Abstract:We examined hopelessness as a predictor of suicide ideation in depressed youth after acute medication treatment. A total of 158 depressed adolescents were administered the Children's Depression Rating Scale-Revised (CDRS-R) and Columbia Suicide Severity Rating Scale (C-SSRS) as part of a larger battery at baseline and at weekly visits across 6 weeks of acute fluoxetine treatment. The Beck Hopelessness Scale (BHS) was administered at baseline and week 6. A negative binomial regression model via a generalized es… Show more
“…16 This findings is also consistent with Wolfe's research that indicates that hopelessness was positively related to suicidal ideation but is independent of a change in depression severity. 39 In addition, Anguiano 8 has found that hopelessness is more significant than depression in explaining suicidal ideation. Chochinov's 16 This indicates that demoralization could directly influence suicidal ideation, and it also has an indirect effect on suicidal ideation through depression.…”
Section: Correlations Among the Dimensions Of Hopelessness Demoralmentioning
Objective: Suicidal ideation is common in cancer patients and may be associated with hopelessness, demoralization, and depression. This study aims to investigate the serial multiple mediation of demoralization and depression in the relationship between hopelessness and suicidal ideation in cancer patients. Methods: A total of 244 cancer patients were investigated by using the following standardized self-reported questionnaires: self-rating idea of suicide scale, Beck hopelessness scale, demoralization scale-Mandarin version, and patient health questionnaire depression scale-9. The mediation hypothesis was tested with a serial multiple mediation model (PROCESS model 6). An exploratory graph analysis was performed to detect the correlations among the dimensions of the mental conditions measured by these instruments. Results: Bootstrap analyzes indicate that there were direct and indirect effects of hopelessness on suicidal ideation mediated solely by demoralization (B = 2.3074, SE = 0.1724, P < .001) or by demoralization together with depression (B = 0.1605, SE = 0.0303, 95% confidence interval [CI] = 0.1102 to 0.2303). The mediation of depression alone in the relationship between hopelessness and suicidal ideation was insignificant (B = 0.1541, SE = 0.0519, 95% CI = −0.0565 to 0.0715). The exploratory graph analysis suggests that the strongest edge of dimensions between demoralization and suicidal ideation was desperation-disheartenment (0.62). Conclusions: The results of the study support the hypothesis that demoralization and depression mediate between hopelessness and suicidal ideation. The early identification of and interventions for hopelessness, demoralization, and depression may prevent cancer patients from developing suicidal ideation.
“…16 This findings is also consistent with Wolfe's research that indicates that hopelessness was positively related to suicidal ideation but is independent of a change in depression severity. 39 In addition, Anguiano 8 has found that hopelessness is more significant than depression in explaining suicidal ideation. Chochinov's 16 This indicates that demoralization could directly influence suicidal ideation, and it also has an indirect effect on suicidal ideation through depression.…”
Section: Correlations Among the Dimensions Of Hopelessness Demoralmentioning
Objective: Suicidal ideation is common in cancer patients and may be associated with hopelessness, demoralization, and depression. This study aims to investigate the serial multiple mediation of demoralization and depression in the relationship between hopelessness and suicidal ideation in cancer patients. Methods: A total of 244 cancer patients were investigated by using the following standardized self-reported questionnaires: self-rating idea of suicide scale, Beck hopelessness scale, demoralization scale-Mandarin version, and patient health questionnaire depression scale-9. The mediation hypothesis was tested with a serial multiple mediation model (PROCESS model 6). An exploratory graph analysis was performed to detect the correlations among the dimensions of the mental conditions measured by these instruments. Results: Bootstrap analyzes indicate that there were direct and indirect effects of hopelessness on suicidal ideation mediated solely by demoralization (B = 2.3074, SE = 0.1724, P < .001) or by demoralization together with depression (B = 0.1605, SE = 0.0303, 95% confidence interval [CI] = 0.1102 to 0.2303). The mediation of depression alone in the relationship between hopelessness and suicidal ideation was insignificant (B = 0.1541, SE = 0.0519, 95% CI = −0.0565 to 0.0715). The exploratory graph analysis suggests that the strongest edge of dimensions between demoralization and suicidal ideation was desperation-disheartenment (0.62). Conclusions: The results of the study support the hypothesis that demoralization and depression mediate between hopelessness and suicidal ideation. The early identification of and interventions for hopelessness, demoralization, and depression may prevent cancer patients from developing suicidal ideation.
“…Hopelessness is a risk factor for suicidal ideation (Wolfe et al, 2017) and the indeterminate licence left some suicidal:After 10 years you can apply for the licence to be taken off… If I don't come off, I might as well stick a gun in my mouth and pull the trigger. Because that's the only definite way to get off licence.32, male, 3, 10I'm always walking on eggshells, and there's no chance of me ever being free until I'm dead, whether that's through normal causes or cos I can't cope with it… IPP is hell and there's no end53, male, 2, 4…”
Background: Despite its abolition in 2012, the indeterminate sentence of Imprisonment for Public Protection (IPP) still casts a long shadow over the justice system. Recall is a growing problem: In June 2020, there were 1,359 recalled IPP prisoners. Research documents the negative mental health implications of initial imprisonment under an IPP sentence; however, little is known about experiences on licence, or post-recall. Aims: To explain how recalled IPP prisoners perceive being on licence, and in prison post-recall, to affect their mental wellbeing. Methods: We draw on 31 interviews with recalled IPP prisoners, conducted for a wider project exploring the high rates of IPP recall. Results: Three themes emerged: a perpetual state of anxiety about recall and spending additional years behind bars; self-imposed social isolation, both in the community and in prison; and a profound sense of hopelessness. People often feel trapped in an unjust and inevitable cycle of imprisonment, with little faith in a positive future. Conclusions: The government must make structural changes to stop the revolving door of IPP recall. In the short term, confidential mental health support should be available to people serving IPPs in prison and the community.
“…Finally, some potential confounders, such as family income, history of psychotropic medications, and familial mental health history were omitted. Hopelessness is a very important and independent risk factor for suicide, particularly amongst youth [ 78 ]. Future research is needed to replicate these findings in future.…”
Less is known about the multiplicative effects of social and psychological risk and protective factors of suicidality on college campuses. The current study aimed to investigate the multiplicative effects of social (identifying oneself as gay/lesbian, financial difficulty, violence victimization, and religiosity) and psychological (anxiety, depression, problem alcohol use, drug use) and risk/protective factors on suicidal behaviors among college students in the United States. Using a cross-sectional design, the Healthy Mind Study (HMS; 2016–2017), is a national online survey of college students in the United States. Social (identifying oneself as gay/lesbian, violence victimization, financial difficulty, and religiosity) and psychological (anxiety, depression, problem alcohol use, and drug use) risk/protective factors were assessed among 27,961 individuals. Three aspects of suicidality, including ideation, plan, and attempt, were also assessed. Logistic regression models were used for data analysis. Financial difficulty, violence victimization, identifying oneself as gay/lesbian, anxiety, depression, and drug use increased, while religiosity reduced the odds of suicidal behaviors. Multiplicative effects were found between the following social and psychological risk factors: (1) financial difficulty and anxiety; (2) financial difficulty and depression; (3) depression and drug use; (4) problem alcohol use and drug use; and (5) depression and problem alcohol use. There is a considerable overlap in the social and psychological processes, such as financial stress, mood disorders, and substance use problems, on risk of suicide in college students. As social and psychological risk factors do not operate independently, comprehensive suicidal risk evaluations that simultaneously address multiple social and psychological risk factors may be superior to programs that only address a single risk factor.
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