Nestor D Kapusta

Nestor D Kapusta
Medical University of Vienna | MedUni Vienna · Department for Psychoanalysis and Psychotherapy

Associate Professor MD PD

About

167
Publications
42,417
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Introduction
My research activities started with psychiatric resp. suicide epidemiology, environmental causes, terminology and classification of suicide, clinical research on suicide risk factors and assessment, and more recently involves resilience factors observable in the clinical setting. The question "What pulls people away from thinking about /or to attempt suicide despite adverse situations?" is as important as understanding risk factors. It is closely related to the tasks of the clinician.
Additional affiliations
January 2010 - present
West Virginia University
Position
  • Non-Affiliated Member
March 2006 - present
Medical University of Vienna
Position
  • Professor (Associate)
December 2003 - present
Medical University of Vienna

Publications

Publications (167)
Article
The aim of this study was to determine whether time since first diagnosis, site, and stage of cancer impacted suicide risk within a nationwide cohort of Austrian cancer patients. Data for this population-based study were derived from the Austrian National Cancer Registry and Austrian Statistics on Causes of Death. The study of population comprised...
Article
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Suicide and other self-directed violence deaths are likely grossly underestimated, reflecting inappropriate classification of many drug intoxication deaths as accidents or unintentional and heterogeneous ascertainment and coding practices across states. As the tide of prescription and illicit drug-poisoning deaths is rising, public health and resea...
Article
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National suicide and unintentional poisoning mortality rates have risen dramatically since 2000,1,2 by almost 20% and 140%, respectively. Both rate rises peak among the middle-aged population, not a historically high-risk injury group. Poisoning mortality is increasingly being driven by intoxication from pharmaceuticals, especially opioid analgesic...
Article
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Background The use of distance-based interventions (DBIs) to reduce suicidal ideation and behaviours are an increasingly relevant form of intervention. DBIs are more affordable, scalable and available than traditional face-to-face interventions, helping to narrow the gap between needed and provided care. Aims To evaluate the overall effectiveness...
Article
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Background Oxytocin (OXT) is a neuropeptide and hormone involved in emotional functioning and also seems to play a role in moderating the stress response. Both preclinical and clinical studies point to an increased methylation status of the Oxytocin receptor (OXTR) promoter region with concomitant deficits in social, cognitive and emotional functio...
Article
Genetic factors were shown to play a major role in both variation of treatment response and incidence of adverse effects to medication in affective disorders. Nevertheless, there is still a lack of therapygenetic studies, investigating the prediction of psychological therapy outcomes from genetic markers. Neuroplasticity and one of its mediators, b...
Chapter
Nachdem das gesetzliche Verbot der Suizidbeihilfe vom Bundesverfassungsgericht aufgehoben wurde, steht in Deutschland eine gesetzliche Regelung des assistierten Suizids bevor. Wird damit der Suizid zu einer gesellschaftlich akzeptierten und wahlweise nutzbaren Problemlösungsstrategie? Immer wirft die Absicht, sich das Leben zu nehmen, noch dazu mit...
Article
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The legalisation of assisted dying, including euthanasia and physician assisted suicide, is increasing in countries across the world and constitutes a key contemporary debate, reflecting social changes, in which two views of suicide conflict; that (1) rational reasons justify assisted suicide, providing dignity and control of terminal illness and (...
Preprint
Full-text available
Background: Oxytocin (OXT) is a neuropeptide and hormone involved in emotional functioning and also seems to play a role in moderating the stress response. Both preclinical and clinical studies point to an increased methylation status of the Oxytocin receptor (OXTR) promoter region with concomitant deficits in social, cognitive and emotional functi...
Article
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Background: When investigating the neurobiology of suicidal behavior, Monoamino Oxidase A ( MAOA ) is one of the prime suspects to consider. Interestingly, MAOA dysregulation has also been associated with violent behavior in previous publications. In the present study, we aimed to establish an association between polymorphisms of the MAOA gene and...
Article
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Research has shown that the transition to parenthood is a particularly challenging period of life which is often associated with a decline in relationship quality and an increase in mental health problems. Emerging parents often experience difficulties in coping with new tasks and challenges in the relationship, resulting in inadequate mutual suppo...
Chapter
The current DSM-5 research diagnosis of Internet Gaming Disorder has led to a great number of publications, dealing with the importance of differentiating between normal, extensive and addictive gaming. Online cultures and online social relations have become more and more important for people of all ages and gaming is one of the most common leisure...
Article
Methods of suicide have received considerable attention in suicide research. The common approach to differentiate methods of suicide is the classification into “violent” versus “non-violent” method. Interestingly, since the proposition of this dichotomous differentiation, no further efforts have been made to question the validity of such a classifi...
