Deconstructing resilience in patients at high risk for suicidal behavior.

Autor: Hendricks R; Department of Molecular Imaging and Neuropathology, New York State Psychiatric Institute, New York, NY, United States of America; Department of Psychiatry, Columbia University Vagelos College of Physicians and Surgeons, New York, NY, United States of America. Electronic address: rachel.hendricks@nyspi.columbia.edu., Keilp JG; Department of Molecular Imaging and Neuropathology, New York State Psychiatric Institute, New York, NY, United States of America; Department of Psychiatry, Columbia University Vagelos College of Physicians and Surgeons, New York, NY, United States of America., Lesanpezeshki M; Department of Molecular Imaging and Neuropathology, New York State Psychiatric Institute, New York, NY, United States of America; Department of Psychiatry, Columbia University Vagelos College of Physicians and Surgeons, New York, NY, United States of America., Muqkurtaj R; Department of Molecular Imaging and Neuropathology, New York State Psychiatric Institute, New York, NY, United States of America; Department of Psychiatry, Columbia University Vagelos College of Physicians and Surgeons, New York, NY, United States of America., Ellis SP; Department of Molecular Imaging and Neuropathology, New York State Psychiatric Institute, New York, NY, United States of America; Department of Psychiatry, Columbia University Vagelos College of Physicians and Surgeons, New York, NY, United States of America., Galfalvy H; Department of Molecular Imaging and Neuropathology, New York State Psychiatric Institute, New York, NY, United States of America; Department of Psychiatry, Columbia University Vagelos College of Physicians and Surgeons, New York, NY, United States of America., Burke AK; Department of Molecular Imaging and Neuropathology, New York State Psychiatric Institute, New York, NY, United States of America; Department of Psychiatry, Columbia University Vagelos College of Physicians and Surgeons, New York, NY, United States of America., Melhem N; Department of Molecular Imaging and Neuropathology, New York State Psychiatric Institute, New York, NY, United States of America; Department of Psychiatry, Columbia University Vagelos College of Physicians and Surgeons, New York, NY, United States of America., Mann JJ; Department of Molecular Imaging and Neuropathology, New York State Psychiatric Institute, New York, NY, United States of America; Department of Psychiatry, Columbia University Vagelos College of Physicians and Surgeons, New York, NY, United States of America.
Jazyk: angličtina
Zdroj: Journal of affective disorders [J Affect Disord] 2023 Feb 15; Vol. 323, pp. 320-326. Date of Electronic Publication: 2022 Nov 22.
DOI: 10.1016/j.jad.2022.11.041
Abstrakt: Background: Resilience represents coping abilities to overcome exposure to psychopathological risk. In the context of risk factors for suicidal behavior, it is unknown if this attribute is deficient in suicide attempters, how it relates to other measures of risk, and where it may overlap with other risk factors associated with suicidal behavior.
Methods: The present study examined the performance on the Connor-Davidson Resilience Scale (CD-RISC) in three groups of individuals with familial risk for both mood disorder and suicidal behavior, as well as a healthy comparison group. Other risk factors for suicidal behavior, such as depression severity, hopelessness, and lifetime impulsiveness were examined as well to determine if these mediated group differences in CD-RISC scores.
Results: CD-RISC scores differed between groups, with lowest scores in the past attempter group. However, CD-RISC scores were strongly correlated with other common risk factors for suicide attempt, including hopelessness, subjective depression, and reasons for living, which together explained 68 % of the CD-RISC variance. Group differences in CD-RISC scores were eliminated when the model included these covariates.
Limitations: Sample sizes were modest, and depression severity was low overall and significantly higher in the past suicide attempter group.
Conclusions: The CD-RISC has demonstrated utility for predicting risk for depression, but appears to overlap with other known risk factors for suicidal behavior, especially hopelessness and subjective depression. Though it encapsulates variance from multiple risk factors in a single scale, it may not provide additional predictive power above and beyond these other risk factors for suicidal behavior.
Competing Interests: Conflict of interest Drs. Mann and Burke receive royalties from the Columbia Suicide Severity Scale, which was not used in analyses reported here. Other authors report no conflicts of interest with the material presented in this manuscript.
(Copyright © 2022 Elsevier B.V. All rights reserved.)
Databáze: MEDLINE
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