Lifestyle Interventions and Prevention of Suicide

Berardelli, Isabella; Corigliano, Valentina; Hawkins, M. R. S.; Comparelli, Anna; Erbuto, Denise; Pompili, Maurizio

doi:10.3389/fpsyt.2018.00567

Cited by 50 publications

(38 citation statements)

References 135 publications

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“…Finally, the weather has a significant impact on social activities and interactions, especially in vulnerable populations. Interpersonal stress, low social connectedness, and poor social support have been recognized as major risk factors for suicide (62)(63)(64).…”

Section: Discussionmentioning

confidence: 99%

Sensitivity to Climate and Weather Changes in Euthymic Bipolar Subjects: Association With Suicide Attempts

et al. 2020

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Background: Climate and weather are known to affect multiple areas of human life, including mental health. In bipolar disorder (BD), seasonality represents an environmental trigger for mood switches, and climatic variables may contribute to recurrences. Several studies reported seasonal and climatic-related variations in the rate of suicide attempts. Suicide risk is relevant in BD, with approximately 25% of patients attempting suicide. Therefore, this study aimed to assess sensitivity to weather and climatic variations in BD subjects and its relationship with lifetime suicide attempts. Methods: Three hundred fifty-two euthymic BD and 352 healthy control subjects, homogeneous with respect to socio-demographic characteristics, were enrolled. All participants were administered the METEO-Questionnaire (METEO-Q) to evaluate susceptibility to weather and climatic changes. We also investigated the potential relationship between sensitivity to climate and weather and lifetime suicide attempts in BD patients. Results: METEO-Q scores and the number of subjects reaching the cutoff for meteorosensitivity/meteoropathy were significantly higher in BD patients. Within the clinical group, BD subjects with lifetime suicide attempts obtained higher METEO-Q scores, with no differences between BD-I and BD-II. The number of suicide attempts directly correlated with METEO-Q scores. The presence of suicide attempts was associated with the physical and psychological symptoms related to weather variations. Discussion: Our findings support the relevance of sensitivity to weather and climate variations in a large sample of BD subjects and point out the association of this feature with lifetime suicide attempts.

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Section: Discussionmentioning

confidence: 99%

Sensitivity to Climate and Weather Changes in Euthymic Bipolar Subjects: Association With Suicide Attempts

et al. 2020

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“…Increasingly, work-related or personal problems are also causing modern young people to move their homes without settling down. Such changes mean the lack of opportunities to share their lives, including meals, with family or other close social partners, affecting physical health, cognition, emotional state, and behavior [20][21][22]. Most Korean adults either skip breakfast or eat the meal away from home.…”

Section: Introductionmentioning

confidence: 99%

Association between commensality with depression and suicidal ideation of Korean adults: the sixth and seventh Korean National Health and Nutrition Examination Survey, 2013, 2015, 2017

Son

Jang

et al. 2020

Nutr J

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Objectives This study investigated whether commensality (eating a meal with others) is associated with mental health (depression, suicidal ideation) in Korean adults over 19 years old. Methods Our study employed data from the sixth and seventh Korea National Health and Nutritional Examination Surveys (KNHANES) for 2013, 2015, and 2017. The study population consisted of 14,125 Korean adults (5854 men and 8271 women). In this cross-sectional study, data were analyzed with the Rao-Scott chi-square test and multiple logistic regression to evaluate the association between commensality(0[includes skipping meals] to 3 times eating meals together) and both depression and suicidal ideation using select questions from the Mental Health Survey. By setting socioeconomic factors, health conditions, and behavioral factors as confounders, we conducted a subgroup analysis to reveal the effect on depression and suicidal ideation commensality. Results Commensality was significantly associated with depression and suicidal ideation (p < 0.05). In both sexes, people who ate fewer meals together had poorer mental health. In a subgroup analysis, we revealed greater odds of developing depression in men when living in rural areas and belonging to low-income groups. In contrast, greater odds of suicidal ideation in men who ate alone when living in the city and belonging to high-income groups. On the other hand, Women in every region had greater odds of being depressed if they ate alone. And greater odds of suicidal ideation in women who ate alone when living in the city and belonging to medium-high income groups. Conclusions Our analysis confirmed that Korean adults with lower chance of commensality had greater risk of developing depression and suicidal ideation. And it could be affected by individuals’ various backgrounds including socioeconomic status. As a result, to help people with depression and prevent a suicidal attempt, this study will be baseline research for social workers, educators and also policy developers to be aware of the importance of eating together.

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“…The review of lifestyle interventions related to suicide prevention [10] concluded that "lifestyle behaviours including cigarette smoking, alcohol use, and sedentary lifestyle are associated with suicide risk in all age groups" and for adults, "psychiatric symptoms, substance and alcohol abuse, weight, and occupational difficulties seem to have a significant role in suicide risk. However, most of the research cited in adults focuses on people with a history of chronic mental illness.…”

Section: Discussionmentioning

confidence: 99%

“…Jacka and Berk [9] proposed that diet, exercise and smoking are independent risk factors for depression. A review [10] of lifestyle interventions related to suicide prevention noted that alcohol use, smoking and sedentary lifestyles were risk factors for all ages. They also noted that other risk factors varied by age group, with psychiatric symptoms, substance and alcohol use, weight and occupational difficulties being pertinent in adults and organic disease and poor social support being risk factors in the elderly.…”

Section: Introductionmentioning

confidence: 99%

Should we increase the focus on diet when considering associations between lifestyle habits and deliberate self-harm?

2020

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Background Despite increasing awareness of high rates of physical illness and poor lifestyle behaviours among patients with a history of repeated deliberate self-harm (DSH), there is little research on specific lifestyle factors that are potentially problematic for this group. This paper aims to explore the relationship between lifetime repeated DSH and certain lifestyle factors, including balanced meals, eating breakfast, consumption of ‘junk’ food, weight, exercise, substance/alcohol use, smoking and social support, in a cohort of patients who presented to the Emergency Department (ED) with suicidal ideation or DSH. Methods From 2007 to 2016, data from lifestyle and mental health measures were collected from 448 attenders at an outpatient clinic for DSH or suicidal ideation following ED presentation. Lifestyle behaviours (Fantastic Lifestyle Checklist) and mental health (Depression and Anxiety Stress Scale), clinical diagnosis and number of previous DSH episodes were measured on arrival. The associations between lifestyle variables and the number of lifetime DSH episodes were examined. Results Sex, age, depression symptoms, poor diet, and smoking were all associated with a higher average number of deliberate self-harm episodes across the lifespan. There were non-significant positive trends for the other poor lifestyle behaviours. There was no association between DSH episodes and diagnosis of depression or anxiety disorder. In a multiple linear regression model, the only factors that remained significant were age, smoking and eating balanced meals, however, the relationship between smoking and lifetime DSH was moderated by more immediate DSH behaviours. Conclusion In this sample of patients referred to a service following presentation to the ED with acute mental health concerns, balanced meals and smoking were the lifestyle behaviours that were found to have the strongest independent association with repeated DSH across the lifespan.

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Lifestyle Interventions and Prevention of Suicide

Cited by 50 publications

References 135 publications

Sensitivity to Climate and Weather Changes in Euthymic Bipolar Subjects: Association With Suicide Attempts

Sensitivity to Climate and Weather Changes in Euthymic Bipolar Subjects: Association With Suicide Attempts

Association between commensality with depression and suicidal ideation of Korean adults: the sixth and seventh Korean National Health and Nutrition Examination Survey, 2013, 2015, 2017

Should we increase the focus on diet when considering associations between lifestyle habits and deliberate self-harm?

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