An Investigation into the Acquired Capability for Suicide

Bauer, Brian W.; Martin, Rachel L.; Fink-Miller, Erin L.; Capron, Daniel W.

doi:10.1111/sltb.12502

Cited by 12 publications

(13 citation statements)

References 39 publications

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“…N. Smith et al, 2013;Stanley, Hom, Gallyer, et al, 2019;Teismann et al, 2015;Van Orden et al, 2008). In contrast, there have been other cross-sectional studies that have not found this relationship with various measures of painful and provocative events (Bauer et al, 2018;Butterworth et al, 2017;Ribeiro et al, 2014). In perhaps one of the strongest cross-sectional tests of the relationship between painful and provocative events and capability for suicide, Bauer and colleagues (2020) used a large dataset from the Military Suicide Research Consortium with participants in the U.S. military, U.S. military veterans, and U.S. civilians with no history of military service to examine whether fearlessness about death differs between those with a previous suicide attempt who used varying methods to make their attempt.…”

Section: Current Evidencementioning

confidence: 97%

What is Capability for Suicide? A Review of the Current Evidence

Gallyer¹,

Hajcak²,

Te³

2020

Preprint

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It is well known that most people who think about suicide do not attempt or die by suicide. Capability for suicide, a construct proposed by Joiner (2005) within the interpersonal theory of suicide, was relatively novel in that it explained a potential mechanism by which individuals move from thinking about suicide to engaging in suicidal behavior. In this paper, we examine Joiner’s (2005) original conceptualization of the nature of capability for suicide, and review the evidence for and against this conceptualization. We examine the evidence for specific constructs that comprise capability for suicide, how capability for suicide develops, whether it can change, and possibilities regarding the functional neural correlates of capability for suicide. We then end our review proposing future directions in the study of capability for suicide, which include research across disciplines and countries.

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Section: Current Evidencementioning

confidence: 97%

What is Capability for Suicide? A Review of the Current Evidence

Gallyer¹,

Hajcak²,

Te³

2020

Preprint

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“…Men are known to have a tendency to engage in risky activities and can choose fatal methods of death, such as using firearms, hanging, or jumping (21,22). On the other hand, in general men have a high tolerance for pain which is known to contribute to the guts of suicide (23). However, based on the results of this study gender differences could not be associated with the choice of suicide method.…”

Section: Discussionmentioning

confidence: 65%

The Characteristics of Suicide in Gunungkidul Indonesia

Nurdiyanto

Jaroah

2020

Dis. Prevention and Public Health J.

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Background: The suicide incidents in Gunungkidul did not decrease according to previous reports. This research was conducted to described suicide trends in Gunungkidul from 2012 to 2019 and their characteristics. Method: The research used retrospective approach by analyzing suicide data from local police based on demography (sex, occupation, age, residence) and the methods of suicide. We analyzed the suicide trends in the last 8 years. Results: The result of the descriptive analysis shows that suicide in Gunungkidul has the following characteristics: 1) mostly done by male than female, 2) farmers, 3) elderly (>60 years old) and adults (36-60 years old), and 4) hanging as the popular method to completed suicide. Conclusion: This research suggests that suicide prevention should be done to people with suicide risks, especially the elderly, and promotes suicide prevention to society. We proposed implementing community-based to reduce the accessibility of lethal methods of suicide.

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“…For comparing the change in the log-odds of fidelity from pre-exposure to active implementation between Nudge and Nudge+, we will use a three-sided test to simultaneously test for equivalence and superiority (as well as non-inferiority) of Nudge+ relative to Nudge [95]. Based on input from leadership in the two health systems and a review of the literature [96][97][98], we established that in order for Nudge+ to be considered meaningfully superior to Nudge, the difference in the change in the probability of fidelity relative to pre-implementation would need to be detect a difference of .1 in the probability. All analyses will be repeated using the sustainment period outcomes in place of the active implementation period outcomes.…”

Section: Discussionmentioning

confidence: 99%

Study protocol for a type III hybrid effectiveness-implementation trial of strategies to implement firearm safety promotion as a universal suicide prevention strategy in pediatric primary care

et al. 2021

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Background Insights from behavioral economics, or how individuals’ decisions and behaviors are shaped by finite cognitive resources (e.g., time, attention) and mental heuristics, have been underutilized in efforts to increase the use of evidence-based practices in implementation science. Using the example of firearm safety promotion in pediatric primary care, which addresses an evidence-to-practice gap in universal suicide prevention, we aim to determine: is a less costly and more scalable behavioral economic-informed implementation strategy (i.e., “Nudge”) powerful enough to change clinician behavior or is a more intensive and expensive facilitation strategy needed to overcome implementation barriers? Methods The Adolescent and child Suicide Prevention in Routine clinical Encounters (ASPIRE) hybrid type III effectiveness-implementation trial uses a longitudinal cluster randomized design. We will test the comparative effectiveness of two implementation strategies to support clinicians’ use of an evidence-based firearm safety practice, S.A.F.E. Firearm, in 32 pediatric practices across two health systems. All pediatric practices in the two health systems will receive S.A.F.E. Firearm materials, including training and cable locks. Half of the practices (k = 16) will be randomized to receive Nudge; the other half (k = 16) will be randomized to receive Nudge plus 1 year of facilitation to target additional practice and clinician implementation barriers (Nudge+). The primary implementation outcome is parent-reported clinician fidelity to the S.A.F.E Firearm program. Secondary implementation outcomes include reach and cost. To understand how the implementation strategies work, the primary mechanism to be tested is practice adaptive reserve, a self-report practice-level measure that includes relationship infrastructure, facilitative leadership, sense-making, teamwork, work environment, and culture of learning. Discussion The ASPIRE trial will integrate implementation science and behavioral economic approaches to advance our understanding of methods for implementing evidence-based firearm safety promotion practices in pediatric primary care. The study answers a question at the heart of many practice change efforts: which strategies are sufficient to support change, and why? Results of the trial will offer valuable insights into how best to implement evidence-based practices that address sensitive health matters in pediatric primary care. Trial registration ClinicalTrials.gov, NCT04844021. Registered 14 April 2021.

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An Investigation into the Acquired Capability for Suicide

Abstract: Limitations of this study include the use of cross-sectional data and self-report measures. These results, in combination with existing models of habituation, suggest ACS may not progress linearly.

Cited by 12 publications

References 39 publications

What is Capability for Suicide? A Review of the Current Evidence

What is Capability for Suicide? A Review of the Current Evidence

The Characteristics of Suicide in Gunungkidul Indonesia

Study protocol for a type III hybrid effectiveness-implementation trial of strategies to implement firearm safety promotion as a universal suicide prevention strategy in pediatric primary care

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