Application of an Interpersonal-Psychological Model of Suicidal Behavior to Physicians and Medical Trainees

Cornette, M; deRoon‐Cassini, Terri; Fosco, Gregory M.; Holloway, Richard L.; Clark, David; Joiner, Thomas E.

doi:10.1080/13811110802571801

Cited by 44 publications

(38 citation statements)

References 50 publications

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“…Most cases of self-poisoning involve the ingestion of pesticides or pharmaceutical drugs [5,6]. The majority of suicide attempters in urban areas use psychotropic drugs such as tranquillisers and anti-psychotics [7], whereas in rural areas, pesticides or other chemicals used in agriculture dominate [6,8]. In a previous article [7] we showed that methods used vary between urban and rural areas of Vietnam.…”

Section: Introductionmentioning

confidence: 99%

“…The majority of suicide attempters in urban areas use psychotropic drugs such as tranquillisers and anti-psychotics [7], whereas in rural areas, pesticides or other chemicals used in agriculture dominate [6,8]. In a previous article [7] we showed that methods used vary between urban and rural areas of Vietnam. It is of interest to find out whether there is a shift in methods used also in rural areas, where some groups move from mainly farming to other occupations and salary work.…”

Section: Introductionmentioning

confidence: 99%

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Suicide attempt in a rural area of Vietnam: Incidence, methods used and access to mental health care

Nguyen

Dalman

et al. 2010

Int J Ment Health Syst

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ObjectivesThe study aims to determine the incidence of suicide attempt, describe the methods used, and assess use of health care services including mental health care after suicide attempt in a rural area of Vietnam.MethodsAll suicide attempters (104) during 2003-2007 were listed, diagnosed and re-evaluated by trained physicians according to the research criteria of the WHO Multicentre Study of Attempted Suicide. All attempters were interviewed by trained medical staff to investigate methods used, socio-demographic characteristics and use of health services.ResultsThe yearly incidence was 10.2 per 100000 person-years, 10.6 per 100000 in males and 9.8 per 100000 in females. 99% of cases committed suicide attempt by poisoning, 62.6% by pesticides and 36.3% by pharmaceutical drugs. 34.3% reported having been in contact with somatic care and 13.2% had received mental health care. Among those who reported some treatment received, 47.5% had been in contact with official health care services, 8.1% had pharmacy keepers' consultation or were treated by traditional healers and 4% reported self treatment.ConclusionThe incidence of suicide attempt was lower in this population compared to other settings. While the majority of attempters use pesticides, many had used psychotropic drugs. Contact with mental health services following the attempt was very limited in this setting. Suicide prevention for this high risk group should focus on reducing access to pesticides and psychotropic drugs. Mental health services should be made more accessible in rural areas.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Suicide attempt in a rural area of Vietnam: Incidence, methods used and access to mental health care

Nguyen

Dalman

et al. 2010

Int J Ment Health Syst

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“…Finally, residents become habituated to the suffering associated with self-injury and death. Additionally, they are familiar with properties and lethal dosing of medications (Cornette et al, 2009). …”

Section: Possible Consequences Of Depression In Resident Physiciansmentioning

confidence: 99%

Depression in Resident Physicians: A Systematic Review

Joules¹,

Williams²,

Thompson³

2014

OJD

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Objective: To complete a systematic review of the literature addressing major depression in resident physicians. Methods: In 2013, the authors completed a systematic review of articles addressing major depression in physicians in United States residency programs. The following keywords were used: anxiety, stress, and mood, medical residents or interns, physician residents, graduate medical education, depression, stress or anxiety, and suicide. Results: The prevalence of depression in resident physicians is higher than that of the general population. Many sociodemographic and residency-associated factors have been studied in their relation to resident physician depression. Only physical health, an unhappy childhood, and stress at work were found to have association with depression, while the amount of call, lifestyle, age, income, and season of the year were not associated with depression. Other factors had an equivocal relationship. Depression in resident physicians is associated with medical errors, decreased ability to handle work-related stress, leaves of absence, discontinuation of medical training, disruption in personal lives, and suicide. Intervention with treatment for depression, using a low-cost, confidential, off-campus program, was successful. However, physicians may hesitate to seek treatment for mental illness because of the professional consequences, such as difficulty with medical licensing, hospital privileges, and malpractice insurance. Conclusions: Major depression is common in resident physicians in the United States. It has a negative impact on the lives of the doctors and the patients whom they treat. There appear to be effective ways of assisting residents with major depression available to training programs. Keywords

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“…The roles include emotional support and instrumental support. In fact instrumental support, in the form of tangible service, often affects how well people cope with despair and hopelessness (Beckerman, Heft LaPorte, & Cicchetti, 2008;Carrico, 2007;Cornette et al, 2009). However, some HIV-infected people and their families experience discrimination, isolation, and loneliness.…”

Section: Hiv/burdensomenessmentioning

confidence: 97%

“…His theory includes three basic parts; acquired capacity, perceived burdensomeness, and thwarted belongingness. The theory has been tested on undergraduate students (Van Orden, Witte, Gordon, Bender, & Joiner, 2008), individuals aged 70 and older contacted through their primary care physician (Jahn & Cukrowicz, 2011), physicians and medical trainees (Cornette et al, 2009), and military personnel (Selby et al, 2010). The current research seeks to extend the current studies by examining the theory in relation to suicidal behaviors and HIV/AIDS.…”

Section: Introductionmentioning

confidence: 92%

Suicidal Behavior and HIV/AIDS: A Partial Test of Joiner's Theory of Why People Die by Suicide

Msw

2013

Social Work in Mental Health

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Suicidal behavior occurs among people living with HIV/AIDS.Thomas Joiner has postulated that in order to complete suicide three variables must be present-perceived burdensomeness and thwarted belongingness, and acquired capacity. We examined these three concepts in a partial test of Thomas Joiner's interpersonal-psychological theory of suicidal behavior. Our sample consisted of 52 individuals that were receiving services at HIV/AIDS clinics. These individuals were divided into two groups-one with suicidal behaviors, the other with no suicidal behaviors. Acquired capacity was limited to medication adherence and both groups reported good adherence with their medications. Results show those in the suicidal behavior group experience slightly more perceived burdensomeness and feelings of thwarted belongingness than those in the no suicidal behaviors group. These findings and suggestions for future research are presented.

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Application of an Interpersonal-Psychological Model of Suicidal Behavior to Physicians and Medical Trainees

Cited by 44 publications

References 50 publications

Suicide attempt in a rural area of Vietnam: Incidence, methods used and access to mental health care

Suicide attempt in a rural area of Vietnam: Incidence, methods used and access to mental health care

Depression in Resident Physicians: A Systematic Review

Suicidal Behavior and HIV/AIDS: A Partial Test of Joiner's Theory of Why People Die by Suicide

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