Beck Suicide Ideation Research Articles

Sistemik İzotretinoin Tedavisinin Depresyon ve Diğer Psikolojik Belirtiler Üzerine Etkisi: Bir Vaka Kontrol Çalışması

Objective: Isotretinoin is highly preferred in the treatment of severe and resistant acne, but there are still disagreements about whether it has psychogenic side effects. In this study; we aim to investigate the changes in psychological symptoms before and after the treatment in a group of patients treated with isotretinoin. Material and Methods: A total of 110 patients who had moderate or severe acne, and decided to start isotretinoin treatment, were included. Acne Quality of Life Scale, Beck Depression Inventory (BDI), Beck Suicidal Ideation Scale, and Symptom Check List (SCL-90-R) Psychological Symptom Screening tests were performed and compared before starting treatment and at the 6th month of treatment. Results: In our study, in both the pre-treatment and post-treatment groups, the rate of patients at risk for depression was significantly higher in the group that had severe acne (p<0.05). The scores of psychiatric tests with moderate acne were found to be significantly lower than those with severe acne in all parameters (p<0.05). We have found that somatization, depression, phobic thoughts, and general symptom index scores were significantly higher in women before and after the treatment (p<0.05). Acne treatment was associated with improved quality of life and BDI scores in both male and female patients (p=0.001). SCL-90-R somatization, obsession, depression, sensitivity, anger, and general symptom index scores decreased significantly after the treatment. Conclusion: Our study objectively demonstrated that isotretinoin treatment does not cause depression and psychological symptoms, and even improves depression and psychological symptoms caused by acne and improves the quality of life.

Prevalence and factors associated with suicidal ideation among farmers.

This study aimed to analyze the prevalence and factors associated with suicidal ideation among farmers. Cross-sectional study carried out between 2019 and 2020 with 450 farmers in Rio Grande do Norte. The prevalence of suicidal ideation was evaluated using the Beck Suicidal Ideation Inventory, and sociodemographic, health, income, work and alcohol abuse variables were analyzed. The Chi-square test was used to compare the proportions of the outcome between the categories of each variable. Poisson regression with robust variance was used to analyze associated factors and estimate prevalence ratios [PR]. The prevalence of suicidal ideation was 12.4% [95%CI 9.69–15.84] and, in the bivariate analysis, it was associated with sociodemographic, health, income and work variables. In the final multivariate model, the variables that remained significant and were associated with a higher prevalence of SI were: female gender [PR = 3.28], diagnosis of mental disorder in the family [PR = 2.37], presence of common mental disorder [PR = 2.50], alcohol abuse [PR = 2.22] and employment relationship–salaried or temporary [R = 1.91]. Thus, suicidal ideation among farmers is mainly associated with health aspects, especially mental health, work and the female sex, and signals the need to strengthen public policies for suicide prevention with the targeting of effective strategies for the farmers.

Validity and Reliability Study of the Turkish Version of the Unbearable Psychache Scale.

: Suicide is a significant public health issue globally, and psychological pain (psychache) is one of the principal risk factors for suicide. It is suggested that when psychache becomes intolerable, suicide attempts are made to get rid of the pain. This study aims to investigate the reliability and validity of the Turkish version of the Unbearable Psychache Scale, which assesses psychache quickly. In this study, we included 136 patients with depression, 45 (33.09%) of whom had previous suicide attempts, and 120 healthy controls. The participants filled out the Unbearable Psychache Scale, Beck Depression Inventory, Beck Suicidal Ideation Scale, Beck Hopelessness Scale, Psychache Scale, and Mee-Bunney Psychological Pain Assessment Scale. The Beck Depression Inventory, Beck Hopelessness Scale, Beck Suicidal Ideation Scale, Psychache Scale, Mee-Bunney Psychological Pain Assessment Scale, and Unbearable Psychache Scale mean scores were significantly higher in the patients than healthy controls (P < .001 for each). The Cronbach's alpha coefficient of the Unbearable Psychache Scale was 0.96 in the internal consistency analysis. The item-total score values were between 0.96 and 0.97. The exploratory factor analysis demonstrated that the Unbearable Psychache Scale was loaded under 1 factor with an eigenvalue above 1 and explained 89.80% of the total variance. The factor loads were between 0.94 and 0.96. There was a significant correlation between the Unbearable Psychache Scale and the Beck Depression Inventory, Beck Hopelessness Scale, Beck Suicidal Ideation Scale, Psychache Scale, and Mee-Bunney Psychological Pain Assessment Scale (P < .001 for each). The Unbearable Psychache Scale differentiated 82% of the patients from the control group and 66.90% of the patients with suicidal attempts from those without suicide attempts. This study demonstrated that the Turkish version of the Unbearable Psychache Scale was valid and reliable and can be used in depressive patients and healthy individuals.

