Document Detail


Hopelessness as a Predictor of Attempted Suicide among First Admission Patients with Psychosis: A 10-year Cohort Study.
MedLine Citation:
PMID:  22239464     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Little is known about the longitudinal relationship of hopelessness to attempted suicide in psychotic disorders. This study addresses this gap by assessing hopelessness and attempted suicide at multiple time-points over 10 years in a first-admission cohort with psychosis (n = 414). Approximately one in five participants attempted suicide during the 10-year follow-up, and those who attempted suicide scored significantly higher at baseline on the Beck Hopelessness Scale. In general, a given assessment of hopelessness (i.e., baseline, 6, 24, and 48 months) reliably predicted attempted suicide up to 4 to 6 years later, but not beyond. Structural equation modeling indicated that hopelessness prospectively predicted attempted suicide even when controlling for previous attempts. Notably, a cut-point of 3 or greater on the Beck Hopelessness Scale yielded sensitivity and specificity values similar to those found in nonpsychotic populations using a cut-point of 9. Results suggest that hopelessness in individuals with psychotic disorders confers information about suicide risk above and beyond history of attempted suicide. Moreover, in comparison with nonpsychotic populations, even relatively modest levels of hopelessness appear to confer risk for suicide in psychotic disorders.
Authors:
E David Klonsky; Roman Kotov; Shelly Bakst; Jonathan Rabinowitz; Evelyn J Bromet
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-1-12
Journal Detail:
Title:  Suicide & life-threatening behavior     Volume:  -     ISSN:  1943-278X     ISO Abbreviation:  -     Publication Date:  2012 Jan 
Date Detail:
Created Date:  2012-1-13     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7608054     Medline TA:  Suicide Life Threat Behav     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2012 The American Association of Suicidology.
Affiliation:
E. DavidKlonsky, University of British Columbia, Vancouver, Canada; RomanKotov, Evelyn J. Bromet, Stony Brook University, Stony Brook, NY, USA; ShellyBakst and Jonathan Rabinowitz, Bar Ilan University, Ramat Gan, Israel.
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