Gender-Specific Aspects of Suicide-Related Communication in a High Risk Sample of Psychiatric Inpatients
1Department of Medical Psychology and Medical Sociology, University of Leipzig, 04103 Leipzig, Germany
2Mental Health Research and Treatment Center, Faculty of Psychology, Ruhr University Bochum, 44787 Bochum, Germany
3Department of Clinical Psychology, University of Duisburg-Essen, 45141 Essen, Germany
4Department of Psychiatry, Psychosomatic Medicine and Psychotherapy, Helios Park Hospital, 04289 Leipzig, Germany
DOI: 10.31083/j.jomh1809188 Vol.18,Issue 9,September 2022 pp.1-12
Published: 22 September 2022
Background: In addition to help-seeking behavior in a professional context, suicide-related communication (SRC) with that discloses suicidal thoughts and plans to relatives and significant others play a major role in suicide prevention. While studies revealed gender differences in help-seeking behavior in case of suicidal thoughts and intent in a professional context, the empirical evidence on SRC and gender is limited. The present study aims to examine gender-specific aspects of prevalence, recipients, pathways, and content of SRC in a high-risk sample of psychiatric inpatients. Results may provide information for the development of gender-specific suicide prevention measures. Methods: This study considered data on SRC among individuals who had been admitted to a psychiatric ward due to suicide attempt or to an increased suicide risk and have previously attempted suicide. In this high-risk sample of 219 psychiatric inpatients (56.2% female: n = 123), SRC was assessed using the Suicide Attempt Self Injury Interview (SASII) and was analyzed with a mixed-method design. Results: There are no significant differences (Chi
suicide prevention; suicide-related communication; gender differences; suicide attempt; men
Cora Spahn,Sascha Kranz,Tobias Teismann,Thomas Forkmann,Antje Schönfelder,Dajana Rath,Laura Paashaus,Katarina Stengler,Heide Glaesmer. Gender-Specific Aspects of Suicide-Related Communication in a High Risk Sample of Psychiatric Inpatients. Journal of Men's Health. 2022. 18(9);1-12.
 WHO. Health topics. Fact sheets. Suicide. 2021. Available at: https://www.who.int/news-room/fact-sheets/detail/suicide (Ac-cessed: 11 January 2022).
 Statistisches Bundesamt. Gesundheit. Todesursachen in Deutschland 2020. Available at: https://www.destatis.de/DE/Themen/Gesellschaft-Umwelt/Gesundheit/Todesursachen/suizid. html (Accessed: 24 January 2022).
 Naghavi M. Global, regional, and national burden of suicide mortality 1990 to 2016: systematic analysis for the Global Bur-den of Disease Study 2016. British Medical Journal. 2019; 364: l94.
 Canetto SS, Sakinofsky I. The gender paradox in suicide. Sui-cide & Life-Threatening Behavior. 1998; 28: 1–23.
 Oliffe JL, Rossnagel E, Seidler ZE, Kealy D, Ogrodniczuk JS, Rice SM. Men’s Depression and Suicide. Current Psychiatry Re-ports. 2019; 21: 103.
 Player MJ, Proudfoot J, Fogarty A, Whittle E, Spurrier M, Shand F, et al. What Interrupts Suicide Attempts in Men: A Qualitative Study. PLoS ONE. 2015; 10: e0128180.
 Struszczyk S, Galdas PM, Tiffin PA. Men and suicide preven-tion: a scoping review. Journal of Mental Health. 2019; 28: 80–88.
 Richardson C, Robb KA, O’Connor RC. A systematic review of suicidal behaviour in men: a narrative synthesis of risk factors. Social Science and Medicine. 2021; 276: 113831.
 Franklin JC, Ribeiro JD, Fox KR, Bentley KH, Kleiman EM, Huang X, et al. Risk factors for suicidal thoughts and behaviors: a meta-analysis of 50 years of research. Psychological Bulletin. 2017; 143: 187–232.
