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Suicidal communication signifies suicidal intent in Chinese completed suicides

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Social Psychiatry and Psychiatric Epidemiology Aims and scope Submit manuscript

Abstract

Background

Recognizing suicidal communication from the distressful catharsis in a high-risk group with suicidal tendencies is essential for suicide prevention. This study analyzes whether suicidal communication can indicate the severity of suicidal intent. Various types of suicidal communication are defined, and their clinical significance is further explored.

Method

A comprehensive analysis of the psychological autopsy data of 200 victims of completed suicide, including their general socio-demographic status, suicidal communication methods, previous suicide attempts, mental disorders, and psychosocial situation.

Results

Our results showed that 39.5% of all the subjects were suicidal communicators, 23.0% had previously attempted suicide, and 14.0% left suicide notes; 32.4% of 142 subjects free of physical disease suffered from mental disorders. Suicidal communication included verbal communication, behavioral communication, and suicidal notes. Younger people with a higher level of education were more inclined to communicate their suicidal intent by leaving a suicide note. Suicide notes, but not previous suicide attempts or psychosocial situation, were significantly correlated with suicidal intent. Suicidal communicators showed higher depression scores than non-communicators. Those who suffered from mood disorders with higher levels of both depression and suicidal intent were more likely to expose their intent through behavioral communication.

Conclusions

The present study provides strong evidence that suicidal communication can indicate the severity of suicidal intent. Current findings help interpret high-risk, self-destructive behavior and consequently provide the theoretical basis for a feasible suicide prevention program.

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References

  1. Shneidman E (1985) Definition of Suicide. John Wiley and Sons Inc, New York

    Google Scholar 

  2. Bertolote JM, Fleischmann A (2009) A global perspective on the magnitude of suicide mortality. In: Wasserman D, Wasserman C (eds) Oxford textbook of suicidology and suicide prevention: a global perspective. Oxford University Press, Oxford, pp 91–98

    Google Scholar 

  3. Robins E, Gassner S, Kayes J, Wilkinson RH, Murphy GE (1959) The communication of suicidal intent: a study of 134 consecutive cases of successful (completed) suicide. Am J Psychiatry 115:724–733. doi:10.1176/appi.ajp.115.8.724

    PubMed  CAS  Google Scholar 

  4. Wasserman DW (1986) Suicidal communication of persons attempting suicide and responses of significant others. Acta Psychiatr Scand 73:481–499. doi:10.1111/j.1600-0447.1986.tb02715.x

    Article  Google Scholar 

  5. Isometsä E, Henriksson M, Aro H, Heikkinen M, Kuoppasalmi K, Lönnqvist J (1994) Suicide in psychotic major depression. J Affect Disord 31:187–191. doi:10.1016/0165-0327(94)90028-0

    Article  PubMed  Google Scholar 

  6. De Leo D, Klieve H (2007) Communication of suicide intent by schizophrenic subjects: data from the Queensland Suicide Register. Int J Ment Health Syst 1:6. doi:10.1186/1752-4458-1-6

    Article  PubMed  Google Scholar 

  7. Wasserman D, Thanh HTT, Minh DPT, Goldstein M, Nordenskiöld A, Wasserman C (2008) Suicidal process, suicidal communication and psychosocial situation of young suicide attempters in a rural Vietnamese community. World Psychiatry 7:47–53

    PubMed  Google Scholar 

  8. Kovacs M, Beck AT, Weissman A (1976) The communication of suicidal intent: a reexamination. Arch Gen Psychiatry 33:198–201

    Article  PubMed  CAS  Google Scholar 

  9. Beck AT, Schuyler D, Herman I (1974) Development of suicidal intent scales. In: Beck AT, Resnik HLP, Lettieri DJ (eds) The prediction of suicide. Charles Press Publishers, Oxford, pp 45–56

    Google Scholar 

  10. World Health Organization (1992) International statistical classification of diseases, tenth revision (ICD-10). WHO, Geneva

    Google Scholar 

  11. Zhou L, Jiang C, Zhang J, Sun YJ, Jia SH, Liu QG, Jiang LZ, Hu DM (2006) The applicability of psychological autopsy for suicide research in China. Chin Ment Health J 20:19–22. doi:10.3321/j.issn:1000-6729.2006.01.005 (In Chinese)

    CAS  Google Scholar 

  12. Zhang J, Jia CX (2011) Suicidal intent among young suicides in rural China. Arch Suicide Res 15(2):127–139. doi:10.1080/13811118.2011.565269

    Article  PubMed  CAS  Google Scholar 

  13. Conner KR, Phillips MR, Meldrum S, Knox KL, Zhang YP, Yang GH (2005) Low-planned suicides in China. Psychol Med 35:1197–1204. doi:10.1017/S003329170500454X

    Article  PubMed  Google Scholar 

  14. Paykel ES (1997) The interview for recent life events. Psychol Med 27:301–310. doi:10.1017/S0033291796004424

    Article  PubMed  CAS  Google Scholar 

  15. Landerman R, George LK, Campbell RT, Blazer DG (1989) Alternative models of the stress buffering hypothesis. Am J Community Psychol 17(5):625–642. doi:10.1007/BF00922639

    Article  PubMed  CAS  Google Scholar 

  16. Bagby RM, Ryder AG, Schuller DR, Marshall MB (2004) The hamilton depression rating scale: has the gold standard become a lead weight? Am J Psychiatry 161:2163–2177

