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 172,036 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

This study examined the risk prediction efficiency of the Reasons for Living Inventory Survival and Coping Beliefs Scale, Beck Hopelessness Scale, Beck Depression Inventory, and the Life Experiences Survey with a sample of 51 newly hospitalized parasuicides. The index of suicidal potential chosen for this study was suicide intent as measured by Beck's Suicide Intent Scale. Regression analyses indicated that the Survival and Coping Beliefs Scale emerged as the single most important predictor of suicide intent. Hopelessness and depression made secondary and nonsignificant contributions. Hopelessness was a significant predictor of suicide intent when analyzed apart from Survival and Coping Beliefs, but not among a subsample of 43 repeat parasuicides. Classification analyses showed that neither hopelessness nor survival and coping beliefs were accurate at classifying low- or high-intent parasuicides. Factors contributing to the efficacy of survival and coping beliefs as a risk prediction index are discussed, as is the false-negative dilemma in suicide risk assessment and prediction.
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PMID:Prediction of suicide intent in hospitalized parasuicides: reasons for living, hopelessness, and depression. 145 48

This study examined the possibility of using standardized self-report measures as "stand-ins" for clinicians' assessments of suicide risk. Subjects were 252 new applicants to a military mental health clinic who completed a battery of questionnaires and underwent clinical interviews. The self-report measures of psychiatric symptomatology (general and depression), personality (impulsivity, anger), and cognitions (hopelessness, attitudes toward life and death) were not highly correlated with clinicians' assessments of suicide risk and some showed a non-linear association. These findings suggest that the two methods of assessment are not interchangeable and that clinicians base their assessments of suicide risk, at least in part, on factors not assessed by the above questionnaires.
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PMID:Clinicians' assessments of suicide risk: can self-report measures replace the experts? 145 40

This research examines the relationships between means-ends problem solving and suicidality among adult male prison inmates in light of new evidence based on inpatient and college student populations suggesting that state, rather than trait, vulnerabilities may be responsible for problem-solving deficits and differences. Using the Means-Ends Problem-Solving Procedure (MEPS) with 93 state prison inmates, we found that among inmates with a history of parasuicide, current suicidality did not affect problem-solving performance. We further found that among nonsuicidal inmates, parasuicide history had no effect on problem solving or affect-suicidality measures. Although these results support new research suggesting that trait problem-solving deficits are not causally linked to suicidality, they raise questions about the potentially unique relationships among suicidality, problem solving, depression, and hopelessness in incarcerated populations.
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PMID:Problem solving and suicidality among prison inmates: another look at state versus trait. 146 Jan 59

The present study examined the link between social support and suicidal ideation among 305 university students (90 men and 215 women) whose ages ranged from 18 to 24 years. Social support was significantly correlated with suicidal ideation (r = -.38), but social support did not contribute to the variation in suicidal ideation scores beyond the joint contribution of scores on the Beck Depression Inventory and scores on the Hopelessness Scale. A stronger relationship between social support and suicidal ideation might be found if investigators assessed different aspects of social support and if they examined the interaction of social support and level of reported stress.
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PMID:Social support and suicidal ideation in college students. 845 57

This study examined which, if any, of four variables (depression, hopelessness, conduct problems, substance abuse) differentiated suicide attemptors from nonattemptors among incarcerated juvenile delinquents. Fifty-one male youth served as subjects. The predictor variables were collected by either a standardized interview or an orally administered questionnaire. Youth self-report data regarding suicide attempts were collected. The results indicated that depression served as a predictor of suicide attempts but only in white, not black, youth. Suicide attempts also were reported three times more often in white than black participants. Implication, as well as limitations, of the findings are discussed.
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PMID:Suicide attempts among juvenile delinquents; the contribution of mental health factors. 152 Feb 40

