Positive mental health as a moderator of the association between risk factors and suicide ideation/behavior in psychiatric inpatients. (March 2019)

• Record Type: Journal Article
• Authors: Siegmann, Paula; Willutzki, Ulrike; Fritsch, Nathalie; Nyhuis, Peter; Wolter, Marcus; Teismann, Tobias
• Is Part Of: Psychiatry research. Volume 273(2019)
• Page Start: 678
• Page End: 684
• Publication Date: 2019-03
• Subjects: Depression -- Perceived burdensomeness -- Hopelessness -- Childhood maltreatment; Psychiatry -- Periodicals; Psychiatry -- periodicals; Psychiatrie -- Périodiques; 616.89
• DOI: 10.1016/j.psychres.2019.01.091
• Languages: English
• ISSNs: 0165-1781

Abstract

Highlights: Positive mental health buffers the impact of perceived burdensomeness on suicide ideation/behavior. Positive mental health did not buffer the impact of depression, hopelessness and childhood maltreatment on suicide ideation/behavior. In suicidal risk assessment protective factors should be taken into account. Abstract: In recent studies positive mental health has been shown as a resilience factor related to suicide ideation/behavior. It is not known if positive mental health buffers the effect of various risk factors (depression, perceived burdensomeness, hopelessness, childhood maltreatment) on suicide ideation/behavior in psychiatric inpatients—a high risk population. A total of 100 psychiatric inpatients were included in the survey. Four hierarchical regression analyses were conducted to examine, whether positive mental health moderates the association between the four risks factors and suicide ideation/behavior. Positive mental health was shown to moderate the association between perceived burdensomeness and suicide ideation/behavior. The association between the other three risk factors and suicide ideation/behavior was not moderated by positive mental health. Given the cross-sectional nature of the data, conclusions on causality cannot be drawn. The buffering effect of positive mental health suggests that positive mental health may improve the identification of individuals at risk of suicide ideation/behavior and may be an important area to target in the prevention and treatment of individuals at risk of suicide. Further research is needed.