    Article  PubMed  Google Scholar 

  17. Xu JT (2008) The research of scid in psychological autopsy. Master thesis, Dalian Medical University, China. Available at: www.cnki.net/kcms/detail/detail.aspx?dbcode=CMFD&QueryID=0&CurRec=1&dbname=CMFD0911&filename=2008129462.nh, last accessed 15 March 2010

  18. Han Y (2008) Reliability and validity of the Chinese revised of beck hopelessness scale (BHS) in rural area. Master thesis, Dalian Medical University, China. Available at: www.cnki.net/kcms/detail/detail.aspx?dbcode=CMFD&QueryID=2&CurRec=1&dbname=CMFD0911&filename=2008129677.nh, last accessed 15 March 2010

  19. Beck AT, Weissman A, Lester D, Trexler L (1974) Classification of suicidal behaviors ii. dimensions of suicidal intent. Arch Gen Psychiatry 33:835–837

    Article  Google Scholar 

  20. Hawton K, Kingsbury S, Steinhardt K et al (1999) Repetition of deliberate self-harm by adolescents: the role of psychological factors. J Adolesc 22:369–378. doi:10.1006/jado.1999.0228

    Article  PubMed  CAS  Google Scholar 

  21. Öjehagen A, Regnéll G, Träskman-Bendz L (1991) Deliberate self-poisoning: repeaters and nonrepeaters admitted to an intensive care unit. Acta Psychiatr Scand 84(3):266–271. doi:10.1111/j.1600-0447.1991.tb03142.x

    Article  PubMed  Google Scholar 

  22. Li XY, Phillips MR, Zhang YP, Xu D, Yang GH (2008) Risk factors for suicide in China’s youth: a case–control study. Psychol Med 38:397–406. doi:10.1017/S0033291707001407

    Article  PubMed  CAS  Google Scholar 

  23. Yang GH, Phillips MR, Zhou MG, Wang LJ, Zhang YP, Xu D (2005) Understanding the unique characteristics of suicide in China: national psychological autopsy study. Biomed Environ Sci 18(6):379–389

    PubMed  Google Scholar 

  24. Zhang B, Meng GR, Gong YP (2000) Analysis of suicide deaths in Fengxian County. Shanghai. Shanghai J Prev Med 12:282–283 (in Chinese)

    Google Scholar 

  25. Cavanagh JTO, Carson AJ, Sharpe M, Lawrie SM (2003) Psychological autopsy studies of suicide: a systematic review. Psychol Med 33:395–405. doi:10.1017/S0033291702006943

    Article  PubMed  CAS  Google Scholar 

  26. Zhao M, Ji JL (2000) National and international status of suicide research. Shanghai Arch Psychiatry 12:222–227 (in Chinese)

    Google Scholar 

  27. Liu KY, Chen EYH, Cheung ASZ, Yip PSF (2009) Psychiatric history modifies the gender ratio of suicide: an East and West comparison. Soc Psychiatry Psychiatr Epidemiol 44:130–134. doi:10.1007/s00127-008-0413-2

    Article  PubMed  CAS  Google Scholar 

  28. Phillips MR, Li X, Zhang Y (2002) Suicide rates in China, 1995–99. Lancet 359(9309):835–840. doi:10.1016/S0140-6736(02)07954-0

    Article  PubMed  Google Scholar 

  29. Phillips MR, Yang GH, Zhang YP, Wang LJ, Ji HY, Zhou MG (2002) Risk factors for suicide in China: a national case–control psychological autopsy study. Lancet 360(9347):1728–1736. doi:10.1016/S0140-6736(02)11681-3

    Article  PubMed  Google Scholar 

  30. Mieczkowski TA, Sweeney JA, Haas GL, Junker BW, Brown RP, Mann JJ (1993) Factor composition of the suicide intent scale. Suicide Life Threat Behav 23:37–45. doi:10.1111/j.1943-278X.1993.tb00277.x

    PubMed  CAS  Google Scholar 

  31. Hawton K, Appleby L, Platt S (1998) The psychological autopsy approach to studying suicide: a review of methodological issues. J Affect Disord 50(2):269–276. doi:10.1016/S0165-0327(98)00033-0

    Article  PubMed  CAS  Google Scholar 

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Acknowledgments

This study was supported by the Natural Science Foundation of China (NSFC) grant 30670711 (January 2007-December 2009) to Prof. Jia. The NSFC had no further involvement in any aspect of this study.

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Authors and Affiliations

  1. Department of Psychology, Dalian Medical University, No. 9, Western Section, Lvshun South Road, Lvshunkou District, Dalian, Liaoning, 116044, China

    Shu Hua Jia

  2. Jiangxi Psychiatric Hospital, No. 43, Shangfang Road, Qingshanhu District, Nanchang, Jiangxi, 330029, China

    Xue Mei Zhou

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  1. Xue Mei Zhou
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  2. Shu Hua Jia
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Correspondence to Shu Hua Jia.

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Zhou, X.M., Jia, S.H. Suicidal communication signifies suicidal intent in Chinese completed suicides. Soc Psychiatry Psychiatr Epidemiol 47, 1845–1854 (2012). https://doi.org/10.1007/s00127-012-0488-7

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  • DOI: https://doi.org/10.1007/s00127-012-0488-7

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