Different roles of resilience in depressive patients with history of suicide attempt and no history of suicide attempt

Abstract

Objective: Suicidal ideation is modulated by several risk and protective factors. The aim of this study was to evaluate differences between patients with a history of suicide attempt and those with no such history, with special attention to depression, interpersonal sensitivity, humiliation, and resilience. Methods: One hundred consecutively admitted patients with an index depressive episode were recruited. The Brief Symptom Inventory, Humiliation Inventory, and Resilience Scale for Adult were administered. Results: Scores for humiliation, interpersonal sensitivity, and depression were higher in subjects with history of suicide attempt, while higher scores for resilience were observed in the group with no such history. Different patterns of relationships among the variables of interest were found in the two groups. Resilience dimensions such as social resources and familial cohesion were strongly and negatively correlated with humiliation, interpersonal sensitivity, and depression in subjects with a past suicide attempt. Conclusions: Resilience factors can modulate and reduce the impact of suicide risk. Assessing risk and protective factors could enhance the ability to intervene appropriately.

ResilienCity: Resilience and Psychotic-Like Experiences 10 Years After L’Aquila Earthquake

“…Non-deterioration or even improvement in psychotic symptoms soon after being affected by a man-made disaster, including terror attacks, has been already proposed (36). Among the potential protective factors, resilience is of pivotal importance in contrasting the effects of traumatic events and in mitigating the impact of psychological symptoms (18,37). Consistently, resilience levels did not differ between affected and non-affected individuals in our sample.…”

Lack of Resilience Is Related to Stress-Related Sleep Reactivity, Hyperarousal, and Emotion Dysregulation in Insomnia Disorder

“…In fact, all of these correlations were not observed in good sleepers. If low resilience has been related to the development of emotional dysregulation and persistent psychopathology, [31][32][33][34] it should also involve insomnia development and maintenance. Thus we could hypothesize a complex interplay between trait factors that contribute to insomnia in relation to stress, such as low resilience and high stress-related sleep reactivity, and the perpetuating factors of insomnia, such as pre-sleep hyperarousal and emotion dysregulation.…”

“…It has been found that the assessment of the stress-risk-vulnerability dimension for insomnia should be a priority in order to identify those who may benefit from prevention and early intervention strategies for insomnia and its comorbid conditions. In addition, as low resilience is related to the development of emotional dysregulation, [31][32][33][34] the evaluation and treatment of emotion dysregulation in insomnia should be useful and approaches targeting emotional regulation could be integrated in insomnia treatments.…”

“…30,31 In contrast, low resilience is related to a dysregulation in stress response and the development of emotional dysregulation and persistent psychopathology. [31][32][33][34] Although the understanding of resilience remains limited, recent investigations have identified mechanisms encompassing genetic, epigenetic, developmental, psychological and neurochemical factors that underlie the development and enhancement of resilience and factors that predict vulnerability to stress and susceptibility to psychiatric disorders in the absence of adequate resilience (for an overview see Wu et al 33 ).…”

Alexithymia, resilience, somatic sensations and their relationships with suicide ideation in drug naïve patients with first‐episode major depression: An exploratory study in the “real world” everyday clinical practice

“…Moreover, lower resilience has been associated with increased suicide risk (Montes-Hidalgo & Tomas-Sabado, 2016;Rossetti et al, 2017).…”