جستجوی مقالات مرتبط با کلیدواژه « Suicide Ideation » در نشریات گروه « پزشکی »

Suicide is one of the most complex human phenomena, which according to the fifth diagnostic manual of mental disorders (DSM-5), is defined as a behavior in which a person commits suicide with the aim of killing himself, and suicide without the intention of killing himself and usually to get attention and points (1). It is from others, it is distinguished (3). According to the statistics published by the health organization, about 1 million people die each year due to suicide, which is called suicide leading to death. But if we want to consider the statistics related to suicide attempts, usually the statistics of suicide attempts are 20 to 50 times higher than suicides leading to death (6). In justifying this statistic, it can be said that since women commit suicide about 2 to 3 times more than men, suicide leads to death in men 2 to 3 times more than women, so in societies where women commit suicide more, the rate of suicide is Slaughter of pigs can lead to death many times more than suicide (9). People with perfectionist traits have ambitious, vague and unattainable goals. Perfectionism is a motivational component and includes the individual's efforts to achieve the perfect self. These people are very precise and critical (14), so that they cannot accept their faults, mistakes and failures in different aspects. In addition, it has been found that perfectionism is related to a wide range of mental disorders related to suicide, such as obsession (15), anxiety (16), depression (17) and bipolar disorder (18). Therefore, it seems that perfectionism can be related to suicide. Previous studies have also shown that perfectionism has a significant relationship with imposter syndrome and suicidal thoughts, that the higher the level of perfectionism in a person, the more likely that person feels unworthy and has suicidal thoughts (19). Also, it seems that perfectionism is more prevalent in girls than in men, and media and advertisements, by portraying successful and attractive people, have also played an important role in increasing perfectionism among different people, especially young people and teenagers (19). Therefore, the purpose of the present study was to investigate the relationship between perfectionism and suicidal thoughts and behavior among teenagers.

The method of this study is descriptive and according to the implementation method, it is a type of review articles. Review studies are a type of qualitative research that is used to investigate phenomena and identify important categories based on previous research sources. This method is useful when research sources are rich in the field of the phenomenon in question. In such a situation, by using review studies, the underlying categories of the studied phenomenon can be identified, classified and summarized.
The research community includes all the articles with the English keywords Perfectionism, perfect, sense of perfection along with suicide, suicide attempt, suicide ideation, self-harm, self-injury in foreign databases Scopus, Springer, Web of Science, Google-Scholar, Science Direct and the keywords of perfectionism, perfectionism, perfectionism, perfectionism and perfectionism along with suicide, suicidal thoughts, attempted suicide, self-harm, self-injury and self-harm in adolescents in SID, Normags, Magiran, Civilica, ISC, Google -Scholar, which was published between 2003 and 2023. In order to select relevant studies, the Prism guide was used for review studies (22). Initially, 241 articles were selected using the above keywords in internal and external search engines. After that, 187 studies were excluded due to non-relevance, 29 due to duplicates in search engines. From the remaining 25 studies, after fully reading the articles and applying the inclusion and exclusion criteria, 11 more studies were excluded and 14 studies were selected for the final sample selection

The results of this study showed that out of 14 studies conducted, 5 studies were conducted in Canada, 3 studies were conducted in America, 2 studies were conducted in Israel and China, South Korea, Hungary, and England each conducted 1 study. Also, only three studies were related to before 2000, 3 studies were between 2000 and 2010, and most of the studies were related to the last decade and 5 studies were related to the last 5 years. Also, out of the 14 selected studies, most of the studies used the Children and Adolescents Perfectionism Questionnaire (CAPS) to measure perfectionism (9 studies out of 14 studies). However, different tools have been used to measure suicidal thoughts and behavior. Among the conducted studies, 5 studies have less than 100 participants, 5 studies have between 100 and 200, three have between 200 and 1000 and only one study has more than 1000 subjects.

The results of the research showed that there is a very strong possibility that perfectionism is related to suicidal thoughts and it seems that perfectionism can increase the possibility of suicidal behavior in teenagers by intensifying mental disorders, especially depression, despair, eating and sleeping disorders in teenagers, but not all types of perfectionism seem to be negative. Limited studies have shown that hard-working perfectionist teenagers show very low levels of suicidal thoughts and behavior, so it can be said that perfectionism that is passive and accompanied by procrastination increases the likelihood of suicidal thoughts and behavior. Gives. Therefore, in order to reduce the suicide rate and prevent and treat suicidal people, health professionals should pay more attention to their perfectionism, so that in addition to improving the mental health of adolescents and the possibility of developing their talents, the society also does not lose its dynamic and youthful force. be your own development.

