Suicide in DSM-5: Current Evidence for the Proposed Suicide Behavior Disorder and Other Possible Improvements

Fehling, Kara B.; Selby, Edward A.

doi:10.3389/fpsyt.2020.499980

Cited by 56 publications

(40 citation statements)

References 168 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Non-suicidal self-injury (NSSI), defined as intentional and self-directed behavior(s) leading to physical harm without suicidal intent nor expectation of mortality ( 21 – 24 ), may also be linked to e-cigarette use/vaping. Approximately one in five (19.8%) college students in the United States (US) endorse past-12 month NSSI ( 25 ); pooled lifetime prevalence among adults between 18 and 24 years is slightly lower (13.4%) ( 26 ).…”

Section: Introductionmentioning

confidence: 99%

E-cigarettes and non-suicidal self-injury: Prevalence of risk behavior and variation by substance inhaled

2022

View full text Add to dashboard Cite

BackgroundNicotine and cannabis inhalation through vaping or electronic delivery systems has surged among young adults in the United States, particularly during the coronavirus disease pandemic. Tobacco and marijuana use are associated with select adverse mental health outcomes, including symptoms of major depressive disorder and suicidal behaviors. Given the need for addiction specialists to treat problematic substance use with an integrated approach, the association between non-suicidal self-injury (NSSI) and use of e-cigarettes, tobacco, marijuana, and alcohol was examined among a diverse sample of college students.MethodsHealthy Minds Study data from 47,016 weighted observations, collected from college students in the 2018–2019 academic year, was used to explore associations between NSSI-related behaviors and past 30-day use of a vaping product (nicotine or marijuana). These relationships were assessed among those using vaping products only, and then among individuals using vaping products and alcohol, conventional cigarettes, and/or marijuana. Hierarchical logistic regression models estimating the relationship between vaping and NSSI were computed to adjust for the effects of demographic factors, symptomatology of psychiatric disorders, and concurrent use of other substances.ResultsA fifth (22.9%) of respondents disclosed past 12-month NSSI; they were significantly more likely to screen positive for depression or anxiety compared to young adults without NSSI. Rates of using vaping products, conventional cigarettes, marijuana, or other substances were higher among students with NSSI even after controlling for potential cofounders. Additionally, students who used a THC-based liquid in their e-cigarettes were more likely to endorse NSSI in comparison to those who used “just flavoring.” However, young adults who vaped were less likely to disclose frequent NSSI-related behaviors than their peers who did not vape.ConclusionsThese findings revealed an association between past 12-month NSSI and past 30-day vaping in a sample of young adults. Further surveillance among college populations and examination of potential sociodemographic confounders is necessary to confirm these findings and advance the substance use and addiction field.

show abstract

Section: Introductionmentioning

confidence: 99%

E-cigarettes and non-suicidal self-injury: Prevalence of risk behavior and variation by substance inhaled

2022

View full text Add to dashboard Cite

show abstract

“…It is noteworthy that the currently used Diagnostic and Statistical Manual of Mental Disorders (DSM) 5th Edition includes suicide as one potential symptom in the diagnosis of major depressive disorder (MDD) (American Psychiatric Association, 2013). In light of the worldwide increase in the suicide rate, it has recently been proposed that a new diagnosis of suicide behavior disorder be added to future versions of the DSM (Fehling & Selby, 2021).…”

Section: Discussionmentioning

confidence: 99%

Suicidal ideation and sobriety: Should acute alcohol intoxication be taken into account for psychiatric evaluation?

Keyes

Talarico

Hardin

et al. 2022

Alcoholism Clin & Exp Res

View full text Add to dashboard Cite

Background When evaluating an emergency department (ED) patient who presents with suicidal ideation, it is a common practice to wait until the patient's ethanol level is known or calculated to be less than 80 mg/dl to evaluate patient safety. We know of no study that establishes an association between the degree of alcohol intoxication based on a blood alcohol level (BAL) and reported suicidal ideation (SI) upon recovery. Methods We conducted a retrospective review of patients evaluated in a Midwestern ED for the calendar year 2017. Cases were selected if they had a psychiatric social work consult and a blood alcohol level drawn while in the ED. Patients were selected on the same 2 days each week throughout the year to meet the sample size requirements of the study, resulting in 1084 cases for review. Chi‐square analysis was used to evaluate the relationship between suicidal ideation and alcohol intoxication as defined by a BAL ≥80 mg/dl. Results Among patients presenting with suicidal ideation and a concurrent BAL ≥80 mg/dl, 69% no longer reported suicidal ideation when their BAL was <80 mg/dl, compared to 38% for patients without a positive BAL on presentation (chi‐square, p = 0.000012). Conclusion Our data show that patients presenting to the ED with complaints related to suicidal behavior who have a BAL ≥80 mg/dl are more likely to no longer endorse having suicidal ideation once their BAL is < 80 mg/dl than patients with similar presenting complaints and no alcohol intoxication. This finding supports the common ED practice of re‐assessing suicidal ideation among individuals who are initially intoxicated once their BAL has decreased below 80 mg/dl.

show abstract

“…Suicide has been viewed as a mental health problem or psychiatric disorder, as a rational response to the existential conundrums of the human condition, and as a social problem. Although DSM-5 includes a proposal for “Suicide behavior disorder” as a potential diagnostic category to essentially define suicide itself as a mental health problem (Fehling & Selby, 2021), in general, suicide is not a disorder but an act that may occur in response to many kinds of intensely painful, emotionally distressing, and intolerable situations that are experienced as intractable and leave the person feeling trapped with ‘no exit’. 1…”

Section: Introductionmentioning

confidence: 99%

Suicide in cultural context: An ecosocial approach

Kirmayer

2022

Transcult Psychiatry

View full text Add to dashboard Cite

This article introduces a thematic issue of Transcultural Psychiatry on suicide in cultural context. Developmental and social structural factors including exposure to violence, childhood abuse and privation, as well as intractable social problems that create psychic pain and a sense of entrapment have been shown to increase the risk of suicidal behavior. However, all of the major social determinants identified in suicide research are influenced or mediated by particular cultural meanings and contexts. To move beyond crude generalizations about suicide based on psychological theories developed mainly in Western contexts and culture-specific prototypes or exemplars, we need more fine-grained analysis of the experience of diverse populations. The articles in this issue provide clear illustrations of the impact of cultural and contextual factors in the causes of suicide, with implications for psychiatric research, theory, and practice. Cross-cultural research points to the possibility of developing a typology of social predicaments affecting specific sociodemographic groups and populations. This typology could be elaborated and applied in clinical and public health practice through an ecosocial approach that considers the ways that suicide is embodied and enacted in social systemic contexts.

show abstract

Suicide in DSM-5: Current Evidence for the Proposed Suicide Behavior Disorder and Other Possible Improvements

Cited by 56 publications

References 168 publications

E-cigarettes and non-suicidal self-injury: Prevalence of risk behavior and variation by substance inhaled

E-cigarettes and non-suicidal self-injury: Prevalence of risk behavior and variation by substance inhaled

Suicidal ideation and sobriety: Should acute alcohol intoxication be taken into account for psychiatric evaluation?

Suicide in cultural context: An ecosocial approach

Contact Info

Product

Resources

About