Predictive and protective factors in suicidal behavior among males diagnosed with postural tachycardia syndrome
1Department of Biology, Wittenberg University, Springfield, OH 45504, USA
2Department of Sociology, Wittenberg University, Springfield, OH 45504, USA
DOI: 10.31083/jomh.2021.135 Vol.18,Issue 2,February 2022 pp.1-8
Submitted: 23 August 2021 Accepted: 24 September 2021
Published: 28 February 2022
*Corresponding Author(s): Cathy L. Pederson E-mail: firstname.lastname@example.org
Background: Postural orthostatic tachycardia syndrome (POTS) is a chronic invisible illness characterized by orthostatic intolerance and increased heart rate upon standing (>30 beats per minute in adults and >40 beats per minute in adolescents). This study seeks to characterize the psychological distress in males who have been diagnosed with POTS. Males are diagnosed at much lower rates than females and are underrepresented in the literature.
Methods: Forty-one male POTS patients responded to an online survey including the following instruments: acquired capability for suicide—fearlessness about death, beck depression inventory-II, interpersonal needs questionnaire-15, and the suicide behaviors questionnaire-revised.
Results: In this study, 58.5% of men surveyed scored in high-risk group for suicide on the suicide behaviors questionnaire-revised. In a multiple linear regression analysis, perceived burdensomeness (β = 0.72; p = 0.001), age (β = –0.41; p = 0.001), changes in health due to chronic illness (β = –0.39; p = 0.05) and fearlessness about death (β = 0.35; p = 0.01) explained 50.7% of their suicidal behavior.
Conclusions: In this small sample of men, perceived burdensomeness was the greatest predictor of suicidal behavior followed by fearlessness about death. Age and changes in health due to chronic illness seem to be protective against suicidal behavior. Therapeutic interventions, both medical and psychological, to decrease perceived burdensomeness could decrease the overall risk of suicide in men with postural orthostatic tachycardia syndrome. Fearlessness about death and increased changes in health due to chronic illness as indicators for suicidal behavior may provide an alternative approach for intervention for some men with postural orthostatic tachycardia syndrome.
Postural orthostatic tachycardia syndrome (POTS); Male; Quality of life; Perceived burdensomeness; Fearlessness about death; Suicidal behavior
Cathy L. Pederson,Brooke M. Wagner. Predictive and protective factors in suicidal behavior among males diagnosed with postural tachycardia syndrome. Journal of Men's Health. 2022. 18(2);1-8.
 Cano-Montalban I, Quevedo-Blasco R. Sociodemographic variables most associated with suicidal behavior and suicide methods in Europe and America. European Journal of Psychology Applied to Legal Context. 2018; 10: 15–25.
 Dutta R, Ball HA, Siribaddana SH, Sumathipala A, Samaraweera S, McGuffin P, et al. Genetic and other risk factors for suicidal ideation and the relationship with depression. Psychological Medicine. 2017; 47: 2438–2449.
 Sheldon RS, Grubb BP, Olshansky B, Shen WK, Calkins H, Brignole M, et al. 2015 Heart Rhythm Society expert consensus statement on the diagnosis and treatment of postural tachycardia syndrome, inappropri-ate sinus tachycardia, and vasovagal syncope. Heart Rhythm. 2015; 12: e41–e56.
 Shaw BH, Stiles LE, Bourne K, Green EA, Shibao CA, Okamoto LE, et al. The face of postural tachycardia syndrome - Insights from a large cross-sectional online community-based survey. Journal of Internal Medicine. 2019; 286: 438–448.
 Benrud-Larson LM, Dewar MS, Sandroni P, Rummans TA, Haythorn-thwaite JA, Low PA. Quality of life in patients with postural tachycardia syndrome. Mayo Clinic Proceedings. 2002; 77: 531–537.
 Joiner TE. Why people die by suicide. Harvard University Press: Cambridge. 2005.
 Chu C, Buchman-Schmitt JM, Stanley IH, Hom MA, Tucker RP, Hagan CR, et al. The interpersonal theory of suicide: A systematic review and meta-analysis of a decade of cross-national research. Psychological Bulletin. 2017; 143: 1313–1345.
 Boris JR, Bernadzikowski T. Demographics of a large paediatric postural orthostatic tachycardia syndrome program. Cardiology in the Young. 2018; 28: 668–674.
 Hamrefors V, Spahic JM, Nilsson D, Senneby M, Sutton R, Melander O, et al. Syndromes of orthostatic intolerance and syncope in young adults. Open Heart. 2017; 4: e000585.
 Chen L, Wang C, Wang H, Tian H, Tang C, Jin H, et al. Underlying diseases in syncope of children in China. Medical Science Monitor. 2011; 17: PH49–53.
 Ribeiro JD, Witte TK, Van Orden KA, Selby EA, Gordon KH, Bender TW, et al. Fearlessness about death: the psychometric properties and construct validity of the revision to the acquired capability for suicide scale. Psychological Assessment. 2014; 26: 115–126.
