Evaluating Suicide Risk Using the Reasons for Dying-Reasons for Living (RFD-RFL) Index in a Military Psychiatric Inpatient Setting

PSYCHIATRY RESEARCH

卷:295

Article

Fox, Amber M.¹  LaCroix, Jessica M.¹  Bond, Allison E.¹  Perera, Kanchana U.¹  Luk, Jeremy W.¹  Goldston, David²  Weaver, Jennifer³  Soumoff, Alyssa⁴  Ghahramanlou-Holloway, Marjan¹ 

[1] Uniformed Serv Univ Hlth Sci, Suicide Care Prevent & Res CPR Initiat, Dept Med & Clin Psychol MPS, 4301 Jones Bridge Rd, Bethesda, MD 20814 USA

[2] Duke Univ, Sch Med, Box 3527 Med Ctr, Durham, NC 27710 USA

[3] Ft Belvoir Community Hosp, 9300 DeWitt Loop, Ft Belvoir, VA 22060 USA

[4] Walter Reed Natl Mil Med Ctr, 8901 Rockville Pike, Bethesda, MD 20889 USA

关键词: suicide;    risk assessment;    reasons for dying;    reasons for living;    military;    inpatient;    internal suicide debate;   

DOI  :  10.1016/j.psychres.2020.113576

来源: Elsevier

【 摘 要 】

The present study aimed to explore reasons for dying (RFD) and reasons for living (RFL) among suicidal inpatients, conceptualize the RFD-RFL index, and examine whether suicide risk indicators were associated with the RFD-RFL index scores. Participants were military personnel (N = 167) psychiatrically hospitalized following a suicide-related crisis who provided baseline data as part of a randomized controlled trial. Family was the most commonly reported RFL (39.7%) and was the top ranked RFL for 65.9% of participants. The most frequently endorsed RFD categories included general descriptors of self (26.9%), general statements about escape (19.7%), and others/relationships (19.1%). Greater RFD-RFL index scores were associated with a greater wish to die relative to wish to live, greater hopelessness, and with a history of lifetime multiple suicide attempts. Endorsing more RFD relative to RFL may indicate heightened suicide risk. Results of this study identify the characteristics of RFD and RFL among a high-risk, military sample, and provide preliminary support for the clinical utility of evaluating the quantities of RFD and RFL. Clinicians are encouraged to explore RFD and RFL when working with suicidal patients. Future research may explore military-specific RFD and evaluate the validity of the proposed RFD-RFL index.

【 授权许可】

Free