Suicide is perhaps one of the saddest events in a person's life and one of the most painful problems in human society. The purpose of this research was to investigate factors affecting suicide from ideation to action based on Klonsky's theory in non-clinical populations. A person who can be said to be a masterpiece, intelligent, how can he decide to end his life and prefer not to live? Although many scientific and medical efforts are trying to protect people from diseases and injuries and perhaps increase their life span, on the other hand, we are witnessing an increase in the number of suicides and the unwillingness of a group of people to continue their lives. In recent decades, although studies have tried to reduce the number of suicides and somehow control this problem, we can practically see that the efforts have not had significant results, and relatively more modern humans have taken the path of giving up life than in the past and their primitive ancestors. At present, suicide is a major cause of concern and a serious problem for global health. The organization's statistics show that in 2023, worldwide, nearly 700,000 people will end their lives by suicide each year. Evidence suggests that for every adult who dies by suicide, there may be more than 20

: This research is basic in terms of its purpose and the method of carrying out descriptive research. The statistical population of this research was formed by all the people present in the social networks of Shahretbriez who could answer the questionnaire through the link to answer the questions. A sampling method was available and 638 were selected (based on about 20 people for each component of the model). The final sample was reduced to 607 people due to the failure of some participants in the final registration of answers. The entry criteria for this study were to have at least basic literacy to answer the questions and age (16-75), to have full consent, and also to be a volunteer for cooperation. To collect information, the questionnaires were placed in the dedicated link in social networks, and it was suggested that people participate in the research. In addition to ensuring the confidentiality of the participants, ethical considerations were observed in all stages of implementation. In this research, the data mining method and the decision tree technique were used to identify factors affecting suicide and provide a model to predict it. Finally, finding the answers to the study questions has been used. It is worth mentioning that in this study SPSS Modeler version 18 was used for data analysis.

The research findings showed that there is a direct and significant relationship between the variables of mental pain, perception of being a burden, hopelessness, and neutral affiliation in the order of importance in the possibility of suicidal ideation, and also between the variables of suicidal thoughts, suicide readiness, despair, fearlessness about death, affiliation. There is a significant relationship between pain neutrality and pain tolerance in the order of importance in predicting suicide attempts. The parental bond variable did not have a significant effect on the prediction of ideation and suicide attempts. The probability of correct prediction in the training and evaluation groups in the C5.0 algorithm is 92.2 and 88.65, respectively, while on the other hand, the probability of correct prediction in the training and evaluation groups in the CART algorithm is 85.11 and 80, respectively. Two other indices show the optimality of the tree model (AUC and GINI indices) in the two training and experimental groups of the variable of suicidal ideation by separating the C5.0 and CART algorithms. According to the overall importance of the studied variables, the variables of mental pain and perception of burden were more effective than other variables in predicting suicidal ideation. In this way, with the increase in the amount of psychological pain, the perception of being a burden, disappointment, and neutral belongingness, the possibility of suicidal ideation increased. On the other hand, the possibility of suicidal ideation decreased in lower amounts of psychological pain and mild hopelessness. Also, among the two levels of interpersonal relationship variables (perception of burdensomeness and neutral affiliation), perception of burdensomeness was more effective than the variable of neutral belongingness in predicting suicidal ideation, so that as the score of perception of burdensomeness increases, the probability of suicidal ideation is higher and lower. As it went, its score would decrease. Therefore, it can be concluded that the variable of psychological pain and the perception of being a burden from the variables of interpersonal relationships had a more transient effect on the probability of suicidal ideation in the participants in the study. According to the results of the modeling of the prediction of suicidal ideation in the present study, it seems that Most of the variables considered in the study have been able to show a significant effect on the occurrence of this phenomenon, but at the same time, the results of the statistical technique used in the study indicate that the variables of parental bonding (care and control) included in the studied model have not been able to have a significant effect.

