Preventing Adolescent and Young Adult Suicide: Do States With Greater Mental Health Treatment Capacity Have Lower Suicide Rates?

Goldstein, Evan V.; Prater, Laura; Wickizer, Thomas M.

doi:10.1016/j.jadohealth.2021.06.020

Cited by 10 publications

(7 citation statements)

References 46 publications

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“…Previous studies have suggested that children cannot fully understand the concept of suicide until the age of 10 years [18], therefore only participants aged 10-17 years were further included. Other exclusion criteria include: (1) The participants themselves, their parents or legal guardians refused to participate the survey;…”

Section: Participantsmentioning

confidence: 99%

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Childhood maltreatment and suicidal ideation in Chinese children and adolescents: the mediating role of mindfulness

et al. 2022

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Background Childhood maltreatment (CM) has been associated with suicidal ideation (SI) in children and adolescents, yet the mediating role of mindfulness in this association remains unclear. This study aims to test the mediation of mindfulness in CM-SI association among a large sample of Chinese children and adolescents. Methods A population-based cross-sectional study of 3455 children and adolescents aged 10–17 years from southwest China Yunnan province was conducted. Information from the participants was collected by using a comprehensive self-administered questionnaire. The Chinese version of the Childhood Trauma Questionnaire (CTQ), Five Facet Mindfulness Questionnaire (FFMQ), and the Beck Scale for Suicidal Ideation (BSSI) were used to measure CM, mindfulness and SI. Univariate and multivariate binary logistic regression models were used to estimate the crude and adjusted associations between CM, mindfulness and SI (one-week, one-year, lifetime). Pathway analysis was subsequently performed to test the mediation of mindfulness in CM-SI association. Results The findings showed that mindfulness, CM and SI were significantly correlated with each other (p < 0.05). Mindfulness is a significant mediator in CM-SI association, accounted for 7.5, 11.4, and 17.6% of the total associations for one-week SI, one-year SI, and lifetime SI, respectively. For the five types of CM, the highest level of mediation via mindfulness had been found for physical neglect (PN) and one-year SI (34.3%), followed by emotional neglect (EN) and one-year SI (30.2%), sexual abuse (SA) and one-year SI (25.4%). Conclusions Our study findings highlight the intervention potential of mindfulness in preventing CM associated suicidal risk. Future longitudinal studies are warranted to corroborate the effectiveness of mindfulness-based intervention for Chinese children and adolescents.

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Section: Participantsmentioning

confidence: 99%

“…In recent years, youth suicide is keep increasing at a significant rate and it is currently the second leading cause of death for children and adolescents [1]. Suicide is in essence a continuum, it starts from suicidal ideation (SI), via suicidal plan, suicidal attempt, ends at completed suicide [2].…”

Section: Introductionmentioning

confidence: 99%

Childhood maltreatment and suicidal ideation in Chinese children and adolescents: the mediating role of mindfulness

et al. 2022

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“…Mental health is a level of psychological well-being, which is defned as "a happy state in which individuals are able to function at a satisfactory level of emotional and behavioral adjustment" [1]. According to data of the World Health Organization, nearly 75% of psychological problems occur in youth [2]. Contemporary college students are in an era of rapid social change, facing the increasingly complex competition in the modern society.…”

Section: Introductionmentioning

confidence: 99%

The Mediating Effect of Mental Health Literacy on Psychological Resilience and Psychological Distress of Medical College Students

Zhang

Xiang-Zi

Zhou

2023

Perspectives in Psychiatric Care

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Purpose. Psychological resilience plays an important role in relieving the psychological distress. However, little is known about its underlying mechanisms. Mental health literacy, an important way to promote mental health, may mediate the effect of psychological resilience on psychological distress. This study aimed to explore the relationship between mental health literacy, psychological resilience, and psychological distress and explore the mediating effect between psychological resilience and psychological distress. Design and Methods. A cross-sectional study design was used. A total of 627 medical students were selected from one university. An electronic questionnaire was administered to collect information on the level of mental health literacy, psychological resilience, and psychological distress. Pearson’s correlation analysis was used in analyzing the relationship, and the Bootstrap method was used to test the mediating effects. Findings. Psychological distress significantly negatively correlated with mental health literacy and psychological resilience ( P < 0.001 ). The indirect effect of mental health literacy accounted for 50.43% of the total effect between psychological resilience and psychological distress. Practical Implication. Psychological resilience decreased the level of psychological distress, and this relationship was partially mediated by mental health literacy. These findings showed that efforts aimed at enhancing the mental health literacy may prevent or reduce the prevalence of psychological distress symptoms among college students.

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“…An additional problem is the reluctance of people to seek help when they start experiencing emotional distress, anxiety, or depression [ 7 , 8 , 9 , 10 , 11 ]. Psychiatric intervention for individuals with worsening mental health is critical to treating depression and anxiety and preventing suicide [ 12 , 13 , 14 ].…”

Section: Introductionmentioning

confidence: 99%

“…In response to the disparities in access to care, recent studies have focused on mental health prevention and treatment programs [ 8 , 9 , 10 , 11 , 12 , 13 , 14 ]. Researchers have used Markov chain models to analyze and evaluate mental health programs in the past, including suicide prevention models.…”

Section: Introductionmentioning

confidence: 99%

A Markov Chain Model for Mental Health Interventions

Chipperfield

Moyce

Albano

et al. 2023

IJERPH

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Poor mental health affects nearly one billion people worldwide and can end in suicide if not treated. Unfortunately, stigma and a lack of mental healthcare providers are barriers to receiving needed care. We developed a Markov chain model to determine whether decreasing stigma or increasing available resources improves mental health outcomes. We mapped potential steps in the mental health care continuum with two discrete outcomes: getting better or committing suicide. Using a Markov chain model, we calculated probabilities of each outcome based on projected increases in seeking help or availability of professional resources. Modeling for a 12% increase in awareness of mental health concerns yielded a 0.39% reduction in suicide. A 12% increase in access to professional help yielded a 0.47% reduction in suicide rate. Our results show that expanding access to professional services has a higher impact on reducing suicide rates than creating awareness. Any intervention towards awareness or access positively impacts reducing suicide rates. However, increased access results in a higher reduction in suicide rates. We have made progress in increasing awareness. Awareness campaigns help to increase recognition of mental health needs. However, focusing efforts on increasing access to care may have a higher impact on reducing suicide rates.

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Preventing Adolescent and Young Adult Suicide: Do States With Greater Mental Health Treatment Capacity Have Lower Suicide Rates?

Cited by 10 publications

References 46 publications

Childhood maltreatment and suicidal ideation in Chinese children and adolescents: the mediating role of mindfulness

Childhood maltreatment and suicidal ideation in Chinese children and adolescents: the mediating role of mindfulness

The Mediating Effect of Mental Health Literacy on Psychological Resilience and Psychological Distress of Medical College Students

A Markov Chain Model for Mental Health Interventions

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