Suicidality in High-Risk Psychiatric Patients: The Contribution of Protective Factors

Psychiatry
Jane G TillmanJennifer L Stevens

Abstract

This study's objective was determine the incremental association of reasons for living to the lifetime number of suicide attempts in relation to other known risk and protective factors in a sample of psychiatric patients with extensive psychopathology in residential treatment. Participants (n = 131) completed a demographic questionnaire that also asked for information about lifetime suicide history, psychiatric history, trauma, and abuse history. Additional measures of resilience, reasons for living (RFL), and impulsiveness were completed. A history of sexual abuse was associated with an increasing lifetime number of suicide attempts, while a history of physical abuse and trait impulsiveness were not associated with the lifetime number of suicide attempts. Survival and coping beliefs, a subscale of the Reasons for Living Inventory (RFLI), was found to add incremental predictive validity to the number of lifetime suicide attempts. A composite fear variable, combining fear of suicide and fear of social consequences of suicide, was negatively correlated with lifetime number of attempts but did not add incremental validity to the prediction of lifetime number of suicide attempts. In a sample of participants with significant psychia...Continue Reading

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Citations

May 14, 2019·Archives of Suicide Research : Official Journal of the International Academy for Suicide Research·Alan L Berman, Morton M Silverman
Jul 11, 2019·Journal of Psychiatric Practice·Eric M Plakun

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