Interpersonal precipitants are associated with suicide intent communication among United States Air Force suicide decedents
Background: Few studies explore differences between suicide intent communicators and noncommunicators, and to date, none have examined the association between suicide precipitants and intent communication. Methods: United States Air Force suicide decedents (N = 236) were categorized as suicide inten...
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2021-07-01
|
| Series: | Journal of Affective Disorders Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666915321001037 |
| _version_ | 1818738998045048832 |
|---|---|
| author | Kaitlyn R. Schuler Jessica M. LaCroix Kanchana U. Perera Margaret M. Baer Theresa H. Trieu Elicia Nademin David Englert David Jobes Marjan Ghahramanlou-Holloway |
| author_facet | Kaitlyn R. Schuler Jessica M. LaCroix Kanchana U. Perera Margaret M. Baer Theresa H. Trieu Elicia Nademin David Englert David Jobes Marjan Ghahramanlou-Holloway |
| author_sort | Kaitlyn R. Schuler |
| collection | DOAJ |
| description | Background: Few studies explore differences between suicide intent communicators and noncommunicators, and to date, none have examined the association between suicide precipitants and intent communication. Methods: United States Air Force suicide decedents (N = 236) were categorized as suicide intent communicators or non-communicators within 30 days prior to death. The top two frequently occurring suicide precipitants, categorized as interpersonal and legal/administrative, were examined in relation to suicide intent communication. Results: Nearly half (47.0%) of suicide decedents communicated intent within 30 days of death, of which the majority (61.3%) communicated their suicide intent within 24 h of death. Suicide intent communicators and non-communicators did not differ on demographics. Decedents with interpersonal precipitants were significantly more likely than those without to communicate suicide intent (52.7% versus 33.3%). Decedents with documented legal/administrative precipitants were equally likely as those without to communicate suicide intent (49.6% versus 44.0%). Controlling for legal/administrative precipitants, decedents with interpersonal precipitants were twice as likely to communicate suicide intent communication, OR = 2.2, p = .008 (95% CI = 1.23, 3.98). Limitations: Limitations include the retrospective study design, unknown mode of intent communication, unclear timing of precipitants relative to communication, and exclusion of other types of precipitants. Conclusions: Suicide intent communication was most frequent among decedents with interpersonal precipitants. This finding has important implications for the continued education of military families and communities on identifying and intervening with those making suicide intent disclosures. Additional research is needed to examine individual trajectories toward suicide to understand nuances of distal and proximal precipitants as related to suicide intent communication. |
| first_indexed | 2024-12-18T01:17:50Z |
| format | Article |
| id | doaj.art-faeef2dc7115406c9f54bebeb21f0bb6 |
| institution | Directory Open Access Journal |
| issn | 2666-9153 |
| language | English |
| last_indexed | 2024-12-18T01:17:50Z |
| publishDate | 2021-07-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Affective Disorders Reports |
| spelling | doaj.art-faeef2dc7115406c9f54bebeb21f0bb62022-12-21T21:25:55ZengElsevierJournal of Affective Disorders Reports2666-91532021-07-015100176Interpersonal precipitants are associated with suicide intent communication among United States Air Force suicide decedentsKaitlyn R. Schuler0Jessica M. LaCroix1Kanchana U. Perera2Margaret M. Baer3Theresa H. Trieu4Elicia Nademin5David Englert6David Jobes7Marjan Ghahramanlou-Holloway8University of South Alabama, Department of Psychology, Mobile, AL, United StatesUniformed Services University of the Health Sciences, Department of Medical & Clinical Psychology, Bethesda, MD, United StatesUniformed Services University of the Health Sciences, Department of Medical & Clinical Psychology, Bethesda, MD, United StatesUniversity of Toledo, Department of Psychology, Toledo, OH, United StatesTexas Tech University, Department of Psychological Sciences, Texas, TX, United StatesPrivate Practice, Phoenix VA Home-Based Primary Care Program, Phoenix, AZ, United StatesCharlotte Mecklenburg Police Department/Mecklenburg County, Charlotte, NC, United StatesThe Catholic University of America, Department of Psychology, Washington, WA, United StatesUniformed Services University of the Health Sciences, Department of Medical & Clinical Psychology, Bethesda, MD, United States; Corresponding author: Department of Medical and Clinical Psychology, Uniformed Services University of the Health Sciences, 