Anxiety sensitivity and suicide risk among firefighters: A test of the depression-distress amplification model

Abstract

In the context of elevated depression symptoms, suicide risk is potentiated among firefighters reporting elevated AS cognitive and AS social concerns. Findings support and extend the depression-distress amplification model of suicide risk within a sample of firefighters. Interventions that successfully impact AS concerns may, in turn, mitigate suicide risk among this at-risk population.

Suicide‐related interpersonal needs of young Iranian people: A preliminary validation of thwarted belongingness and perceived burdensomeness constructs

“… Note : Suicide Behaviors Questionnaire‐Revised (Osman et al, 2001). The intent grouping was suggested based on Stanley et al (2018). …”

“…However, as various studies suggested (Rogers & Joiner, 2019), TB‐7 could only predict PY‐SI above and beyond depression and anxiety, and it showed no incremental influence over and above PB. That said, when the risk group (i.e., LSB) (Osman et al, 2001) and the intent group (i.e., PLFS) (Stanley et al, 2018) were considered, the effect of TB‐7 was surfaced beyond depression and anxiety in the groups showing LSB and higher PLFS.…”

“…This abbreviated scale is composed of four items, including lifetime suicide‐related behaviours (LSB: SBQR1), SI over the past year (PY‐SI: SBQR2), SC (SBQR3), and the perceived likelihood of future suicide (PLFS: SBQR4). A higher total score in the range of 3–18 indicates higher global suicide risk (Stanley et al, 2018). In addition, cut‐off risk scores of ≥7 and ≥8 are suggested for distinguishing suicidal and non‐suicidal individuals in undergraduate populations (with a sensitivity of 93%, a specificity of 95%, and an area under the curve [AUC] of 96%) and clinical adult populations (a sensitivity of 80%, a specificity of 91%, and an AUC of 89%) (Osman et al, 2001).…”

“…The Jonson–Neyman plot was used to examine at which point the continuous interaction term (PB × TB) was significant (Carden, Holtzman, & Strube, 2017). In addition, LSB indicating non‐risk versus risk groups (Osman et al, 2001) and PLFS implying suicidal intent (Stanley et al, 2018) were dichotomously used to further examine whether the effect of PB and TB on PY‐SI could be higher in the subsamples having higher LSB and PLFS. Moreover, PLFS seems to be significant among at‐risk populations (Cole, Littlefield, Gauthier, & Bagge, 2019), which may address the presence of suicidal intent, even when the individual might not indicate LSB (Stanley et al, 2018).…”

Characterizing Objective and Self-Reported Levels of Physical Activity Among Florida Firefighters Across Weight Status Category: A Cross-Sectional Pilot Study

“…Despite public perception that firefighters are a fit and healthy workforce, epidemiologic data suggest that firefighters suffer from a disproportionally high burden of cardiovascular disease, cancer, musculoskeletal injuries, and psychological distress (Daniels et al, 2014; Kales et al, 2007; Soteriades et al, 2011; Stanley et al, 2018). Studies have obeserved that cardiovascular disease has contributed to 45% of on duty fatalities, with firefighters experiencing an increased risk for a variety of cancers (Daniels et al, 2014; Lee et al, 2020).…”