 Teismann T, Forkmann T, Glaesmer H. Risikoabschätzung bei suizidalen Patienten: Geht das überhaupt? Verhaltenstherapie. 2019; 29: 80–84. (In German)
 Glaesmer H, Spangenberg L, Forkmann T, Teismann T. Suizidalität: Theoretische Konzepte, Risikoabschätzung und Behandlungsansätze. Psychotherapie Psychosomatik Medizinische Psychologie. 2020; 70: 252–261. (In German)
 Almeida OP, McCaul K, Hankey GJ, Yeap BB, Golledge J, Flicker L. Suicide in older men: the health in men cohort study (HIMS). Preventive Medicine. 2016; 93: 33–38.
 Crump C, Sundquist K, Sundquist J, Winkleby MA. Sociode-mographic, psychiatric and somatic risk factors for suicide: a Swedish national cohort study. Psychological Medicine. 2014; 44: 279–289.
 Bálint L, Osváth P, Rihmer Z, Döme P. Associations between marital and educational status and risk of completed suicide in Hungary. Journal of Affective Disorders. 2016; 190: 777–783.
 Park SK, Lee CK, Kim H. Suicide mortality and marital status for specific ages, genders, and education levels in South Korea: Using a virtually individualized dataset from national aggregate data. Journal of Affective Disorders. 2018; 237: 87–93.
 Yi SW, Hong JS. Depressive symptoms and other risk factors predicting suicide in middle-aged men: a prospective cohort study among Korean Vietnam War veterans. PeerJ. 2015; 3: e1071.
 Richardson C, Dickson A, Robb KA, O’Connor RC. The Male Experience of Suicide Attempts and Recovery: An Interpreta-tive Phenomenological Analysis. International Journal of Envi-ronmental Research and Public Health. 2021; 18: 5209.
 Oliffe JL, Creighton G, Robertson S, Broom A, Jenkins EK, Ogrodniczuk JS, et al. Injury, Interiority, and Isolation in Men’s Suicidality. American Journal of Men’s Health. 2018; 11: 888–899.
 Kunde L, Kõlves K, Kelly B, Reddy P, Leo D. “The Masks We Wear”: A Qualitative Study of Suicide in Australian Farmers. Journal of Rural Health. 2018; 34: 254–262.
 Mok K, Chen N, Torok M, McGillivray L, Zbukvic I, Shand F. Factors associated with help-seeking for emotional or men-tal health problems in community members at risk of suicide. Advances in Mental Health. 2021; 19: 236–246.
 Ko J, Frey JJ, Harrington D. Preventing Suicide among Working-Age Adults: The Correlates of Help-Seeking Behav-ior. Inquiry. 2019; 56: 004695801985097.
 Encrenaz G, Kovess-Masféty V, Gilbert F, Galéra C, Lagarde E, Mishara B, et al. Lifetime risk of suicidal behaviors and commu-nication to a health professional about suicidal ideation. Results from a large survey of the French adult population. Crisis. 2012; 33: 127–136.
 Hamdi E, Price S, Qassem T, Amin Y, Jones D. Suicides not in contact with mental health services: Risk indicators and determi-nants of referral. Journal of Mental Health. 2008; 17: 398–409.
 Isometsä ET, Heikkinen ME, Marttunen MJ, Henriksson MM, Aro HM, Lönnqvist JK. The last appointment before suicide: is suicide intent communicated? American Journal of Psychiatry. 1995; 152: 919–922.
 McPhedran S, De Leo D. Miseries Suffered, Unvoiced, Un-known? Communication of Suicidal Intent by Men in “Rural” Queensland, Australia. Suicide and Life-Threatening Behavior. 2013; 43: 589–597.
 Frey LM, Fulginiti A, Sheehan L, Oexle N, Stage DL, Stohlmann-Rainey J. What’s in a word? Clarifying terminol-ogy on suicide-related communication. Death Studies. 2020; 44: 808–818.