The variable of psychological pain showed the most importance in predicting the formation of suicidal ideation in the decision tree model, and also high values of psychological pain and despair, perception of being a burden, and neutral affiliation showed a higher probability of ideation in the model. In this study, among the three factors of suicide capacity, readiness to commit suicide, fearlessness of death, and pain tolerance, the variable of readiness to commit suicide showed the most importance in predicting suicide attempts. In terms of the decision tree model, it became important as a variable that was present in all the paths leading to suicide, along with suicidal ideation. In this study, among the three factors.

Suicide is one of the major public health concerns worldwide which has numerous negative consequences for individual and society.

This study aimed to model the structural equations of suicide risk factors based on the three-step theory of suicide in individuals with the emotional disorders.

This was a descriptive study using structural equation modeling. The statistical population included all people with emotional disorders referring to psychiatric outpatient clinics of Razi Educational and Medical Center of Tabriz in 2020. 205 patients with emotional disorders were selected by purposive sampling method and, they answered the questionnaires of Suicide Ideation (STS), Suicide Attempt (SAS), Suicide Capacity (SCS), and Suicide Motivation Questionnaire (IMSA). Data were analyzed using Pearson SPSS correlation test version 23 and structural equation modeling.

The correlation coefficient results showed a significant relationship between pain, hopelessness, sense of connectedness, and suicide capacity with suicidal ideation and suicide attempt (P<0.05). The results of structural equation modeling showed that the indirect effect of hopelessness (0.234) and low connectedness (0.048) on suicide ideation via suicide capacity was significant. The results showed that the indirect effect of frustration (0.586) and low belonging (0.121) on suicide attempts via suicidal capacity was significant.

Using a three-step model can be useful in rapid diagnosis and action to distinguish people with only suicide ideation or who are prone to suicide.

In response to the increasing rate of suicides in the world's armies, which also has significant statistics, attention and focus on the development and implementation of suicide prevention interventions have increased. Accordingly, the present study intends to evaluate the effectiveness of brief cognitive-behavioral therapy on reducing suicidal ideation of a group of soldiers.

In a quasi-experimental study based on a pre-and post-test design and control group, 24 soldiers were first selected using purposive sampling and then randomly divided into two experimental and control groups of 12 people. Brief cognitive-behavioral therapy was performed in the form of 10 sessions on a weekly basis for the experimental group. Data collection tools were Beck Scale for Suicidal Ideation (BSSI). The collected data were analyzed using univariate analysis of covariance methods in SPSS (V21.0) software.

Data analysis showed that brief cognitive-behavioral therapy was significantly effective in reducing soldiers' suicidal ideation after the intervention (P <0.05).

Based on the research findings, it can be concluded that brief cognitive-behavioral therapy is effective in reducing soldiers' suicidal ideation. Therefore, the intervention used in the present study can be used as an appropriate method to reduce suicidal ideation, especially in soldiers and militaries, in psychological centers.

The most common comorbid disorder with body dysmorphic disorder (BDD) is depression. Masochistic aggression and suicide are the main concerns about individuals with BDD who suffer from depression and have impaired function. Present study aimed to compare the effectiveness of cognitive behavioral therapy (CBT) and metacognitive therapy (MCT) on depression, suicide ideation, and masochistic aggression among individuals with subclinical symptoms of BDD. 

This study was a quasi-experimental study with a control group pretest-posttest design. The sample included 51 girls with subclinical symptoms of BDD who had been selected with purposive sampling from a public secondary school in Tehran in the academic year 2018-2019. After being evaluated and giving the informed consent, the participants were randomly assigned to one of the two experimental groups of CBT and MCT or waiting list. The participants completed the Body Image Concern Inventory (Littleton, 2005), Beck Depression Inventory-II (Beck et al., 1996), Beck Scale for Suicide Ideation (Beck et al., 1979), and masochistic aggression subscale of Aggression Styles Inventory (Alavizadeh & et al., 2016) at the pre-test, post-test and 3 months follow-up stages. Data were analyzed by repeated-measures ANOVA in SPSS-26. 

Results showed that although CBT and MCT were effective in alleviating the symptoms of depression (p<0.01), suicide ideation (p<0.01) and masochistic aggression (P<0.05), CBT was more effective in decreasing depression (p<0.05). There was no significant difference between CBT and MCT in terms of their effect on suicide ideation and masochistic aggression (P<0.05).

