Objective. Previous research has implicated personality and cognitive factors in the experience of suicidal thoughts and behaviours. On the basis of two psychological models of suicide (Escape from Self; Baumeister, 1990; Cry of Pain, Williams, 1997), this thesis investigated an integrative model involving the relationship between perfectionism, motivation, and autobiographical memory recall to predict psychological distress (hopelessness, depression/anxiety, suicide ideation). Methodology. Four inter-related, but independent, prospective studies were conducted to address a number of research questions in both university students (Studies 1,2 & 3) and parasuicide patients (Study 4). Results. The main findings of this thesis are that slow or over-general recall of negative and positive memories moderates the relationship between perfectionism and psychological distress. Furthermore, it was found that perfectionism serves as a mediator in the relationship between behavioural inhibition motivation (BIS) and psychological distress. Overall, the results suggest that much knowledge can be gained from investigating the psychological processes underlying suicidal behaviour, and we highlight the utility of employing integrative psychological models. The results are discussed in terms of their therapeutic implications, as well as their implications for future research.

Tez (Tıpta Uzmanlık) - Süleyman Demirel Üniversitesi, Tıp Fakültesi, Psikiyatri Anabilim Dalı, 2005. / Bibliyografya var.

Thesis (M.A.)-University of KwaZulu-Natal, Durban, 2009. / Full text also available online. Scroll down for electronic link.

Thesis (Ph. D.)--Florida State University, 2006. / Advisor: Thomas E. Joiner, Florida State University, College of Arts and Sciences, Dept. of Psychology. Title and description from dissertation home page (viewed Sept. 15, 2006). Document formatted into pages; contains x, 92 pages. Includes bibliographical references.

Thesis (Ph. D. in Electrical Engineering)--Vanderbilt University, Dec. 2007. / Title from title screen. Includes bibliographical references.

Made available in DSpace on 2015-06-17T19:34:50Z (GMT). No. of bitstreams: 0 Previous issue date: 2014-07-17. Added 1 bitstream(s) on 2015-06-18T12:46:58Z : No. of bitstreams: 1 000830335.pdf: 452662 bytes, checksum: 44515188d9f84455feb4fd27d299f837 (MD5) / Introdução: Os transtornos psiquiátricos são os principais fatores de risco para comportamentos suicidas ou suicidalidade, mas são relativamente escassos os estudos sobre este tema com portadores de transtornos de ansiedade em geral e transtorno de pânico (TP) em particular. A maioria dos pacientes com TP que procura tratamento apresenta agorafobia associada. Pesquisas sobre suicidalidade em pacientes com TP ainda são poucas e inconclusivas, não havendo estudos nacionais publicados sobre o tema. Objetivos: Este estudo objetivou estimar a prevalência de vários comportamentos suicidas na vida (achar que não vale a pena viver, desejar estar morto, ideação suicida, planejamento e tentativas de suicídio) em pacientes com TP e agorafobia (TPA), assim como avaliar fatores sóciodemográficos e clínicos associados à ocorrência de tais comportamentos. Método: Estudo transversal, com uma amostra clínica de conveniência de pacientes adultos (18 anos ou mais) portadores de TPA (critérios do DSM-IV) em tratamento em uma clínica privada de Bauru e no ambulatório de transtornos ansiosos e obsessivo-compulsivos (ATAOC) da Faculdade de Medicina de Botucatu-Unesp de janeiro de 2011 a outubro de 2013. Os instrumentos de avaliação utilizados foram: um questionário especialmente elaborado para obtenção de dados sociodemográficos e clínicos, a Panic and Agoraphobia Scale (PAS) para avaliar a gravidade dos sintomas de TPA e a Mini International Neuropsychiatric Interview (M.I.N.I.) para avaliar a ocorrência de comorbidades psiquiátricas. Calculou-se a prevalência de comportamentos suicidas (desfechos de interesse) e, a seguir, foram feitas análises bivariadas entre estes e diversas variáveis sociodemográficas e clínicas. Para as variáveis categóricas foi utilizado o teste de qui-quadrado ou de Fisher, quando indicado, e para variáveis quantitativas (ex. idade, anos de escolaridade, pontuação na PAS) utilizaram-se os ... / Introduction: Psychiatric disorders are the main risk factors for suicidal behaviors or 'suicidality', but there are few studies on this issue involving patients with anxiety disorders in general and panic disorder (PD) in particular. Most PD patients that seek treatment have agoraphobia associated to the disorder (PAD). Investigations of suicidality among PAD patients have been largely inconclusive and there are no Brazilian publications on this issue. Objectives: this study aimed to estimate the prevalence of various lifetime suicidal behaviors (feeling that life is not worth living, wishing to be dead, suicidal thoughts, plans and attempts) in PAD patients and to evaluate sociodemographic and clinical factors associated with these behaviors. Method: A cross-sectional study was conducted with a sample of adult patients presenting PAD (DSM-IV criteria) undergoing treatment in a private clinic in Bauru and in the outpatient service for anxiety and obsessive-compulsive disorders at Botucatu Medical School - São Paulo State University from January 2011 to October 2013. The assessment instruments used were: a questionnaire designed to collect sociodemographic and clinical data, the Panic and Agoraphobia Scale (PAS) to evaluate PAD clinical severity and the Mini International Neuropsychiatric Interview (M.I.N.I.) to evaluate the co-occurrence of other psychiatric disorders. Initially, the prevalence of the outcomes of interest (suicidal behaviors) was calculated; then, bivariate analyses were performed between these outcomes and several demographic and clinical variables. For the categorical explanatory variables the Chi-squared and the Fisher exact tests were used, whereas for the quantitative variables (e.g.: age, schooling years, PAS score) the Student t test (normal distribution) and the Mann-Whitney test (non-normal distribution) were used. Results: 45 patients (66.7% women and 33.3% men) were assessed. Ages ranged from 19 to 68; ...

