A Prospective Investigation of the Impact of Distinct Posttraumatic (PTSD) Symptom Clusters on Suicidal Ideation

Panagioti, Maria; Angelakis, Ioannis; Tarrier, Nicholas; Gooding, Patricia

doi:10.1007/s10608-016-9829-2

Cited by 24 publications

(24 citation statements)

References 55 publications

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“…Second, a better understanding of the ways in which different forms of childhood abuse may exacerbate symptoms of mental health problems is needed. Examples of such symptoms include avoidance, hyperarousal, and command hallucinations which may trigger and/or amplify suicidal thoughts and behaviors (Panagioti et al ., 2017). Third, future research should examine the ways in which experiences of childhood abuse feed into more transdiagnostic approaches which seek to better understand the psychological pathways leading to suicidal thoughts, urges, plans, acts and deaths (Bolton et al ., 2007; Johnson et al ., 2008; O'Connor and Kirtley, 2018).…”

Section: Discussionmentioning

confidence: 99%

Childhood maltreatment and suicide attempts in prisoners: a systematic meta-analytic review

Angelakis

Austin

Gooding³

2019

Psychol. Med.

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In the past decade, the links between core types of childhood maltreatment and suicidal acts have become an increasingly important area of investigation. However, no meta-analytic review has examined this relationship in prisoners. We undertook the first systematic meta-analytic review examining the link between childhood maltreatment and suicide attempts in prisoners to redress this important gap. We searched Medline, PsychINFO, Embase, Web of Science and CINAHL from inception until August 2019. Meta-analyses using random effect models were applied, and heterogeneity was quantified using the I2 statistic. Publication bias and risk of bias across studies were assessed. We identified 24 studies comprising 16 586 prisoners. The rates of different types of childhood maltreatment ranged between 29% and 68% [95% confidence interval (CI) 18–81%]. The rate of suicide attempts in prisoners was 23% (95% CI 18–27%). Main results demonstrated that sexual abuse [odds ratio (OR) 2.68, 95% CI 1.86–3.86], physical abuse (OR 2.16, 95% CI 1.60–2.91), emotional abuse (OR 2.70, 95% CI 1.92–3.79), emotional neglect (OR 2.29, 95% CI 1.69–3.10), physical neglect (OR 1.57, 95% CI 1.27–1.94) and combined abuse (OR 3.09, 95% CI 2.14–4.45) were strongly associated with suicide attempts in prisoners. There was an indication of publication bias. Duval and Tweedie's trim-and-fill method was applied, which increased the odds for suicide attempts. Given the high rates of prison suicide deaths and suicide attempts, our findings suggest an urgent need for targeted suicide prevention priorities for prisoners, with a particular focus on ameliorating the effects of childhood traumatic experiences on suicidal prisoners.

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Section: Discussionmentioning

confidence: 99%

Childhood maltreatment and suicide attempts in prisoners: a systematic meta-analytic review

Angelakis

Austin

Gooding³

2019

Psychol. Med.

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“…Previous studies reported that defeat and entrapment influenced suicidal ideation in the general public [ 58 ], individuals with trauma experience [ 44 ], individuals with self-harm behavior [ 59 ], and patients with schizophrenia spectrum [ 45 ]. This study confirmed that defeat and entrapment are important factors that increase suicidal ideation in men with alcohol use disorder, which had not been researched in previous studies.…”

Section: Discussionmentioning

confidence: 99%

Suicidal Ideation of Men with Alcohol Use Disorder in South Korea: A Structural Equation Modeling Analysis

Hong¹,

Shin

2021

IJERPH

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South Korea’s suicide rate has been ranked second among OECD countries, and the rate of suicidal ideation is the highest among men with alcohol use disorder. To test a hypothetical model of men with alcohol use disorder based on O’Connor’s integrated motivational-volitional model, a study was conducted at a psychiatric outpatient clinic, a community addiction management center, and an Alcoholics Anonymous meeting in South Korea, comprising 203 men with alcohol use disorder. Data were collected using the Scale for Suicide Ideation, Barratt Impulsiveness Scale-11, Childhood Trauma Questionnaire-Short Form, Survey of Recent Life Experiences-Short Form, Defeat Scale and Entrapment Scale. The final model was a good fit to the data (χ2/df = 1.51, comparative fit index = 0.97, normed fit index = 0.92, incremental fit index = 0.97, Tucker–Lewis index = 0.96, and root mean square error of approximation = 0.05). The structural model explained 34.0% of the variance in suicidal ideation; and it validated that impulsivity, stress, defeat, and entrapment were the key factors affecting suicidal ideation. To prevent suicide among men with alcohol use disorder, it is necessary to develop a suicide prevention program that includes men’s feelings of defeat and entrapment.

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“…A burgeoning approach to determine suicide risk in the context of PTSD is the analysis of specific PTSD symptom clusters (69,(83)(84)(85)(86)(87)(88)(89)(90) yielding conflicting results. Considering sleep disturbances and nightmares as diagnostic criteria for PTSD, a within-cluster item analysis would be necessary.…”

Section: Ptsd Symptom Clusters and Suicidalitymentioning

confidence: 99%

“…In this study, sleep disturbances (85.0%) and nightmares (77.8%) were highly prevalent, but were evaluated by using a single, dichotomous question only, indicating a possible lack of selectivity. To date, only three studies examined the relationship between PTSD symptom clusters and suicidality in a prospective design (88,90,91), with two of them pointing at a unique relationship between alterations in arousal and reactivity and higher suicidality (90,91). Unfortunately, sleep disturbance as a feature of the cluster "alterations in arousal and reactivity" was not separately considered in these studies.…”

Section: Ptsd Symptom Clusters and Suicidalitymentioning

confidence: 99%

Sleep Disturbances and Suicidality in Posttraumatic Stress Disorder: An Overview of the Literature

2020

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A causal relationship between sleep disturbances and suicidal behavior has been previously reported. Insomnia and nightmares are considered as hallmarks of posttraumatic stress disorder (PTSD). In addition, patients with PTSD have an increased risk for suicidality. The present article gives an overview about the existing literature on the relationship between sleep disturbances and suicidality in the context of PTSD. It aims to demonstrate that diagnosing and treating sleep problems as still underestimated target symptoms may provide preventive strategies with respect to suicidality. However, heterogeneous study designs, different samples and diverse outcome parameters hinder a direct comparison of studies and a causal relationship cannot be shown. More research is necessary to clarify this complex relationship and to tackle the value of treatment of sleep disturbances for suicide prevention in PTSD.

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A Prospective Investigation of the Impact of Distinct Posttraumatic (PTSD) Symptom Clusters on Suicidal Ideation

Cited by 24 publications

References 55 publications

Childhood maltreatment and suicide attempts in prisoners: a systematic meta-analytic review

Childhood maltreatment and suicide attempts in prisoners: a systematic meta-analytic review

Suicidal Ideation of Men with Alcohol Use Disorder in South Korea: A Structural Equation Modeling Analysis

Sleep Disturbances and Suicidality in Posttraumatic Stress Disorder: An Overview of the Literature

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