According to these findings, it can be concluded that CBT and MCT are effective in alleviating the mood-related symptoms in individuals with subclinical symptoms of BDD. Furthermore, the behavioral activation session can be the reason of the higher effectiveness of CBT.

Aging appears to be a biological process experienced by all living beings including humans. Hence, it seems crucial to pay pertecular attention to the elderly and prevent disorders such as suicide ideation and death anxiety among them. Therefore, the purpose of the current study was to probe the effectiveness of positivism training on suicide ideation and death anxietyin the elderly. It was a quasi-experimental study with pretest-posttest and control group design. The statistical population included all the elderly men living in Dezful, Iran in 2020. The sample consisted of 30 elderly men (60 to 70 years old) selected using the convenience sampling method and considering the inclusion and exclusion criteria. The experimental group underwent eight 90-minute weekly sessions. Applied in the study were the Beck’s suicide ideation scale and Collet–Lester’s fear of death scale. Data were analyzed using univariate analysis in SPSS-22 software. The results indicated that there is a significant difference between experimental and control groups in terms of suicide ideation and death anxiety in the posttest (P<.001). That is, the positivism training resulted in the deacres of suicide ideation and death anxiety. According to the findings of the present study, the positivism training can be suggested as an efficient method in the reduction of suicide ideation and death anxietyin the elderly men.

 This study aimed to predict the suicide ideation based on the attentional bias in clinical and non-clinical populations.

 Participants were 120 individuals (77 women and 43 men, age range 18-40 years) who were purposively selected and divided into three groups of clinical-suicidal (n=40), clinical non-suicidal (n=40) and non-clinical (n=40). They were measured by Suicide Stroop Test and Beck Scale for Suicide Ideation (BSS). Three indices of attentional bias including reaction time, time interference and interference ratio were calculated and the data were analyzed using paired-samples t-test, Pearson correlation coefficient and multivariate regression analysis at the 95% confidence level.

 There was no significant difference in the mean reaction time means between all types of Stroop test (positive emotional, negative emotional, and suicide) in comparison with the neutral Stroop (P<0.05). Suicide ideation was significantly correlated with the overall reaction time in the positive emotional Stroop (r=0.32, P<0.001), negative emotional Stroop (r=0.27, P<0.01), suicide Stroop (r=0.28, P<0.01) and with the interference time of the non-clinical group in the suicide Stroop (r=0.33, P<0.05). In other cases, the relationships between variables were not statistically significant (P>0.05). Regression analysis based on the overall mean scores showed that age (β=-0.225), gender (β=0.223), clinical conditions (β=0.224) and recent suicide attempt (β=0.424) explaining 44% of the variances, were significant predcitors of suicide ideation, while the attentional bias indices failed to play any significant role in predicting suicide ideation (P>0.05).

 It seems that the incidence of attentional bias towards suicide-related information is not related to clinical conditions, and the relationship between attentional bias and suicide ideation does not follow a certain pattern. Factors such as age, gender, clinical status, and past suicidal behaviors are important predictors of suicide ideation, but attentional bias indicators cannot predict suicide ideation.

Suicide is a serious public health problem that happens in all cultures and eras. Suicide ideation and suicide attempt can be influenced by many factors. The purpose of this study was to determine the correlation between childhood trauma and suicide ideation by mediating role of mental pain and object relations.

The research method was descriptive-correlational. Accordingly, 371 students of Islamic Azad Universities of Tehran were selected by multistage cluster sampling. In order to collect data, “Childhood Trauma Questionnaire”, “Beck Scale for Suicidal Ideation”, “Orbach & Mikulincer Mental Pain Scale” and “Bell Object Relations Inventory” were used. The validity of the instruments was limited to previous studies and the reliability was performed by Cronbach’s alpha coefficient. Data were analyzed using SPSS.22.  and Amos V. 23.

The evaluation of hypothetical model with fit indexes demonstrated that the hypothetical model fits the measurement model (CFI=0.95, NFI=0.95, and SRMR =0.072). The results showed that childhood trauma correlates with suicide ideation both directly and indirectly through mental pain and object relations.

Mental pain and object relations play a mediating role in the relationship between childhood trauma and suicide ideation.  It is suggested that the present findings be used in developing preventive and therapeutic interventions on suicide ideation and suicide attempt.