Future orientation moderates the relationship between functional status and suicide ideation in depressed adults

Hirsch, Jameson K.; Duberstein, Paul R.; Conner, Kenneth R.; Heisel, Marnin J.; Beckman, Anthony; Franus, Nathan; Conwell, Yeates

doi:10.1002/da.20224

Cited by 53 publications

(54 citation statements)

References 60 publications

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“…We chose hopelessness and optimism as key outcome measures due to their established links to suicidality [10][11][12]. Hopelessness has been associated with completed suicide, independent of severity of mood symptoms [46,47], and therefore we chose hopelessness rather than depression as our primary negative psychological measure, especially given the transdiagnostic nature of our study cohort.…”

Section: Methodsmentioning

confidence: 99%

“…Optimism, gratitude and other positive states have been associated with reductions in hopelessness, suicidal ideation and suicide attempts, often independent of depression [10][11][12][13][14][15][16]. Positive emotions in suicidal patients have been linked to improved problem-solving [17], and a study of patients hospitalized for self-harm found that low positive future orientation more strongly predicted recurrent selfharm after discharge than did global hopelessness [18].…”

Section: Introductionmentioning

confidence: 99%

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Feasibility and utility of positive psychology exercises for suicidal inpatients

Huffman

DuBois

Healy

et al. 2014

General Hospital Psychiatry

155

107

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Objective: The objective was to assess the feasibility and acceptability of nine positive psychology exercises delivered to patients hospitalized for suicidal thoughts or behaviors, and to secondarily explore the relative impact of the exercises. Method: Participants admitted to a psychiatric unit for suicidal ideation or behavior completed daily positive psychology exercises while hospitalized. Likert-scale ratings of efficacy (optimism, hopelessness, perceived utility) and ease of completion were consolidated and compared across exercises using mixed models accounting for age, missing data and exercise order. Overall effects of exercise on efficacy and ease were also examined using mixed models. Results: Fifty-two (85.3%) of 61 participants completed at least one exercise, and 189/213 (88.7%) assigned exercises were completed. There were overall effects of exercise on efficacy (χ 2 =19.39; P=.013) but not ease of completion (χ 2 =11.64; P=.17), accounting for age, order and skipped exercises. Effect (Cohen's d) of exercise on both optimism and hopelessness was moderate for the majority of exercises. Exercises related to gratitude and personal strengths ranked highest. Both gratitude exercises had efficacy scores that were significantly (P=.001) greater than the lowest-ranked exercise (forgiveness). Conclusion: In this exploratory project, positive psychology exercises delivered to suicidal inpatients were feasible and associated with short-term gains in clinically relevant outcomes.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Feasibility and utility of positive psychology exercises for suicidal inpatients

Huffman

DuBois

Healy

et al. 2014

General Hospital Psychiatry

155

107

View full text Add to dashboard Cite

show abstract

“…For instance, individuals experiencing difficult life circumstances may be unable to positively reframe or reappraise their negative life experiences (Carver, Scheier, & Weintraub, 1989;Folkman, 1997), an ability that has been found to influence successful reduction of stress-related symptoms (Hirsch et al, 2007b). Further, individuals with a tendency to view the world in a future-oriented manner may think about negative and potentially traumatic life circumstances more favorably and may be less likely to think about or attempt suicide (Hirsch et al, 2007a).…”

Section: Introductionmentioning

confidence: 99%

Dispositional Optimism as a Moderator of the Relationship Between Negative Life Events and Suicide Ideation and Attempts

et al. 2007

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Relatively little research has focused on the role that positive psychological characteristics, such as optimism, might play in the mitigation of stressors and reduction of psychopathology. Dispositional optimism is a trait-like characteristic reflecting a positive attitude or mood regarding the future. This study examined the moderating effect of dispositional optimism on the relationship between negative life experiences and suicide ideation and attempts in a college student sample. Negative life events were associated with current suicide ideation and previous suicide attempts, and dispositional optimism moderated these relationships, after controlling for hopelessness and severity of depression. Individuals with greater optimism have reduced risk for suicide ideation and attempts in the face of low to moderate negative life events; however, this association is changed at the highest levels of negative life events. Implications for 123 treatment include strengthening active and future-focused coping in patients who have experienced negative or potentially traumatic life events to protect against suicidal thoughts and behaviors.

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“…Strong psychometric support exists for the scale in clinical samples (Chang et al, 2013;Hirsch et al, 2007). In the present sample, Cronbach's alpha was .87.…”

Section: Methodsmentioning

confidence: 50%

Future orientation and health quality of life in primary care: vitality as a mediator

et al. 2014

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The final publication is available at Springer via http://dx.doi.org/10.1007/s11136-014-0901-7 eprints@whiterose.ac.uk https://eprints.whiterose.ac.uk/ Reuse Unless indicated otherwise, fulltext items are protected by copyright with all rights reserved. The copyright exception in section 29 of the Copyright, Designs and Patents Act 1988 allows the making of a single copy solely for the purpose of non-commercial research or private study within the limits of fair dealing. The publisher or other rights-holder may allow further reproduction and re-use of this version -refer to the White Rose Research Online record for this item. Where records identify the publisher as the copyright holder, users can verify any specific terms of use on the publisher's website. TakedownIf you consider content in White Rose Research Online to be in breach of UK law, please notify us by emailing eprints@whiterose.ac.uk including the URL of the record and the reason for the withdrawal request. Method: In a sample of 101 primary care patients, we examined whether belief in the changeability of the future was related to mental and physical energization and, in turn, to health related quality of life. Participants were working, uninsured primary care patients, who completed self-report measures of future orientation, vitality, and health related quality of life.Results: Mediation models, covarying age, sex and race/ethnicity, indicated that vitality significantly mediated the association between future orientation and the outcomes of general health, mental health, social functioning, bodily pain, and role limitations due to emotional and physical reasons. Vitality exerted an indirect only effect on the relation between future orientation and physical functioning.

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Future orientation moderates the relationship between functional status and suicide ideation in depressed adults

Cited by 53 publications

References 60 publications

Feasibility and utility of positive psychology exercises for suicidal inpatients

Feasibility and utility of positive psychology exercises for suicidal inpatients

Dispositional Optimism as a Moderator of the Relationship Between Negative Life Events and Suicide Ideation and Attempts

Future orientation and health quality of life in primary care: vitality as a mediator

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