摘要:

Data from a 1983 prospective study of suicide in a cohort of 4800 psychiatric inpatients were reanalyzed using logistic regression, which is more appropriate for a binary outcome. The results were the same as in the previous study: too few of the subsequent suicides were identified and there were too many false positives to make this procedure useful. Several additional “artificial” logistic regression analyses were done: one series randomly removed increasing numbers of nonsuicide cases to increase the base rates; another series added an increasingly powerful hypothetical “test.” Both of these maneuvers helped, but fell well short of per

ISSN:0363-0234    

DOI:10.1111/j.1943-278X.1993.tb00273.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

To determine if specific sets of dysfunctional attitudes were related to suicidal ideation, the 100‐item Dysfunctional Attitude Scale (DAS) was administered to 908 psychiatric outpatients along with the Beck Depression Inventory (BDI), Hopelessness Scale (BHS), Self‐Concept Test (BST), and Scale for Suicide Ideation (SSI). The SSI was used to classify the outpatients into 97 (10.7%) suicide ideators and 811 (89.3%) nonideators, and the DAS was scored for nine subscales described by Beck, Brown, Steer, and Weissman (1991). None of the DAS subscales discriminated the ideators and nonideators or was significantly related to SSI total scores of the suicide ideators after controlling for sex, age, diagnosis of a mood or panic disorder, comorbidity, presence of a personality disorder, a history of a past suicide attempt, the BDI, the BHS, and the BST. The contributions of sets of dysfunctional attitudes for identifying and explaining suicidal ideation were overshadowed by a history of a past suicide attempt and hopelessn

ISSN:0363-0234    

DOI:10.1111/j.1943-278X.1993.tb00274.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

After reviewing some of the dangers inherent in oversimplifying the nature of suicide for public education purposes, a model (the “wedding‐cake model”) of elderly suicide is outlined. This model is derived from a community‐based psychological autopsy study. It is hypothesized that elderly persons who die by suicide have a lifelong character fault that remains invisible until aging life‐changes force the issue into

ISSN:0363-0234    

DOI:10.1111/j.1943-278X.1993.tb00275.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

Most people readily agree that suicide is caused by a complex web of many different factors. However, for many people the concept of a single event resulting from the combined effect of a constellation of different factors (multiple causation) is imperfectly understood. Unfortunately, a naive understanding of multiple causation can lead to needless arguments about what “really” causes suicide, and pointless debate about the “right” point for preventive intervention. In this paper, I review several simple conceptual models of multiple causation as they relate to suicide prevention. I suggest that a more explicit understanding of the nature of multiple causation has the potential to obviate some of these misguided arguments and to facilitate cooperative prevention efforts among person who choose to apply their energies at different points in the causal chain of

ISSN:0363-0234    

DOI:10.1111/j.1943-278X.1993.tb00276.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

An exploratory analysis of the Suicide Intent Scale was performed on a sample of 98 psychiatric inpatients who had made suicide attempts. The factor analysis was performed using a method for polychotomous data, and resulted in a two‐factor solution. The Lethal Intent factor contained items pertaining to the subjective level of lethal intent, while the Planning factor contained items largely related to objective planning for the attempt. Preliminary analysis of these factors suggest that the Suicide Intent Scale can be used to evaluate two separate aspects of suicidal behavio

ISSN:0363-0234    

DOI:10.1111/j.1943-278X.1993.tb00277.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

This study examined the life stress and problem‐solving interactional model of suicide proposed by Clum, Patsiokas, and Luscomb (1979). Thirty‐three hospitalized suicidal adolescents were compared with 21 adolescents hospitalized for other psychiatric problems and with 89 controls. The assessment battery was composed of psychological measures, problem‐solving measures, and environmental and family measures. The discriminant analyses revealed that the suicide group could be discriminated from the psychiatric control group but not from the high school control group. Unexpectedly, life stresses did not contribute to the identification of current suicide risk. The results suggest the importance of assessing suicide risk at the time of admission to minimize any subsequent changes in the risk

ISSN:0363-0234    

DOI:10.1111/j.1943-278X.1993.tb00278.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

The dreams of suicidal patients are contrasted to those of nonsuicidal, depressed patients. The dreams of suicidal patients often reveal wishes for revenge, punishment, reunion, fusion, and rebirth. Confusions between the patient's body and that of others are suggested by the dreams of some suicidal patients. Dreams in suicidal individuals may portray disintegration of the self (self‐state dreams). The phenomenon of transparency in suicidal dreams is discussed as it pertains to Rorschach studie

ISSN:0363-0234    

DOI:10.1111/j.1943-278X.1993.tb00279.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

Unlike previous work, the present investigation tests a nonadditive model of the suggestion/imitation. Suicide stories are predicted to have the greatest effect on suicide in times of high suicidogenic conditions. The latter are measured in terms of unemployment. Data on the American monthly suicide rate are analyzed using Cochrane Orcutt techniques. While support was found for the nonadditive model based on an interaction effect between media stories and the rate of unemployment, it did not prove more powerful than an additive model. Future work is needed, however, for a systematic testing of the nonadditive thesis.

ISSN:0363-0234    

DOI:10.1111/j.1943-278X.1993.tb00280.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

ISSN:0363-0234    

DOI:10.1111/j.1943-278X.1993.tb00281.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

ISSN:0363-0234    

DOI:10.1111/j.1943-278X.1993.tb00282.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY