Objective: The authors examined trait hope and hopelessness as potential moderators of the association between depressive symptoms and suicidal behavior. Participants: A diverse sample of 372 college students. Methods: Depressive symptoms, hopelessness (Beck Hopelessness Scale), trait hope (Trait Hope Scale), and suicidal behaviors were assessed. Trait hope is defined as confidence in the ability to identify and attain goals, whereas hopelessness encompasses future attitudes and motivation loss. Results: In independent models, low hopelessness buffered the association between depressive symptoms and suicidal behavior for our whole sample, blacks, and whites, whereas trait hope buffered for Hispanics and whites. Examined simultaneously, hope remained a significant moderator only in whites and hopelessness only in blacks. These findings suggest that etiological and outcome correlates of hope and hopelessness may differ by ethnicity. Conclusions: These findings may have implications for development of culturally targeted interventions for college students that strive to simultaneously reduce hopelessness and bolster hopefulness.

Suicide risk is increased for previous suicide attempters, who may be vulnerable to exacerbating factors such as daily hassles; yet, individual-level, adaptive characteristics may ameliorate risk. We examined the influence of daily hassles on suicidal ideation and the moderating role of spiritual well-being and its subscales of religious and existential well-being. In our cross-sectional study, 148 African-American female suicide attempters were recruited from a large, urban hospital and completed the Survey of Recent Life Events, Spiritual Well-Being Scale, and Beck Scale for Suicide Ideation. Religious and existential well-being moderated the association between hassles and suicidal thoughts; this relationship was weaker for individuals with greater levels of spiritual well-being. Historically, spiritual beliefs have been important to the African-American community and their promotion may effectively prevent additional thoughts of suicide by attempters experiencing hassles of daily life.

This study examined loneliness and future orientation as predictors of suicidal risk, namely, depressive symptoms and suicide ideation, in a sample of 228 college students (54 males and 174 females). Results of regression analyses indicated that loneliness was a significant predictor of both indices of suicidal risk. The inclusion of future orientation was found to significantly augment the prediction model of both depressive symptoms and suicide ideation, even after accounting for loneliness. Noteworthy, beyond loneliness and future orientation, the Loneliness × Future Orientation interaction term was found to further augment both prediction models of suicidal risk. Consistent with the notion that future orientation is an important buffer of suicidal risk, among lonely students, those with high future orientation, compared to low future orientation, were found to report significantly lower levels of depressive symptoms and suicide ideation. Some implications of the present findings for studying both risk and protective factors associated with suicidal risk in young adults are discussed.

Anger is often associated with poor physical and mental health, including suicidal behaviour. Anger expression is typically conceptualised as inward or outward-directed, with each mode of expression having potentially different aetiologies and health manifestations. Individual characteristics such as religion or spirituality may buffer against the effects of anger. One such characteristic, forgiveness, is the voluntary process of changing ones’ beliefs, behaviours, and emotions towards a transgressor from negative to positive. We examined forgiveness of self, forgiveness of others and feeling forgiven by God as moderators of the relationship between anger expression and suicidal behaviours in a sample of 372 ethnically diverse college students. In independent and full models, we found that forgiveness of self was a significant moderator of the association between inward and outward anger and suicidal behaviour. Interventions targeting anger via the promotion of forgiveness may be useful in the prevention of suicide ideation and attempts.

This paper proposes a new ideation technique for how to ideate using sketching and a generative design system based prototype tool. The technique is aimed to support ideation through the exploration of design shape deviations. The tool generates 3D model artifacts with variations in their shapes. The overall shape and deviations are based on a design concept specified by the user of the tool. These design artifacts are then used as a means to rediscover one's own design concepts through the theory of estrangement. A study was conducted where university-level design students tested the technique in a scenario where they were tasked with ideating product design solutions. The performed study (along with post-study interviews) revealed promising results where participants of the study described their experiences as fun and interesting. The design outcomes of the study display how participants worked and iterated on their conceptual artifacts. They explored different and new angles of the design space relative to their concepts by using the generated design artifacts. This may suggest that this technique, using computer-generated concept deviations can be a successful way of supporting ideation by expanding on one's design concepts, rediscovering concepts, moving beyond obvious solutions and iterating design concepts.