Psychobiography can be viewed as the re-writing of an individual‟s life story previously undetected. In general, it consists of a combination of two central elements: biography and psychological theory, which aim to explain the particular individual‟s psychological development. This particular study serves to explore the extraordinary life of renowned singer and songwriter, Ian Kevin Curtis (1956-1980), who died by suicide at the early age of 23. The basis for this investigation will take the form of notable biographical accounts of the subject‟s life, together with the application of Thomas Joiner‟s (2005) interpersonal-psychological theory of suicide which identifies factors that lead to suicidal ideation - in an attempt to understand the psychological circumstances that contributed to Curtis‟s suicide. In doing so, Adler‟s (1929) theory of Individual Psychology was applied to the life of Curtis in an attempt to build on Joiner‟s theory. This led to the concept of control being introduced and contributed to the development of an intake form to identify those at risk for suicide. It is hoped that exploring the psychological circumstances that contributed to Curtis‟s suicide and their interpretation by the subject will bring about an understanding of the risk factors that may induce suicide and, by extension, will highlight the relevance of this psychobiographical study as a tool for investigating and promoting preventative measures concerning suicide. The psychobiographical data collection and analysis for this research thesis will be guided by Yin‟s (2003) theory of „analytic generalisation‟ which uses a theoretical framework in selecting relevant data which develops a matrix as a descriptive framework for organising and integrating that data, and Alexander‟s (1988) analytical model which focuses on lifting out themes through principal identifiers of salience.

