Life Events and Psychopathology in a Group of Suicide Attempters

Osváth, Péter; Voros, Viktor; Fekete, S.

doi:10.1159/000077018

Cited by 58 publications

(50 citation statements)

References 13 publications

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“…Nevertheless, empirical studies have reported that homicides can also be driven by "nonhostile" motives, as in the case of mercy killings (Websdale 1994;Wilczynski 1997); on the other hand, anger and hatred are not uncommonly identified in suicidal individuals (Cavan 1928;Osvath et al 2004). This study finds that hostility-dominant HS events are different from those where hostility is not identified in almost all aspects.…”

Section: Discussionmentioning

confidence: 99%

Hostility in Homicide–Suicide Events: A Typological Analysis with Data from a Chinese Society, Hong Kong, 1989–2003

Chan

2007

Asian Criminology

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As many as one-quarter of uroxicides [Johnson and Hotton (2003) Homicide Studies 7:58-84] and filicides [Wilczynski (1997) Child Homicide, London: Greenwich Medical Media] end in the suicide of the offender. As in homicide-or suicide-only events, homicide-suicide (HS) can arise from a variety of circumstances, ranging from relationship breakdown, to financial and health problems. However, to date our understanding of this disheartening phenomenon remains limited. As an HS event comprises both a homicidal and a suicidal component, the question of whether HS is primarily an extended suicide dominated by weariness or an alternate form of homicide overwhelmed by anger is a contentious topic. This article argues that there are at least two types of HS, with one type being dominated by hostility against the victim, whilst in the other hostility is not apparent. Based on HS events that occurred between 1989 and 2003 in Hong Kong, significant differences are found between these two types of HS in terms of offender and victim characteristics, antecedent, offender-victim relationships, situational factors and modes of killing. This is the first HS typological classification built on the hostility debate that has been validated with empirical data.

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Section: Discussionmentioning

confidence: 99%

Hostility in Homicide–Suicide Events: A Typological Analysis with Data from a Chinese Society, Hong Kong, 1989–2003

Chan

2007

Asian Criminology

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“…Of the eminent stressors, child abuse and adverse family relationships, i.e. problems with parents, are prominent [5,7,13,16,25,[45][46][47] . Goodyer et al [48] specified life events, family dysfunction and friendship difficulties as predictors of persistent major depression in childhood, and a Newcastle research team stressed the perceived impact of life events on childhood depression [49] .…”

Section: Relationships Between Dysfunctional Attitudes Maladaptive Cmentioning

confidence: 99%

Profiles of Suicidality and Clusters of Hungarian Adolescent Outpatients Suffering from Suicidal Behaviour

et al. 2009

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Background: The aim of the study was to reveal the background dimensions of suicidal behaviour (SB) and to identify clusters of Hungarian adolescent outpatients suffering from suicidality by means of the following correlates of SB: depression, inadequate conflict-solving methods, dysfunctional attitudes, maladaptive coping, help-seeking strategies and negative life events. Sampling and Methods: A self-report test battery was completed by every consecutive new adolescent outpatient from a representative patient pool of 5 local child psychiatric centres in Western Hungary over an 18-month period (n = 644). The questionnaires used were the pilot version of the Columbia Depression Scale, the Hungarian standard versions of the Beck Depression Inventory, the Ways of Coping Questionnaire, the Dysfunctional Attitude Scale and the Junior High Life Experiences Survey. A total of 110 adolescent outpatients (88 females, 22 males, mean age = 16.21 years, SD = 1.38) suffering from SB were included in the study. All diagnoses including SB were confirmed by the MINI Plus Mini International Neuropsychiatric Interview. K means clustering was used to compare variances of 19 variables to decide which ones are the major criteria for assigning subjects to clusters, and principal component analysis was utilized to identify background SB dimensions in the patient sample. Results: The cluster analysis identified 3 homogenous clusters differentiating suicidal adolescents characteristically: ‘stress-laden/medium depressive’, ‘low depressive/low achievement’ and ‘high depressive’ cluster groups. While cluster analysis confirmed the role of the severity of depression only, principal component analysis explored the following 4 underlying profiles of SB: stress-laden, dysfunctional, maladaptive and depressive/risky factors. Conclusions: Although important coping qualities failed to register as major criteria in the development of separate groups of suicidal adolescent outpatients, distinct background profiles of SB among Hungarian adolescents were found covering the risk groups according to clinical experience. Future research is warranted to identify possible variation in the coping strategies among different adolescent suicidal samples.

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“…As other academic medical centers and teaching hospitals adopt a model similar to the one in the current study, the results will prove to be cost-effective. Furthermore, the importance of screening for depression is quite evident, given the fatal result of completed suicide and increased risk for suicide attempts (Angst et al 1999, Osvath et al 2004). In addition, our findings demonstrated significantly worse QOL, health, functioning, and psychiatric symptom severity for depressed patients compared to nondepressed patients.…”

Section: Resultsmentioning

confidence: 99%

Evaluating the impact of depression screening in general hospitals: a pilot study of patient reported outcomes of quality of life, functioning, and psychiatric symptom severity

IsHak¹,

López

Steiner

et al. 2016

IJM

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Background: Depression is common among patients with medical co-morbidities and has an adverse impact on wide ranging health outcomes. Depression is particularly prevalent in general hospital settings, where it has been linked to worse course of illness and higher rates of hospital readmission. While depression screening has been established as a best practice in outpatient settings, far less is known about the utility of screening for depression in inpatient medical settings. Aims: To determine whether screening for depression in a tertiary care medical hospital produces reliable and valid results. To identify obstacles and success factors that impact utility of depression screening. To evaluate the relationship between depression screening scores and patient-centered outcomes such as: functioning and quality of life. Method: Participants were 30 patients who were admitted to a tertiary care medical hospital, had a depression screening assessment completed by nursing on admission, and for whom a psychiatry consultation was requested. Patient responses to several measures were recorded and compared to PHQ screening on admission. Results: Depressed patients had significantly worse scores compared to non-depressed patients on the PHQ, WHO-5, PROMIS scores (global health, global mental health, physical functioning, anxiety, and fatigue), and Charleston Comorbidity Index (all p values < .05). Correlational analyses provided the strength of the relationships for each measures test-retest reliability. Conclusions: Findings support the clinical utility of screening for depression during inpatient hospital admissions. Assessing QOL, functioning, and psychiatric symptoms can help identify risk factors negatively influencing treatment outcomes.

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Life Events and Psychopathology in a Group of Suicide Attempters

Cited by 58 publications

References 13 publications

Hostility in Homicide–Suicide Events: A Typological Analysis with Data from a Chinese Society, Hong Kong, 1989–2003

Hostility in Homicide–Suicide Events: A Typological Analysis with Data from a Chinese Society, Hong Kong, 1989–2003

Profiles of Suicidality and Clusters of Hungarian Adolescent Outpatients Suffering from Suicidal Behaviour

Evaluating the impact of depression screening in general hospitals: a pilot study of patient reported outcomes of quality of life, functioning, and psychiatric symptom severity

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