Suicidal ideation and behavior among subjects with substance abuse disorder related to pregabalin

BackgroundAlthough pregabalin abuse is increasing worldwide and may be associated with increased suicidal ideation and behavior, few studies were done in Egypt searching for the effect of pregabalin on suicide. Eighty-three patients meeting DSM-IV criteria for substance abuse disorders related to pregabalin were identified from the addiction clinic of EL Khanka Psychiatric Hospital in Egypt for this observational cross–sectional study. We intended to assess suicidal ideation and behavior in patients with substance abuse disorder related to pregabalin and to identify the effects of other comorbid substances of abuse. All participants were subjected to semi-structured interview designed to collect and identify the socio-demographic data and patterns of substances 'use ,The Structured Clinical Interview for DSM-IV Axis I Disorders to diagnose patients with substance abuse disorder “related to pregabalin,” Beck Scale for Suicidal Ideation for assessment of suicidal ideation and behavior and urine screening test for pregabalin and other substances of abuse.ResultsMost of participants used pregabalin continuously {86.7%}. More than seventy nine percent of the patients abused both pregabalin and other substances, tramadol 67.4%, heroin 66.3%, cannabis 65.1%, other drugs 44.6%, and benzodiazepines 27.7%. Screening urine test was positive in 62.7% of participants most frequently was heroin 41% and cannabis 34.9%. No suicidal ideation was found in 67.4%, 19.3% had low risk of suicide, and 13.3% had high risk of suicide so total participants who had suicidal ideation were 32.6%. There was statistical significant increase in risk of suicide among patients who were continuously abusing pregabalin and who had positive pregabalin urine test. There was significant positive correlation between Beck Suicidal Ideation score and duration of abusing pregabalin, maximum and daily dose of pregabalin. Also, there was a statistical significant relation between suicidal ideation and associated tramadol abuse and this was positively correlated with dose and duration of tramadol abuse.ConclusionsAbout one third of patients abusing pregabalin had a risk of suicide and this risk increased with associated tramadol abuse so pregabalin abuse is dangerous like other substances of abuse and must be used with caution under strict medical supervision

Physical disability, low self-esteem, and suicidal ideation among Chinese nursing home residents: the moderating role of resilience

Objectives This study aimed to investigate the mediating role of self-esteem in the relationship between physical disability and suicidal ideation, and whether the mediation effect was moderated by resilience among nursing home residents. Methods Participants were 538 nursing home residents recruited from 37 nursing homes in Jinan, China (mean age = 78.13 years, SD = 8.72). The Lawton and Brody Activities of Daily Living Scale, Rosenberg Self-Esteem Scale, 10-item version of the Connor-Davidson Resilience Scale, and Beck Suicidal Ideation Inventory-Chinese Version were used. Mediation and moderated mediation analyses were performed using Models 4 and 15 of the PROCESS macro for SPSS. Results The prevalence of suicidal ideation among the nursing home residents was 14.90%. The mediation analysis showed that self-esteem partially mediated the association between physical disability and suicidal ideation. Resilience was a protective factor for suicidal ideation and moderated the relationship between physical disability and suicidal ideation, and between self-esteem and suicidal ideation. Conclusion Both physical disability and lower self-esteem are important in understanding the development of suicidal ideation among nursing home residents. Improving resilience may be crucial for suicide prevention.

