Social isolation and suicide risk: Literature review and perspectives

Motillon-Toudic, Chloé; Walter, Michel; Séguin, Monique; Carrier, Jean-Daniel; Berrouiguet, Sofian; Lemey, Christophe

doi:10.1192/j.eurpsy.2022.2320

Cited by 67 publications

(30 citation statements)

References 59 publications

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“…This also indicates that variables other than NSSI may play mediating roles in the relation of sexual minority stigma with suicide risk. According to the psychological mediation framework (Hatzenbuehler, 2009), further studies can incorporate these variables, including rumination, emotional dysregulation, and social isolation, that are risk factors for suicide (Motillon-Toudic et al, 2022; Rogers & Joiner, 2017).…”

Section: Discussionmentioning

confidence: 99%

Good or bad? The influence of filial piety belief on nonsuicidal self-injury and suicide risk among young gay men in China.

Ying,

Liu,

Chen

et al. 2023

Psychology of Sexual Orientation and Gender Diversity

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Young Chinese gay men are at a high risk of suicide and experience severe culture-related sexual minority stigma. Little research has investigated the relation between sexual minority stigma and suicide risk from a traditional Chinese cultural perspective. This study used minority stress theory and psychological mediation framework to investigate a moderated mediation model of sexual minority stigma, nonsuicidal self-injury (NSSI), suicide risk, and filial piety belief (FPB; including reciprocal and authoritarian). A total of 291 young Chinese gay men (aged 18–30, Mage = 23.7 years, SD = 3.5) participated in this study. A significant positive indirect relation of sexual minority stigma to suicide risk through NSSI was found. Reciprocal FPB moderated the relation of NSSI to suicide risk, but did not moderate the relations of sexual minority stigma with NSSI or suicide risk. Specifically, a higher level of reciprocal FPB buffered the relation of NSSI to suicide risk. Authoritarian FPB did not moderate any relations in the model. These findings suggest interventions focusing on NSSI may reduce the effect of sexual minority stigma on suicide risk. Therapists and educators may consider the beneficial but limited impact of reciprocal FPB on psychological crisis intervention among young Chinese gay men.

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Section: Discussionmentioning

confidence: 99%

Good or bad? The influence of filial piety belief on nonsuicidal self-injury and suicide risk among young gay men in China.

Ying,

Liu,

Chen

et al. 2023

Psychology of Sexual Orientation and Gender Diversity

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show abstract

“…We also found 'social isolation' and 'violence' as two of the most common positive SBDH predictors. Prior studies showed a higher association between social isolation and suicide risk 12,[42][43][44][45] . Exposure to violence is also a well-known risk factor for suicidality 12,46,47 .…”

Section: Ensemble Learningmentioning

confidence: 92%

Predicting Suicide Among US Veterans Using Natural Language Processing-enriched Social and Behavioral Determinants of Health

Mitra,

Chen,

Liu

et al. 2024

Preprint

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Despite recognizing the critical association between social and behavioral determinants of health (SBDH) and suicide risk, SBDHs from unstructured electronic health record (EHR) notes for suicide predictive modeling remain underutilized. This study investigates the impact of SBDH, identified from both structured and unstructured data utilizing a natural language processing (NLP) system, on suicide prediction within 7, 30, 90, and 180 days of discharge. Using EHR data of 2,987,006 Veterans between October 1, 2009, and September 30, 2015, from the US Veterans Health Administration (VHA), we designed a case-control study that demonstrates that incorporating structured and NLP-extracted SBDH significantly enhances the performance of three architecturally distinct suicide predictive models - elastic-net logistic regression, random forest (RF), and multilayer perceptron. For example, RF achieved notable improvements in suicide prediction within 180 days of discharge, with an increase in the area under the receiver operating characteristic curve from 83.57–84.25% (95% CI = 0.63%-0.98%, p-val < 0.001) and the area under the precision recall curve from 57.38–59.87% (95% CI = 3.86%-4.82%, p-val < 0.001) after integrating NLP-extracted SBDH. These findings underscore the potential of NLP-extracted SBDH in enhancing suicide prediction across various prediction timeframes, offering valuable insights for healthcare practitioners and policymakers.

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“…Spousal relationships have greater in uence than other forms of social ties, and high-quality marriages[76] are associated with positive health outcomes. Social activities enhance communication, improve cognitive functions, offer emotional support, and thus positively impact older people's health [77,78]. Education enhances health by fostering healthy lifestyles, boosting income, and enhancing subjective well-being [79].…”

Section: From Previous Researchmentioning

confidence: 99%

The Positive Effect of Retirement Pensions on Mental Health in Older Adults A nationally representative cross-sectional survey

zuo,

chen

2024

Preprint

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Background: Nowadays, there are 95 million people have symptoms of depression in China, and the rate of the old adults is 25.55%. Over the years, the Chinese government has introduced numerous social security programs including the social pension.Retirement pensions have been widely applied for older adults. To date, no evidence regarding the correlation between retirement pensions and depression in older adults in China has been published. Objective: This cross-sectional survey aimed to examine the relationship between retirement pensions and depression in older people. Methods: Province-level socioeconomic characteristics were merged with microdata for respondents over 60 years from the 2020 China Health and Retirement Longitudinal Study(CHARLS2020) Wave 5 (N = 8692). Respondents were asked if they were received retirement pension. Mental health was assessed using the 10-item Center for Epidemiological Studies Depression Scale. The chi-square test was used to explore whether retirement pensions were associated with mental health status. A binary logistic regression model was used to evaluate this association further after controlling for confounding factors. Results: Overall, 81% (7039/8692) of the participants over 60 years had retirement pensions. Regression analyses revealed that older adults with retirement pensions (OR = 0.677, 95% CI: 0.563–0.815, p < .001) had a lower risk of depression than did those without retirement pensions. In addition, older adults who were female, single, illiterate, and living in rural areas, had 2 chronic diseases and had very poor self-related health(SRH) had a greater risk of depression. For province-level characteristics, older adults living in provinces in the first quartile of the number of beds per 10,000 persons in medical institutions were more likely to experience depressive symptoms, while there was no significant effect(OR = 0.822, 95% CI: 0.664–1.018, p = .072) (OR = 0.752, 95% CI: 0.594–0.953, p = .018)(OR = 0.877, 95% CI: 0.703–1.093, p = .242) of GDP on depression. Conclusions: Retirement pensions had a positive effect on the mental health of older adults who participated in this study. Older adults with a retirement pension have a lower risk of depression than those without a retirement pension. However, the ownership rate of retirement pensions remains low among older Chinese people. Therefore, the retirement pension penetration rate should be a priority.

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Social isolation and suicide risk: Literature review and perspectives

Cited by 67 publications

References 59 publications

Good or bad? The influence of filial piety belief on nonsuicidal self-injury and suicide risk among young gay men in China.

Good or bad? The influence of filial piety belief on nonsuicidal self-injury and suicide risk among young gay men in China.

Predicting Suicide Among US Veterans Using Natural Language Processing-enriched Social and Behavioral Determinants of Health

The Positive Effect of Retirement Pensions on Mental Health in Older Adults A nationally representative cross-sectional survey

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