Background Child maltreatment is a risk factor for a range of mental disorders later in life, including dangerous self-harm and suicide attempts. A better understanding of the mechanisms underlying this association can inform prevention and intervention. Objective To investigate personality functioning as a potential mediator of the association of childhood abuse and neglect and self-harm […]

Emotional abuse and perceived stress: The most relevant factors in suicide behavior in first-episode psychosis patients

People with a mental disorder have a higher risk of suicidal behavior. Little research has examined the role of childhood trauma in suicide behavior, and even fewer studies have assessed the specific relevance of subtypes of childhood trauma and suicidal behavior in first-episode psychosis (FEP). The aims of the present study were: 1) to compare […]

Suicide risk assessment fears, attitudes and behaviours of lifeline crisis supporters

Lifeline Australia operates crisis support services through Lifeline Crisis Supporters. An integral part of their role is to conduct online suicide risk assessments with help-seekers. However, there is limited literature regarding suicide risk assessment practices for this population. This study aimed to examine how suicide prevention training, vicarious trauma and fears impacted suicide risk assessment […]

Effect of the coronavirus disease 2019 pandemic on suicide-related trauma burden at a level 1 trauma center

Introduction: In March 2020, the first coronavirus disease 2019 (COVID-19) cases were reported in New York and a stay-at-home order was enacted soon after. Social isolation combined with pandemic-related stressors profoundly affected mental health. We hypothesize that there was an increase in violent suicide attempt during the COVID-19 pandemic lockdown compared to previous years. Methods: We queried […]

Trauma-informed clinical practice with clients with suicidal thoughts and behaviors

In 2020, almost 46,000 individuals in the United States died from suicide, 1.2 million adults made a suicide attempt, and 12.2 million had serious suicidal thoughts. Clinicians in diverse practice settings will work with clients experiencing suicidal thoughts and behaviors. Due to a strong association between trauma and suicidality, suicidology experts have recommended the use […]

Implementing trauma informed suicide prevention care in schools: Responding to acute suicide risk

Suicide is the second leading cause of death of school-aged youth, and youth with histories of trauma are at increased risk of suicidal thoughts and actions. Given the impact of trauma on youth development, there has been an increased emphasis on trauma-informed practices in schools. However, while school-based providers encounter, assess, and intervene with youth […]

Fear of sleep and sleep quality mediate the relationship between trauma exposure and suicide attempt in adolescents

Prior work has established bivariate associations between suicidal thoughts and behaviors, trauma exposure and sleep disturbance broadly. Specifically, this study tested whether fear of sleep and sleep quality mediated the association between trauma exposure and suicide attempt. Participants (N = 100) were adolescents admitted to an inpatient psychiatric program for suicidality. Trauma exposure history was retrieved from admission […]

Preventing suicide among women veterans: Gender-sensitive, trauma-informed conceptualization

Purpose of Review There is growing concern regarding suicide among women veterans, who have experienced an increase in suicide rates that has exceeded that reported for other US adult populations. Recent research has bolstered understanding of correlates of suicide risk specific to women veterans. Yet most existing suicide prevention initiatives take a gender-neutral, rather than […]

The latent structure of child and adolescent psychopathology and its association with different forms of trauma and suicidality and self-harm

The Hierarchical Taxonomy of Psychopathology (HiTOP) is a multidimensional and hierarchical model of the latent structure of psychopathology. While HiTOP has received much support in child/adolescent community samples, fewer studies have assessed this model in clinical samples of children/adolescents. Here, we modelled the latent structure of 45 symptoms of psychopathology from a clinical sample of […]

Lessons learnt from the narratives of women who self-harm in prison

Background: In England and Wales, women in prison make up a minority (<5%) of the total custodial population, yet acts of self-harm are around five times more common among incarcerated women. While there has been a multiagency effort to improve how acts of self-harm are documented across prisons, the patterns and functions of self-harm for women […]

Childhood trauma, depression, resilience and suicide risk in individuals with inflammatory bowel disease

Despite the prevalence of suicide risk in inflammatory bowel disease populations, research has yet to examine associations between childhood trauma, resilience, depression and suicide risk. In the present online study, 172 participants responded to measures of childhood trauma, resilience, depression and suicide risk. A moderated mediation revealed that resilience does not moderate the associations between […]

Challenging the myth of “attention seeking” women with suicidality: A grounded theory study about applying counter-pressure to manage system entrapment

Some women who express suicidal intent and engage in non-lethal self-harm perceive that nurses and other health care workers label them as attention-seeking and manipulative. An understanding of women’s help-seeking behaviors that challenges suicide myths is presented. The purpose of this study was to examine help-seeking for suicidality in women with histories of intimate partner […]

The impact of a trauma-informed approach intervention or strategies for suicide prevention across the lifespan: A rapid review of the evidence

This rapid review aimed to review recent published literature and describe the current evidence regarding a trauma-informed approach or strategies for suicide prevention, the impact of interventions and or strategies, as well as barriers and facilitators. Systematic searches were conducted in eight databases and one website: Medline, Embase, PsycINFO, ProQuest Psychology Database, The Cochrane Library, […]

Suicidal ideation, self-injury, aggressive behavior and substance use during intensive trauma-focused treatment with exposure-based components in adolescent and young adult PTSD patients

Background Multiple traumata such as child sexual and/or physical abuse often result in complex psychopathologies and a range of associated dysfunctional behaviors. Although evidence-based interventions exist, some therapists are concerned that trauma-focused psychotherapy with exposure-based elements may lead to the deterioration of associated dysfunctional behaviors in adolescents and young adults. Therefore, we examined the course […]

Differential predictors of suicidal ideation and suicide attempts: Internalizing disorders and substance use in a clinical sample of adolescents

Objective: Dually diagnosed adolescents are a high-risk population for experiencing suicidal thoughts and behavior. Given that research suggests risk factors for suicidal ideation and suicide attempts may be different, this study examined whether internalizing disorder severity, frequency of substance use, and the interaction between them differentiated adolescents who attempted suicide from those who ideated. Methods: […]

A trauma- and justice, equity, diversity, and inclusion (JEDI)-informed approach to suicide prevention in school: Black boys’ lives matter

Black boys have been dying by suicide at an increasing rate. Although the reasons for this increase are unknown, suicide in Black boys is likely influenced by multiple, intersecting risk factors, including historical and ongoing trauma. Schools can serve as an important mechanism of support for Black boys; however, without intentional antiracist frameworks that acknowledge […]

Virtual trauma-focused therapy for military members, veterans, and public safety personnel with posttraumatic stress injury: Systematic scoping review

Background A necessary shift from in-person to remote delivery of psychotherapy (eg, teletherapy, eHealth, videoconferencing) has occurred because of the COVID-19 pandemic. A corollary benefit is a potential fit in terms of the need for equitable and timely access to mental health services in remote and rural locations. Owing to COVID-19, there may be an […]

Childhood trauma and the severity of past suicide attempts in outpatients with cocaine use disorders

Suicide attempts have been associated with both cocaine use disorder (CocUD) and childhood trauma. We investigated how childhood trauma is an independent risk factor for serious and recurrent suicide attempts in CocUD. Method: 298 outpatients (23% women) with CocUD underwent standardized assessments of substance dependence (Diagnostic and Statistical Manual—mental disorders, fourth edition, text revised), impulsiveness, […]