Childhood trauma, traumatic brain injury, and mental health disorders associated with suicidal ideation and suicide-related behavior in a community corrections sample

Department of Psychiatry, Indiana University School of Medicine, 355 West 16th Street, Suite 2800, Indianapolis, IN 46202-7176. .
The journal of the American Academy of Psychiatry and the Law (Impact Factor: 0.93). 07/2013; 41(2):245-55.
Source: PubMed


Suicidal ideation and suicide-related behavior among community-supervised offenders are significant public health problems. In a sample of 418 subjects served by the community corrections office of Iowa's Sixth Judicial District, 56 percent of subjects denied suicidal ideation and suicide-related behavior (control group), 17 percent reported suicidal ideation without suicide-related behavior (ideator group), and 27 percent reported engaging in suicide-related behavior (actor group). A model comprising five independent variables differentiated the ideator and actor groups from the control group: Caucasian race, depressive symptom sum, brain injury, childhood trauma, and avoidant personality. These five factors, combined with the additional variables of PCL:SV Factor 2 (Psychopathy Checklist-Screening Version) score and lifetime anxiety disorder, differentiated the actor group from the control group.

Download full-text


Available from: Tracy D Gunter, Sep 24, 2015
  • [Show abstract] [Hide abstract]
    ABSTRACT: Compared to non-offenders, offenders are at increased risk for suicidal ideation and psychopathy. However, literature currently lacks sufficient understanding of moderating pathways linking psychopathy to suicidal ideation among offenders. This study investigated anxiety and depressive symptoms as potential moderators using a sample of 162 male offenders in the New Jersey correctional system. Results supported a significant positive correlation between secondary psychopathy and suicidal ideation. Additionally, depression and physiological anxiety moderated the association between secondary psychopathy and suicidal ideation. Present findings may assist in determining relevant suicide risk factors (i.e., depression, physiological anxiety, secondary psychopathy) to assess for in offenders.
    Death Studies 12/2014; 39(5). DOI:10.1080/07481187.2014.991953 · 0.92 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: For many people, the death of hope leads inexorably to the conclusion that the only viable solution, the only way to put an end to unendurable pain, is suicide. What leads a person to commit this final, desperate act, and how might we predict, intervene, and prevent suicide? Health care workers, including radiologic technologists, can play an important role in detecting warning signs in patients and in better understanding what factors may lead to suicide. Although certain forms of suicide such as suicide bombings and assisted suicide are beyond its scope, this article explores medical imaging's contributions to the study of this phenomenon.
    Radiologic technology 03/2015; 86(3):275-95; quiz296-8.
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: We review research on the relationship of exposure to psychological trauma, with non-suicidal self-injury (NSSI) and suicidality (suicidal ideation [SI], and suicide attempts [SA]) in individuals with dissociative disorders and posttraumatic stress disorder (PTSD). The review provides a context for the Special Issue of the Journal of Trauma and Dissociation on these topics. Exposure to childhood sexual abuse was the most consistent traumatic antecedent of self-harm, although traumatic violence in childhood (particularly physical abuse) and adulthood (particularly domestic violence) and exposure to multiple types of traumatic stressors also were associated with NSSI and SI/SA. Dissociative disorders and PTSD are consistently associated with increased NSSI and SA/SI. There is preliminary cross-sectional evidence that dissociation and posttraumatic stress disorders may mediate the relationship between psychological trauma and NSSI and SI/SA. Research on emotion dysregulation as a potential cross-cutting mechanism linking dissociation, PTSD, and self-harm is also reviewed. We conclude with discussion of implications for clinical practice and future directions for scientific research.
    Journal of Trauma & Dissociation 03/2015; 16(3). DOI:10.1080/15299732.2015.989563 · 1.72 Impact Factor