4301 Jones Bridge Road, Room B3050, Bethesda, MD 20814-4799, United States.Background: Few studies explore differences between suicide intent communicators and noncommunicators, and to date, none have examined the association between suicide precipitants and intent communication. Methods: United States Air Force suicide decedents (N = 236) were categorized as suicide intent communicators or non-communicators within 30 days prior to death. The top two frequently occurring suicide precipitants, categorized as interpersonal and legal/administrative, were examined in relation to suicide intent communication. Results: Nearly half (47.0%) of suicide decedents communicated intent within 30 days of death, of which the majority (61.3%) communicated their suicide intent within 24 h of death. Suicide intent communicators and non-communicators did not differ on demographics. Decedents with interpersonal precipitants were significantly more likely than those without to communicate suicide intent (52.7% versus 33.3%). Decedents with documented legal/administrative precipitants were equally likely as those without to communicate suicide intent (49.6% versus 44.0%). Controlling for legal/administrative precipitants, decedents with interpersonal precipitants were twice as likely to communicate suicide intent communication, OR = 2.2, p = .008 (95% CI = 1.23, 3.98). Limitations: Limitations include the retrospective study design, unknown mode of intent communication, unclear timing of precipitants relative to communication, and exclusion of other types of precipitants. Conclusions: Suicide intent communication was most frequent among decedents with interpersonal precipitants. This finding has important implications for the continued education of military families and communities on identifying and intervening with those making suicide intent disclosures. Additional research is needed to examine individual trajectories toward suicide to understand nuances of distal and proximal precipitants as related to suicide intent communication.http://www.sciencedirect.com/science/article/pii/S2666915321001037MilitarySuicide intent communicationDeath reviewInterpersonal stressLegal problems |
| spellingShingle | Kaitlyn R. Schuler Jessica M. LaCroix Kanchana U. Perera Margaret M. Baer Theresa H. Trieu Elicia Nademin David Englert David Jobes Marjan Ghahramanlou-Holloway Interpersonal precipitants are associated with suicide intent communication among United States Air Force suicide decedents Journal of Affective Disorders Reports Military Suicide intent communication Death review Interpersonal stress Legal problems |
| title | Interpersonal precipitants are associated with suicide intent communication among United States Air Force suicide decedents |
| title_full | Interpersonal precipitants are associated with suicide intent communication among United States Air Force suicide decedents |
| title_fullStr | Interpersonal precipitants are associated with suicide intent communication among United States Air Force suicide decedents |
| title_full_unstemmed | Interpersonal precipitants are associated with suicide intent communication among United States Air Force suicide decedents |
| title_short | Interpersonal precipitants are associated with suicide intent communication among United States Air Force suicide decedents |
| title_sort | interpersonal precipitants are associated with suicide intent communication among united states air force suicide decedents |
| topic | Military Suicide intent communication Death review Interpersonal stress Legal problems |
| url | http://www.sciencedirect.com/science/article/pii/S2666915321001037 |
| work_keys_str_mv | AT kaitlynrschuler interpersonalprecipitantsareassociatedwithsuicideintentcommunicationamongunitedstatesairforcesuicidedecedents AT jessicamlacroix interpersonalprecipitantsareassociatedwithsuicideintentcommunicationamongunitedstatesairforcesuicidedecedents AT kanchanauperera interpersonalprecipitantsareassociatedwithsuicideintentcommunicationamongunitedstatesairforcesuicidedecedents AT margaretmbaer interpersonalprecipitantsareassociatedwithsuicideintentcommunicationamongunitedstatesairforcesuicidedecedents AT theresahtrieu interpersonalprecipitantsareassociatedwithsuicideintentcommunicationamongunitedstatesairforcesuicidedecedents AT elicianademin interpersonalprecipitantsareassociatedwithsuicideintentcommunicationamongunitedstatesairforcesuicidedecedents AT davidenglert interpersonalprecipitantsareassociatedwithsuicideintentcommunicationamongunitedstatesairforcesuicidedecedents AT davidjobes interpersonalprecipitantsareassociatedwithsuicideintentcommunicationamongunitedstatesairforcesuicidedecedents AT marjanghahramanlouholloway interpersonalprecipitantsareassociatedwithsuicideintentcommunicationamongunitedstatesairforcesuicidedecedents |