The Role of Social Isolation in Suicide

Trout, Deborah L.

doi:10.1111/j.1943-278x.1980.tb00693.x

Cited by 212 publications

(134 citation statements)

References 36 publications

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“…Social isolation, loneliness, and feelings of low connectedness have also been linked to suicide (Trout, 1980;Woznica & Shapiro, 1990) and have traditionally been viewed as risk factors for suicide (see Van Orden et al, 2010). Elevations in PB and TB have been reported in case reports and qualitative studies of suicidal military personnel (Anestis, Bryan, Cornette, & Joiner, 2009;Brenner et al, 2008), but to date only one quantitative study has demonstrated a clear link between PB and a history of suicidality among military personnel ).…”

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confidence: 95%

The clinical utility of a brief measure of perceived burdensomeness and thwarted belongingness for the detection of suicidal military personnel

Bryan

2010

J Clin Psychol

103

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Perceived burdensomeness (PB) and thwarted belongingness (TB) are important indicators of suicide risk; however, limited research has investigated applicability to military populations, and no efforts have been initiated to translate these constructs into easily implemented clinical tools. The current study examined the structure and validity of a brief self-report survey of PB and TB, the 10-item Interpersonal Needs Questionnaire (INQ-10), among a sample of 219 deployed military personnel. Factor analysis confirmed that PB and TB are distinct, and are correlated with psychiatric symptomatology. Receiver operating characteristic analyses indicated the most useful cutoff scores were PB=1 and TB=3.2. Both scales significantly improved the ability to rule-in and rule-out current suicide ideation among deployed service members.

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confidence: 95%

The clinical utility of a brief measure of perceived burdensomeness and thwarted belongingness for the detection of suicidal military personnel

Bryan

2010

J Clin Psychol

103

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“…Social withdrawal often precedes suicide (Trout, 1980), and loneliness is frequently reported by suicidal persons. Furthermore, the belief that one is a burden on others (e.g., "You'd be better of without me") has been identified as a particularly pernicious cognitive process contributing to suicide, whereas a sense of connectedness with-or importance to-others seems to have a positive impact on the desire for life (Joiner, 2005).…”

Section: Sessions 2-7: Increasing Rapport Instilling Hope and Earlymentioning

confidence: 99%

Empirically-Based Outpatient Treatment for a Patient at Risk for Suicide: The Case of "John"

Bryan

2007

Pragmatic Case Studies in Psychotherapy

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Emerging research has provided empirical support for a number of cognitive-behavioral strategies designed to reduce suicidal behaviors. In this case study of "John," I describe the application of a combination of these strategies in treating a suicidal patient who recently returned from stressful military duty in Iraq. Focusing on assisting the patient to develop problem-solving and distress tolerance skills, treatment was centered in a collaborative model emphasizing the importance of the therapeutic relationship and involvement of social support networks. Interventions were guided by continual monitoring of suicidal symptoms and general distress level using standardized outcome measures, including Lambert's Outcome Questionnaire (OQ-45) and Jobes' Suicide Status Form (SSF). The treatment involved 21 sessions and resulted in eventual resolution of the suicidal crisis and in significantly reduced emotional distress.Key words: case study; suicidal behavior; empirically-supported treatment; therapeutic relationship; standardized outcome assessment ___________________________________________________________________________ CASE CONTEXT AND METHODWorking with suicidal patients is often an anxiety-provoking clinical activity that is commonly addressed with one of two extreme approaches: (1) an overly-cautious approach that overestimates suicide risk; or (2) an underestimation of suicide risk due to a dismissive attitude or inept assessment (Wingate, Joiner, Walker, Rudd, & Jobes, 2004). The former approach has undesirable consequences, including inappropriate deprivation of patients' rights and misuse of limited clinical resources. The latter approach, by contrast, jeopardizes patient safety and increases provider liability. Research has shown that behavioral health clinicians tend to follow the "better safe than sorry" approach, and overestimate suicide risk (Joiner, Rudd, & Rajab, 1999). Many clinicians assume that hospitalization is the "gold standard" for treatment of suicidal patients. A common clinical belief held by behavioral health professionals is that intensive inpatient care is the most effective strategy for reducing suicide risk. In fact, no clinical trial of inpatient hospitalization has ever been found to be efficacious for reducing suicidal behaviors (see . The persistence of this myth, in combination with a shift over the past few decades in the health care system away from inpatient psychiatric services (Goldney, 2003), has contributed to considerable challenges for the outpatient behavioral health practitioner. Because outpatient treatment is currently the most likely -and most available -method for treating suicidal patients (Goldney, 2003), and the criteria for admission into the dwindling number of institutionalized treatment programs continually becomes harder to meet, it is imperative that clinicians become comfortable delivering services on an outpatient basis. Furthermore, it is imperative they do so in a way that is consistent with empirically-supported practices and standards of c...

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“…When people become too involved with their cellphones, they fail to develop the normal social skills needed for healthy personal exchanges with other people. Social isolation is also a risk factor for suicide [30].…”

Section: B Psychological Isolationmentioning

confidence: 99%

Social and Psychological Challenges of the 21st Century and Beyond

Taormina¹

2016

IJSSH

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Abstract-Shakespeare's metaphor "What is past is prologue" is used to trace past changes of the previous century that caused the social and psychological challenges of today. Those changes included inventions that made war more devastating and challenged us to live through technological inventions that completely changed our society. Next, challenges of the present, in the form of changes taking place that are creating personal and social difficulties are similarly examined. These include terrorism, overpopulation, global warming, new diseases, and a war that could destroy Earth's entire population. Some of these may be precursors to challenges of the 21 st Century. Based on these, some forecasts are made regarding a more distant future challenge that could completely alter our view of the world and the universe. Finally, some suggestions are made regarding how to prepare for the social and psychological challenges that we can expect in the future.

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The Role of Social Isolation in Suicide

Cited by 212 publications

References 36 publications

The clinical utility of a brief measure of perceived burdensomeness and thwarted belongingness for the detection of suicidal military personnel

The clinical utility of a brief measure of perceived burdensomeness and thwarted belongingness for the detection of suicidal military personnel

Empirically-Based Outpatient Treatment for a Patient at Risk for Suicide: The Case of "John"

Social and Psychological Challenges of the 21st Century and Beyond

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