 Pompili M, Belvederi Murri M, Patti S, Innamorati M, Lester D, Girardi P, et al. The communication of suicidal intentions: a meta-analysis. Psychological Medicine. 2016; 46: 2239–2253.
 Zhou XM, Jia SH. Suicidal communication signifies suicidal in-tent in Chinese completed suicides. Social Psychiatry and Psy-chiatric Epidemiology. 2012; 47: 1845–1854.
 Robins E, Gassner S, Kayes J, Wilkinson RH Jr, Murphy GE. The communication of suicidal intent: a study of 134 consecu-tive cases of successful (completed) suicide. American Journal of Psychiatry. 1959; 115: 724–733.
 Owen G, Belam J, Lambert H, Donovan J, Rapport F, Owens C. Suicide communication events: lay interpretation of the com-munication of suicidal ideation and intent. Social Science and Medicine. 2012; 75: 419–428.
 Rytterström P, Lindeborg M, Korhonen S, Sellin T. Finding the Silent Message: Nurses’ Experiences of Non-Verbal Communi-cation Preceding a Suicide. Psychology. 2019; 10: 1–18.
 Balt E, Mérelle S, van Bergen D, Gilissen R, van der Post P, Looijmans M, et al. Gender differences in suicide-related com-munication of young suicide victims. PLoS ONE. 2021; 16: e0252028.
 Forkmann T, Glaesmer H, Paashaus L, Rath D, Schönfelder A, Stengler K, et al. Interpersonal theory of suicide: prospective examination. BJPsych Open. 2020; 6: e113.
 Fischer G, Ameis N, Parzer P, Plener PL, Groschwitz R, Von-derlin E, et al. The German version of the self-injurious thoughts and behaviors interview (SITBI-G): a tool to assess non-suicidal self-injury and suicidal behavior disorder. BMC Psychiatry. 2014; 14: 265.
 Nock MK, Holmberg EB, Photos VI, Michel BD. Self-Injurious Thoughts and Behaviors Interview: development, reliability, and validity in an adolescent sample. Psychological Assessment. 2007; 19: 309–317.
 Linehan MM, Comtois KA, Brown MZ, Heard HL, Wagner A. Suicide Attempt Self-Injury Interview (SASII): development, reliability, and validity of a scale to assess suicide attempts and intentional self-injury. Psychological Assessment. 2006; 18: 303–312.
 Braun V, Clarke V. Using thematic analysis in psychology. Qualitative Research in Psychology. 2006; 3: 77–101.
 Luoma JB, Martin CE, Pearson JL. Contact with mental health and primary care providers before suicide: a review of the evi-dence. American Journal of Psychiatry. 2002; 159: 909–916.
 Möller-Leimkühler AM. Depression–überdiagnostiziert bei Frauen, unterdiagnostiziert bei Männern? Der GynäKologe. 2008; 41: 381–388. (In German)
 Mackenzie CS, Visperas A, Ogrodniczuk JS, Oliffe JL, Nurmi MA. Age and sex differences in self-stigma and public stigma concerning depression and suicide in men. Stigma and Health. 2019; 4: 233–241.
 Posner K, Brent D, Lucas C, Gould M, Stanley B, Brown G, et al. Columbia-Suicide Severity Rating Scale (C-SSRS)-Lifetime/Recent Version. 2009. Available at: http://cssrs.columbia.edu/docs/C-SSRS_1_14_09_Lifetime_Recent.pdf (Ac-cessed: 24 January 2022).
 Chiu HFK, Tsoh J. Suicide and attempted suicide in older people. Oxford Textbook of Old Age Psychiatry (pp. 571–579). Oxford University Press: Oxford. 2013.
 Zadravec Šedivy N, Podlogar T, Kerr DCR, De Leo D. Com-munity social support as a protective factor against suicide: A gender-specific ecological study of 75 regions of 23 European countries. Health Place. 2017; 48: 40–46.
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