The Relationship Between Suicidal Behavior and Metacognitive Characteristics in Male Patients with Antisocial Personality Disorder

Objective: Antisocial personality disorder (ASPD) is a mental disorder with impaired psychosocial functioning and carries a high risk for suicide. Previous studies have investigated the role of metacognitive considerations in individual behavioral differences and provided ample evidence of significant relationships between emotional processes, cognition, metacognitive beliefs, and behavior. A close relationship between metacognitive functions and personality disorders was suggested. This study investigated the relationship between the metacognitive characteristics of male patients with ASPD and suicidal behavior. Method: We included seventy-four patients diagnosed with ASPD according to DSM-5 criteria, who applied to Çukurova University Faculty of Medicine Balcalı Hospital, Department of Psychiatry, as the patient group and 74 healthy volunteers as the control group. Sociodemographic data form, Metacognition Questionnaire (MCQ), Beck Suicidal Ideation Scale (BSIS), Suicidal Behaviors Questionnaire (SBQ), Beck Depression Inventory (BDI), and Beck Anxiety Inventory (BAI) were administered to the participants. Results: The control and ASPD groups were similar in terms of age, years of education, educational and marital status, and place of residence (p&gt;0.05 for each). The MCQ and its subscales, BSIS, SBQ, BDI, and BAI scale scores, were significantly higher in the patient group (p&lt;0.05 for each). Patients who have previously attempted suicide have significantly higher MCQ- uncontrollability and danger (p=0.028), MCQ- need to control thoughts subscales (p=0.016), and BSIS, SBS, BDI, BAI (p&lt;0.001 for each) mean scores than those who have not attempted suicide. There was a positive correlation between SBQ and MCQ-cognitive confidence (p=0.04) and MCQ- need to control thoughts (p=0.01) subscales in the patient group. Conclusions: Metacognitive beliefs may be associated with the severity of suicidal behavior, depression, and anxiety symptoms in male patients with ASPD. The negative metacognitive functions, especially beliefs about the need to control thoughts, may help determine the risk of suicide in individuals with ASPD, and metacognitive therapy methods may be beneficial for those patients.

An investigation of the Severity levels of Loneliness suicidal ideation among Patients with Major Depressive Disorder in Sulaimani City/Iraq Kurdistan

Background: Major depressive disorder has become one of the most common mental disorders worldwide. Loneliness considers significant psychological distress associated with depression and suicidality. It is important to be detected and interviewed for patient safety.Aim: This study aims to find the prevalence rates the severity levels of loneliness and to identify risk factors among community-based patients with major depressive disorder.Methods: A total of 250 patients with major depressive disorder were recruited from a psychiatric clinic in Ali Kamal Consolation Centre in Sulaimani city included in this cross-sectional study. The data were collected from September 2020 to March 2021 through the utilization of interviews guided by the items of the questionnaire. The ULLA loneliness scale, Beck suicide ideation inventory, Beck depression inventory, sociodemographic, and psychiatric history characteristics were included in the questionnaire. The SPSS version 25 was used for data analysis. Results: All the studied patients with major depressive disorder mean age ± SD was 38.7 ± 12.4 years, 60% of females had a feeling of loneliness. The most significant proportion of the patients had (62.8%) a frequent level of loneliness, with 43.2% mild form of depression and 64.4% had a moderate level of suicidal ideation. It is evident in this study that more than half (51.5%) of patients with suicidal attempts had a feeling of loneliness, which was significantly higher than the rate (27.8%) among those with no history of suicidal attempt (p &lt; 0.0.1).Conclusion: Suicidal Patients with major depressive disorder had experience feelings of loneliness at a frequent level. The severe level of loneliness was a predictor of the severity level of depression and suicidal ideation. Recommendation: Regular evaluation of loneliness and depression can help to detect patients at risk of suicidal behavior and encourage greater social engagement in daily life activities for patients with depression.