Article
Suicide is one of the leading causes of maternal death during pregnancy and the first postpartum year. This retrospective investigation aimed at characterizing suicides in Austria during pregnancy and the first postpartum year between 2004 and 2017. We identified 10 suicides of pregnant/ postpartal women in that period, all of whom used violent met...
Article
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Background Psychiatric symptoms are common in terminally ill patients. Studies linking temperamental traits and psychiatric disorders in patients suffering from advanced disease are rare. This study investigated the influence of temperament on depression and anxiety in palliative care cancer patients. Methods A total of 53 patients at the palliati...
Method
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German version of the Capacity to Love Inventory (CTL-I)
Article
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Introduction: Within a wider international research project aimed at operationalize the psychodynamic construct of capacity to love (Kernberg, 2011), the Capacity to Love Inventory (CTL-I) is a 41-items self-report questionnaire assessing six dimensions: interest in the life project of the other, basic trust, gratitude, common ego ideal, permanence...
Article
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Hate crimes remain pressing traumatic events for sexual orientation minority adults. Previous literature documents patterns in which hate crime victimization is associated with elevated risk for poor mental health. The present paper held 2 aims to advance literature. First, we investigated the rates and types of hate crime victimization among sexua...
Article
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Objective: The individual capacity to love (CTL) has been linked to various mental health parameters and is considered to be an important outcome parameter of psychotherapeutic treatment. However, empirical examinations of the concept have not been conducted up to now. The aim of this study was to develop a valid and reliable instrument for the ass...
Method
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Kwestionariusz Zdolności do Miłości. Korzystając proszę się powołać na: Kapusta, N.D., Jankowski, K.S., Wolf, V., Chéron-Le Guludec, M., Lopatka, M., Hammerer, C., Schnieder, A., Kealy, D., Ogrodniczuk, J.S., Blüml, V. (2018). Measuring the Capacity to Love: Development of the CTL-Inventory. Frontiers in Psychology, 9:1115, doi: 10.3389/fpsyg.2018....
Article
BACKGROUND: Restriction of access to suicide methods has been shown to effectively reduce suicide mortality rates. AIMS: To examine how the global economic crisis of 2008 and the firearm legislation reform of 1997 affected suicide and homicide mortality rate within Austria. METHODS: Official data for the years 1985–2016 for firearm certificate...
Article
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Background: Previous studies have shown that the hypothalamus-pituitary-adrenal-axis (HPA-axis) is closely involved in the development of affective disorders. Given that early life events are also linked to dysregulation of the same system, there might be an association between childhood adversities and suicidal behavior in affective disorders, mod...
Article
Background: Impairment in personality functioning (PF) represents a salient criterion of the DSM-5 alternative diagnostic model for personality disorders (AMPD). The main goal of this study is to analyze the relationship of the borderline personality disorder (BPD) clinical components derived from the DSM-5 categorical diagnostic model (affective...
Article
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The inconsistent findings on the association between COMT (catecholamine-O-methyl-transferase) and suicidal behaviour gave reason to choose a clear phenotype description of suicidal behaviour and take childhood maltreatment as environmental factor into account. The aim of this candidate-gene-association study was to eliminate heterogeneity within t...
Article
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Objective A paucity of corroborative psychological and psychiatric evidence may be inhibiting detection of drug intoxication suicides in the United States. We evaluated the relative importance of suicide notes and psychiatric history in the classification of suicide by drug intoxication versus firearm (gunshot wound) plus hanging/suffocation—the ot...
Article
Zusammenfassung Einleitung Zur ökonomischen Erfassung suizidaler Erlebens- und Verhaltensweisen findet der Suicide Behaviors Questionnaire – Revised (SBQ-R) von Osman und Kollegen breiten Einsatz. Dieser Fragebogen umfasst 4 Items, die verschiedene Facetten von Suizidalität erfassen und weist einige Einschränkungen auf. So sind die 4 Items nicht gl...
Article
Objective: This pilot study establishes baseline data on the current situation of transitional processes in Austrian psychiatry. We sought to gather information on the specific problems and needs occurring during the transition of mentally ill adolescents from child and adolescent to adult psychiatry. Method: Professionals (psychiatrists, psycho...
Article
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Background Seasonal changes and climatic factors like ambient temperature, sunlight duration and rainfall can influence suicidal behavior. Methods This study analyses the relationship between seasonal changes and climatic variations and suicide attempts in 2131 young patients in Istanbul, Turkey. ResultsIn our study sample, there was an association...
Article
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Background Urban–rural disparities in suicide mortality have received considerable attention. Varying conceptualizations of urbanity may contribute to the conflicting findings. This ecological study on Germany assessed how and to what extent urban–rural suicide associations are affected by 14 different urban–rural indicators. Methods Indicators we...