We examined whether individual differences in susceptibility to the illusion of control predicted differential vulnerability to depressive responses after a laboratory failure and naturally occurring life stressors. The illusion of control decreased the likelihood that subjects (N = 145) would (a) show immediate negative mood reactions to the laboratory failure, (b) become discouraged after naturally occurring negative life events, and (c) experience increases in depressive symptoms a month later given the occurrence of a high number of negative life events. In addition, the stress-moderating effect of the illusion of control on later depressive symptoms appeared to be mediated in part by its effect on reducing the discouragement subjects experienced from the occurrence of negative life events. These findings provide support for the hopelessness theory of depression and for the optimistic illusion-mental health link.
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PMID:Illusion of control: invulnerability to negative affect and depressive symptoms after laboratory and natural stressors. 158 14

According to hopelessness theory, hopelessness expectancy is the proximal, sufficient cause of hopelessness depression. Consequently, hopelessness expectancy is viewed as mediating the influence of all other factors on hopelessness depression. Using a longitudinal research design, we examined hopelessness expectancy as a mediator of the relation between illness attributions and hopelessness depression in a sample of 57 adults with rheumatoid arthritis. Although hopelessness expectancy was a strong predictor of hopelessness depression, it moderated rather than mediated the relation between attributions and depression. Finding support for a moderating rather than a mediating model is inconsistent with theory but is consistent with the findings of Riskind, Rholes, Brannon, and Burdick (1987).
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PMID:Illness attributions and hopelessness depression: the role of hopelessness expectancy. 158 17

Reminiscence may be considered a tool for health promotion in that its use may prevent depression, hopelessness, and a general failure to thrive. Its use may thus result in an elderly person coping at home, perhaps avoiding hospitalization or institutionalization. The opportunity to reminiscence gives older people sanction to remember as they will; to play the roles of storyteller and image maker, to engage in life review, and, perhaps, to see their memories as a valuable contribution to society and their own lives as worthy. Reminiscence is a tool for life review, storytelling, creation of a meaningful myth, and maintenance of self-esteem that gerontological nurses cannot continue to neglect.
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PMID:Sharing the memories. The value of reminiscence as a research tool. 158 82

To examine relationships between immune and psychosocial variables among adults infected with human immunodeficiency virus type 1, 221 subjects without acquired immunodeficiency syndrome were assessed for degree of depression, anxiety, psychiatric symptoms, social support, stressful life events, hardiness, hopelessness, bereavement, and intrusive and avoidant thoughts about acquired immunodeficiency syndrome. At entry, none of 22 psychosocial variables significantly correlated with lymphocyte subsets. Among subjects seen 6 and 12 months later, severity of physical symptoms was associated with greater emotional distress, but the CD4 cell count was predicted by neither clinical ratings of psychopathology and global functioning nor by standardized self-report measures of constructs used in psychoimmune research. We conclude that among our sample, physical symptoms contributed to emotional distress, but emotional distress did not contribute to the CD4 cell count, a marker of disease progression.
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PMID:Relationships over 1 year between lymphocyte subsets and psychosocial variables among adults with infection by human immunodeficiency virus. 790 9

The present study employed a multidimensional approach to examine the association between perfectionism and suicide threat. The present study also examined whether perfectionism variables predicted variance in suicide threat and suicide intention that is not accounted for by other well-known predictors (i.e. depression and hopelessness). A sample of 87 psychiatric patients completed the Multidimensional Perfectionism Scale, the MMPI Threat Suicide Scale and the Beck Depression Inventory. The Multidimensional Perfectionism Scale assesses self-oriented perfectionism, other-oriented perfectionism, and socially prescribed perfectionism. The analyses revealed that socially prescribed perfectionism was the only perfectionism dimension correlated significantly with suicide threat and intent. Moreover, hierarchical regression analyses showed that socially prescribed perfectionism predicted variance in suicide scores that was not accounted for by depression or hopelessness. Overall, the findings suggest that suicide potential is associated with a dispositional tendency to perceive that other people are unrealistic in their expectations for the self. The results are discussed in terms of their implications for intervention.
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PMID:Perfectionism and suicide potential. 160 Apr 2


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