Mental health over nine months during the SARS-CoV2 pandemic: Representative cross-sectional survey in twelve waves between April and December 2020 in Austria

BackgroundThere is accumulating evidence about detrimental impacts of the pandemic on population mental health, but knowledge on risk of groups specifically affected by the pandemic and variations across time is still limited. MethodsWe surveyed approximately n=1,000 Austrian residents in 12 waves between April and December 2020 (n=12,029). Outcomes were suicidal ideation (Beck Suicidal Ideation Scale), depressive symptoms (Patient Health Questionnaire-9), anxiety (Hospital Anxiety Depression Scale), and domestic violence. We also assessed the perceived burden from the pandemic. Demographic and Covid-19 specific occupational and morbidity-related variables were used to explain outcomes in multivariable regression analyses, controlling for well-established risk factors of mental ill-health, and variations over time were analyzed. ResultsYoung age, working in healthcare or from home, and own Covid-19 illness were consistent risk factors controlling for a wide range of known mental health risk factors. Time patterns in the perceived burden from Covid-19-related measures were consistent with the time sequence of restrictions and relaxations of governmental measures. Depressive and anxiety symptoms were relatively stable over time, with some increase of depression during the second phase of lockdowns. Domestic violence increased immediately after both hard lockdowns. Suicidal ideation decreased slightly over time, with a low during the second hard lockdown. Mental health indicators for women and young people showed some deterioration over time, whereas those reporting own Covid-19 illness improved. LimitationsData from before the pandemic were not available. ConclusionsAmong mental health outcomes, increases in domestic violence and, to some smaller extent, depressive symptoms, appeared most closely related to the timing of hard lockdowns. Healthcare staff, individuals working from home, those with Covid-19, as well as young people and women are non-traditional risk groups who warrant heightened attention in prevention during and in the aftermath of the pandemic.

Study on prevalence of suicidal ideation and risk factors of suicide among patients visiting psychiatric OPD at Shree Birendra Hospital, Kathmandu Nepal.

IntroductionSuicide is a global public health issue. Several environmental, psychosocial, behavioral factors along with physical, sexual, and emotional abuse have been associated with suicidal ideation and attempts. Childhood physical, sexual abuse, and health risk behaviors are also associated with suicidal attempts. The suicidal ideation prevalence varied from 1 to 20% and it varied with study population, geography, age group, gender, and other factors. The Beck suicidal ideation scale is an effective tool for assessing the major suicidal ideation with a six cut-off score.Materials and method160 patients who met the inclusion criteria were enrolled into this cross-sectional study after random sampling among the patients visiting the Psychiatric OPD of Shree Birendra Hospital, Kathmandu, Nepal. The Semi-Structured Interview Schedule (SSIS), Beck Scale for Suicide Ideation (BSS), and Kuppuswamy’s Scale were used to collect the data from the patients enrolled in the study. The Chi-square test and binary logistic regression analyses were used to identify and differentiate the factors associated with high suicidal risk.ResultsOut of total 160 patients, 65% (n = 104) were female, 92.5% (n = 148) were married, 61.9% (n = 99) were residing in urban area, 93.1% (n = 148) were Hindus, 74.4% (n = 119) patients were living in the nuclear family, 5% (n = 8) patients had family history of psychiatric illness and 10.6% (n = 17) patients were using the substance of abuse. In the Beck scale for suicidal ideation questionnaire, 87.5% (n = 140) patients had moderate to strong wish to live, 89.4% (n = 143) patients responded as they would take precautions to save a life, 88.8% (n = 142) patients had such ideation/wish for brief, 96.3% (n = 154) had not considered for specificity/planning of contemplated suicidal attempt, 91.9% (n = 147) patients stated that they would not attempt active suicide because of a deterrent example from family, religion, irreversibility of the act and 98.1% (n = 157) patients had revealed ideas of deception/concealment of contemplated suicide openly. 16.9% (n = 27) of participants were categorized as high risk for suicide while 83.1% (n = 133) patients were as a low-risk category for suicide based on the Beck scale for suicidal ideation scoring.ConclusionIn conclusion, this study found that most of the suicidal attempts were done as an act of impulse and it is higher among female and married individuals residing in the urban areas. This study did not establish any statistically significant association or differences among independent variables with the higher risk scoring in the Beck suicidal ideation scale.

