Novel Risk Factors Associated With Current Suicidal Ideation and Lifetime Suicide Attempts in Individuals With Spinal Cord Injury

McCullumsmith, Cheryl B.; Kalpakjian, Claire Z.; Richards, J. Scott; Forchheimer, Martin; Heinemann, Allen W.; Richardson, Elizabeth; Wilson, Catherine S.; Barber, Jason; Temkin, Nancy; Bombardier, Charles H.; Fann, Jesse R.

doi:10.1016/j.apmr.2014.12.017

Cited by 36 publications

(34 citation statements)

References 52 publications

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“…An important issue in this field is the association between physical and mental problems, which may intensify problems of these people. Research indicates high incidence of health problems such as depression [6], suicidal ideations, psychological well-being [7], and psychological disorders such as anxiety disorders, depression, and alcohol abuse [8] among people with SCI.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of Group Training of Mindfulness-Based Techniques on Improvement of Psychological Well-Being of Individuals With Spinal Cord Injury

Abdi

Kheyrjoo

Javidfar³

et al. 2017

J Mod Rehabil

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Section: Introductionmentioning

confidence: 99%

Effectiveness of Group Training of Mindfulness-Based Techniques on Improvement of Psychological Well-Being of Individuals With Spinal Cord Injury

Abdi

Kheyrjoo

Javidfar³

et al. 2017

J Mod Rehabil

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“…For those with physical disabilities, a loss of control over one's environment or choices in activities may increase suicidal ideation and the risk of suicide attempts (Gaskill, Foley, Kolzet, & Picone, ; McCullumsmith et al, ). Inversely, an internal locus of control has been indicated as a protective factor against suicidal ideation in those with functional impairments (Malfent, Wondrak, Kapusta & Sonneck, ).…”

Section: Discussionmentioning

confidence: 99%

Do physical disabilities differentiate between suicidal ideation and attempts? An examination within the lens of the ideation to action framework of suicide

Khazem

Anestis

2018

J Clin Psychol

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Objectives: This study examined histories of suicidality among those with and without physical disabilities. Physical disabilities were anticipated to differentiate those with a history of suicide attempts from those with a history of ideation only after accounting for the presence of health conditions and other correlates.Methods: Participants were 374 adults (M age = 36.08; 55.61% female; 84 with at least one physical disability) who completed a series of online questionnaires. Multinomial logistic regressions were conducted to examine the effect of the presence of physical disabilities on states of suicidality. Results:The presence of a physical disability was associated with significantly increased odds of suicide attempts when compared to those with suicidal ideation only. This association was no longer significant when chronic pain conditions were classified as health conditions. Conclusion: Physical disability may be a factor differentiating between ideators and attempt survivors. K E Y W O R D S disability, health, ideation to action, suicide J. Clin. Psychol. 2019;75:681-695.wileyonlinelibrary.com/journal/jclp

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“…As many as 60% of spinal cord injured patients suffer from depression (Shin, Goo et al 2012), anxiety (Post and van Leeuwen 2012), and general decreased quality of life (Boakye, Leigh et al 2012). Commensurate with these statistics, and the risks associated with depression (McCullumsmith, Kalpazian et al 2015), suicide attempts and suicide ideation are estimated to be 3 or more times greater following SCI, than in the general population (DeVivo, Black et al 1991, Soden, Walsh et al 2000). Depression is also associated with long-term negative outcomes after SCI including an increased incidence of secondary complications (Malec and Neimeyer 1983, Herrick, Elliott et al 1994, Elliott and Frank 1996) and lower functional independence (Gelis, Daures et al 2011, Abdul-Sattar 2014).…”

Section: Introductionmentioning

confidence: 95%

Inflammation is increased with anxiety- and depression-like signs in a rat model of spinal cord injury

Maldonado‐Bouchard

Peters

Woller

et al. 2016

Brain, Behavior, and Immunity

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Spinal cord injury (SCI) leads to increased anxiety and depression in as many as 60% of patients. Yet, despite extensive clinical research focused on understanding the variables influencing psychological well-being following SCI, risk factors that decrease it remain unclear. We hypothesized that excitation of the immune system, inherent to SCI, may contribute to the decrease in psychological well-being. To test this hypothesis, we used a battery of established behavioral tests to assess depression and anxiety in spinally contused rats. The behavioral tests, and subsequent statistical analyses, revealed three cohorts of subjects that displayed behavioral characteristics of 1) depression, 2) depression and anxiety, or 3) no signs of decreased psychological well-being. Subsequent molecular analyses demonstrated that the psychological cohorts differed not only in behavioral symptoms, but also in peripheral (serum) and central (hippocampi and spinal cord) levels of pro-inflammatory cytokines. Subjects exhibiting a purely depression-like profile showed higher levels of pro-inflammatory cytokines peripherally, whereas subjects exhibiting a depression- and anxiety-like profile showed higher levels of pro-inflammatory cytokines centrally (hippocampi and spinal cord). These changes in inflammation were not associated with injury severity; suggesting that the association between inflammation and the expression of behaviors characteristic of decreased psychological well-being was not confounded by differential impairments in motor ability. These data support the hypothesis that inflammatory changes are associated with decreased psychological well-being following SCI.

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Novel Risk Factors Associated With Current Suicidal Ideation and Lifetime Suicide Attempts in Individuals With Spinal Cord Injury

Cited by 36 publications

References 52 publications

Effectiveness of Group Training of Mindfulness-Based Techniques on Improvement of Psychological Well-Being of Individuals With Spinal Cord Injury

Effectiveness of Group Training of Mindfulness-Based Techniques on Improvement of Psychological Well-Being of Individuals With Spinal Cord Injury

Do physical disabilities differentiate between suicidal ideation and attempts? An examination within the lens of the ideation to action framework of suicide

Inflammation is increased with anxiety- and depression-like signs in a rat model of spinal cord injury

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