 Beck AT, Steer RA, Brown GK. Beck depression inventory-II [PDF]. 1996. Available at: https://meetinstrumentenzorg.nl/wp-content/uploads/instrumenten/BDI-meetinstr.pdf
(Accessed: 9 October 2021).
 Hill RM, Rey Y, Marin CE, Sharp C, Green KL, Petitit JW. Evaluating the Interpersonal Needs Questionnaire: Comparison of the reliability, factor structure, and predictive validity across five versions. Suicide and Life-Threatening Behavior. 2015; 45: 302–314.
 Brookings JB, Pederson CL. INQ-15 cut-off scores for suicidal ideation screening of women with chronic, invisible illnesses. Clinical Psychology and Psychotherapy. 2019; 26: 273–275.
 Osman A, Bagge CL, Gutierrez PM, Konick LC, Kopper BA, Barrios FX. The suicidal behaviors questionnaire-revised (SBQ-R): Validation with clinical and nonclinical samples. Assessment. 2001; 8: 443–454.
 Tabachnick BG, Fidell LS. Using multivariate statistics. 7th edn. Pearson: New York. 2018.
 Rogers ML, Joiner TE, Shahar G. Suicidality in chronic illness: An overview of cognitive-affective and interpersonal factors. Journal of Clinical Psychology in Medical Settings. 2021; 28: 137–148.
 Vanyukov PM, Szanto K, Hallquist M, Moitra M, Dombrovski AY. Perceived burdensomeness is associated with low-lethality suicide attempts, dysfunctional interpersonal style, and younger rather than older age. International Journal of Geriatric Psychiatry. 2017; 32: 788–797.
 Pederson CL, Brookings JB. Suicide risk linked with perceived burdensomeness in postural tachycardia syndrome. Journal of Health Science and Education. 2018; 2: 1–8.
 Onyeka IN, Maguire A, Ross E, O’Reilly D. Does physical ill-health increase the risk of suicide? A census-based follow-up study of over 1 million people. Epidemiology and Psychiatric Sciences. 2020; 29: e140.
 Bourne KM, Chew DS, Stiles LE, Shaw BH, Shibao CA, Okamoto LE, et al. Postural orthostatic tachycardia syndrome is associated with significant employment and economic loss. Journal of Internal Medicine. 2021; 290: 203–212.
 Van Orden KA, Witte TK, Cukrowicz KC, Braithwaite S, Selby EA, Joiner TE. The interpersonal theory of suicide. Psychological Review. 2010; 117: 575–600.
 Tang F, Mehlum L, Mehlum IS, Qin P. Physical illness leading to absence from work and the risk of subsequent suicide: a national register-based study. European Journal of Public Health. 2019; 29: 1073–1078.
 Awang H, Mansor N, Nai Peng T, Nik Osman NA. Understanding ageing: fear of chronic diseases later in life. Journal of International Medical Research. 2018; 46: 175–184.
 Khazem LR, Jahn DR, Cukrowicz KC, Anestis MD. Physical disability and the interpersonal theory of suicide. Death Studies. 2015; 39: 641–646.
 Temko JE, Grigorian A, Barrios C, Lekawa M, Nahmias L, Kuza CM, et al. Race, age, and lack of insurance increase risk of suicide attempt in trauma patients. Archives of Suicide Research. 2020; 1–15.
 Martínez-Alés G, Pamplin JR, Rutherford C, Gimbrone C, Kandula S, Olfson M, et al. Age, period, and cohort effects on suicide death in the United States from 1999 to 2018: moderation by sex, race, and firearm involvement. Molecular Psychiatry. 2021; 1–9.
 O’Brien R, Hart G, Hunt K. “Standing out from the herd”: men renegotiating masculinity in relation to their experience of illness. International Journal of Men’s Health. 2007; 6.
 Ahmedani BK, Peterson EL, Hu Y, Rossom RC, Lynch F, Lu CY, et al. Major physical health conditions and risk of suicide. American Journal of Preventive Medicine. 2017; 53: 308–315.
 Kimmel MS. Invisible masculinity. Society. 1993; 30: 28–35.
 Occhipinti S, Laurie K, Hyde MK, Martin S, Oliffe J, Wittert G, et al. Measuring masculinity in men with chronic disease. American Journal of Men’s Health. 2019; 13: 1557988319859706.
 Evans J, Frank B, Oliffe JL, Gregory D. Health, illness, men and masculinities (HIMM): a theoretical framework for understanding men and their health. Journal of Men’s Health. 2011; 8: 7–15.
 Naymark P. Male breast cancer: incompatible and incomparable. Journal of Men’s Health and Gender. 2006; 3: 160–165.
 Pederson CL. The importance of screening for suicide risk in chronic invisible illness. Journal of Health Science and Education. 2018; 2: 1–5.
 Pederson CL, Gorman-Ezell K, Mayer GH. Assessing depression in those who are chronically ill. Counseling Today. 2018; 60: 38–43.
 Raj V, Haman KL, Raj SR, Byrne D, Blakely RD, Biaggioni I, et al. Psychiatric profile and attention deficits in postural tachycardia syndrome. Journal of Neurology, Neurosurgery, and Psychiatry. 2009; 80: 339–344.
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