Person Factors Associated With Suicidal Behavior Among African American Women and Men.

Kaslow, Nadine J.; Price, Ann Webb; Wyckoff, Sarah C.; Grall, Marnette Bender; Sherry, Alissa; Young, Sharon; Scholl, Larry; Upshaw, Venus Millington; Rashid, Akil; Jackson, Emily; Bethea, Kafi

doi:10.1037/1099-9809.10.1.5

Cited by 90 publications

(80 citation statements)

References 69 publications

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“…Such impulsivity in suicide attempts might be understood as an attempt to control the experience of panic and use of the coping strategy of escape-avoidance. Previous studies [42,43] have reported that suicide attempters might exhibit escape-avoidance behavior as a coping strategy, which corresponds to our observations. Since fear of losing control or going crazy accounts for the unique variance in the relationship between PD and suicidal ideation, this is a potentially important symptom to consider when evaluating the genesis of actual suicide attempts.…”

Section: Discussionsupporting

confidence: 79%

Clinical Symptoms Associated with Suicidality in Patients with Panic Disorder

Lim

Shin

et al. 2015

Psychopathology

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Background: Patients with panic disorder have higher rates of suicide than the general population. Among panic disorder subjects, early onset, female gender, alcohol abuse, and mood disorder increase the risk of suicidality. However, less is known about the unique relationships between discrete DSM-IV panic symptoms and higher suicidality. Therefore, in the current study we examined the panic symptom profile that is associated with higher suicidality in a sample of outpatients with panic disorder. Methods: This cross-sectional study included 427 patients diagnosed with current panic disorder on the basis of the DSM-IV-TR. In order to assess the contribution of the clinical variables, a univariate logistic regression was carried out examining the relationships between the demographic variables, suicidality from the suicide module of the Korean version of the MINI International Neuropsychiatric Interview Plus, and DSM-IV panic symptoms. Additionally, a multivariate logistic regression was performed to identify specific panic symptoms that were significant risk factors for suicidality among patients with current panic disorder. Results: We found that 74 (17.33%) panic disorder patients experienced high suicidality. Univariate analyses showed that high suicidality was significantly associated with a younger age (OR = 13.66; 95% CI 2.68-69.70), comorbid depressive disorders (OR = 4.57; 95% CI 2.57-8.11), and the following panic symptoms: palpitations (OR = 2.20; 95% CI 0.90-5.35), trembling (OR = 0.61; 95% CI 0.362-1.18), nausea or abdominal distress (OR = 1.77; 95% CI 0.96-3.27), fear of losing control or going crazy (OR = 2.18; 95% CI 1.12-4.23), and paresthesia (OR = 1.57; 95% CI 0.83-2.98). Multivariate logistic regression analyses demonstrated that specific panic symptoms, such as palpitations (adjusted OR = 2.69; 95% CI 1.08-6.73) and fear of losing control or going crazy (adjusted OR = 2.28; 95% CI 1.21-4.31), were related to suicidality after controlling for confounding factors. Conclusion: Some panic symptoms (e.g. palpitations and fear of losing control or going crazy) are associated with a risk of suicidality among patients with panic disorder. A priori identification of high-risk suicidal subjects could lead to effective treatment strategies for panic disorder.

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Section: Discussionsupporting

confidence: 79%

Clinical Symptoms Associated with Suicidality in Patients with Panic Disorder

Lim

Shin

et al. 2015

Psychopathology

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“…These attitudes may reflect philosophical differences in worldview that potentially underlie African Americans' seeming "protection" from suicide via religiosity and religious and spiritual well-being (e.g., Kaslow et al, 2004;Walker, Utsey, Bolden, & Williams, 2005). Future studies should continue to determine mechanisms and dimensions by which religiosity buffers risks for suicide in persons of African descent.…”

Section: Discussionmentioning

confidence: 99%

Lay Theories of Suicide: An Examination of Culturally Relevant Suicide Beliefs and Attributions among African Americans and European Americans

