There appears to be a need to demystify suicidal behaviour not just for the benefit of researchers and health workers but equally for parents, teachers and most importantly for adolescents themselves. The focus in this study was on attempting to provide a fresh perspective of adolescent suicidal behaviour by viewing some delinquent and deviant behaviour as possible manifestation of suicidal behaviour and by decoding and making an attempt to understand the non-verbal voices/cries of suicidal adolescents. In general, suicide and suicidal behaviour among adolescents, has received relatively little attention from Education Departments throughout South Africa. Suicide-prevention is also sadly neglected by government and public health authorities. Unfortunately, despite the fact that the phenomenon has become the first cause of death among the younger age groups, with a higher mortality rate than for road accidents, it has not so far managed to provide backing for preventive schemes within the school and community systems of the same magnitude as the ones developed to tackle other public health problems, such as Aids. The purpose of this study was to gain greater insight into the phenomenon of adolescent suicidal behaviour so that a clearer and broader definition (that included both overt and covert behaviour) was formulated. This will then assist, amongst others, educators, parents and adolescents to identify more easily adolescent suicidal behaviour in its various forms . The study also hoped to investigate and identify the factors that could contribute to suicidal behaviour in adolescents. It also hoped to explore what support systems were available and accessible to the adolescents, more especially those manifesting deviant and delinquent forms of suicidal behaviour and to investigate the effectiveness of the support systems. The concept of networking and creating supportive connections is strongly supported when facing problems of suicide and suicidal behaviour. In creating a connection with the parents, teachers are able to better connect with learners because they will be more aware of the stressors that adolescents are experiencing. Since evidence indicates (Snyder, 1971) that potential suicide victims typically turn first to family and everyday friends and to the more traditional and perhaps formal sources such as clergy, psychiatrists, social workers only later, the need for the school to be more ready to play the role of referrer to other established sources of help is apparent. Teachers should not mistake adolescent suicidal behaviour for just delinquent 'brat' behaviour. In many situations adolescent suicidal behaviour becomes a way of communicating with others after all other forms of communication have broken down - when connections with the outer world is tenuous or non-existent. Stigma keeps adolescent suicidal behaviour from being identified as a public health problem that is preventable. This could be the reason (besides financial ones) why the Department of Education has not seen the urgency to strengthen counselling services in schools. In the absence of such support parents, educators and adolescents need to join forces - create a network of connections - both physical and emotional - so that desperate cries of adolescents are heard, interpreted and eliminated. / Thesis (Ph.D.)-University of KwaZulu-Natal, Durban, 2007.

The present study examined community/tribe, peer/family, and individual correlates of suicidal behaviour in a representative on-reserve sample of First Nations adolescents. Data came from the 2002-2003 Manitoba First Nations Regional Longitudinal Health Survey of Youth. Household interviews were conducted with adolescents ages 12-17 (n=1,125) from 23 First Nations communities in Manitoba. Bivariate logistic regression analyses were used to examine the relationships between a range of factors and lifetime suicidal ideation, suicide attempts, and any suicidality. A multivariate logistic regression analysis identified those correlates most strongly related to any suicidality. Findings showed that several correlates were found to be associated with an increased likelihood of suicidal behaviour, including being female, depressed mood, abuse/fear of abuse, a hospital stay, and substance use. Results of this study will likely be of importance in informing First Nations and government policy related to the implementation of suicide prevention strategies in Manitoban First Nations communities.

