Miloseva, Lence and Cuijpers, Pim and Stojcev, Saso and Niklewski, Gunter and Richter, Kneginja and Jovevska, Svetlana and Arsova, Roza and Serafimov, Aleksandar (2015) Clinically relevant risk factors for suicide: Comparison between clinical group with passive suicidal ideation, active suicidal ideation and without suicidal ideation. [Project] (Unpublished)
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Abstract
Introduction: In recent years, researchers and clinicians do not treat passive suicidal ideation as a clinically relevant risk factor for suicide, while underestimating the strength of this desire to die, compared with making a plan for suicide in individuals having active suicidal ideation. This research study is clinically prospective, cross-sequential, but also partly retrospective because it involves also variables from the past, such as patients’ history data (number of suicidal attempts, stressful life events, etc.).
Research objective: This research clinical study is aimed at exploring the differences and similarities between the three groups of depressed patients - respondents: with passive suicidal ideation, with active suicidal ideation, and without suicidal ideation, in respect of certain clinically relevant risk factors for suicide (depression, suicidal ideation, hopelessness, negative life events, suicidal attempts). Special emphasis will be placed on the role of passive suicidal ideation.
Sample and psychological instruments:The research will be conducted in two stages. In the first stage (pilot study) the reliability of psychological instruments on a sample from R. Macedonia will be established (Cronbach's alpha coefficient) on a non-clinical sample from Stip and Skopje, aged 19-65. In the second stage, a clinical sample of 200 respondents who met the criteria for major depression was provided (by DSM-IV classification, Major Depressive Disorder, MDD) in Clinical Hospital in Stip and City Hospital 8th September in Skopje). The variables are operationalized through the following psychological instruments:
The sheet of paper with personal data; M.I.N.I. psychiatric interview; Beck Depression Inventory II, (Beck, 1996); Beck Scale for Suicide Ideation (BSSI: Beck, Kovacs, & Weissman, 1979); Passive Suicidal Ideation Scale (Moran, 2013); Beck Hopelessness Scale (BHS: Beck, Weissman, Lester, & Trexler, 1974); Modified scale for negative life experiences (Modified Life Experience Scale, MLES, Moran, 2013); Beck Suicide Intent Scale (BSIS, Beck et all., 1974).
Based on psychological instruments: Beck scale for suicidal ideation (Beck Scale for Suicide Ideation, BSSI: Beck, Kovacs, & Weissman, 1979) and the Passive suicidal ideation scale (Passive Suicidal Ideation Scale, Moran, 2013), three groups of depressive patients will be formed that would later be compared: with passive suicidal ideation; with active suicidal ideation; and without suicidal ideation.
Expected results: There is a significant association between suicidal ideas (passive and active suicidal ideation), hopelessness, negative life events, suicidal attempts, and depression. There is a significant association between negative life events, suicidal attempts and suicidal ideas. It is expected that the group of active, passive and the group without suicidal ideation will significantly differ among themselves in terms of suicidal ideas, hopelessness, negative life events, depression and suicidal attempts. Suicidal ideas (passive and active suicidal ideation), hopelessness, negative life events, and depression were significant predictors of suicidal attempts.
Key words:Risk factors; clinically relevant; suicide; passive suicidal ideation; active suicidal ideation; suicide risk
Item Type: | Project |
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Subjects: | Medical and Health Sciences > Clinical medicine |
Divisions: | Faculty of Medical Science |
Depositing User: | Lence Miloseva |
Date Deposited: | 02 Mar 2015 11:09 |
Last Modified: | 12 Mar 2015 14:28 |
URI: | https://eprints.ugd.edu.mk/id/eprint/12837 |
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