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4 results

  • Suicide ideation severity is associated with severe suicide attempts in a military setting

  • Part of
  • Leah Shelef, Anat Brunstein Klomek, Eyal Fruchter, Ron Kedem, J. John Mann, Gil Zalsman
  • Journal:
    European Psychiatry / Volume 61 / September 2019
    Published online by Cambridge University Press:
    01 January 2020, pp. 49-55
    • Article
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  • Background.

    There is an ongoing debate on the effectiveness of suicidal behavior prevention measures in the military. The association of three widely used tools with severe suicide attempts was assessed in this setting.

    Methods.

    Thirty-nine Israeli soldiers (59% males), mean age 19 yrs., who attempted suicide during military service were divided into two groups: severe (n = 14; 35.9%) and moderate suicide attempts, and were assessed using the Scale for Suicide Ideation (SSI), Suicide Intent Scale (SIS) and the Columbia Suicide Severity Rating Scale (C-SSRS).

    Results.

    Seven items from the SSI (p = 0.008), two items from SIS and one item from C-SSRS were associated with severe suicide attempts. Kendall’s tau-b correlation with bootstrap demonstrated stability of these correlations.

    Conclusion.

    Greater severity of suicidal ideation was associated with more severe suicide attempts. The combination of male gender, available firearms and current severe suicide ideation is high-risk danger sign in a military setting, even when reported intent to die is low.

  • Psychosocial Treatment of Depression and Suicidality in Adolescents

  • Anat Brunstein Klomek, Barbara Stanley
  • Journal:
    CNS Spectrums / Volume 12 / Issue 2 / February 2007
    Published online by Cambridge University Press:
    07 November 2014, pp. 135-144

  • Depression is a common disorder among adolescents and is associated with a high risk of suicide. Suicide is the third leading cause of death among adolescents in the United States. Currently, there are only two evidence-based psychotherapies for adolescence depression: cognitive-behavioral therapy and interpersonal psychotherapy. Furthermore, psychosocial interventions that specifically target suicidal behavior in adolescents are even fewer in number than treatments for depression. This article will review the psychosocial interventions for depression and suicidality in adolescents and will describe a recently developed treatment that is under study for depressed suicidal adolescents.