Article
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The juxtaposition of increasing suicide rates with continued calls for suicide prevention efforts begs for new approaches. Grounded in the Centers for Disease Control and Prevention (CDC) framework for tackling health issues, this personal views work integrates relevant suicide risk/protective factor, assessment, and intervention/prevention literat...
Article
Objective: Suicidal behavior of young people is a topic of utmost importance because suicide is irreversible, and should be prevented. Knowing about the psychosocial background and the triggering events could help in preventing suicidal behavior. We therefore aimed at identifying psychosocial factors that may trigger suicidal behavior in youth. M...
Article
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Background Different psychosocial factors might have an impact on suicidal behaviour and evidence shows that there may be an association between monthly, diurnal and circadian changes and suicidal behaviours. Methods In the present study we analysed retrospectively records of 2232 youth, who were treated in emergency units of state hospitals in Is...
Article
Suicides account for over one million deaths per year worldwide with depression among the most important risk factors. Epidemiological research into the relationship between antidepressant utilization and suicide mortality has shown heterogeneous and contradictory results. Different methodological approaches and limitations could at least partially...
Article
Introduction Associations between psychiatric disorders and relationship status as well as the impact of psychiatric symptoms on the quality of romantic relationships have already been demonstrated but the association between psychiatric symptoms and the capacity to maintain romantic relationships has been rarely examined. Aim To investigate anxie...
Article
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Background: There is increasing evidence for the hypothesis that lithium salts at naturally occurring levels in drinking water may have a?moderating effect on suicide rates of the exposed population. The aim of this study was to examine whether the lithium rich Atacama region in Chile is associated with lower suicide mortality in comparison to oth...
Article
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Due to the clinical relevance of suicidal risks, suicide attempts, and suicides in adolescence consensus-based guidelines with clinical recommendations were updated and summarized in this article. It should be considered that each indication has to be taken serious. Suicidality is an essential component of the psychopathological report and should b...
Article
Objective: To evaluate the main prediction of the Interpersonal Theory of Suicide (IPTS): 3-way-interaction of perceived burdensomeness (PB), thwarted belongingness (TB), and acquired capability (AC) for the prediction of suicidal behavior in a representative population sample. Method: A total of 2513 participants completed measures of suicidal...
Article
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Zusammenfassung. Theoretischer Hintergrund: Nichtsuizidales Selbstverletzendes Verhalten (NSSV) ist insbesondere im Jugendalter haufig und klinisch bedeutsam. Die Entwicklung einer konsensbasierten Leitlinie verfolgt das Ziel, die Diagnostik und die Behandlung von NSSV zu optimieren und Impulse fur die Forschung zu geben. Als Leitlinie der Arbeitsg...
Article
Zusammenfassung Suizidales Verhalten hat einen ersten Häufigkeitsgipfel in der Adoleszenz. Trotz der im Vergleich zum Erwachsenenalter geringeren Suizidprävalenz, werden Suizidgedanken von etwa einem Drittel und Suizidversuche von 6–9% der Jugendlichen in Deutschland beschrieben. Risikofaktoren mit besonderer Relevanz für das Jugendalter umfassen M...
Article
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Background Nonsuicidal self-injury (NSSI) is a frequent and clinically relevant phenomenon in adolescence. Within Europe, Germany has one of the highest prevalence rates in youth with lifetime prevalence ranging between 25 and 35%. However, treatment guidelines for NSSI are not yet available. Methods Consensus based clinical guidelines were created...
Article
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Background Non-suicidal self-injury (NSSI) is a proposed new “condition for further study” in the DSM-5. To date no prevalence data has been available on this diagnostic entity from a representative sample of the general population. MethodsA representative sample of the German population (N = 2509, mean age = 48.8 years, SD = 18.1, female 55.4 %) c...
Article
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The study presents results of the project aimed at testing thepsychometric operationalization of the construct of capacity to lovein a Polish sample. Here, the psychometric operationalization ofcapacity to love was based on the Kernberg’stheoryoflovewhichfocuses on functioning in romantic, committed relationships. Inan online study 240 participants...
Article
Objective: Nonsuicidal self-injury (NSSI) is a frequent, clinically relevant phenomenon occurring in adolescence, which can be observed parallel to various mental disorders. Within Europe, Germany has one of the highest prevalence rates in youths, with the lifetime prevalence ranging between 25–35 %. To date a guideline on the treatment of self-in...
Article
Purpose: The Interpersonal Needs Questionnaire (INQ) assesses the two interpersonal constructs perceived burdensomeness (PB) and thwarted belongingness (TB) that lead to suicidal ideation, according to the interpersonal theory of suicide (IPTS). The present study investigates dimensionality and psychometric properties of the German version of the...