Background: Insomnia has been shown to have direct and indirect associations with suicidal ideation, attempts, and death in U.S. military and veteran populations. However, transdiagnostic models of insomnia and psychopathology have not been used to examine the contribution of psychopathology. Method: The present study is a secondary analysis examining the associations among insomnia symptoms, posttraumatic stress disorder (PTSD) and depressive symptoms, interpersonal theory of suicide variables, and risk for suicidal behavior in community veterans (n = 392). Serial mediation was used to test sequential associations, allowing for examination of direct and indirect associations. Results: The model with insomnia, PTSD, and depressive symptoms, and thwarted belongingness, accounted for 29% of the variance in risk. Insomnia symptoms had an indirect association through PTSD and depressive symptoms, and thwarted belongingness. The model with insomnia, PTSD, and depressive symptoms, and perceived burdensomeness accounted for 35% of the variance in risk. Insomnia symptoms had an indirect association through PTSD and depressive symptoms, and perceived burdensomeness. Limitations: Data are cross-sectional, precluding the testing of causal associations. Conclusions: In veterans, insomnia symptoms may be associated with increased PTSD and depressive symptoms, which may be associated with increased risk for suicidal behavior directly and indirectly through relationship disruptions.

Nonsuicidal self-injury (NSSI) involves the deliberate damage of one’s own bodily tissue without suicidal intent. A number of psychological disorders and indicators of distress are correlated with the behavior, including suicidal behaviors (e.g. Whitlock & Knox, 2007), depression (e.g. Ross & Heath, 2002), and anxiety (e.g. Victor & Klonksy, 2014), and yet the research literature has been mixed on whether increased frequency of NSSI is correlated with increased levels of these variables. The present study hypothesized that these relationships are curvilinear. Data from a larger study were analyzed using curvilinear regression analyses, and hypotheses were partially supported. Curvilinear relationships were found between NSSI frequency and both depression and anxiety, such that the relationships were positive until approximately 300 incidents, after which they became negative. The relationship between NSSI and suicide ideation was positive and linear. Among the whole sample, there were curvilinear relationships between both NSSI and suicide attempts as well as NSSI and suicide threats. Among only the portion of the sample who reported a history of these variables, there was no relationship between frequency and suicide attempts, and a curvilinear relationship between frequency and suicide threats that declined after 325 incidents. Results add to the current understanding of NSSI frequency and provide support for evidence that conflict with the proposed frequency criterion for nonsuicidal self-injury disorder.

Wildnerness therapy is becoming increasingly popular as a treatment for adolescents. It has been established as an efficacious treatment in previous literature, but the mechanisms as to why have thus far remained a mystery. This research is looking at the connection between wilderness therapy and DBT, another evidence-based treatment. This study will examine 156 adolescents, comparing the efficacy of wilderness therapy to traditional inpatient and intensive outpatient. Pre-treatment assessments of suicidal ideation, emotional regulation, and distress tolerance will be taken. It is expected that there will be main effects for each of the treatments, but that wilderness therapy will be strongest. Additionally, it is expected that emotion regulation and distress tolerance will act as mediators, and their effect on suicidal ideation will be even greater than that of treatment.

This study was conducted to identify what sources of anxiety are most closely associated with experiencing SI among students in a school district in Southern California. Anxiety and suicide rates in youth continue to grow and a need for preventative services is a must. The research design consists of qualitative, biopsychosocial assessments, and qualitative, utilizing the collected data. MSW interns at the district site conducted the assessments and the writers analyzed and reviewed the data to draw out an answer to the research question. Implications for social work practice include gaining a better understanding on the common sources of anxiety as well as other precipitating factors that youth with SI experience. By identifying stressors and common factors social workers will be able to recognize red-flags and provide faster, more targeted preventative services to youth suffering from SI.

Gay males have higher than average rates of suicidal ideation, which has been attributed in part to the pressure to conform to societal religious norms. Using the theoretical frameworks of Durkheim and of Pescosolido and Georgianna, the purpose of this quantitative study was to explore the role of religiosity as a factor of suicidal ideation in gay males. In this study, 113 gay males completed an online survey regarding their level of religiosity as measured by the Religious Background and Behaviors Questionnaire, past suicidal ideation as measured by the Suicidal Ideation Measure, and certain predictor variables, including being "out" to family members, family being supportive, age, religious affiliation (current and during childhood), ethnicity, and population of town during childhood. Regression analyses found no direct statistical significance between level of religiosity and suicidal ideation. There was a predictive relationship, however, between level of family support, level of religiosity, and suicidal ideation. These findings support the Pescosolido and Georgianna theory that belongingness reduces suicidal ideation. The implications for positive social change include the need for mental health professionals to highlight the importance of positive support for gay males as a potential buffer to suicidal ideation.