Objective
It is important to understand factors that moderate the likelihood of developing suicidal thoughts following traumatic exposure and posttraumatic stress symptoms.
Method
In this cross‐sectional study, a moderated atemporal mediation analysis was conducted in a sample of 709 college students (71% female, M
age = 19.90 years, 67% Caucasian) to test the associations between trauma, posttraumatic stress disorder (PTSD) symptoms, and suicidal ideation, with grit entered as a moderator of all paths in the equation.
Results
PTSD symptoms mediated the association between trauma and suicidal ideation. Grit moderated the direct pathway from PTSD symptoms to suicidal ideation.
Conclusions
Grit and other constructs of resiliency may inform strength‐focused interventions to remediate the impact of trauma and posttraumatic stress symptoms and potentially reduce suicidal thoughts and risk for suicide.
ObjectiveThe purpose of this integrative review was to explore, appraise and synthesize the current literature on correlates of suicide risk in nurses.DesignIntegrative literature review.Data sourcesCumulative Index to Nursing and Allied Health Literature (CINAHL), Joanna Briggs Institute, PubMed, PsycInfo and Scopus electronic databases were searched for abstracts published between 2005 and 2020. Reference lists were hand searched.Review methodsThe integrative review was based on the Whittemore and Knafl review methodology. Primary qualitative and quantitative studies about suicidal behaviour in nurses published in peer‐reviewed journals were included. The methodological quality of included articles was assessed using the Mixed Methods Assessment Tool.ResultsSeparate correlates of risk and protective factors were identified for suicidal ideation, suicide attempt and death by suicide in nurses.ImplicationsDue to a number of factors at the individual, interpersonal and work levels, nurses are uniquely positioned to be at risk of dying by suicide. The ideation‐to‐action framework provides a theoretical guide to understand the interplay between correlates and the effect it has on increasing a nurses' capability for suicide.ConclusionsThis review integrates the empirical literature to elucidate the concept of suicidal behaviour as it applies to nurses.
A majority of people experience potentially traumatic events but only a subsection develop negative psychological outcomes such as suicidal ideation. As these events may impact existing life-orienting systems, meaning-making processes are utilized to either assimilate new experiences into existing frameworks or revise existing schemas to accommodate novel incidents. The extent to which efficient meaning-making has occurred or the degree to which the events are integrated may be associated with the development of suicidal ideation. Therefore, this study investigated meanings-made as a moderator of the association between exposure to potentially traumatic life events and suicidal ideation. A total of 568 undergraduate students ( Mage = 19.85 years, 69.4% females) completed the online questionnaires. The analyses indicated a significant moderation supporting the hypothesis. The results highlight meaning-making processes as a potential target for interventions directed at the reduction of suicide risk, particularly in individuals exposed to traumatic events.
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