Improving the Field’s Understanding of Suicide Protective Factors and Translational Suicide Prevention Initiatives

Cramer, Robert J.; Tucker, Raymond P.

doi:10.3390/ijerph18031027

Cited by 5 publications

(4 citation statements)

References 18 publications

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“…These studies enabled us to gain a much deeper understanding of suicide and find vulnerable individuals timely. However, several researchers have indicated that the predictive validity of these risk factors is limited, and a sole focus on suicide risk factors is not enough for suicide prevention strategies ( 5 ). Recently, there has been a shift toward additional consideration of factors that confer resilience against suicide ( 6 ).…”

Section: Introductionmentioning

confidence: 99%

Suicide resilience: A concept analysis

Wang

Dong

2022

Front. Psychiatry

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ObjectiveSuicide resilience is gaining increasing attention from researchers because of its potential role in preventing suicide. However, it has not been clearly analyzed, and there are various meanings and terms regarding this issue. The purpose of this analysis, therefore, was to conceptualize the concept of suicide resilience.MethodsWalker and Avant's method of concept analysis was used to identify the antecedents, attributes, and consequences of suicide resilience. The literature was searched using PubMed, PsychINFO, Embase, Web of Science, CINAHL, CNKI, and WanFang databases with no limitation on publication date. The search included peer-reviewed journal articles and dissertations related to suicide resilience published in English or Chinese.Results52 articles were identified to provide information for this concept analysis. Five defining attributes of suicide resilience were identified: social support, coping strategies, psychological capital, meaning in life, and sense of responsibility. Antecedents of suicide resilience were high suicide risk events, and consequences of suicide resilience were keeping vulnerable individuals stay away from or overcoming suicidality.ConclusionsThe result of the analysis provided a more clear definition of suicide resilience. The identified defining attributes, antecedents, and consequences can be further tested and used to develop potential interventions. Future research is needed and will help to advance our understanding of the scope.

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Section: Introductionmentioning

confidence: 99%

Suicide resilience: A concept analysis

Wang

Dong

2022

Front. Psychiatry

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“…The effect of ageism should not be overlooked; indeed, results show that elderly people who experienced discrimination because of their age were 2.26 times more at risk of having ASI than those who had not experienced it, even after controlling for sociodemographic characteristics, health status, and the presence of depressive symptoms (Kim and Lee, 2020;Ko et al, 2021). Nonetheless, Hawton's et al (2022), as well as Cramer and Tucker (2021), stated that risk prediction measures are ineffective and that an assessment centered on protective, dynamic (changeable or modifiable), anticipated factors is needed to devise collaborative treatment plans.…”

Section: Introductionmentioning

confidence: 92%

“…Nonetheless, Hawton’s et al . (2022), as well as Cramer and Tucker (2021), stated that risk prediction measures are ineffective and that an assessment centered on protective, dynamic (changeable or modifiable), anticipated factors is needed to devise collaborative treatment plans.…”

Section: Introductionmentioning

confidence: 99%

“…Only a few researchers have attempted to develop programs focusing on protective factors, such as meaning in life (Heisel et al ., 2020; Heisel et al ., 2015), hope (Hernandez and Overholser, 2021), and the realization of personal projects (Lapierre et al ., 2017; Lapierre et al ., 2007). However, research on protective factors in the older population is still scarce and there is a need for a systematic up-to-date review of the quantitative studies (Cramer and Tucker, 2021). The objective of this present study is to synthesize knowledge on protective factors and to examine their predictive associations with a reduced suicide risk in older adults.…”

Section: Introductionmentioning

confidence: 99%

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A systematic review of psychosocial protective factors against suicide and suicidality among older adults

Ki,

Lapierre,

Gim

et al. 2024

Int. Psychogeriatr.

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Background: Research on suicide rarely focuses on protective factors. The goal of this systematic review was to assess the evidence of the associations between protective factors and reduced suicidality among older adults. Method: First, a scoping review was conducted to identify pertinent terms that refer to various protective factors against suicidality. A systematic review, following the PRISMA guidelines, was then conducted on a selection of 15 protective factors (e.g., perceived control, well-being and quality of life, life satisfaction, purpose-in-life, resilience, coping, religiosity, hope, self-regulation, sense of belonging, mattering, positive relationship, social support, social connectedness, and social participation), with separate searches performed on each factor in five databases. Empirical studies were eligible if participants were adults aged 60 years and over, and if the studies reported predictive statistical analysis. Results: A total of 70 studies were retained for the review. Suicidal ideation was the main outcome measure (91%). Significant associations were consistently observed between all protective factors and reduced suicidal ideations or behaviors, particularly for purpose-in-life, resilience, and positive relationships, indicating that these are solid components for suicide prevention. Using scales, instead of a single item, to measure protective factors (e.g. life satisfaction) was more efficient to capture the associations. On the other hand, results were similar whether studies used subjective (e.g., sense of belonging) or objective (e.g., social connectedness) measures. Conclusion: Protective factors were inversely associated with suicidal ideation. Improving protective factors is essential for the development of late-life suicide prevention and interventions, instead of merely focusing on risk factors.

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Risk and protective factors for suicidality among lesbian, gay, bisexual, transgender, and queer (LGBTQ+) young people, from countries with a high global acceptance index (GAI), within the context of the socio‐ecological model: A scoping review

Wallace,

O'Neill,

Lagdon

2024

Journal of Adolescence

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IntroductionLesbian, gay, bisexual, transgender, and queer (LGBTQ+) young people experience higher prevalence rates of suicidality than their heterosexual and/or cisgender peers. However, there is limited research that can inform suicide prevention efforts. Our aim was to synthesize quantitative, qualitative, and mixed methods research on risk and protective factors among LGBTQ+ young people, from countries with a high Global Acceptance Index.MethodsA scoping review guided by Arksey and O'Malley's five‐stage framework, using the Preferred Reporting Items for Systematic Reviews and Meta‐analysis Extension for Scoping Reviews protocol. Five databases and grey literature were searched for relevant studies. Identified factors were clustered by thematic type, according to the socio‐ecological model to identify empirical trends and knowledge gaps. The mixed methods appraisal tool was used for quality assessment of studies.ResultsSixty‐six studies met our inclusion criteria. Overall, 59 unique risk factors and 37 unique protective factors were identified. Key risk factors include past suicidality, adverse childhood experiences, internalized queerphobia, minority stress, interpersonal violence, bullying, familial conflict, and anti‐LGBTQ+ policies/legislation. Key protective factors include self‐affirming strategies, adult/peer support, at‐school safety, access to inclusive healthcare, family connectedness, positive coming out experiences, gender‐affirming services and LGBTQ+ inclusive policies and legislation.ConclusionsOverall, our findings affirm that multiple risk and protective factors, at all levels of the socio‐ecological model, interact in complex, unique and diverse ways upon suicidality among LGBTQ+ young people. Implications for suicide prevention are discussed. Further empirical studies are required, particularly at the communities, policies, and societal levels of the socio‐ecological model, and these studies should include a focus on protective factors and significant within‐group differences.

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Improving the Field’s Understanding of Suicide Protective Factors and Translational Suicide Prevention Initiatives

Abstract: World Health Organization data show that approximately 800,000 persons die by suicide each year [...]

Cited by 5 publications

References 18 publications

Suicide resilience: A concept analysis

Suicide resilience: A concept analysis

A systematic review of psychosocial protective factors against suicide and suicidality among older adults

Risk and protective factors for suicidality among lesbian, gay, bisexual, transgender, and queer (LGBTQ+) young people, from countries with a high global acceptance index (GAI), within the context of the socio‐ecological model: A scoping review

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