The Effect of Dialectical Behavior Therapy on Negative Automatic Thoughts, Suicidal Ideation and Life Expectancy in Female Students of Yasooj University of Medical Sciences

Background : Suicide has occurred in all cultures and eras is a disaster for the individual, family, and society. Dialectical behavior therapy is a practical treatment for major depressive disorder. The main aim of the present study was to investigate the effect of dialectical behavior therapy on negative automatic thoughts, suicidal ideation, and life expectancy in female students of Yasooj University of Medical Sciences. Methods: The research method is quasi-experimental and the statistical population of the study included female students of Yasooj University of Medical Sciences in the age range of 18 to 25 years. The sample size was 40 people who were selected by a convenience sampling method and were randomly divided into two groups of dialectical behavior therapy and control group. To collect data, Snyder Hope Scale, Negative Automatic Thought Scale, and Beck Suicidal ideation Questionnaire in pre-test and post-test stages were used. In the intervention phase, the experimental group underwent dialectical behavior therapy for ten sessions of 120 minutes while the control group did not receive any intervention during this period. Data analysis was performed using SPSS software. Results : The findings indicate that dialectical behavior therapy was effective in increasing life expectancy and reducing negative automatic thoughts (Pvalue=0.001) and was not significantly effective in reducing suicidal ideation. Conclusions : Considering the effectiveness of dialectical behavior therapy on reducing negative thoughts and increasing the level of hope, therefore dialectical behavior therapy training is recommended to increase knowledge and empower students against depression and its components. Keywords: Dialectical behavior therapy, Suicidal ideations, Negative automatic thoughts, Life expectancy

Social support moderates suicidal ideation among Chinese nursing home residents with limited activities of daily living and loneliness

Rare studies are available exploring the impact of limited activities of daily living (ADL), loneliness on suicidal ideation, and protective effect of social support on their relationships in nursing home residents. This study aims to examine these links in a sample of older adults from nursing homes. A stratified random sampling was adopted to recruit 538 respondents from 37 nursing homes in Jinan. Suicidal ideation, limited ADL, social support and loneliness were assessed through instruments of Beck Suicidal Ideation Scale, ADL scale, Perceived Social Support Scale and UCLA Loneliness Scale. Relationships of latent variables were tested using Path Analysis in this cross-sectional study. The mediating effect of loneliness was significant on the association between limited ADL and suicidal ideation, and the mediation model was multiply moderated by social support with significant coefficients and acceptable model fitness. This study demonstrated the multiple moderating role of social support in the effect of limited ADL and loneliness on suicidal ideation among nursing home residents. More efforts are suggested in providing more available external resources to seniors' mental health for reducing risk of influencing factors of suicidal ideation.

Can lifetime exposure to intimate partner violence predict suicidality in a sample of Egyptian pregnant women: a cross-sectional study?

