Characterizing the phenomenology of passive suicidal ideation: a systematic review and meta-analysis of its prevalence, psychiatric comorbidity, correlates, and comparisons with active suicidal ideation

Liu, Richard T.; Bettis, Alexandra H.; Burke, Taylor A.

doi:10.1017/s003329171900391x

Cited by 136 publications

(90 citation statements)

References 118 publications

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“…Since participants were drawn from the community very few had active suicidal thoughts or behaviors at the time of scanning, and therefore were not necessarily representative of, and comparable to, clinical cases. However, passive ideation has been shown to be associated with significant psychiatric comorbidity and be similar to active ideation in terms of risk factors 63 , as also shown in this study. In addition, this approach avoids referral biases and might aid the identification of suicidality in community samples.…”

Section: Discussionsupporting

confidence: 84%

Multimodal neuroimaging and suicidality in a US population-based sample of school-aged children

Vidal‐Ribas¹,

Janiri

Doucet

et al. 2019

Preprint

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Importance: Suicide deaths and suicidality are considered a public health emergency, yet their brain underpinnings remain elusive. Objective: To examine individual, environmental, and clinical characteristics, as well as multimodal brain imaging correlates of suicidality in a US population-based sample of school-aged children. Design: Cross-sectional analysis of the first wave of data from the Adolescent Brain Cognitive Development study Setting: Multicenter population-based study Participants: Children aged 9-10 years from unreferred, community samples with suicidality data available (n=7,994). Following quality control, we examined structural magnetic resonance imaging (sMRI) (n=6,238), resting state functional MRI (rs-fMRI) (n=4,134), and task-based fMRI (range n=4,075 to 4,608). Exposure: Lifetime suicidality, defined as suicidal ideation, plans and attempts reported by children or/and caregivers. Main Outcomes and Measures: Multimodal neuroimaging analyses examined differences with Welch t-test and Equivalence Tests, with observed effect sizes (ES, Cohen d) and their 90% confidence interval (CI) < |0.15|. Predictive values were examined using the area under precision-recall curves (AUPRC). Measures included, cortical volume and thickness, large-scale network connectivity and task-based MRI of reward processing, inhibitory control and working memory. Results: Among the 7,994 unrelated children (3,757 females [47.0%]), those will lifetime suicidality based on children (n=684 [8.6%]; 276 females [40.4%]), caregiver (n=654 [8.2%]; 233 females [35.6%]) or concordant reports (n=198 [2.5%]; 67 females [33.8%]), presented higher levels of social adversity and psychopathology on themselves and their caregivers compared to never-suicidal children (n=6,854 [85.7%]; 3,315 females [48.3%]). A wide range of brain areas was associated with suicidality, but only one test (0.06%) survived statistical correction: children with caregiver-reported suicidality had a thinner left bank of the superior temporal sulcus compared to never-suicidal children (ES=-0.17, 95%CI -0.26, -0.08, pFDR=0.019). Based on the prespecified bounds of |0.15|, ~48% of the group mean differences for child-reported suicidality comparisons and a ~22% for parent-reported suicidality comparisons were considered equivalent. All observed ES were relatively small (d≤|0.20|) and with low predictive value (AUPRC≤0.10). Conclusion and Relevance: Using commonly-applied neuroimaging measures, we were unable to find a discrete brain signature related to suicidality in youth. There is a great need for improved approaches to the neurobiology of suicide.

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Section: Discussionsupporting

confidence: 84%

Multimodal neuroimaging and suicidality in a US population-based sample of school-aged children

Vidal‐Ribas¹,

Janiri

Doucet

et al. 2019

Preprint

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“…Suicidal ideation (SI) often precedes suicide attempts 6 . Rates of SI among individuals with FEP are high both at its initial presentation (ranging from 22% to 47%) and in the post‐acute phase 7‐10 .…”

Section: Introductionmentioning

confidence: 99%

Trajectories of suicidal ideation after first‐episode psychosis: a growth mixture modeling approach

Salagre

Grande

Jiménez

et al. 2021

Acta Psychiatr Scand

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Objective: The period immediately after the onset of first-episode psychosis (FEP) may present with high risk for suicidal ideation (SI) and attempts, although this risk may differ among patients. Thus, we aimed to identify trajectories of SI in a 2-years follow-up FEP cohort and to assess baseline predictors and clinical/functional evolution for each trajectory of SI. Methods: We included 334 FEP participants with data on SI. Growth mixture modeling was used to identify trajectories of SI. Putative sociodemographic, clinical, and cognitive predictors of the distinct trajectories were examined using multinomial logistic regression.

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“…The participant further explains how “thin” the line is in acknowledging being “passively suicidal”—welcoming death or not actively trying to stay alive, but not actively trying to die. Such a position is concerning for many reasons, including that attitudes toward death could impact propensities to engage in risky decision-making or behaviours [ 37 , 38 ].…”

Section: Resultsmentioning

confidence: 99%

Correctional Work: Reflections Regarding Suicide

Genest

Ricciardelli

Carleton

2021

IJERPH

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The Public Health Agency of Canada declared suicide a public health problem in Canada (2016). Employees working in correctional services, researchers find, experience high rates of life-time suicidal ideation in comparison to other public safety professionals and the general population. Suicide behaviours (i.e., ideation, planning, attempts, death) are a multifactorial phenomenon, explained in part by the Interpersonal-Psychological Theory of Suicide that suggests attempted suicide is facilitated by perceived burdensomeness, a lost sense of belonging, a feeling of hopelessness, and a progressively reduced fear of death, as well as capacity and planning to engage a lethal attempt. In the current study, we unpack the factors that can influence suicide behaviours as reported by correctional workers. Our intent is to make explicit the experiences of a small sample (n = 25) of correctional workers in relation to suicidal behaviours, highlighting stories of recovery and acknowledging the importance of facilitating psychologically safe workplaces. Analysis entailed an inductive semi-grounded emergent theme approach. Participants identified certain risk factors as being able to induce suicidal ideation, such as marital or family problems as well as difficulties at work (i.e., bullying or difficult working conditions). Having children and a partner may act as factors preventing suicide for those with ideation. Participants sought help from professionals, such as their family doctor, a psychologist, or the Employee Assistance Program (EAP); however, the lack of perceived organisational supports and recognition of the issue of suicide by the employer are two elements that can hinder the search for help.

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Characterizing the phenomenology of passive suicidal ideation: a systematic review and meta-analysis of its prevalence, psychiatric comorbidity, correlates, and comparisons with active suicidal ideation

Cited by 136 publications

References 118 publications

Multimodal neuroimaging and suicidality in a US population-based sample of school-aged children

Multimodal neuroimaging and suicidality in a US population-based sample of school-aged children

Trajectories of suicidal ideation after first‐episode psychosis: a growth mixture modeling approach

Correctional Work: Reflections Regarding Suicide

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