A meaningful life is worth living: Meaning in life as a suicide resiliency factor

Kleiman, Evan M.; Beaver, Jenna K.

doi:10.1016/j.psychres.2013.08.002

Cited by 219 publications

(160 citation statements)

References 42 publications

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“…This accords with the literature showing that subjects trained in mindfulness were more optimistic and satisfied with life [51]. Low meaning in life was associated with depression and suicide [52], whereas high meaning in life was found to be a protective factor against suicidal ideation [46, 53]. Meaning in life, which is promoted by ACT, was also associated with mental health and well-being [54].…”

Section: Discussionsupporting

confidence: 80%

Acceptance and Commitment Therapy for the Management of Suicidal Patients: A Randomized Controlled Trial

Ducasse

Jaussent

Arpon-Brand

et al. 2018

Psychother Psychosom

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Background: The management of suicidal crisis remains a major issue for clinicians, driving the development of new strategies to improve suicide prevention. Methods: We conducted a randomized controlled trial comparing a 7-week acceptance and commitment therapy (ACT) versus relaxation group, as adjunct to treatment as usual for adult outpatients suffering from a current suicidal behavior disorder. The primary outcome was the rate of change in the Columbia Suicide Severity Rating Scale suicidal ideation subscore (adding severity and intensity subscores). Secondary outcomes were the rates of change for depressive symptomatology, psychological pain, anxiety, hopelessness, anger, quality of life, and therapeutic processes. Assessments were performed in the 2 weeks preceding the beginning of the treatment (pretreatment assessment), and within 1 week (posttherapy assessment) and 3 months (follow-up assessment) after therapy completion. Results: Forty adults were included and randomized. The rate of change in ACT for suicidal ideation at the posttherapy assessment was higher than in the relaxation group (β [SE] = –1.88 [0.34] vs. –0.79 [0.37], respectively; p = 0.03). ACT effectiveness remained stable at the 3-month follow-up. We found a similar pattern of change for depressive symptomatology and anxiety, psychological pain, hopelessness, anger, and quality of life. Therapeutic processes improved more in the ACT group than in the relaxation group. Treatment adherence was high in the ACT group, all participants reported satisfaction with the program. Conclusions: Through its effectiveness in reducing suicidal ideation and improving the clinical dimensions associated with suicidal risk in patients suffering from a suicidal behavior disorder, ACT could be developed as an adjunctive strategy in programs for suicide prevention.

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Section: Discussionsupporting

confidence: 80%

Acceptance and Commitment Therapy for the Management of Suicidal Patients: A Randomized Controlled Trial

Ducasse

Jaussent

Arpon-Brand

et al. 2018

Psychother Psychosom

View full text Add to dashboard Cite

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“…4,30 Depression could play a mediating role in the relationship between feelings of defeat/humiliation and suicide attempt, 11 and these feelings can be reactivated by the recurrence of depression. 31,32 Significant differences in Interpersonal sensitivity were found between the suicide and non-suicide groups in this study. This is consistent with previous findings that suggest interpersonal sensitivity as a personal risk factor for suicidal behavior.…”

Section: Discussionmentioning

confidence: 49%

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

Rossetti¹,

Tosone²,

Stratta

et al. 2017

Rev. Bras. Psiquiatr.

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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.

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“…Recent investigations suggest that some factors such as social support (Hirsch and Barton, 2011), meaning in life (Kleiman and Beaver, 2013), and positive affect (Hirsch et al, 2009) are associated with fewer suicidal thoughts and behaviors. Preliminary research regarding optimism (defined as generalized expectations for a positive future) consistently indicates that it is also inversely related to suicidal thoughts and behaviors (Bryan et al, 2013, Chang et al, 2013, Hirsch et al, 2007, O’Keefe and Wingate, 2013).…”

mentioning

confidence: 99%

Relationship of optimism and suicidal ideation in three groups of patients at varying levels of suicide risk

Huffman

Boehm

Beach

et al. 2016

Journal of Psychiatric Research

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Optimism has been associated with reduced suicidal ideation, but there have been few studies in patients at high suicide risk. We analyzed data from three study populations (total N=319) with elevated risk of suicide: (1) patients with a recent acute cardiovascular event, (2) patients hospitalized for heart disease who had depression or an anxiety disorder, and (3) patients psychiatrically hospitalized for suicidal ideation or following a suicide attempt. For each study we analyzed the association between optimism (measured by the Life-Orientation Test-Revised) and suicidal ideation, and then completed an exploratory random effects meta-analysis of the findings to synthesize this data. The meta-analysis of the three studies showed that higher levels of self-reported optimism were associated with a lower likelihood of suicidal ideation (odds ratio [OR]=.89, 95% confidence interval [CI]=.85–.95, z=3.94, p<.001), independent of age, gender, and depressive symptoms. This association held when using the subscales of the Life Orientation Test-Revised scale that measured higher optimism (OR=.84, 95% CI=.76–.92, z=3.57, p<.001) and lower pessimism (OR=.83, 95% CI= .75–.92], z=3.61, p<.001). These results also held when suicidal ideation was analyzed as an ordinal variable. Our findings suggest that optimism may be associated with a lower risk of suicidal ideation, above and beyond the effects of depressive symptoms, for a wide range of patients with clinical conditions that place them at elevated risk for suicide.

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A meaningful life is worth living: Meaning in life as a suicide resiliency factor

Cited by 219 publications

References 42 publications

Acceptance and Commitment Therapy for the Management of Suicidal Patients: A Randomized Controlled Trial

Acceptance and Commitment Therapy for the Management of Suicidal Patients: A Randomized Controlled Trial

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

Relationship of optimism and suicidal ideation in three groups of patients at varying levels of suicide risk

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