Is externalizing psychopathology a robust risk factor for suicidal thoughts and behaviors? A meta-analysis of longitudinal studies

2018 ◽  
Vol 74 (9) ◽  
pp. 1607-1625 ◽  
Author(s):  
Tracy K. Witte ◽  
Jami M. Gauthier ◽  
Xieyining Huang ◽  
Jessica D. Ribeiro ◽  
Joseph C. Franklin
2021 ◽  
Vol 12 ◽  
Author(s):  
Hanna Suh ◽  
Jisun Jeong

Objectives: Self-compassion functions as a psychological buffer in the face of negative life experiences. Considering that suicidal thoughts and behaviors (STBs) and non-suicidal self-injury (NSSI) are often accompanied by intense negative feelings about the self (e.g., self-loathing, self-isolation), self-compassion may have the potential to alleviate these negative attitudes and feelings toward oneself. This meta-analysis investigated the associations of self-compassion with STBs and NSSI.Methods: A literature search finalized in August 2020 identified 18 eligible studies (13 STB effect sizes and seven NSSI effect sizes), including 8,058 participants. Two studies were longitudinal studies, and the remainder were cross-sectional studies. A random-effects meta-analysis was conducted using CMA 3.0. Subgroup analyses, meta-regression, and publication bias analyses were conducted to probe potential sources of heterogeneity.Results: With regard to STBs, a moderate effect size was found for self-compassion (r = −0.34, k = 13). Positively worded subscales exhibited statistically significant effect sizes: self-kindness (r = −0.21, k = 4), common humanity (r = −0.20, k = 4), and mindfulness (r = −0.15, k = 4). For NSSI, a small effect size was found for self-compassion (r = −0.29, k = 7). There was a large heterogeneity (I2 = 80.92% for STBs, I2 = 86.25% for NSSI), and publication bias was minimal. Subgroup analysis results showed that sample characteristic was a moderator, such that a larger effect size was witnessed in clinical patients than sexually/racially marginalized individuals, college students, and healthy-functioning community adolescents.Conclusions: Self-compassion was negatively associated with STBs and NSSI, and the effect size of self-compassion was larger for STBs than NSSI. More evidence is necessary to gauge a clinically significant protective role that self-compassion may play by soliciting results from future longitudinal studies or intervention studies.


2015 ◽  
Vol 187 ◽  
pp. 66-72 ◽  
Author(s):  
Ronny Bruffaerts ◽  
Ronald C Kessler ◽  
Koen Demyttenaere ◽  
Anke Bonnewyn ◽  
Matthew K Nock

PLoS ONE ◽  
2017 ◽  
Vol 12 (7) ◽  
pp. e0180793 ◽  
Author(s):  
Xieyining Huang ◽  
Jessica D. Ribeiro ◽  
Katherine M. Musacchio ◽  
Joseph C. Franklin

2015 ◽  
Vol 45 (5) ◽  
pp. 633-649 ◽  
Author(s):  
Craig J. Bryan ◽  
James E. Griffith ◽  
Brian T. Pace ◽  
Kent Hinkson ◽  
AnnaBelle O. Bryan ◽  
...  

2017 ◽  
Vol 143 (2) ◽  
pp. 187-232 ◽  
Author(s):  
Joseph C. Franklin ◽  
Jessica D. Ribeiro ◽  
Kathryn R. Fox ◽  
Kate H. Bentley ◽  
Evan M. Kleiman ◽  
...  

2012 ◽  
Vol 73 (09) ◽  
pp. e1160-e1167 ◽  
Author(s):  
Wilfred R. Pigeon ◽  
Martin Pinquart ◽  
Kenneth Conner

2018 ◽  
Vol 49 (1) ◽  
pp. 221-239 ◽  
Author(s):  
April R. Smith ◽  
Elizabeth A. Velkoff ◽  
Jessica D. Ribeiro ◽  
Joseph Franklin

2017 ◽  
Vol 48 (5) ◽  
pp. 765-776 ◽  
Author(s):  
X. Huang ◽  
K. R. Fox ◽  
J. D. Ribeiro ◽  
J. C. Franklin

BackgroundResearch has long noted higher prevalence rates of suicidal thoughts and behaviors among individuals with psychotic symptoms. Major theories have proposed several explanations to account for this association. Given the differences in the literature regarding the operationalization of psychosis and sample characteristics, a quantitative review is needed to determine to what extent and how psychosis confers risk for suicidality.MethodsWe searched PsycInfo, PubMed, and GoogleScholar for studies published before 1 January 2016. To be included in the analysis, studies must have used at least one psychosis-related factor to longitudinally predict suicide ideation, attempt, or death. The initial search yielded 2541 studies. Fifty studies were retained for analysis, yielding 128 statistical tests.ResultsSuicide death was the most commonly studied outcome (43.0%), followed by attempt (39.1%) and ideation (18.0%). The median follow-up length was 7.5 years. Overall, psychosis significantly conferred risk across three outcomes, with weighted mean ORs of 1.70 (1.39–2.08) for ideation, 1.36 (1.25–1.48) for attempt, and 1.40 (1.14–1.72) for death. Detailed analyses indicated that positive symptoms consistently conferred risk across outcomes; negative symptoms were not significantly associated with ideation, and were protective against death. Some small moderator effects were detected for sample characteristics.ConclusionsPsychosis is a significant risk factor for suicide ideation, attempt, and death. The finding that positive symptoms increased suicide risk and negative symptoms seemed to decrease risk sheds light on the potential mechanisms for the association between psychosis and suicidality. We note several limitations of the literature and offer suggestions for future directions.


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