22 is a series of six programmatic compositions. The extra-musical narrative deals with the fact that twenty-two veterans commit suicide each day, a low estimate by some accounts. The music is written not specifically for veterans but to bring attention to veterans. It is important for all Americans to know the plight of those who have served their country and now are marginalized by the same country they swore to defend with their lives. Many veterans’ lives have been horrifically changed by war and those battle scars are now internal. Music is the best way that I can explain the complex emotions and story of veterans to a non-veteran audience. This music is intended to inform society of veteran suicides, not make a moral judgment against veterans or civilian society but to bring to light the story as it is. The music is instrumental so the weight of words will not interfere with how the listener interprets the music. / Mary Pappert School of Music; / Music Technology / MM; / Thesis;

“Evil Dead: The Problematic Story of the Jonestown Corpses” examines the issues that arose with handling the bodies after the mass suicide of Peoples Temple members on the Jonestown site in 1978. The Jonestown dead are treated as deviant and dangerous. This project examines strategies of classification and identification, and how these differed before and after the mass suicide. A particular emphasis will be on the disgust response as a shared signifier of danger. A comparison is drawn between the 2011 Jonestown memorial stone and the Vietnam Veterans Memorial, examining how memorials can be made that separate the dead from controversial conflicts. The Peoples Temple saw themselves as participating in a ‘Revolutionary Suicide’ to advance a socialist agenda. This intent was lost in the aftermath of the suicides, and they were instead treated as irrational and excluded by their former allies. The eventual memorial only became possible by separating the dead from their cause. / October 2016

Mémoire numérisé par la Direction des bibliothèques de l'Université de Montréal.

The decision by teenagers either to consider or to attempt to commit suicide was addressed in this research. Covariance structure analysis (LISREL) techniques were used to examine the influence of four social-psychological factors (psychic disruption, delinquency, family disruption, and school problems) upon a suicidal orientation.

Book Summary: This inspiring resource presents theories, findings, and interventions from Positive Suicidology, an emerging strengths-based approach to suicide prevention. Its synthesis of positive psychology and suicidology theories offers a science-based framework for promoting wellbeing to complement or, if appropriate, replace traditional deficit-driven theories and therapies used in reducing suicidal thoughts and behaviors. Coverage reviews interpersonal, intrapersonal, and societal risk factors for suicide, and identifies protective factors, such as hope and resilience, that can be enhanced in therapy. From there, chapters detail a palette of approaches and applications of Positive Suicidology, from the powerful motivating forces described in Self-Determination Theory to meaning-building physical and social activities. Among the topics covered: Future-oriented constructs and their role in suicidal ideation and enactment. Gratitude as a protective factor for suicidal ideation and behavior: theory and evidence. Considering race and ethnicity in the use of positive psychological approaches to suicide. The Six R’s framework as mindfulness for suicide prevention. Community-based participatory research and empowerment for suicide prevention. Applied resiliency and suicide prevention: a strengths-based, risk-reduction framework. Psychotherapists, counselors, social workers, psychiatrists, and health psychologists, as well as educators, clergy and healthcare professionals, will find A Positive Psychological Approach to Suicide an invaluable source of contemporary evidence-based strategies for their prevention and intervention efforts with suicidal clients.

Thesis advisor: Stephanie C. Berzin / The primary aim of this study was to determine if various typologies of psychiatric diagnoses and patterns of comorbidity are differentially related to the medical lethality of adolescent suicide attempts. The secondary aim was to determine if the relationship between psychopathological comorbidity and suicide attempt lethality is significantly different across gender, age, and race in adolescents. To investigate these relationships, psychiatric evaluations were reviewed for all adolescents that presented to Children's Hospital Boston (CHB) from 2006 to 2010 for a suicide attempt (N = 375). Bivariate and OLS regression analyses were used to test hypotheses. Bivariate results showed that attempters diagnosed with a Substance Abuse Disorder comorbid with any other disorder had higher levels of suicide attempt lethality than those without the diagnosis. Additionally, having Bipolar or Mood Disorder NOS in combination with either Substance Abuse alone or Substance Abuse and Disruptive Disorders had a significant positive relationship with suicide attempt lethality when compared to other comorbidity patterns. In OLS regression, having Substance Abuse comorbid with any other disorder was the only significant diagnostic predictor of lethality. Female gender did not have a significant relationship with lethality. Age group was not predictive of lethality in regression analysis. African-American/Black race had a negative relationship with lethality in bivariate and multivariate analyses. Study findings have important implications for practice, policy, and future research with suicidal adolescents. Results suggest that improvements in the assessment and treatment of substance abuse in suicidal adolescents can play a critical role in decreasing the adolescent suicide rate. Screening for symptoms other than depression, such as substance use, will be critical to effective suicide prevention practices. Future research should focus on the development of effective treatment strategies with suicidal adolescent substance abusers, and aim for a better understanding of suicidal behaviors of adolescents with comorbid bipolar and substance abuse diagnoses. In order to further develop prevention and treatment strategies with this population, policies must be initiated that will support their advancement. / Thesis (PhD) — Boston College, 2011. / Submitted to: Boston College. Graduate School of Social Work. / Discipline: Social Work.