Background and objectivesResearch on suicidal behaviors during pregnancy in Egypt is limited; being apparently rationalized by pregnancy is a protective period. This study aimed to address the current suicide risk (CSR), and evaluate its correlates of among pregnant women in Egypt. MethodsIt is a cross-sectional study which included 835 of Egyptian pregnant women who were receiving their antenatal care at Zagazig University Obstetrics and Gynecology Outpatient clinics, during the period from 1 October 2017 to 30 September 2018. The sociodemographic and clinical data were collected by a simple semi-structured questionnaire. The psychometric assessment included Beck Suicidal Ideation Scale (BSS), Zagazig Depression Scale (ZDS), Hamilton Anxiety Rating Scale (HAM-A), and Structured Clinical Interview for DSM-IV-TR Axis II Personality Disorders (SCID-II) for assessment of CSR, and comorbid depression, anxiety and personality disorders, respectively. ResultsAmong pregnant women, 23.4% reported CSR. This included suicidal ideation of 21.6% and suicidal attempt of 1.8%. Predictors of CSR were history of intimate partner violence (IPV) exposure (OR 8.8, 95% CI: 2.8, 27.7), identification of their current pregnancy as a female baby (OR 6.9, 95% CI: 2.0, 23.5), previous history of fetal loss (OR 3.9, 95% CI: 1.5, 10.6), and moderate-to-severe depression (OR 3.0, 95% CI: 1.0, 8.7). ConclusionsOur findings suggest that CSR, including suicidal ideation and attempts, is not rare during pregnancy. Exposure to IPV is the most robust predictor of CSR. Pregnant women should be routinely screened for suicidal behaviors, violence exposure and depressive symptoms, as part of their antenatal assessments.

The relation of major depression, OCD, personality disorders and affective temperaments with Temporal lobe epilepsy

BackgroundIn patients with temporal lobe epilepsy (TLE), studies demonstrate frequent comorbidity with mood disorders, personality disorders (especially obsessive-compulsive disorder) and major depression, but there are conflicting findings. This study aimed to investigate psychiatric comorbidities and affective temperament among TLE patients and to explore the relationships between obsessive compulsive disorder, other personality disorders, major depression and affective temperament in order to clarify the mediator effect of TLE in these relationships. MethodsThirty patients with TLE and 30 healthy volunteers were included. The Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I), the Structured Clinical Interview for DSM III-R Axis II Disorders (SCID-II), Hamilton Anxiety (HAM-A) scale, Hamilton Depression (HAM-D) scale, Beck Suicidal Ideation Scale (BSSI) and Yale Brown Obsession Compulsion Scale (YBOCS) were applied and evaluated by a psychiatrist. Additionally, all individuals completed The Temperament Evaluation of Memphis, Pisa, Paris and San Diego (TEMPS-A). ResultsPatients with temporal lobe epilepsy had higher scores in TEMPS-A, HAM-A, HAM-D, YBOCS and BSSI. Major depression, obsessive compulsive disorder and dependent and antisocial personality disorders were prevalent in patients. With respect to affective temperaments, depressive, cyclothymic and anxious temperaments were associated with obsessive compulsive disorder comorbidity; whereas, depressive and anxious temperaments were found to be associated with major depression comorbidity in patients with TLE. Furthermore, cluster A and cluster C personality disorders were associated with affective temperaments in patients with TLE. Affective temperaments had no correlation with illness duration, seizure frequency, depression severity and suicidal thoughts, but obsessions and compulsions. Suicidal thoughts were associated with obsessions and compulsions. ConclusionAffective temperaments are core personality traits with biological background and they may provide a foundation for psychiatric disorders, especially mood disorders. Considering that TLE originates from abnormalities in brain circuitry, it may form a basis for psychiatric disorders. Therefore, psychiatric evaluation to determine comorbidities may be beneficial to increase the quality of life of patients with TLE.

Depression and suicidal ideation among the geriatric population of Kashmir, India.

