Reliability and validity of short Beck Hopelessness Scale in psychological autopsy study among Chinese rural elderly

Ma, Zhenyu; He, Qiuping; Nie, Guanghui; Jia, Cun-Xian; Zhou, Liang

doi:10.1017/s1041610219001315

Cited by 16 publications

(20 citation statements)

References 29 publications

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“…Psychological autopsy has been shown to be an effective method for thoroughly assessing an individual's state of mind and life circumstances postmortem to investigate suicide deaths (Weinberger et al, 2018). Thus, family member informants are able to provide accurate information about the decedent's medical history (Klinkenberg et al, 2003), the presence of psychotic disorders and mood disorders (Sundqvist et al, 2008), and even internal states such as hopelessness (Ma et al, 2020). Furthermore, research has found a high level of agreement when psychological autopsy procedures are evaluated using a sample of living depressed psychiatric inpatients as compared with their family member informants (DeJong & Overholser, 2009).…”

Section: Discussionmentioning

confidence: 99%

The path not taken: Distinguishing individuals who die by suicide from those who die by natural causes despite a shared history of suicide attempt

et al. 2021

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Objectives This study aimed to identify variables that distinguish suicide risk among individuals with previous suicide attempts. Method Using psychological autopsy procedures, we evaluated 86 decedents who had at least one lifetime suicide attempt before eventual death by suicide (n = 65) or natural causes (n = 21). Results The Suicide Death group was more likely to be male, to have alcohol in the toxicology report at time of death, and to have a depression diagnosis, while the Natural Cause Death group was more likely to have personality disorder traits, a polysubstance use disorder, higher reported health stress, and an antidepressant in the toxicology report at time of death. Hopelessness and ambivalence were found to distinguish between groups during the 6 months before death. Conclusions These findings suggest important differences between individuals with a shared history of a suicide attempt who die by suicide versus natural causes.

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Section: Discussionmentioning

confidence: 99%

The path not taken: Distinguishing individuals who die by suicide from those who die by natural causes despite a shared history of suicide attempt

et al. 2021

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“…For BHS-4, the subject–proxy agreement was good (ICC = 0.682). The Cronbach's alpha was 0.834 ( 27 ). Moreover, the subject–proxy agreements on pain intensity (ICC = 0.504) and perceived burden (ICC = 0.487) were fair.…”

Section: Methodsmentioning

confidence: 99%

The Mediating Role of Depressive Symptoms, Hopelessness, and Perceived Burden on the Association Between Pain Intensity and Late-Life Suicide in Rural China: A Case–Control Psychological Autopsy Study

Wang

et al. 2021

Front. Psychiatry

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Background: Few studies have investigated the roles of psychosocial factors such as depressive symptoms and hopelessness on the relationship between pain and suicide with inconsistent results. The study aimed to analyze the impact of pain intensity on suicide death and to estimate the degree to which depressive symptoms, hopelessness, and perceived burden may explain the association in Chinese rural elderly.Methods: Using a 1:1 matched case–control design, we collected data from 242 elderly suicide cases and 242 living community controls by psychological autopsy method in rural China, including sociodemographic characteristics, pain intensity, depression, hopelessness, perceived burden, physical diseases, and social support. Conditional logistic regression was employed to assess the association between pain intensity and completed suicide. Mediation analysis using the KHB method was applied to explore the mediation effects from depressive symptoms, hopelessness, and perceived burden.Results: The result of multivariable logistic regression showed that unemployment [odds ratio (OR) = 5.06, 95% confidence interval (CI): 1.76–14.49], higher levels of hopelessness (OR = 7.72, 95% CI: 3.49–17.10), depressive symptom (OR = 15.82, 95% CI: 4.53–55.25), and severe pain (OR = 3.46, 95% CI: 1.31–9.13) were significantly associated with elevated suicide risk in older adults in rural China. Depressive symptoms, hopelessness, and perceived burden significantly mediated 43.71% of the pain–suicide association (p = 0.020), with 17.39% due to depressive symptoms, 17.63% due to hopelessness, and 8.69% due to perceived burden.Conclusions: Regular screening of pain, depressive symptoms, hopelessness, and perceived burden using simple but sensitive questions or scales for older adults with pain is vital for the prevention and early detection of suicide risk in Chinese rural areas. Moreover, the importance of pain management and psychological interventions targeted on depressive symptoms and hopelessness should be emphasized.

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“…34 Mental health professionals with expertise in post-mortem work conceptualize each case until a consensus is reached. 35 Psychological autopsies are reliable and valid for determining psychological diagnoses 26 and psychological states 36 of individuals who have died by suicide. As recommended for psychological autopsy research, 37 the present assessment included structured interviews with family members, medical examiner’s report, police report, suicide notes, prior medical and psychiatric records, and autopsy toxicology results.…”

Section: Methodsmentioning

confidence: 99%

Suicide among older adults: Interactions among key risk factors

Hernandez

Overholser

Philips

et al. 2020

Int J Psychiatry Med

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Objective The present study aimed to understand how key risk factors of older adult suicide interact to ultimately lead to death by suicide using data collected post-mortem. Method A psychological autopsy was used to gather detailed information about psychiatric diagnosis, medical problems, social isolation, and negative attitudes expressed by the individual during the six months prior to their death. Interviews with next-of-kin, medical and psychiatric records, and the Cumulative Illness Rating Scale for Geriatrics were used. Subjects included 32 older adults who died by suicide and 45 older adults who died by natural causes. Results Hopelessness, depression, and negative health attitudes were strongly correlated with suicide. Older age was associated with social isolation, suggesting an indirect relationship with suicide via hopelessness, depression, and negative health attitudes. Physical illness did not increase risk. Multivariate analyses suggested that hopelessness fully mediated the effects of social isolation, negative health attitudes, and depression on suicide. Conclusions Psychological factors played the largest role in suicide deaths compared to social isolation and physical illness. Suicide interventions aimed at older adults should ensure hopelessness, depression, and negative health attitudes are primary targets.

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Reliability and validity of short Beck Hopelessness Scale in psychological autopsy study among Chinese rural elderly

Cited by 16 publications

References 29 publications

The path not taken: Distinguishing individuals who die by suicide from those who die by natural causes despite a shared history of suicide attempt

The path not taken: Distinguishing individuals who die by suicide from those who die by natural causes despite a shared history of suicide attempt

The Mediating Role of Depressive Symptoms, Hopelessness, and Perceived Burden on the Association Between Pain Intensity and Late-Life Suicide in Rural China: A Case–Control Psychological Autopsy Study

Suicide among older adults: Interactions among key risk factors

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