Thesis (M.S.)--Boston University / PLEASE NOTE: Boston University Libraries did not receive an Authorization To Manage form for this thesis or dissertation. It is therefore not openly accessible, though it may be available by request. If you are the author or principal advisor of this work and would like to request open access for it, please contact us at open-help@bu.edu. Thank you. / An in-depth review of relevant international literature in the field of death investigation was performed with the intention of assessing the complex ethical, legal, and medical considerations unique to the investigation of self-inflicted fatalities. The overall goal was to present a set of guidelines to be used in the development of more objective criteria for the determination of suicidal manner of death and to highlight the inherent difficulties in suicide investigation, which can often lead to misclassification at autopsy. Findings showed that suicides rates seem to fluctuate inversely to the number of deaths deemed as being of undetermined manner; this strongly suggests that many suicides are going unreported. There were also a significant number of case studies found which indicated conflicting scientific findings regarding gross anatomical or toxicological findings of suicide victims, and a number of others which showed cases of suicide which were intentionally disguised as either homicidal, natural, or accidental death and vice versa. The most commonly agreed upon signs of each method of suicide are summarized and suggestions for a consistent methodology for both scene investigation and autopsy are given. / 2031-01-01

Background: The use of health data from sources such as administrative and medical records to examine efficacy of health interventions is becoming increasingly common. Addressing selection bias inherent in these data is important; treatments are allocated according to clinical need and resource availability rather than delivered under experimental conditions. Propensity score (PS) methods are widely used to address selection bias due to observed confounding. This project used PS methods with observational cohort data relating to individuals who had attended an Emergency Department (ED) following self-harm (including self-poisoning and self-injury). This group is at greatly increased risks of further self-harm, suicide and all-cause mortality compared to the general population. However, it is not clear how hospital management affects risks of these adverse outcomes. Methods: A systematic review of PS methods with record-based mental health care data was used to determine the most appropriate methodological approach to estimate treatment effects following presentation to ED following self-harm. Following this review, PS stratification and PS matching methods were used with observational self-harm data to address observed baseline differences between patients receiving different types of clinical management following their hospital presentation (specialist psychosocial assessment, medical admission, referral to outpatient mental health services and psychiatric admission). Effects on repeat attendance for self-harm, suicide and all-cause mortality within 12 months were estimated. Advice on the interpretation and dissemination of results was sought from service users. Results: The systematic review resulted in 32 studies. The quality of the implementation and reporting of methods was mixed. Sensitivity analysis of the potential impacts of unobserved confounding was largely absent from the studies. Results from analysis of the self-harm cohorts showed that, broadly, prior to PS adjustment, individuals receiving each of the four categories of hospital management had higher risks of repeat attendance for self-harm, suicide and all-cause mortality than those not receiving that management. The use of PS methods resulted in attenuation of most of these increased risks. Psychosocial assessment appeared to be associated with reduced risk of repeat attendance for self-harm (risk ratio 0.87, 95% CI 0.80 to 0.95). Three advisors attended a group meeting and a further two provided responses by email. As a result of advisors' recommendations, an information sheet is being developed containing information about what patients can expect when attending hospital following self-harm and how treatment might influence future risk. Conclusions: Propensity score methods are a promising development in evaluating routine care for individuals who have self-harmed. There is now more robust evidence that specialist psychosocial assessment is beneficial in reducing risk of further attendances for self-harm. Advisors offered different perspectives to the researchers, leading to novel suggestions for dissemination.

This thesis is a response to the abstract phenomenon of bereavement as well as to the death of an actual beloved. It situates mourning as ethically and politically significant, reading it as an instance of crisis for the bereaved subject as well as for the culture in which she is located. Via theorists as diverse as Julia Kristeva, Luce Irigaray, Jacques Derrida, Dominick LaCapra and Donald Winnicott, the thesis considers the enabling potential that is implicated in this crisis. It suggests that mourning has the capacity to manifest productively as a form of localised intervention or "revolt" that simultaneously invigorates the inner life of the subject and subverts certain ideological aspects of contemporary, Western culture. In particular, the thesis suggests that the significance of productive mourning lies in its capacity to attenuate, via an anti-elegiac approach to narrative, the normative discourse of "identity", a crucial element of the discursive network that sustains a socio-political system mired in the "truth" of liberal individualism. Productive mourning facilitates an interrogation of the self-other/subject-object dialectic embedded in Western culture. This interrogation might be conceived as a deconstruction of the subject in its privileged status relative to alterity, the deconstruction of, in other words, "identity" and its processes. The thesis is informed by the author's experience of bereavement and mourning following suicide. Utilising a fictocritical approach, it performs a commentary in addition to an argument, evincing a unique approach to delineating the personal, cultural and ethical significance of loss.

Introduction. Recent studies have suggested a secular increase in the prevalence of self-harm, suicidal ideation and depression in young people. This study aims to report the changes in prevalence of psychological disturbance over time in a clinic population. Method: Data on the prevalence of psychological symptoms was measured by the Youth Self-Report (YSR) and Child Behaviour Checklist (CBCL), in a 21-year clinic cohort of adolescents aged from 12 to 17. This data was analysed to investigate secular changes and predictors of disorder. Results: Significant secular increases were demonstrated in parent reports of self-harm and suicidal ideation, of 5percent and 4percent per cohort year respectively, but there was no significant change in the anxious/depressed sub-scale. There were no changes demonstrated in self-reports of self-harm, suicidal ideation or anxiety/depression. Self-harm and suicidal ideation, both parent reported and self-reported, significantly increased with increasing age, female gender, drug use, anxiety/depression and other clinically significant scores on the YSR and CBCL sub-scales. The YSR was a more accurate predictor of both self-harm and suicidal ideation than the CBCL. Conclusions: The results of this study suggest that there has not been a significant increase in psychological disorder in this population. There was, however, an apparent increase due to increasing parental awareness of some symptoms, particularly self-harm and suicidal ideation. While parents have a higher rate of reporting disorder, young people's self-reports remain a more accurate predictor of specific symptoms, including self-harm and suicidal ideation.