Depression is a common disorder that can lead to suicidal behaviours among the geriatric population. We aimed to assess depression, hopelessness, and suicidal ideation among the elderly population of Kashmir. A community-based cross-sectional study was conducted in three districts of Kashmir between June and August 2019. The sample consisted of 200 persons aged >65 years. Beck's Depression Inventory, Beck's Hopelessness Scale, and the Beck Suicide Ideation scale were used to determine depression, hopelessness, and suicide ideation. Pearson's correlation was performed to assess the relationships between depression, hopelessness, and suicide. The prevalence of severe depression with a score of ⩾31 on Beck's Depression Inventory was 56% among the studied population. Most of these elderly were found to have moderate levels of suicidal ideation (62.5%) and hopelessness (61%). Depression had a positive correlation with suicidal ideation (r = 0.35). Hopelessness and suicidal intent had a more significant positive correlation (r = 0.54), as compared to depression and hopelessness (r = 0.43). More than half of the older persons in Kashmir had depression with superimposed hopelessness which is an important risk factor of suicidal ideation.

Suicidal ideation in gender and sexual minority students in the largest Brazilian University

ObjectiveIdentifying the presence of suicidal ideation and associated factors among university students from a public university in Brazil. MethodsA cross-sectional study was performed with 72 university students between 18 and 29 years old. Were used a sociodemographic data questionnaire and the Beck's Suicidal Ideation Scale. ResultsThe suicidal ideation was significantly in the participants, as well as the association of gender, gender identity, sexual orientation and housing with it. ConclusionsThe suicidal ideation in this population is important, and there is a need to explore the factors related, such as gender, sexual orientation, gender identity and housing.

Hopelessness and suicide ideation in ostomy patients: a mixed method study

IntroductionIt is important to characterize patients’ mental health problems since the association between mental adjustment and life expectancy has stabilized in these patients. So, the present study was conducted to determine the prevalence of suicidal ideation and hopelessness in patients with ostomy. MethodA mixed method strategy (cross-sectional and content qualitative analysis) was done in Educational Hospitals in Tehran in 2019. Beck Suicide Ideation (19 item) and Beck Hopelessness (20 item) self-assessment questionnaires and unstructured interview were used for data collection. Data were expressed as frequency and percentage and independent t-test. Analysis was done in the Statistical Package for the Social Sciences (SPSS) 16.0 and conventional content analysis. ResultsThree months after surgery, 3% had low suicidal ideation and 97% had high risk suicidal ideation. This rate 6 months after surgery was 16% with low suicidal thoughts and 84% with high risk suicidal thoughts. In the case of hopelessness 3 months after the surgery, 20% had mild hopelessness, 79% had moderate hopelessness, and 1% had severe hopelessness. These figures 6 months after surgery were 11% hopeless, 31% mildly disappointed, 58% moderately disappointed. The results of the qualitative study resulted in the extraction of three main categories that included enduring the initial suffering, social isolation, and lag of ostomy admission. ConclusionThe relative improvement in suicidal ideation and hopelessness in the present study showed that the mental status of ostomy patients requires more careful attention.

Comparing the Suicidal Ideation in Diabetic Patients Receiving Insulin with Oral Medication

Objective: Diabetes is one of the chronic diseases which can be accompanied with suicide. The study was conducted to assess and compare the prevalence of suicidal ideation in diabetic patients receiving insulin and oralmedication treatment. Materials and Methods: In this cross-sectional study, 2000 patients with diabetes supported by diabetes institute of Rafsanjan in 2017. After giving conscious permission, the patients filled in a demographic checklist and Beck suicidal ideation questionnaire. The data were analyzed using SPSS-16. Results: Prevalence of suicidal ideation in patients with diabetes receiving insulin was 3.2% (n=32) and in people receivingoral medication treatment was 3.1% (n=31). There were no association between suicidal ideation and the method of diabetes treatment. Suicidal ideation was more prevalent in illiterate people; however, no significant relationship was seen between suicidal ideation and education level. Also, there was no significant relationship between marital status and suicidal ideation. There was no relationship between suicidal thoughts and the method of treatment ( P -value: 0.05). Conclusion: Suicidal ideation is more prevalent in diabetic patients, but there were not differences between two group under insulin therapy and oral anti-diabetic agents.