Background Suicide among young people is a global public health problem, but information on determinants and understanding of suicidal expressions are lacking in low and middle income countries (LMIC). Though school-based interventions are common in many parts of the world, evidence for efficacy is less reported, particularly from post-conflict countries. Aim To explore suicidal expressions and their determinants with psychosocial and gender perspective in Cambodia and Nicaragua and to evaluate a school based intervention to promote mental health and prevent suicidal behavior among young people in Cambodia. Method School students between the age of 15-19 from Cambodia and Nicaragua responded to Attitude Towards Suicide (ATTS) and Youth Self-Report (YSR) questionnaires. In addition, Life Skill Dimension Scale Adolescent Form (LSDS-AF) was used in schools in Cambodia, one experimental and the other control, to measure the impact of intervention. Six focus group discussions (FGDs), both gender-specific and mixed groups, were held to understand young people’s perception of gender, culture, religion and media and their impact on suicide among them. Results Paper I. Revealed few gender differences in suicidal expressions, except girls reporting more attempts than boys. Girls exposed to suicide among friends and partners were likely to report own suicidal expressions and girls with internalizing syndrome were at risk for suicidal expressions.    Paper II. Cambodian teenagers reported more mental health problems but fewer suicidal expressions as compared to Nicaragua. The determinants varied between countries.   Paper III. Participants of FGDs mentioned “Plue Plun” male and “Kath Klei” female to describe gender difference in suicidal behavior among young people in Cambodia who found it a challenge to negotiate between traditional and modern values. Paper IV. Suicide ambiguity in Buddhism, stigmatizing culture and double edged media were seen as suicide-provoking by the young people in Cambodia, who recommended peer-focused, school based program. Paper V. School based Life Skills Intervention overall benefited girls. Boys with high risk behavior had shown improvement on many Life Skills dimensions, as well as in their mental health profile. Conclusion The gender and cultural differences in suicidal expressions and their determinants among teenagers emphasize the importance of culturally sensitive and gender-specific suicide prevention programs. The influence of religion and media ought to be considered while planning intervention programs. School-based program may be a window of opportunity to promote mental health and prevent suicide among young people in Cambodia.

The present study examined community/tribe, peer/family, and individual correlates of suicidal behaviour in a representative on-reserve sample of First Nations adolescents. Data came from the 2002-2003 Manitoba First Nations Regional Longitudinal Health Survey of Youth. Household interviews were conducted with adolescents ages 12-17 (n=1,125) from 23 First Nations communities in Manitoba. Bivariate logistic regression analyses were used to examine the relationships between a range of factors and lifetime suicidal ideation, suicide attempts, and any suicidality. A multivariate logistic regression analysis identified those correlates most strongly related to any suicidality. Findings showed that several correlates were found to be associated with an increased likelihood of suicidal behaviour, including being female, depressed mood, abuse/fear of abuse, a hospital stay, and substance use. Results of this study will likely be of importance in informing First Nations and government policy related to the implementation of suicide prevention strategies in Manitoban First Nations communities.

Thesis (Ph.D.)--University of Wyoming, 2007. / Title from PDF title page (viewed on June 15, 2009). Includes bibliographical references (p. 49-65).

Thesis (M.S.)--Florida State University, 2006. / Advisor: Thomas E. Joiner, Jr., Florida State University, College of Arts and Sciences, Dept. of Psychology. Title and description from dissertation home page (viewed June 7, 2006). Document formatted into pages; contains v, 26 pages. Includes bibliographical references.

Although female inmates are considered to be the population who are at high risk of committing suicide, little attention has been paid to this field, since most of suicide in correctional facilities are typically committed by males. This paper attempted to investigate some psychological factors which may affect female inmates’ suicidal ideation. Specifically, this paper focused on the role of psychache, intense and chronic psychological pain which leads to suicide. The data was collected from 95 female inmates in two Canadian prisons. The results indicated that psychache was the only factor which predicted the participants’ level of suicidal ideation. Therefore, it is suggested that the screening tools which focus on psychache will be useful in examining the inmates’ risk of suicide. Also, it shows that for the successful rehabilitation, providing the treatment which precisely addresses psychache among inmates is important.

