Anxious temperament as a risk factor of suicide attempt

Tanabe, Sanshi; Terao, Takeshi; Shiotsuki, Ippei; Kanehisa, Masayuki; Ishii, Keisuke; Shigemitsu, Osamu; Fujiki, Minoru; Hoaki, Nobuhiko

doi:10.1016/j.comppsych.2016.04.001

Cited by 13 publications

(11 citation statements)

References 21 publications

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“…Considering the relevant literature, however, we found that both anxious temperament and harm avoidance predicted suicide, whereas hyperthymic temperament protected against suicide, although the effects of temperament may be indirect . As shown in Figure , it is speculated that both anxious temperament (depressive proneness) and harm avoidance (passive proneness) have an effect that accelerates the shift from mood disorder to suicide.…”

Section: Discussionmentioning

confidence: 75%

Relationship between anxious temperament and harm avoidance in medical students and staff

Shirahama

Terao

Ishii

et al. 2018

Psychiatry Clin Neurosci

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Section: Discussionmentioning

confidence: 75%

Relationship between anxious temperament and harm avoidance in medical students and staff

Shirahama

Terao

Ishii

et al. 2018

Psychiatry Clin Neurosci

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“…Established suicide risk attempt factors include anxiety disorders 38,39 , bipolar disorders 40 , substance abuse 6,41,42 , pain 43 , disability 44 , bereavement 45 , and more. Prior studies have predominantly examined the clinical and statistical relationship among these risk factors and suicide attempts through univariate analysis or simple logistic regression.…”

Section: Discussionmentioning

confidence: 99%

Development of an early-warning system for high-risk patients for suicide attempt using deep learning and electronic health records

Zheng

Wang²,

Hao

et al. 2020

Transl Psychiatry

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Suicide is the tenth leading cause of death in the United States (US). An early-warning system (EWS) for suicide attempt could prove valuable for identifying those at risk of suicide attempts, and analyzing the contribution of repeated attempts to the risk of eventual death by suicide. In this study we sought to develop an EWS for high-risk suicide attempt patients through the development of a population-based risk stratification surveillance system. Advanced machine-learning algorithms and deep neural networks were utilized to build models with the data from electronic health records (EHRs). A final risk score was calculated for each individual and calibrated to indicate the probability of a suicide attempt in the following 1-year time period. Risk scores were subjected to individual-level analysis in order to aid in the interpretation of the results for health-care providers managing the at-risk cohorts. The 1-year suicide attempt risk model attained an area under the curve (AUC ROC) of 0.792 and 0.769 in the retrospective and prospective cohorts, respectively. The suicide attempt rate in the "very high risk" category was 60 times greater than the population baseline when tested in the prospective cohorts. Mental health disorders including depression, bipolar disorders and anxiety, along with substance abuse, impulse control disorders, clinical utilization indicators, and socioeconomic determinants were recognized as significant features associated with incident suicide attempt.

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“…Indeed, three systematic reviews found that high levels of impulsivity (associated with low levels of the Inhibitory Control facet of EC), high levels of aggression and anxiety (associated with the Aggression and Fear facets of NE, respectively), and high levels of noveltyseeking (associated with the Surgency facet of PE) were consistently associated with increased suicidal ideation, plans, attempts, and deaths (Brezo, Paris, & Turecki, 2006a;Frances, Fyer, & Clarkin, 1986;Gvion & Apter, 2011). Two studies of Japanese (Tanabe et al, 2016) and Lebanese adults (Karam et al, 2015) found that suicide attempts were associated with anxious and irritable temperament scores on the TEMPS-A (Akiskal et al, 2005). Together, these studies highlight that the temperamental domains of EC and NE, and possibly PE, are related to suicidal ideation and behaviors.…”

Section: Personality and Suicidementioning

confidence: 99%

The role of temperament in the onset of suicidal ideation and behaviors across adolescence: Findings from a 10-year longitudinal study of Mexican-origin youth.

Lawson¹,

Kellerman²,

Kleiman³

et al. 2022

Journal of Personality and Social Psychology

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Suicide among young people is an increasingly prevalent and devastating public health crisis around the world. To reduce the rate of suicide, it is important to identify factors that can help us better predict suicidal ideation and behaviors. Adolescent temperament (Effortful Control, Negative Emotionality, Positive Emotionality) may be a source of risk and resilience for the onset of suicidal ideation, plans, and attempts. The present study uses longitudinal data from a large, community sample of Mexican-origin youth (N=674), assessed annually from age 12 to 21, to examine how temperament is associated with the onset of suicidal ideation and behaviors during adolescence and young adulthood. Results indicate that higher levels of Effortful Control (Activation Control, Inhibitory Control, Attention) are associated with decreased probability of experiencing the onset of suicidal ideation, plans, and attempts, whereas higher levels of Negative Emotionality (particularly Aggression, Frustration, and Depressed Mood) are associated with increased probability of experiencing the onset of suicidal ideation and behaviors. Positive Emotionality (Surgency, Affiliation) was not associated with the onset of suicidal ideation and behaviors. Supplemental analyses showed conceptually similar findings for the Big Five, with Conscientiousness associated with decreased risk, Neuroticism associated with increased risk, and the other three dimensions showing largely null results. The findings did not vary significantly for boys and girls or for youth born in the U.S. versus Mexico. Overall, these findings suggest that adolescent temperament serves as both a protective factor (via Effortful Control/Conscientiousness) and a risk factor (via Negative Emotionality/Neuroticism) for suicidal ideation and behaviors in Mexican-origin youth.

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Anxious temperament as a risk factor of suicide attempt

Cited by 13 publications

References 21 publications

Relationship between anxious temperament and harm avoidance in medical students and staff

Relationship between anxious temperament and harm avoidance in medical students and staff

Development of an early-warning system for high-risk patients for suicide attempt using deep learning and electronic health records

The role of temperament in the onset of suicidal ideation and behaviors across adolescence: Findings from a 10-year longitudinal study of Mexican-origin youth.

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