Relationship between Beck Hopelessness Scale and suicidal ideation: A short-term longitudinal study

We aimed to clarify if the Beck Hopelessness Scale (BHS) predicted change in suicidal ideation in the general population. This study used a prospective cohort design (4-week survey interval) (N = 3,295). The online survey covered the BHS, suicidal ideation, depression/anxiety tendencies, and demographic details. Hierarchical multiple regression analysis showed hopelessness was a significant predictor of change in suicidal ideation from T1 to T2 (B = 0.07, 95% confidence interval: 0.05–0.09). Although high hopelessness was related to a short-term rise in suicidal ideation, the risk for suicide cannot be judged adequately by hopelessness from a clinical perspective.

Depression and suicidal ideations in relation to occupational stress in a sample of Egyptian medical residents

Abstract Background Studies have suggested that medical students experience high rates of depression and suicidal ideation. However, estimates of the prevalence of depression or depressive symptoms among students vary across studies from 1.4% to 73.5% and those of suicidal ideation vary from 4.9% to 35.6%. Reliable estimates of depression and suicidal ideation prevalence during medical training are important to prevent, treat, and identify causes of emotional distress among medical students, especially in light of recent work revealing a high prevalence of depression in resident physicians Aim of the work to assess the occurrence of depression and its severity in a sample of Egyptian medical residents of Ain Shams university hospitals, as well as demonstrate the occurrence of suicidal ideations in residents and highlight relation between it and occupational stress. Patients and Methods This is a Cross sectional analytical study conducted in Ain Shams University hospitals. This present study aimed at analyzing the data of 256 medical residents graduation year 2013-2016, and at different periods of residency, 36 of which were excluded due to previous diagnosis with psychiatric illness before residency, over six months period from June 2018 to January 2019, and were screened for depression, suicidal ideations, socioeconomic stress and stressful aspects of residency. Results A total of 256 questionnaires were done by medical residents of Ain Shams University, 36 were excluded mostly due to previous psychiatric diagnosis before residency. Only 60 (27.27%) of the remaining 220 residents had normal ups and downs according to Beck depression inventory (BDI) with the rest of the 160 residents having depression of different severity ranging from mild (54, 24.55%), borderline (38, 17.27%), Moderate (51, 2.18%), severe (10, 4.55%), extreme(7, 3.18%). 50(22.7%) out of the 220 residents were considered to have high suicide risk according to beck suicidal ideation scale. Conclusion Professional and personal stress is a significant and frequently overlooked component of a resident’s life. In addition, residents are at higher risk to develop depression as studies have suggested that medical students experience high rates of depression and suicidal ideation. Intervention studies are needed, e.g. support groups, more intense coaching by senior physicians, training programs on ‘breaking bad news’ and teaching of stress management skills to study how to prevent or reverse burnout.

The Relationship Between Childhood Trauma and Suicide Ideation: Mediating Role of Mental Pain

Objectives: Suicide has existed in all cultures historically. One of the major difficulties in the health system worldwide is suicide. The purpose of this research was to investigate the mediating role of mental pain in the relationship between childhood trauma and suicide ideation. Methods: The present research was descriptive-correlational. Accordingly, 371 students of Islamic Azad University of Tehran were selected by multi-stage cluster sampling. They answered the childhood trauma questionnaire (CTQ), the mental pain scale of Orbach and Mikulincer (OMMP), and Beck suicide ideation scale (BSSI), which was administered to them. Data analysis was performed using structural equation modeling. The SPSS 22 and Lisrel 8.85 were used to categorize, process, and analyze data and examine the research hypotheses. Results: Evaluation of the research hypothetic model using fitness indices showed that the hypothetic model fits with the model of measurement (CFI = 0.96, NFI = 0.95, SRMR = 0.062). The results showed that childhood trauma has both direct and indirect influences, through mental pain, on suicide ideation. Conclusions: Based on the research findings, it could be concluded that mental pain has a mediating role in the relationship between childhood trauma and suicide ideation. Considering the mechanism of effectiveness is important in articulating efficacious preventive and therapeutic interventions for suicide ideation.