Orientador: Albina Robrigues Torres / Banca: Ricardo Torresan / Banca: Jair Sucro / Banca: Ana Teresa de Abreu Ramos Cerqueira / Resumo: Introdução: Os transtornos psiquiátricos são os principais fatores de risco para comportamentos suicidas ou "suicidalidade", mas são relativamente escassos os estudos sobre este tema com portadores de transtornos de ansiedade em geral e transtorno de pânico (TP) em particular. A maioria dos pacientes com TP que procura tratamento apresenta agorafobia associada. Pesquisas sobre suicidalidade em pacientes com TP ainda são poucas e inconclusivas, não havendo estudos nacionais publicados sobre o tema. Objetivos: Este estudo objetivou estimar a prevalência de vários comportamentos suicidas na vida (achar que não vale a pena viver, desejar estar morto, ideação suicida, planejamento e tentativas de suicídio) em pacientes com TP e agorafobia (TPA), assim como avaliar fatores sóciodemográficos e clínicos associados à ocorrência de tais comportamentos. Método: Estudo transversal, com uma amostra clínica de conveniência de pacientes adultos (18 anos ou mais) portadores de TPA (critérios do DSM-IV) em tratamento em uma clínica privada de Bauru e no ambulatório de transtornos ansiosos e obsessivo-compulsivos (ATAOC) da Faculdade de Medicina de Botucatu-Unesp de janeiro de 2011 a outubro de 2013. Os instrumentos de avaliação utilizados foram: um questionário especialmente elaborado para obtenção de dados sociodemográficos e clínicos, a Panic and Agoraphobia Scale (PAS) para avaliar a gravidade dos sintomas de TPA e a Mini International Neuropsychiatric Interview (M.I.N.I.) para avaliar a ocorrência de comorbidades psiquiátricas. Calculou-se a prevalência de comportamentos suicidas (desfechos de interesse) e, a seguir, foram feitas análises bivariadas entre estes e diversas variáveis sociodemográficas e clínicas. Para as variáveis categóricas foi utilizado o teste de qui-quadrado ou de Fisher, quando indicado, e para variáveis quantitativas (ex. idade, anos de escolaridade, pontuação na PAS) utilizaram-se os ... / Abstract: Introduction: Psychiatric disorders are the main risk factors for suicidal behaviors or 'suicidality', but there are few studies on this issue involving patients with anxiety disorders in general and panic disorder (PD) in particular. Most PD patients that seek treatment have agoraphobia associated to the disorder (PAD). Investigations of suicidality among PAD patients have been largely inconclusive and there are no Brazilian publications on this issue. Objectives: this study aimed to estimate the prevalence of various lifetime suicidal behaviors (feeling that life is not worth living, wishing to be dead, suicidal thoughts, plans and attempts) in PAD patients and to evaluate sociodemographic and clinical factors associated with these behaviors. Method: A cross-sectional study was conducted with a sample of adult patients presenting PAD (DSM-IV criteria) undergoing treatment in a private clinic in Bauru and in the outpatient service for anxiety and obsessive-compulsive disorders at Botucatu Medical School - São Paulo State University from January 2011 to October 2013. The assessment instruments used were: a questionnaire designed to collect sociodemographic and clinical data, the Panic and Agoraphobia Scale (PAS) to evaluate PAD clinical severity and the Mini International Neuropsychiatric Interview (M.I.N.I.) to evaluate the co-occurrence of other psychiatric disorders. Initially, the prevalence of the outcomes of interest (suicidal behaviors) was calculated; then, bivariate analyses were performed between these outcomes and several demographic and clinical variables. For the categorical explanatory variables the Chi-squared and the Fisher exact tests were used, whereas for the quantitative variables (e.g.: age, schooling years, PAS score) the Student t test (normal distribution) and the Mann-Whitney test (non-normal distribution) were used. Results: 45 patients (66.7% women and 33.3% men) were assessed. Ages ranged from 19 to 68; ... / Mestre

No description available.