Article
The aim of the present study was the validation of the Acquired Capability for Suicide Scale-Fearlessness about Death (ACSS-FAD) in a large population sample to further establish its reliability and validity, and to provide norm values. We assessed the ACSS-FAD, measures of depression, history of suicidal behavior, and anxiety in a representative s...
Article
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Background: Recently, there has been a revived interest in the validity of the Penrose hypothesis, which was originally postulated over 75 years ago. It suggests an inverse relationship between the numbers of psychiatric hospital beds and the sizes of prison population. This study aims to investigate the association between psychiatric hospital be...
Poster
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Ecological Study on the correlation between exposure to environmental lithium and suicide rate of the affected population
Article
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Background Whereas non-suicidal self-injury (NSSI) and suicide attempts (SA) are rather common among adolescents, the description of risk factors has often failed to take migration into perspective. Our study aimed to describe immigration status in adolescents with regards to their lifetime history of NSSI and SA. Methods We carried out a populati...
Article
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Objectives: In the current study, we aimed to investigate the impact of childhood trauma on suicidal behaviour phenotypes in a group of patients with diagnosed affective disorder (unipolar or bipolar affective disorder). Patients and methods: Patients with and without a history of childhood abuse, measured by Childhood Trauma Questionnaire (CTQ)...
Article
Background. Seasonal as well as weekly cycles in suicide have been described, replicated and poorly understood for a long time. In Western countries, suicides are typically least frequent on weekends and most frequent on Mondays and Tuesdays. To improve understanding of this phenomenon a strategy is required which focuses on anomalous findings beyo...
Article
Der Wechsel von der kindespsychiatrischen in die erwachsenenpsychiatrische Behandlung wird durch das Erreichen der Volljährigkeit gemeinhin festgelegt. Diese festgesetzte Altersgrenze wird jedoch den unterschiedlichen Entwicklungsständen und Reifungsgraden von jungen Erwachsenen im Alter von 16 bis 24 Jahren mit psychischen Störungen nicht gerecht....
Article
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Background Little is known about the effects of lithium intake through drinking water on suicide. This intake originates either from natural rock and soil elution and/or accumulation of lithium-based pharmaceuticals in ground water. Aims To examine the interplay between natural lithium in drinking water, prescribed lithium-based pharmaceuticals and...
Article
The mood stabilizing effects of lithium are well documented and there are numerous studies showing that lithium has anti-suicidal properties. In contrast to the daily dose usually administered in treatment of mood disorders, studies suggest that even doses at supplement level ingested via drinking water are associated with lower suicide rates of t...
Article
Recently, a series of ecological studies on antisuicidal properties of naturally occurring lithium contents in drinking water have sparked interest among researchers. In this issue, Ishii and colleagues present further argument for the hypothesis that even low lithium doses-or rather, doses of lithium at a supplemental level-might have their place...
Article
Recently, a series of ecological studies on antisuicidal properties of naturally occurring lithium contents in drinking water have sparked interest among researchers. In this issue, Ishii and colleagues present further argument for the hypothesis that even low lithium doses-or rather, doses of lithium at a supplemental level-might have their place...
Article
Full-text available
This article investigates suicide rates from 2000 to 2010 in Austria, a country with now average rates that had started to decline in the mid-80s. Rates declined in the observed period, to an average of 26.1 per 100,000 persons for men, 8.2 for women, and 16.9 in the general population. The decrease was found in all age-groups, but more marked in w...
Article
Introduction A spring peak in suicide rates that is paralleled by an increase in daily sunshine has been observed in many countries of the northern hemisphere. However, seasons bring about changes in other meteorological factors and a seasonal rhythm in social behavior may also contribute to fluctuations in suicide rates. Methods We investigated d...
Article
Full-text available
Zusammenfassung Die phasenprophylaktischen Effekte von Lithium sind bereits gut dokumentiert, und es gibt zahlreiche Stu-dien, die einen zusätzlichen suizidprophylaktischen Effekt von Lithium zeigen. Im Gegensatz zur therapeuti-schen Dosis, die im Falle einer affektiven Störung ver-schrieben wird, legen Studien nahe, dass bereits Dosen auf Suppleme...
Article
Non-Suicidal Self-Injury (NSSI) and Suicidal Behavior Disorder (SBD) were included as diagnostic categories in Section 3 of the 5th edition of the Diagnostic and Statistical Manual (DSM-5) of the American Psychiatric Association (APA). Thus, these diagnostic entities were not recognized as formal clinical diagnoses, but rather for the first time cl...
Article
Importance It has been observed that suicidal behavior is influenced by sunshine and follows a seasonal pattern. However, seasons bring about changes in several other meteorological factors and a seasonal rhythm in social behavior may also contribute to fluctuations in suicide rates.Obj