Browsing by Subject "Suicidal behavior"

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    Acceptance and Commitment Therapy on suicidal behavior: a systematic review
    (Universidad de Murcia. Servicio de Publicaciones, 2024) Ortas-Barajas, Francisco; Manchón, Javier
    Suicide has emerged as a pressing global issue affecting both society and public health.In this context, Acceptance and Commitment Therapy (ACT) could prove effective in its approach, supported by evidence of the relationship between certain components of ACT and suicidal behavior. Thus, the present study aims to conduct a systematic review on the efficacy of ACT in suicidal behavior. For this, the PRISMA protocol was followed, using thefollowing databases: PsycInfo, PubMed, Scopus and PsicoDoc. Initially, 108 potentially relevant publications were obtained,13 of which were finally included in there view. We analyzed study quality using a risk of bias assessment instrument. As a result, statistically significant decreases in suicidal ideation (SI) and suicide risk factors were observed. In addition, some studies indicated statistically significant relationships between increased psychological flexibility and decreased SI. While the data suggested the potential effectiveness of ACT inreducing suicidal ideation (SI), more experimental studies are needed to consider the complexity of suicidal behavior and explore the processes of changeinvolved.
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    Childhood adversities and suicidal behavior in the general population. The cross-sectional PEGASUS-Murcia Project
    (Elsevier, 2024) Navarro Mateu, Fernando; Salmerón Martínez, Diego; Vilagut, Gemma; Husky, Mathilde; Ballesta Ruiz, Mónica; Chirlaque López, María Dolores; Huerta, José María; Martínez, Salvador J.; Navarro, Carmen A.; Alonso Caballero, Jordi; Nock, Matthew; Kessler, Ronald C.; Ciencias Sociosanitarias
    Introduction The aim of the present study is to estimate the lifetime prevalence of suicidal ideation, plans, and attempts in a regional representative sample and the association of these outcomes with sociodemographic factors, prior mental disorders, and childhood adversities. Material and methods The PEGASUS-Murcia project is a cross-sectional survey of a representative sample of adults in Murcia that is part of the WHO World Mental Health Survey Initiative. The Composite International Diagnostic Interview (CIDI 3.0) was administered face-to-face to 2621 participants (67.4% response rate). The main outcomes were suicidal ideation, plans, and attempts. Lifetime prevalence, age of onset, and risk factors (sociodemographic variables, mental disorders, and childhood adversities) were examined using multiple discrete-time survival models. Results Lifetime prevalence of suicidal ideation, plans and attempts were 8.0% (standard error, SE: 1.1), 2.1% (SE: 0.3), and 1.2% (SE: 1.1), respectively. Prevalence of any childhood adversities was 22.1% (SE: 1.3) in the total sample and, even higher, among those with suicide related outcomes (ranging between 36.8% and 53.7%). Female sex, younger age, prior (to onset of the outcome) lifetime prevalence of mood disorders, number of mental disorders, and exposure to childhood adversity were associated with significantly increased odds of suicidal ideation and plans. Conclusions Lifetime prevalence estimates of suicidality are similar to those in community epidemiological surveys. Childhood adversities and mental disorders, especially mood disorders, are important risk factors for suicidality. Early detection of these adversities and disorders should be targeted in suicide prevention programs.