Afrikaans: In hierdie navorsingstuk en proefskrif word die probleem van adolessente selfmoord en selfmoordgedrag binne ‘n sosiaal-konstruksionistiese paradigma met die klem op ‘n pastoraal narratiewe terapeutiese benadering ondersoek. Met hierdie doelstelling voor oë word die verhale van adolessente met selfmoordgedrag aangehoor en in gesprek gebring met literêre verhale oor adolessente, selfmoord en selfmoordgedrag. Hierdie studie soek terselfdertyd na 'n gepaste terapeutiese werkswyse deur middel waarvan daar met hierdie tieners in interaktiewe verhoudings getree kan word. In die terapeutiese proses wat uit hierdie wedersydse samewerking ontwikkel, kan daar aan hulle betekenisvolle berading verleen word. In die sensitiewe interaksie tussen die vertel van en luister na noodverhale word dit progressief duidelik dat adolessente selfmoord en selfmoordgedrag spruit uit ‘n integrasie van oorkoepelende komplekse omstandighede en verhale wat in negatiewe wisselwerking ten opsigte van mekaar staan. Die noodwendige gevolg hiervan is ‘n gevoel van sinloosheid en gevangenheid in die lewe wat uitloop op selfmoord en selfmoordgedrag. • Die algemene tendens is om adolessente te tipeer as "blote tieners". Hierdie kategorisering het tot gevolg dat alle adolessente as gesamentlike groep hanteer word. Met in agneming van die verskillende adolessente se verhale, blyk dit duidelik dat die individu in sy uniekheid en eksentrisiteit totaal binne hierdie tiperingsraamwerk verdwyn. Die narratiewe benadering tot en beskouing van adolessente selfmoord en selfmoordgedrag skep ‘n onbevooroordeelde platvorm waarop elke unieke lewensverhaal van die individu aangehoor kan word. • Normaalweg vra ouers vrae oor die rede of motief waardeur die adolessent tot ‘n selfmoordpoging gedryf is. Hulle aanvaar summier dat slegs een gebeurtenis die oorsaak of probleem kan vaspen. Hierdie studie toon aan dat dit ‘n kumulatiewe opeenhoping van oorsake is wat uiteindelik tot so ‘n desperate poging of daad aanleiding gee. Die narratiewe benadering skep die ruimte vir die aanhoor van die individueel unieke verhaal binne die vervlegte verhale. • Die invloed van die groter samelewingsdiskoers ("grand narrative") is ook ‘n aspek wat in die studie uitgelig word as ‘n besonders bydraende faktor tot adolessente selfmoord en selfmoordgedrag. Die pastoraal narratiewe beskouing van adolessente selfmoord en selfmoordgedrag het nie al die antwoorde nie, maar stel ten slotte die vraag na die begrip selfmoord aan die orde. Is dit "self” en is dit "moord"? English: In this research study and thesis the problem of adolescent suicide and suicidal behavior is examined within a social - constructionist paradigm with the emphasis on a pastoral narrative therapeutic approach. With this purpose in mind, the stories of adolescents with suicidal behavior are listened to and brought into conversation with literary tales of adolescents' suicide and suicidal behavior. At the same time the study seeks for an appropriate therapeutic approach by means of which interactive relationships can be established with these teenagers. In the therapeutic process that results from this mutual collaboration, meaningful counseling can be provided. During the sensitive interaction between the telling of and listening to stories of distress, it progressively becomes clear that adolescent suicide and suicidal behavior is a result of the integration of complex circumstances and stories that have a negative reciprocal impact on each other. • The general tendency is to label adolescents as "mere teenagers". This categorisation results in all adolescents being treated as a collective group. In consideration of the different adolescents' stories, it becomes clear that the individual uniqueness and eccentricity totally disappears within this typifying framework. The narrative approach to and contemplation of adolescent suicide and suicide behavior creates an unprejudiced platform from which each unique life-story can be listened to. • Generally parents ask questions about the reason or motive that drove an adolescent to suicide. They summarily assume that only one incident can identify the cause or problem. This study shows that it is a cumulative conglomeration of causes that eventually leads to such a desperate attempt or action. The narrative approach provides a wide scope for listening to each unique story within the interwoven stories. • The influence of the greater social discourse (grand narrative) is also an aspect that is highlighted in the study as a particular contributive factor to adolescent suicide and suicidal behavior. The pastoral narrative approach to adolescent suicide and suicidal behavior does not have all the answers, but concludes with the question: Is it "self' (sui) and is it "murder" (cidium)? / Thesis (PhD (Practical Theology: Pastoral Family Therapy))--University of Pretoria, 2006. / Practical Theology / unrestricted