Walker

Lester

Joe

2006

Journal of Black Psychology

109

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The purpose of this study was to examine African Americans' lay beliefs and attributions toward suicide. The Attitudes Toward Suicide Scale, Life Ownership Orientation Questionnaire, Stigma Questionnaire, and Suicide Ideation Questionnaire were administered to 251 undergraduate college students. Beliefs about stigma associated with suicide were comparable across ethnic groups. However, African American college students were significantly less likely than European American college students were to attribute suicide to interpersonal problems and to report that the individual or government is responsible for life. African American students were significantly more likely to report that God is responsible for life. These findings have important implications for suicide risk and also for developing culturally appropriate interventions.Keywords lay theory; suicide; beliefs; attributions; African AmericanThe low suicide rate among African Americans has been attributed in part to long-standing cultural values and beliefs that resist suicidal behavior as a problem-solving alternative (e.g., Gibbs, 1997). However, suicide risk, along with other public health problems, is typically understudied in African American populations, and empirical support for widely held assumptions is sparse. Challenges to understanding suicide in the African American community are compounded by limitations (e.g., false positives) that plague suicide science and prediction of high-risk behavior in the United States. 1 Despite widely held speculation that suicide among African Americans is buffered by cultural beliefs, empirical literature that addresses African Americans' lay attributions for suicide is limited.The purpose of this article is to explore African American lay beliefs about suicide. An interesting question is to ascertain whether these lay beliefs are culturally specific to African

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“…The second study involved African American men and women aged 18-64 years (n=200). Cases included 50 men and 50 women who were seen by medical or psychiatric services within 24 hours after a suicide attempt, and controls included 50 men and 50 women with no history of suicidal behavior who were seeking medical care in an urgent care clinic within the same hospital (Compton et al, 2004;Kaslow et al, 2004;Kaslow et al, 2005). Exclusionary criteria for both studies are detailed extensively in prior publications Thompson et al, 2002;Compton et al, 2004;Kaslow et al, 2004;Kaslow et al, 2005).…”

Section: Participantsmentioning

confidence: 99%

The impact of psychoticism on perceived hassles, depression, hostility, and hopelessness in non-psychiatric African Americans

Compton

Carter

Kryda

et al. 2008

Psychiatry Research

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Psychotic symptoms are distributed along a continuum that extends from normality to diagnosable psychotic disorders and the presence of psychoticism among individuals in the general population may lead to morbidity and social impairment. This study examined a model in which psychoticism leads to several important psychological consequences. The analysis included 134 African Americans with no psychiatric history who were being seen in medical walk-in clinics for nonemergency medical problems. Psychoticism, perceived hassles, depression, hostility, and hopelessness were measured. The Linear Structural Relations Program (LISREL) was used to test the fit of the data to the proposed model, a trimmed hierarchical version, and two alternative models. The data supported a model in which psychoticism has substantial effects on several important characteristics: perceived daily hassles, depression, and hostility. Depression mediated the association between psychoticism and hopelessness. Goodness-of-fit indices for a final trimmed model that eliminated one path from the initial postulated model revealed good fit to the data, and the two alternative models were found not to fit the data. Like psychosis itself, psychoticism appears to cause meaningful dysfunction even among non-psychiatric individuals from the general population. Additional research is needed to further characterize the detrimental effects of psychoticism or self-reported psychotic symptoms in the general, non-psychiatric population.

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Person Factors Associated With Suicidal Behavior Among African American Women and Men.

Cited by 90 publications

References 69 publications

Clinical Symptoms Associated with Suicidality in Patients with Panic Disorder

Clinical Symptoms Associated with Suicidality in Patients with Panic Disorder

Lay Theories of Suicide: An Examination of Culturally Relevant Suicide Beliefs and Attributions among African Americans and European Americans

The impact of psychoticism on perceived hassles, depression, hostility, and hopelessness in non-psychiatric African Americans

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