This study aimed at investigating the relationship between adolescent parasuicide, depressive illness and associated risk factors. Reports worldwide indicate that suicidal behaviour in this age group has risen 150% over the past 20 years, whilst the rate for suicide in adults and the elderly has remained the same (Deykin et al, 1985; Neiger & Hopkins, 1988; Sudak, Ford & Rushforth, 1984a). In South Africa statistics confirm similar trends with regard to attempted and completed suicide. Statistics reveal that a high local incidence of adolescent suicide attempters are seen at psychiatric units. One pilot study recorded 187 adolescent suicide attempters during a three month period. This study was based on the hypothesis that the incidence of depressive illness in adolescent suicide attempters is higher than is generally accepted and that this condition often goes unrecognised and is misdiagnosed because it manifests differently with acting out behaviour and "masked" symptomatology. A random sample of suicide attempters between the ages of 13 - 25 who presented at C23 (psychiatric emergencies) Groote Schuur Hospital following a suicide attempt were assessed. 100 subjects were seen over a period of three months. The research procedure comprised a comprehensive assessment incorporating a semi-structured interview, self-report and objective rating scales for depression as well as instruments designed to assess the general health of each subject and their level of suicide intent. The depressive inventories used have been validated for use in this age group and were designed to elicit the associated features of adolescent depression. If warranted, a clinical diagnoses was given based on DSM 1V criteria. This diagnosis was substantiated by information from the research instruments which formed part of the assessment process. A high incidence of clinical disorders was diagnosed in the sample (86%). Depressive illness was found to be a significant risk factor for suicidal behaviour with 68% of the subjects suffering from an affective disorder and 21% reporting depressive symptoms. This study shows that the correlation between parasuicide and depressive illness is high enough to suggest that all suicidal behaviour in this age group should be taken seriously as parasuicide in itself is often a reliable indicator of an underlying depressive condition. Additional risk factors for adolescent parasuicide identified in this study correlated well with the findings of similar research studies. Psychiatric co-morbidity, especially substance use (42%) and cluster B personality factors (54%), were high and served to increase an individual's vulnerability to suicide risk. Psychosocial factors such as sexual abuse (28%) and physical abuse (37%) were also identified as high risk factors for adolescent suicidal behaviour. Individuals at risk for depression and suicidal behaviour typically came from broken homes which were disrupted and unsupportive. Family members were frequently abusing alcohol and 67% of the subjects reported the presence of psychiatric illness in the family. The preferred method of suicide attempt was an overdose (90%). These attempts were generally unplanned and impulsive with no disclosure prior to the event. Intent was usually high at the time of the act. It is only through identifying the risk factors specific to the developmental concerns of this age group and acknowledging the role of depressive illness in adolescent suicidal behaviour that effective preventative measures can be devised.

BACKGROUND: Suicide is a leading cause of maternal death globally, and suicide prevalence rates have been shown to be increased in those with migraine. No previous study has examined the association between migraine and suicidal ideation during pregnancy. OBJECTIVE: To examine the association between migraine and suicidal ideation among a cohort of pregnant women. METHODS: A cross-sectional study was conducted among 3372 pregnant women attending prenatal care clinics in Lima, Peru. Suicidal ideation and depression were assessed using the Patient Health Questionnaire-9 (PHQ-9) scale during early pregnancy. Migraine classification (including migraine and probable migraine) was based on International Classification of Headache Disorders-III beta criteria. Multivariable logistic regression analyses were performed to estimate odds ratios (OR) and 95% confidence intervals (95%CI). RESULTS: Suicidal ideation was more common among those with migraine (25.6%) as compared to those with probable migraine (22.1%, P < .001) or non-migraineurs (12.3%, P < .001). After adjusting for confounders, including depression, those with migraine or probable migraine had a 78% increased odds of suicidal ideation (OR = 1.78; 95% CI: 1.46-2.17), as compared with non-migraineurs. Women with both migraine and depression had a 4.14-fold increased odds of suicidal ideation (OR = 4.14; 95% CI: 3.17-5.42) compared to those with neither condition. CONCLUSION: Migraine is associated with increased odds of suicidal ideation in pregnant women even when controlling for depression. These findings support the consideration of screening women with comorbid migraine and depression for suicidal behavior during pregnancy. / Revisión por pares

Indiana University-Purdue University Indianapolis (IUPUI) / Trait expectancies are related to several aspects of psychological well-being. Specifically, hope, optimism, and hopelessness have been associated with positive and negative indicators of mental health, including suicidality. In addition to empirical similarities, these constructs also have substantial conceptual and measurement overlap. Moreover, while current literature suggests hope and optimism are unique constructs, the distinctions between hopelessness, hope, and optimism remain unclear. The main goals of the present study were: 1) to identify the best structural conceptualization of hope, optimism, and hopelessness; and 2) to apply this conceptualization to examine how different trait expectancies uniquely predict suicidal ideation. Undergraduate students (N= 456) completed a battery of questionnaires at two time points, two months apart. To achieve the first goal, a series of a priori factor models of hope, optimism, and hopelessness was tested using confirmatory factor analysis (CFA). CFA was also performed to confirm the best factor structure of suicidal ideation. Finally, using results from these CFAs, the differential relationships between trait expectancies and suicidal ideation were examined using latent variable path analysis. Results showed that hope, optimism, and hopelessness are best conceptualized as distinct but related constructs. Results also found that both hope and hopelessness predicted increased suicidal ideation over time; whereas, optimism was not predictive of suicidal ideation. Surprisingly, these results suggest that higher hope may be a risk factor for increased suicidal ideation among undergraduates.